Guia de Implementação da SES GO - EXAME
1.0.4 - draft Brazil flag

Guia de Implementação da SES GO - EXAME - Downloaded Version 1.0.4 See the Directory of published versions

Perfil: Laudo de Exame

URL oficial: https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/laudo-exame Versão: 1.0.4
Draft as of 2026-03-09 Nome para computador: LaudoExame

Laudo de exame

Usos:

You can also check for usages in the FHIR IG Statistics

Representações do perfil

Descrição de perfis, diferenças, instantâneo, e como apresentações diferentes funcionam.

Essa estrutura é derivada de DiagnosticReport

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: DataConclusaoExamePosteriorDataSolicitacaoExame, interpretacao-resultado
... identifier
.... system 1..1 uri Sistema de origem do exame
.... value 1..1 string Identificador do exame no sistema de origem
... basedOn 0..* Reference(Informações Sobre a Solicitação do Exame) What was requested
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... status 1..1 code registered | partial | preliminary | final +
Padrão necessário: final
.... coding
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Exame realizado
Vínculo: Exame (required)
... subject 0..1 Reference(Indivíduo) Cidadão(ã) ao qual o exame se refere
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... issued 1..1 instant Data e hora da realização do exame
... Fatias para resultsInterpreter 2..3 Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Fatia: Não ordenado, Fechado por value:id
.... resultsInterpreter:estabelecimentoPrincipal 1..1 Reference(Estabelecimento de Saúde) Estabelecimento de Saúde responsável pela emissão do laudo
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: estabelecimentoPrincipal
.... resultsInterpreter:estabelecimentoExecutor 0..1 Reference(Estabelecimento de Saúde) Estabelecimento de Saúde executor
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: estabelecimentoExecutor
.... resultsInterpreter:responsavel 1..1 Reference(Ocupacao do Profissional) Profissional responsável pela emissão do laudo
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: responsavel
... media
.... link 1..1 Reference(Imagens do Exame) Reference to the image source
... presentedForm
.... data 0..1 base64Binary Dados do(s) laudo(s) do exame
.... url 0..1 url Localização(ões) do(s) laudo(s) do exame

doco Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho Estado Utilização Conjunto de valores Versão Fonte
DiagnosticReport.code.​coding.code Base required Exame 📦1.0.4 este IG

Restrições

Id Grau Caminho(s) Descrição Expressão
DataConclusaoExamePosteriorDataSolicitacaoExame error DiagnosticReport A data de realização do exame deve ser posterior à data de solicitação do exame. issued > basedOn.resolve().authoredOn
interpretacao-resultado error DiagnosticReport Impressão clínica ou confirmação diagnóstica do resultado do exame. conclusion.exists() xor conclusionCode.exists()
NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: DataConclusaoExamePosteriorDataSolicitacaoExame, interpretacao-resultado
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn 0..* Reference(Informações Sobre a Solicitação do Exame) What was requested
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Vínculo: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
... subject Σ 0..1 Reference(Indivíduo) Cidadão(ã) ao qual o exame se refere
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... issued Σ 1..1 instant Data e hora da realização do exame
... Fatias para resultsInterpreter Σ 2..3 Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Fatia: Não ordenado, Fechado por value:id
.... resultsInterpreter:estabelecimentoPrincipal Σ 1..1 Reference(Estabelecimento de Saúde) Estabelecimento de Saúde responsável pela emissão do laudo
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: estabelecimentoPrincipal
.... resultsInterpreter:estabelecimentoExecutor Σ 0..1 Reference(Estabelecimento de Saúde) Estabelecimento de Saúde executor
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: estabelecimentoExecutor
.... resultsInterpreter:responsavel Σ 1..1 Reference(Ocupacao do Profissional) Profissional responsável pela emissão do laudo
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: responsavel

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 a norma FHIR
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
DataConclusaoExamePosteriorDataSolicitacaoExame error DiagnosticReport A data de realização do exame deve ser posterior à data de solicitação do exame. issued > basedOn.resolve().authoredOn
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
interpretacao-resultado error DiagnosticReport Impressão clínica ou confirmação diagnóstica do resultado do exame. conclusion.exists() xor conclusionCode.exists()
NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: DataConclusaoExamePosteriorDataSolicitacaoExame, interpretacao-resultado
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system Σ 1..1 uri Sistema de origem do exame
Exemplo General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string Identificador do exame no sistema de origem
Exemplo General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... basedOn 0..* Reference(Informações Sobre a Solicitação do Exame) What was requested
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Vínculo: DiagnosticReportStatus (required): The status of the diagnostic report.
Padrão necessário: final
... category Σ 0..* CodeableConcept Service category
Vínculo: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Vínculo: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... system Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Exame realizado
Vínculo: Exame (required)
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 0..1 Reference(Indivíduo) Cidadão(ã) ao qual o exame se refere
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] Σ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 1..1 instant Data e hora da realização do exame
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
... Fatias para resultsInterpreter Σ 2..3 Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Fatia: Não ordenado, Fechado por value:id
.... resultsInterpreter:estabelecimentoPrincipal Σ 1..1 Reference(Estabelecimento de Saúde) Estabelecimento de Saúde responsável pela emissão do laudo
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: estabelecimentoPrincipal
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... resultsInterpreter:estabelecimentoExecutor Σ 0..1 Reference(Estabelecimento de Saúde) Estabelecimento de Saúde executor
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: estabelecimentoExecutor
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... resultsInterpreter:responsavel Σ 1..1 Reference(Ocupacao do Profissional) Profissional responsável pela emissão do laudo
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: responsavel
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result 0..* Reference(Observation) Observations
... imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
... media Σ 0..* BackboneElement Key images associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Imagens do Exame) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Vínculo: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm 0..* Attachment Entire report as issued
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... contentType Σ 0..1 code Mime type of the content, with charset etc.
Vínculo: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Exemplo General: text/plain; charset=UTF-8, image/png
.... language Σ 0..1 code Human language of the content (BCP-47)
Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionaisObjetivo
AllLanguages Vínculo máximo

Exemplo General: en-AU
.... data 0..1 base64Binary Dados do(s) laudo(s) do exame
.... url Σ 0..1 url Localização(ões) do(s) laudo(s) do exame
Exemplo General: http://www.acme.com/logo-small.png
.... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
.... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
.... title Σ 0..1 string Label to display in place of the data
Exemplo General: Official Corporate Logo
.... creation Σ 0..1 dateTime Date attachment was first created

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 a norma FHIR
DiagnosticReport.identifier.​use Base required IdentifierUse 📍4.0.1 a norma FHIR
DiagnosticReport.identifier.​type Base extensible IdentifierType 📍4.0.1 a norma FHIR
DiagnosticReport.basedOn.​type Base extensible ResourceType 📍4.0.1 a norma FHIR
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 a norma FHIR
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 a norma FHIR
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 a norma FHIR
DiagnosticReport.code.​coding.code Base required Exame 📦1.0.4 este IG
DiagnosticReport.subject.​type Base extensible ResourceType 📍4.0.1 a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.​type Base extensible ResourceType 📍4.0.1 a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoExecutor.​type Base extensible ResourceType 📍4.0.1 a norma FHIR
DiagnosticReport.resultsInterpreter:responsavel.​type Base extensible ResourceType 📍4.0.1 a norma FHIR
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 a norma FHIR
DiagnosticReport.presentedForm.​contentType Base required MimeType 📍4.0.1 a norma FHIR
DiagnosticReport.presentedForm.​language Base preferred Common Languages 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
DataConclusaoExamePosteriorDataSolicitacaoExame error DiagnosticReport A data de realização do exame deve ser posterior à data de solicitação do exame. issued > basedOn.resolve().authoredOn
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
interpretacao-resultado error DiagnosticReport Impressão clínica ou confirmação diagnóstica do resultado do exame. conclusion.exists() xor conclusionCode.exists()

Visão de diferenças

Essa estrutura é derivada de DiagnosticReport

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: DataConclusaoExamePosteriorDataSolicitacaoExame, interpretacao-resultado
... identifier
.... system 1..1 uri Sistema de origem do exame
.... value 1..1 string Identificador do exame no sistema de origem
... basedOn 0..* Reference(Informações Sobre a Solicitação do Exame) What was requested
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... status 1..1 code registered | partial | preliminary | final +
Padrão necessário: final
.... coding
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Exame realizado
Vínculo: Exame (required)
... subject 0..1 Reference(Indivíduo) Cidadão(ã) ao qual o exame se refere
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... issued 1..1 instant Data e hora da realização do exame
... Fatias para resultsInterpreter 2..3 Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Fatia: Não ordenado, Fechado por value:id
.... resultsInterpreter:estabelecimentoPrincipal 1..1 Reference(Estabelecimento de Saúde) Estabelecimento de Saúde responsável pela emissão do laudo
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: estabelecimentoPrincipal
.... resultsInterpreter:estabelecimentoExecutor 0..1 Reference(Estabelecimento de Saúde) Estabelecimento de Saúde executor
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: estabelecimentoExecutor
.... resultsInterpreter:responsavel 1..1 Reference(Ocupacao do Profissional) Profissional responsável pela emissão do laudo
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: responsavel
... media
.... link 1..1 Reference(Imagens do Exame) Reference to the image source
... presentedForm
.... data 0..1 base64Binary Dados do(s) laudo(s) do exame
.... url 0..1 url Localização(ões) do(s) laudo(s) do exame

doco Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho Estado Utilização Conjunto de valores Versão Fonte
DiagnosticReport.code.​coding.code Base required Exame 📦1.0.4 este IG

Restrições

Id Grau Caminho(s) Descrição Expressão
DataConclusaoExamePosteriorDataSolicitacaoExame error DiagnosticReport A data de realização do exame deve ser posterior à data de solicitação do exame. issued > basedOn.resolve().authoredOn
interpretacao-resultado error DiagnosticReport Impressão clínica ou confirmação diagnóstica do resultado do exame. conclusion.exists() xor conclusionCode.exists()

Visão de elementos chave

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: DataConclusaoExamePosteriorDataSolicitacaoExame, interpretacao-resultado
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn 0..* Reference(Informações Sobre a Solicitação do Exame) What was requested
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Vínculo: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
... subject Σ 0..1 Reference(Indivíduo) Cidadão(ã) ao qual o exame se refere
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... issued Σ 1..1 instant Data e hora da realização do exame
... Fatias para resultsInterpreter Σ 2..3 Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Fatia: Não ordenado, Fechado por value:id
.... resultsInterpreter:estabelecimentoPrincipal Σ 1..1 Reference(Estabelecimento de Saúde) Estabelecimento de Saúde responsável pela emissão do laudo
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: estabelecimentoPrincipal
.... resultsInterpreter:estabelecimentoExecutor Σ 0..1 Reference(Estabelecimento de Saúde) Estabelecimento de Saúde executor
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: estabelecimentoExecutor
.... resultsInterpreter:responsavel Σ 1..1 Reference(Ocupacao do Profissional) Profissional responsável pela emissão do laudo
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: responsavel

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 a norma FHIR
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
DataConclusaoExamePosteriorDataSolicitacaoExame error DiagnosticReport A data de realização do exame deve ser posterior à data de solicitação do exame. issued > basedOn.resolve().authoredOn
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
interpretacao-resultado error DiagnosticReport Impressão clínica ou confirmação diagnóstica do resultado do exame. conclusion.exists() xor conclusionCode.exists()

Visão instantâneo

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: DataConclusaoExamePosteriorDataSolicitacaoExame, interpretacao-resultado
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system Σ 1..1 uri Sistema de origem do exame
Exemplo General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string Identificador do exame no sistema de origem
Exemplo General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... basedOn 0..* Reference(Informações Sobre a Solicitação do Exame) What was requested
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Vínculo: DiagnosticReportStatus (required): The status of the diagnostic report.
Padrão necessário: final
... category Σ 0..* CodeableConcept Service category
Vínculo: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Vínculo: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... system Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Exame realizado
Vínculo: Exame (required)
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 0..1 Reference(Indivíduo) Cidadão(ã) ao qual o exame se refere
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] Σ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 1..1 instant Data e hora da realização do exame
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
... Fatias para resultsInterpreter Σ 2..3 Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Fatia: Não ordenado, Fechado por value:id
.... resultsInterpreter:estabelecimentoPrincipal Σ 1..1 Reference(Estabelecimento de Saúde) Estabelecimento de Saúde responsável pela emissão do laudo
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: estabelecimentoPrincipal
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... resultsInterpreter:estabelecimentoExecutor Σ 0..1 Reference(Estabelecimento de Saúde) Estabelecimento de Saúde executor
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: estabelecimentoExecutor
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... resultsInterpreter:responsavel Σ 1..1 Reference(Ocupacao do Profissional) Profissional responsável pela emissão do laudo
..... id 1..1 string Unique id for inter-element referencing
Padrão necessário: responsavel
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result 0..* Reference(Observation) Observations
... imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
... media Σ 0..* BackboneElement Key images associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Imagens do Exame) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Vínculo: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm 0..* Attachment Entire report as issued
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... contentType Σ 0..1 code Mime type of the content, with charset etc.
Vínculo: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Exemplo General: text/plain; charset=UTF-8, image/png
.... language Σ 0..1 code Human language of the content (BCP-47)
Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionaisObjetivo
AllLanguages Vínculo máximo

Exemplo General: en-AU
.... data 0..1 base64Binary Dados do(s) laudo(s) do exame
.... url Σ 0..1 url Localização(ões) do(s) laudo(s) do exame
Exemplo General: http://www.acme.com/logo-small.png
.... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
.... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
.... title Σ 0..1 string Label to display in place of the data
Exemplo General: Official Corporate Logo
.... creation Σ 0..1 dateTime Date attachment was first created

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 a norma FHIR
DiagnosticReport.identifier.​use Base required IdentifierUse 📍4.0.1 a norma FHIR
DiagnosticReport.identifier.​type Base extensible IdentifierType 📍4.0.1 a norma FHIR
DiagnosticReport.basedOn.​type Base extensible ResourceType 📍4.0.1 a norma FHIR
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 a norma FHIR
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 a norma FHIR
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 a norma FHIR
DiagnosticReport.code.​coding.code Base required Exame 📦1.0.4 este IG
DiagnosticReport.subject.​type Base extensible ResourceType 📍4.0.1 a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.​type Base extensible ResourceType 📍4.0.1 a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoExecutor.​type Base extensible ResourceType 📍4.0.1 a norma FHIR
DiagnosticReport.resultsInterpreter:responsavel.​type Base extensible ResourceType 📍4.0.1 a norma FHIR
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 a norma FHIR
DiagnosticReport.presentedForm.​contentType Base required MimeType 📍4.0.1 a norma FHIR
DiagnosticReport.presentedForm.​language Base preferred Common Languages 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
DataConclusaoExamePosteriorDataSolicitacaoExame error DiagnosticReport A data de realização do exame deve ser posterior à data de solicitação do exame. issued > basedOn.resolve().authoredOn
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
interpretacao-resultado error DiagnosticReport Impressão clínica ou confirmação diagnóstica do resultado do exame. conclusion.exists() xor conclusionCode.exists()

 

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