Guia de Implementação da SES GO - EXAME
1.0.0 - draft

Guia de Implementação da SES GO - EXAME - Downloaded Version 1.0.0 See the Directory of published versions

## Perfil: LaudoExame - Descrição detalhada

Draft as of 2025-12-05

Definições para laudo-exame perfil.

- Elementos distintos
- Elementos
- Instantâneo

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. DiagnosticReport
Invariantes | DataConclusaoExamePosteriorDataSolicitacaoExame: A data de realização do exame deve ser posterior à data de solicitação do exame. (`issued > basedOn.resolve().authoredOn`) interpretacao-resultado: Impressão clínica ou confirmação diagnóstica do resultado do exame. (`conclusion.exists() xor conclusionCode.exists()`)
2. DiagnosticReport.identifier
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
4. DiagnosticReport.identifier.system
Definição | Identificador do sistema de informação do qual o registro do exame foi originalmente gerado.
Curto | Sistema de origem do exame
Controlo | 1..?
6. DiagnosticReport.identifier.value
Definição | Código de identificação do registro do exame no sistema no qual ele foi originalmente gerado.
Curto | Identificador do exame no sistema de origem
Controlo | 1..?
8. DiagnosticReport.basedOn
Controlo | 1..1
Tipo | Reference(Informações Sobre a Solicitação do Exame)
10. DiagnosticReport.category
Controlo | 0..0
12. DiagnosticReport.code
Definição | Tipo de exame realizado.
Curto | Exame realizado
Vínculo | Os códigos DEVERÃO ser retirados de Exame (required to `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame` )
14. DiagnosticReport.subject
Definição | Referência ao(à) cidadão(ã) identificado(a).
Curto | Cidadão(ã) ao qual o exame se refere
Controlo | 1..?
Tipo | Reference(Indivíduo)
16. DiagnosticReport.encounter
Controlo | 0..0
18. DiagnosticReport.effective[x]
Controlo | 0..0
20. DiagnosticReport.issued
Definição | Registra a data e hora em que o exame foi concluído.
Curto | Data/hora de conclusão do execução exame
Controlo | 1..?
22. DiagnosticReport.performer
Controlo | 0..0
24. DiagnosticReport.resultsInterpreter
Controlo | 2..3
Slicing | Este elemento introduz um conjunto de fatias em `DiagnosticReport.resultsInterpreter`. As fatias sãoNão ordenado e Closede pode ser diferenciado utilizando os seguintes discriminadores: value @ id
26. DiagnosticReport.resultsInterpreter.identifier
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..?
28. DiagnosticReport.resultsInterpreter.identifier.system
Controlo | 1..?
30. DiagnosticReport.resultsInterpreter.identifier.value
Controlo | 1..?
32. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal
Nome da fatia | estabelecimentoPrincipal
Definição | Identificação unívoca do Estabelecimento de Saúde responsável pela emissão do resultado final.
Curto | Estabelecimento principal
Controlo | 1..1
Tipo | Reference(Estabelecimento de Saúde)
34. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.id
Controlo | 1..?
Valor do padrão | `estabelecimentoPrincipal`
36. DiagnosticReport.resultsInterpreter:estabelecimentoApoio
Nome da fatia | estabelecimentoApoio
Definição | Identificação unívoca do estabelecimento de apoio responsável pela terceirização da execução do exame ou parte do exame.
Curto | Estabelecimento de apoio ou referência - executor
Controlo | 0..1
Tipo | Reference(Estabelecimento de Saúde)
38. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.id
Controlo | 1..?
Valor do padrão | `estabelecimentoApoio`
40. DiagnosticReport.resultsInterpreter:responsavel
Nome da fatia | responsavel
Definição | Identificação unívoca do(a) profissional responsável pela liberação do exame.
Curto | Profissional responsável pela liberação do exame
Controlo | 1..1
Tipo | Reference(Ocupacao do Profissional)
42. DiagnosticReport.resultsInterpreter:responsavel.id
Controlo | 1..?
Valor do padrão | `responsavel`
44. DiagnosticReport.specimen
Controlo | 0..0
46. DiagnosticReport.result
Controlo | 0..0
48. DiagnosticReport.imagingStudy
Controlo | 0..0
50. DiagnosticReport.media
52. DiagnosticReport.media.comment
Controlo | 0..0
54. DiagnosticReport.media.link
Curto | Localização(ões) da(s) imagem(ns) do exame
Tipo | Reference(Imagens do Exame)
56. DiagnosticReport.conclusion
Definição | Descreve a conclusão clínica do exame, conforme análise do profissional responsável. Pode conter linguagem natural, observações e recomendações.
Curto | Conclusão não estruturada
58. DiagnosticReport.conclusionCode
Definição | Representação codificada da conclusão do exame, utilizando terminologias padronizadas.
Curto | Conclusão estruturada (terminologia)
Vínculo | Os códigos DEVERÃO ser retirados de Conclusão do exame com imagem e/ou laudo (required to `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame-imagem-laudo-conclusion-code` )
60. DiagnosticReport.conclusionCode.coding
62. DiagnosticReport.conclusionCode.coding.system
Controlo | 1..?
64. DiagnosticReport.conclusionCode.coding.code
Controlo | 1..?
66. DiagnosticReport.presentedForm
68. DiagnosticReport.presentedForm.data
Definição | Dados embedados referentes ao documento digital do laudo oficial do exame.
Curto | Dados do(s) laudo(s) do exame
70. DiagnosticReport.presentedForm.url
Definição | Caminho completo para acessar o laudo do exame em formato DOS, UNIX, UNC ou URL.
Curto | Localização(ões) do(s) laudo(s) do exame

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. DiagnosticReport
Definição | The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.
Curto | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Comentários | This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.
Controlo | 0..*
É modificador | false
Resumo | false
Nomes alternativos | Report, Test, Result, Results, Labs, Laboratory
Invariantes | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) DataConclusaoExamePosteriorDataSolicitacaoExame: A data de realização do exame deve ser posterior à data de solicitação do exame. (`issued > basedOn.resolve().authoredOn`) interpretacao-resultado: Impressão clínica ou confirmação diagnóstica do resultado do exame. (`conclusion.exists() xor conclusionCode.exists()`)
2. DiagnosticReport.implicitRules
Definição | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Curto | A set of rules under which this content was created
Comentários | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Controlo | 0..1
Tipo | uri
É modificador | true porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. DiagnosticReport.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumo | false
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. DiagnosticReport.identifier
Definição | Identifiers assigned to this report by the performer or other systems.
Curto | Business identifier for report
Comentários | Usually assigned by the Information System of the diagnostic service provider (filler id).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 10..1*
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.
Nomes alternativos | ReportID, Filler ID, Placer ID
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. DiagnosticReport.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. DiagnosticReport.identifier.system
Definição | Identificador do sistema de informação do qual o registro do exame foi originalmente gerado. Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | Sistema de origem do exameThe namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 10..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. DiagnosticReport.identifier.value
Definição | Código de identificação do registro do exame no sistema no qual ele foi originalmente gerado. The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | Identificador do exame no sistema de origemThe value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 10..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. DiagnosticReport.basedOn
Definição | Details concerning a service requested.
Curto | What was requested
Comentários | Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.
Controlo | 10..1*
Tipo | Reference(Informações Sobre a Solicitação do Exame, CarePlan, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest)
É modificador | false
Resumo | false
Requisitos | This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.
Nomes alternativos | Request
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. DiagnosticReport.status
Definição | The status of the diagnostic report.
Curto | registered | partial | preliminary | final +
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1` ) The status of the diagnostic report.
Tipo | code
É modificador | true porque This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. DiagnosticReport.category
Definição | A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.
Curto | Service category
Comentários | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.
Controlo | 0..0*
Vínculo | Para exemplos de códigos, ver DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections (example to `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` ) Codes for diagnostic service sections.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Nomes alternativos | Department, Sub-department, Service, Discipline
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. DiagnosticReport.code
Definição | Tipo de exame realizado. A code or name that describes this diagnostic report.
Curto | Exame realizadoName/Code for this diagnostic report
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de Exame http://hl7.org/fhir/ValueSet/report-codes (required to `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame` )
Tipo | CodeableConcept
É modificador | false
Resumo | true
Nomes alternativos | Type
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. DiagnosticReport.subject
Definição | Referência ao(à) cidadão(ã) identificado(a). The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.
Curto | Cidadão(ã) ao qual o exame se refereThe subject of the report - usually, but not always, the patient
Controlo | 10..1
Tipo | Reference(Indivíduo, Patient, Group, Device, Location)
É modificador | false
Resumo | true
Requisitos | SHALL know the subject context.
Nomes alternativos | Patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. DiagnosticReport.encounter
Definição | The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.
Curto | Health care event when test ordered
Comentários | This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).
Controlo | 0..01
Tipo | Reference(Encounter)
É modificador | false
Resumo | true
Requisitos | Links the request to the Encounter context.
Nomes alternativos | Context
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. DiagnosticReport.effective[x]
Definição | The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.
Curto | Clinically relevant time/time-period for report
Comentários | If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.
Controlo | 0..01
Tipo | Escolha de: dateTime, Period
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to know where in the patient history to file/present this report.
Nomes alternativos | Observation time, Effective Time, Occurrence
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. DiagnosticReport.issued
Definição | Registra a data e hora em que o exame foi concluído. The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.
Curto | Data/hora de conclusão do execução exameDateTime this version was made
Comentários | May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.
Controlo | 10..1
Tipo | instant
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Clinicians need to be able to check the date that the report was released.
Nomes alternativos | Date published, Date Issued, Date Verified
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. DiagnosticReport.performer
Definição | The diagnostic service that is responsible for issuing the report.
Curto | Responsible Diagnostic Service
Comentários | This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.
Controlo | 0..0*
Tipo | Reference(Practitioner, PractitionerRole, Organization, CareTeam)
É modificador | false
Resumo | true
Requisitos | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Nomes alternativos | Laboratory, Service, Practitioner, Department, Company, Authorized by, Director
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. DiagnosticReport.resultsInterpreter
Definição | The practitioner or organization that is responsible for the report's conclusions and interpretations.
Curto | Primary result interpreter
Comentários | Might not be the same entity that takes responsibility for the clinical report.
Controlo | 20..3*
Tipo | Reference(Practitioner, PractitionerRole, Organization, CareTeam)
É modificador | false
Resumo | true
Requisitos | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Nomes alternativos | Analyzed by, Reported by
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | Este elemento introduz um conjunto de fatias em `DiagnosticReport.resultsInterpreter`. As fatias sãoNão ordenado e Closede pode ser diferenciado utilizando os seguintes discriminadores: value @ id
34. DiagnosticReport.resultsInterpreter.identifier
Definição | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Logical reference, when literal reference is not known
Comentários | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 10..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. DiagnosticReport.resultsInterpreter.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. DiagnosticReport.resultsInterpreter.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 10..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. DiagnosticReport.resultsInterpreter.identifier.value
Definição | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | The value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 10..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal
Nome da fatia | estabelecimentoPrincipal
Definição | Identificação unívoca do Estabelecimento de Saúde responsável pela emissão do resultado final. The practitioner or organization that is responsible for the report's conclusions and interpretations.
Curto | Estabelecimento principalPrimary result interpreter
Comentários | Might not be the same entity that takes responsibility for the clinical report.
Controlo | 10..1*
Tipo | Reference(Estabelecimento de Saúde, Practitioner, PractitionerRole, Organization, CareTeam)
É modificador | false
Resumo | true
Requisitos | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Nomes alternativos | Analyzed by, Reported by
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 10..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
Valor do padrão | `estabelecimentoPrincipal`
46. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier
Definição | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Logical reference, when literal reference is not known
Comentários | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 10..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 10..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.value
Definição | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | The value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 10..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. DiagnosticReport.resultsInterpreter:estabelecimentoApoio
Nome da fatia | estabelecimentoApoio
Definição | Identificação unívoca do estabelecimento de apoio responsável pela terceirização da execução do exame ou parte do exame. The practitioner or organization that is responsible for the report's conclusions and interpretations.
Curto | Estabelecimento de apoio ou referência - executorPrimary result interpreter
Comentários | Might not be the same entity that takes responsibility for the clinical report.
Controlo | 0..1*
Tipo | Reference(Estabelecimento de Saúde, Practitioner, PractitionerRole, Organization, CareTeam)
É modificador | false
Resumo | true
Requisitos | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Nomes alternativos | Analyzed by, Reported by
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 10..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
Valor do padrão | `estabelecimentoApoio`
58. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier
Definição | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Logical reference, when literal reference is not known
Comentários | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 10..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 10..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.value
Definição | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | The value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 10..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. DiagnosticReport.resultsInterpreter:responsavel
Nome da fatia | responsavel
Definição | Identificação unívoca do(a) profissional responsável pela liberação do exame. The practitioner or organization that is responsible for the report's conclusions and interpretations.
Curto | Profissional responsável pela liberação do examePrimary result interpreter
Comentários | Might not be the same entity that takes responsibility for the clinical report.
Controlo | 10..1*
Tipo | Reference(Ocupacao do Profissional, Practitioner, PractitionerRole, Organization, CareTeam)
É modificador | false
Resumo | true
Requisitos | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Nomes alternativos | Analyzed by, Reported by
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. DiagnosticReport.resultsInterpreter:responsavel.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 10..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
Valor do padrão | `responsavel`
70. DiagnosticReport.resultsInterpreter:responsavel.identifier
Definição | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Logical reference, when literal reference is not known
Comentários | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 10..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. DiagnosticReport.resultsInterpreter:responsavel.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. DiagnosticReport.resultsInterpreter:responsavel.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 10..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. DiagnosticReport.resultsInterpreter:responsavel.identifier.value
Definição | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | The value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 10..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. DiagnosticReport.specimen
Definição | Details about the specimens on which this diagnostic report is based.
Curto | Specimens this report is based on
Comentários | If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.
Controlo | 0..0*
Tipo | Reference(Specimen)
É modificador | false
Resumo | false
Requisitos | Need to be able to report information about the collected specimens on which the report is based.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. DiagnosticReport.result
Definição | Observations that are part of this diagnostic report.
Curto | Observations
Comentários | Observations can contain observations.
Controlo | 0..0*
Tipo | Reference(Observation)
É modificador | false
Resumo | false
Requisitos | Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.
Nomes alternativos | Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. DiagnosticReport.imagingStudy
Definição | One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.
Curto | Reference to full details of imaging associated with the diagnostic report
Comentários | ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.
Controlo | 0..0*
Tipo | Reference(ImagingStudy)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. DiagnosticReport.conclusion
Definição | Descreve a conclusão clínica do exame, conforme análise do profissional responsável. Pode conter linguagem natural, observações e recomendações. Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.
Curto | Conclusão não estruturadaClinical conclusion (interpretation) of test results
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Requisitos | Need to be able to provide a conclusion that is not lost among the basic result data.
Nomes alternativos | Report
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
86. DiagnosticReport.conclusionCode
Definição | Representação codificada da conclusão do exame, utilizando terminologias padronizadas. One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.
Curto | Conclusão estruturada (terminologia)Codes for the clinical conclusion of test results
Controlo | 0..*
Vínculo | Os códigos DEVERÃO ser retirados de Para exemplos de códigos, ver Conclusão do exame com imagem e/ou laudo http://hl7.org/fhir/ValueSet/clinical-findings (required to `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame-imagem-laudo-conclusion-code` )
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. DiagnosticReport
Definição | The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.
Curto | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Comentários | This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.
Controlo | 0..*
É modificador | false
Resumo | false
Nomes alternativos | Report, Test, Result, Results, Labs, Laboratory
Invariantes | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) DataConclusaoExamePosteriorDataSolicitacaoExame: A data de realização do exame deve ser posterior à data de solicitação do exame. (`issued > basedOn.resolve().authoredOn`) interpretacao-resultado: Impressão clínica ou confirmação diagnóstica do resultado do exame. (`conclusion.exists() xor conclusionCode.exists()`)
2. DiagnosticReport.id
Definição | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Curto | Logical id of this artifact
Comentários | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Controlo | 0..1
Tipo | id
É modificador | false
Resumo | true
4. DiagnosticReport.meta
Definição | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Curto | Metadata about the resource
Controlo | 0..1
Tipo | Meta
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. DiagnosticReport.implicitRules
Definição | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Curto | A set of rules under which this content was created
Comentários | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Controlo | 0..1
Tipo | uri
É modificador | true porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. DiagnosticReport.language
Definição | The base language in which the resource is written.
Curto | Language of the resource content
Comentários | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages` ) A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. DiagnosticReport.text
Definição | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Curto | Text summary of the resource, for human interpretation
Comentários | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Controlo | 0..1
Tipo | Narrative
É modificador | false
Resumo | false
Nomes alternativos | narrative, html, xhtml, display
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. DiagnosticReport.contained
Definição | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Curto | Contained, inline Resources
Comentários | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Controlo | 0..*
Tipo | Resource
É modificador | false
Resumo | false
Nomes alternativos | inline resources, anonymous resources, contained resources
14. DiagnosticReport.extension
Definição | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
16. DiagnosticReport.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumo | false
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. DiagnosticReport.identifier
Definição | Identifiers assigned to this report by the performer or other systems.
Curto | Business identifier for report
Comentários | Usually assigned by the Information System of the diagnostic service provider (filler id).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.
Nomes alternativos | ReportID, Filler ID, Placer ID
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. DiagnosticReport.identifier.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
22. DiagnosticReport.identifier.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `DiagnosticReport.identifier.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
24. DiagnosticReport.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. DiagnosticReport.identifier.type
Definição | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Curto | Description of identifier
Comentários | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Allows users to make use of identifiers when the identifier system is not known.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. DiagnosticReport.identifier.system
Definição | Identificador do sistema de informação do qual o registro do exame foi originalmente gerado.
Curto | Sistema de origem do exame
Comentários | Identifier.system is always case sensitive.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. DiagnosticReport.identifier.value
Definição | Código de identificação do registro do exame no sistema no qual ele foi originalmente gerado.
Curto | Identificador do exame no sistema de origem
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 1..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. DiagnosticReport.identifier.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 0..1
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. DiagnosticReport.identifier.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 0..1
Tipo | Reference(Organization)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. DiagnosticReport.basedOn
Definição | Details concerning a service requested.
Curto | What was requested
Comentários | Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.
Controlo | 1..1
Tipo | Reference(Informações Sobre a Solicitação do Exame)
É modificador | false
Resumo | false
Requisitos | This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.
Nomes alternativos | Request
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. DiagnosticReport.status
Definição | The status of the diagnostic report.
Curto | registered | partial | preliminary | final +
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de DiagnosticReportStatus (required to `http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1` ) The status of the diagnostic report.
Tipo | code
É modificador | true porque This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. DiagnosticReport.category
Definição | A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.
Curto | Service category
Comentários | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.
Controlo | 0..0
Vínculo | Para exemplos de códigos, ver DiagnosticServiceSectionCodes (example to `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` ) Codes for diagnostic service sections.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Nomes alternativos | Department, Sub-department, Service, Discipline
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. DiagnosticReport.code
Definição | Tipo de exame realizado.
Curto | Exame realizado
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de Exame (required to `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame` )
Tipo | CodeableConcept
É modificador | false
Resumo | true
Nomes alternativos | Type
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. DiagnosticReport.subject
Definição | Referência ao(à) cidadão(ã) identificado(a).
Curto | Cidadão(ã) ao qual o exame se refere
Controlo | 1..1
Tipo | Reference(Indivíduo)
É modificador | false
Resumo | true
Requisitos | SHALL know the subject context.
Nomes alternativos | Patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. DiagnosticReport.encounter
Definição | The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.
Curto | Health care event when test ordered
Comentários | This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).
Controlo | 0..0
Tipo | Reference(Encounter)
É modificador | false
Resumo | true
Requisitos | Links the request to the Encounter context.
Nomes alternativos | Context
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. DiagnosticReport.effective[x]
Definição | The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.
Curto | Clinically relevant time/time-period for report
Comentários | If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.
Controlo | 0..0
Tipo | Escolha de: dateTime, Period
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to know where in the patient history to file/present this report.
Nomes alternativos | Observation time, Effective Time, Occurrence
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. DiagnosticReport.issued
Definição | Registra a data e hora em que o exame foi concluído.
Curto | Data/hora de conclusão do execução exame
Comentários | May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.
Controlo | 1..1
Tipo | instant
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Clinicians need to be able to check the date that the report was released.
Nomes alternativos | Date published, Date Issued, Date Verified
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. DiagnosticReport.performer
Definição | The diagnostic service that is responsible for issuing the report.
Curto | Responsible Diagnostic Service
Comentários | This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.
Controlo | 0..0
Tipo | Reference(Practitioner, PractitionerRole, Organization, CareTeam)
É modificador | false
Resumo | true
Requisitos | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Nomes alternativos | Laboratory, Service, Practitioner, Department, Company, Authorized by, Director
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. DiagnosticReport.resultsInterpreter
Definição | The practitioner or organization that is responsible for the report's conclusions and interpretations.
Curto | Primary result interpreter
Comentários | Might not be the same entity that takes responsibility for the clinical report.
Controlo | 2..3
Tipo | Reference(Practitioner, PractitionerRole, Organization, CareTeam)
É modificador | false
Resumo | true
Requisitos | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Nomes alternativos | Analyzed by, Reported by
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Este elemento introduz um conjunto de fatias em `DiagnosticReport.resultsInterpreter`. As fatias sãoNão ordenado e Closede pode ser diferenciado utilizando os seguintes discriminadores: value @ id
56. DiagnosticReport.resultsInterpreter.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
58. DiagnosticReport.resultsInterpreter.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `DiagnosticReport.resultsInterpreter.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
60. DiagnosticReport.resultsInterpreter.reference
Definição | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Curto | Literal reference, Relative, internal or absolute URL
Comentários | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ref-1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. DiagnosticReport.resultsInterpreter.type
Definição | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Curto | Type the reference refers to (e.g. "Patient")
Comentários | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType (extensible to `http://hl7.org/fhir/ValueSet/resource-types` ) Aa resource (or, for logical models, the URI of the logical model).
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. DiagnosticReport.resultsInterpreter.identifier
Definição | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Logical reference, when literal reference is not known
Comentários | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. DiagnosticReport.resultsInterpreter.identifier.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
68. DiagnosticReport.resultsInterpreter.identifier.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `DiagnosticReport.resultsInterpreter.identifier.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
70. DiagnosticReport.resultsInterpreter.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. DiagnosticReport.resultsInterpreter.identifier.type
Definição | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Curto | Description of identifier
Comentários | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Allows users to make use of identifiers when the identifier system is not known.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. DiagnosticReport.resultsInterpreter.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. DiagnosticReport.resultsInterpreter.identifier.value
Definição | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | The value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 1..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
78. DiagnosticReport.resultsInterpreter.identifier.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 0..1
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. DiagnosticReport.resultsInterpreter.identifier.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 0..1
Tipo | Reference(Organization)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. DiagnosticReport.resultsInterpreter.display
Definição | Plain text narrative that identifies the resource in addition to the resource reference.
Curto | Text alternative for the resource
Comentários | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal
Nome da fatia | estabelecimentoPrincipal
Definição | Identificação unívoca do Estabelecimento de Saúde responsável pela emissão do resultado final.
Curto | Estabelecimento principal
Comentários | Might not be the same entity that takes responsibility for the clinical report.
Controlo | 1..1
Tipo | Reference(Estabelecimento de Saúde)
É modificador | false
Resumo | true
Requisitos | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Nomes alternativos | Analyzed by, Reported by
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 1..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
Valor do padrão | `estabelecimentoPrincipal`
88. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `DiagnosticReport.resultsInterpreter.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
90. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.reference
Definição | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Curto | Literal reference, Relative, internal or absolute URL
Comentários | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ref-1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.type
Definição | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Curto | Type the reference refers to (e.g. "Patient")
Comentários | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType (extensible to `http://hl7.org/fhir/ValueSet/resource-types` ) Aa resource (or, for logical models, the URI of the logical model).
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier
Definição | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Logical reference, when literal reference is not known
Comentários | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
98. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `DiagnosticReport.resultsInterpreter.identifier.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
100. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.type
Definição | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Curto | Description of identifier
Comentários | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Allows users to make use of identifiers when the identifier system is not known.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.value
Definição | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | The value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 1..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 0..1
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 0..1
Tipo | Reference(Organization)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.display
Definição | Plain text narrative that identifies the resource in addition to the resource reference.
Curto | Text alternative for the resource
Comentários | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. DiagnosticReport.resultsInterpreter:estabelecimentoApoio
Nome da fatia | estabelecimentoApoio
Definição | Identificação unívoca do estabelecimento de apoio responsável pela terceirização da execução do exame ou parte do exame.
Curto | Estabelecimento de apoio ou referência - executor
Comentários | Might not be the same entity that takes responsibility for the clinical report.
Controlo | 0..1
Tipo | Reference(Estabelecimento de Saúde)
É modificador | false
Resumo | true
Requisitos | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Nomes alternativos | Analyzed by, Reported by
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 1..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
Valor do padrão | `estabelecimentoApoio`
118. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `DiagnosticReport.resultsInterpreter.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
120. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.reference
Definição | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Curto | Literal reference, Relative, internal or absolute URL
Comentários | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ref-1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.type
Definição | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Curto | Type the reference refers to (e.g. "Patient")
Comentários | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType (extensible to `http://hl7.org/fhir/ValueSet/resource-types` ) Aa resource (or, for logical models, the URI of the logical model).
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier
Definição | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Logical reference, when literal reference is not known
Comentários | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
128. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `DiagnosticReport.resultsInterpreter.identifier.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
130. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
132. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.type
Definição | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Curto | Description of identifier
Comentários | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Allows users to make use of identifiers when the identifier system is not known.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.value
Definição | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | The value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 1..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
138. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 0..1
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
140. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 0..1
Tipo | Reference(Organization)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. DiagnosticReport.resultsInterpreter:estabelecimentoApoio.display
Definição | Plain text narrative that identifies the resource in addition to the resource reference.
Curto | Text alternative for the resource
Comentários | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. DiagnosticReport.resultsInterpreter:responsavel
Nome da fatia | responsavel
Definição | Identificação unívoca do(a) profissional responsável pela liberação do exame.
Curto | Profissional responsável pela liberação do exame
Comentários | Might not be the same entity that takes responsibility for the clinical report.
Controlo | 1..1
Tipo | Reference(Ocupacao do Profissional)
É modificador | false
Resumo | true
Requisitos | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Nomes alternativos | Analyzed by, Reported by
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. DiagnosticReport.resultsInterpreter:responsavel.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 1..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
Valor do padrão | `responsavel`
148. DiagnosticReport.resultsInterpreter:responsavel.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `DiagnosticReport.resultsInterpreter.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
150. DiagnosticReport.resultsInterpreter:responsavel.reference
Definição | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Curto | Literal reference, Relative, internal or absolute URL
Comentários | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ref-1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
152. DiagnosticReport.resultsInterpreter:responsavel.type
Definição | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Curto | Type the reference refers to (e.g. "Patient")
Comentários | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType (extensible to `http://hl7.org/fhir/ValueSet/resource-types` ) Aa resource (or, for logical models, the URI of the logical model).
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
154. DiagnosticReport.resultsInterpreter:responsavel.identifier
Definição | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Logical reference, when literal reference is not known
Comentários | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. DiagnosticReport.resultsInterpreter:responsavel.identifier.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
158. DiagnosticReport.resultsInterpreter:responsavel.identifier.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `DiagnosticReport.resultsInterpreter.identifier.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
160. DiagnosticReport.resultsInterpreter:responsavel.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
162. DiagnosticReport.resultsInterpreter:responsavel.identifier.type
Definição | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Curto | Description of identifier
Comentários | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Allows users to make use of identifiers when the identifier system is not known.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
164. DiagnosticReport.resultsInterpreter:responsavel.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
166. DiagnosticReport.resultsInterpreter:responsavel.identifier.value
Definição | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | The value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 1..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
168. DiagnosticReport.resultsInterpreter:responsavel.identifier.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 0..1
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
170. DiagnosticReport.resultsInterpreter:responsavel.identifier.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 0..1
Tipo | Reference(Organization)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
172. DiagnosticReport.resultsInterpreter:responsavel.display
Definição | Plain text narrative that identifies the resource in addition to the resource reference.
Curto | Text alternative for the resource
Comentários | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
174. DiagnosticReport.specimen
Definição | Details about the specimens on which this diagnostic report is based.
Curto | Specimens this report is based on
Comentários | If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.
Controlo | 0..0
Tipo | Reference(Specimen)
É modificador | false
Resumo | false
Requisitos | Need to be able to report information about the collected specimens on which the report is based.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
176. DiagnosticReport.result
Definição | Observations that are part of this diagnostic report.
Curto | Observations
Comentários | Observations can contain observations.
Controlo | 0..0
Tipo | Reference(Observation)
É modificador | false
Resumo | false
Requisitos | Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.
Nomes alternativos | Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
178. DiagnosticReport.imagingStudy
Definição | One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.
Curto | Reference to full details of imaging associated with the diagnostic report
Comentários | ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.
Controlo | 0..0
Tipo | Reference(ImagingStudy)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
180. DiagnosticReport.media
Definição | A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).
Curto | Key images associated with this report
Controlo | 0..*
Tipo | BackboneElement
É modificador | false
Resumo | true
Requisitos | Many diagnostic services include images in the report as part of their service.
Nomes alternativos | DICOM, Slides, Scans
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. DiagnosticReport.media.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
184. DiagnosticReport.media.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
186. DiagnosticReport.media.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored even if unrecognized
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
188. DiagnosticReport.media.comment
Definição | A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.
Curto | Comment about the image (e.g. explanation)
Comentários | The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.
Controlo | 0..0
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Requisitos | The provider of the report should make a comment about each image included in the report.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
190. DiagnosticReport.media.link
Definição | Reference to the image source.
Curto | Localização(ões) da(s) imagem(ns) do exame
Controlo | 1..1
Tipo | Reference(Imagens do Exame)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
192. DiagnosticReport.conclusion
Definição | Descreve a conclusão clínica do exame, conforme análise do profissional responsável. Pode conter linguagem natural, observações e recomendações.
Curto | Conclusão não estruturada
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Requisitos | Need to be able to provide a conclusion that is not lost among the basic result data.
Nomes alternativos | Report
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
194. DiagnosticReport.conclusionCode
Definição | Representação codificada da conclusão do exame, utilizando terminologias padronizadas.
Curto | Conclusão estruturada (terminologia)
Controlo | 0..*
Vínculo | Os códigos DEVERÃO ser retirados de Conclusão do exame com imagem e/ou laudo (required to `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame-imagem-laudo-conclusion-code` )
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
196. DiagnosticReport.conclusionCode.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
198. DiagnosticReport.conclusionCode.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `DiagnosticReport.conclusionCode.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
200. DiagnosticReport.conclusionCode.coding
Definição | A reference to a code defined by a terminology system.
Curto | Code defined by a terminology system
Comentários | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Controlo | 0..*
Tipo | Coding
É modificador | false
Resumo | true
Requisitos | Allows for alternative encodings within a code system, and translations to other code systems.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
202. DiagnosticReport.conclusionCode.coding.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
204. DiagnosticReport.conclusionCode.coding.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `DiagnosticReport.conclusionCode.coding.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
206. DiagnosticReport.conclusionCode.coding.system
Definição | The identification of the code system that defines the meaning of the symbol in the code.
Curto | Identity of the terminology system
Comentários | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be unambiguous about the source of the definition of the symbol.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
208. DiagnosticReport.conclusionCode.coding.version
Definição | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Curto | Version of the system - if relevant
Comentários | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Nota | Este é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
210. DiagnosticReport.conclusionCode.coding.code
Definição | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Curto | Symbol in syntax defined by the system
Controlo | 1..1
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to refer to a particular code in the system.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
212. DiagnosticReport.conclusionCode.coding.display
Definição | A representation of the meaning of the code in the system, following the rules of the system.
Curto | Representation defined by the system
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
214. DiagnosticReport.conclusionCode.coding.userSelected
Definição | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Curto | If this coding was chosen directly by the user
Comentários | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Controlo | 0..1
Tipo | boolean
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
216. DiagnosticReport.conclusionCode.text
Definição | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Curto | Plain text representation of the concept
Comentários | Very often the text is the same as a displayName of one of the codings.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
218. DiagnosticReport.presentedForm
Definição | Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.
Curto | Entire report as issued
Comentários | "application/pdf" is recommended as the most reliable and interoperable in this context.
Controlo | 0..*
Tipo | Attachment
É modificador | false
Resumo | false
Requisitos | Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
220. DiagnosticReport.presentedForm.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
222. DiagnosticReport.presentedForm.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `DiagnosticReport.presentedForm.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
224. DiagnosticReport.presentedForm.contentType
Definição | Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.
Curto | Mime type of the content, with charset etc.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de Mime Types (required to `http://hl7.org/fhir/ValueSet/mimetypes|4.0.1` ) The mime type of an attachment. Any valid mime type is allowed.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Processors of the data need to be able to know how to interpret the data.
Exemplo | General: text/plain; charset=UTF-8, image/png
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
226. DiagnosticReport.presentedForm.language
Definição | The human language of the content. The value can be any valid value according to BCP 47.
Curto | Human language of the content (BCP-47)
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages` ) A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Users need to be able to choose between the languages in a set of attachments.
Exemplo | General: en-AU
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
228. DiagnosticReport.presentedForm.data
Definição | Dados embedados referentes ao documento digital do laudo oficial do exame.
Curto | Dados do(s) laudo(s) do exame
Comentários | The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.
Controlo | 0..1
Tipo | base64Binary
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Requisitos | The data needs to able to be transmitted inline.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
230. DiagnosticReport.presentedForm.url
Definição | Caminho completo para acessar o laudo do exame em formato DOS, UNIX, UNC ou URL.
Curto | Localização(ões) do(s) laudo(s) do exame
Comentários | If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.
Controlo | 0..1
Tipo | url
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | The data needs to be transmitted by reference.
Exemplo | General: http://www.acme.com/logo-small.png
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
232. DiagnosticReport.presentedForm.size
Definição | The number of bytes of data that make up this attachment (before base64 encoding, if that is done).
Curto | Number of bytes of content (if url provided)
Comentários | The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference.
Controlo | 0..1
Tipo | unsignedInt
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
234. DiagnosticReport.presentedForm.hash
Definição | The calculated hash of the data using SHA-1. Represented using base64.
Curto | Hash of the data (sha-1, base64ed)
Comentários | The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded. The hash is not intended to support digital signatures. Where protection against malicious threats a digital signature should be considered, see Provenance.signature for mechanism to protect a resource with a digital signature.
Controlo | 0..1
Tipo | base64Binary
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Included so that applications can verify that the contents of a location have not changed due to technical failures (e.g., storage rot, transport glitch, incorrect version).
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
236. DiagnosticReport.presentedForm.title
Definição | A label or set of text to display in place of the data.
Curto | Label to display in place of the data
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.
Exemplo | General: Official Corporate Logo
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
238. DiagnosticReport.presentedForm.creation
Definição | The date that the attachment was first created.
Curto | Date attachment was first created
Controlo | 0..1
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | This is often tracked as an integrity issue for use of the attachment.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)