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: Informações Sobre a Solicitação do Exame

URL oficial: https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/suspeita-diagnostica-investigada | Versão: 1.0.0
Draft as of 2025-12-05 | Nome para computador: SuspeitaDiagnosticaInvestigada

Informações Sobre a Solicitação do Exame

Usos:

- Refere a este Perfil: Resultado de Exame Laboratorial Composto and Resultado de Exame Laboratorial Simples

You can also check for usages in the FHIR IG Statistics

### Representações do perfil

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

- Diferenças
- Elementos chave
- Detalhes
- Estatísticas/Referencias
- Tudo

Essa estrutura é derivada de ServiceRequest

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | ServiceRequest | A request for a service to be performed
status |  | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Padrão necessário: completed
intent |  | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Padrão necessário: order
category |  | 1..1 | CodeableConcept | Categoria do exame Vínculo: Subgrupos da Tabela SUS (required)
code |  | 1..1 | CodeableConcept | Exame Vínculo: Exame (required)
subject |  | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
reasonCode |  | 1..* | CodeableConcept | Suspeita diagnóstica investigada Vínculo: CID-10 (required)
Documentação para este formato

#### Terminologia Ligações (Diferencial)

Caminho | Conformidade | Conjunto de valores | URI
ServiceRequest.category | required | Subgrupos da Tabela SUS `http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS`
ServiceRequest.code | required | Exame `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame` From este IG
ServiceRequest.reasonCode | required | CID10 `https://fhir.saude.go.gov.br/r4/exame/ValueSet/cid10` From este IG

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Vínculo: RequestStatus (required): The status of a service order. Padrão necessário: completed
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Vínculo: RequestIntent (required): The kind of service request. Padrão necessário: order
category | Σ | 1..1 | CodeableConcept | Categoria do exame Vínculo: Subgrupos da Tabela SUS (required)
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 1..1 | CodeableConcept | Exame Vínculo: Exame (required)
subject | Σ | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
reasonCode | Σ | 1..* | CodeableConcept | Suspeita diagnóstica investigada Vínculo: CID-10 (required)
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | ValueSet / Código | URI
ServiceRequest.status | required | Pattern Value: completed `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From a norma FHIR
ServiceRequest.intent | required | Pattern Value: order `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` From a norma FHIR
ServiceRequest.category | required | Subgrupos da Tabela SUS `http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS`
ServiceRequest.code | required | Exame `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame` From este IG
ServiceRequest.reasonCode | required | CID10 `https://fhir.saude.go.gov.br/r4/exame/ValueSet/cid10` From este IG

#### Restrições

Id | Grau | Caminho(s) | Detalhes | Requisitos
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifiers assigned to this order
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Vínculo: RequestStatus (required): The status of a service order. Padrão necessário: completed
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Vínculo: RequestIntent (required): The kind of service request. Padrão necessário: order
category | Σ | 1..1 | CodeableConcept | Categoria do exame Vínculo: Subgrupos da Tabela SUS (required)
priority | Σ | 0..1 | code | routine | urgent | asap | stat Vínculo: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 1..1 | CodeableConcept | Exame Vínculo: Exame (required)
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Vínculo: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | Σ | 0..1 |  | Preconditions for service Vínculo: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | Σ | 0..1 | dateTime | Date request signed
requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service
performerType | Σ | 0..1 | CodeableConcept | Performer role Vínculo: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer
locationCode | Σ | 0..* | CodeableConcept | Requested location Vínculo: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | Σ | 1..* | CodeableConcept | Suspeita diagnóstica investigada Vínculo: CID-10 (required)
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional clinical information
specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note |  | 0..* | Annotation | Comments
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | ValueSet / Código | URI
ServiceRequest.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From a norma FHIR
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
ServiceRequest.status | required | Pattern Value: completed `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From a norma FHIR
ServiceRequest.intent | required | Pattern Value: order `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` From a norma FHIR
ServiceRequest.category | required | Subgrupos da Tabela SUS `http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS`
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` From a norma FHIR
ServiceRequest.code | required | Exame `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame` From este IG
ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` From a norma FHIR
ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes `http://hl7.org/fhir/ValueSet/medication-as-needed-reason` From a norma FHIR
ServiceRequest.performerType | example | ParticipantRoles `http://hl7.org/fhir/ValueSet/participant-role` From a norma FHIR
ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleType `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType`
ServiceRequest.reasonCode | required | CID10 `https://fhir.saude.go.gov.br/r4/exame/ValueSet/cid10` From este IG
ServiceRequest.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From a norma FHIR

#### Restrições

Id | Grau | Caminho(s) | Detalhes | Requisitos
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |

Essa estrutura é derivada de ServiceRequest

Resumo

Obrigatório: 3 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

- Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)

Visão de diferenças

Essa estrutura é derivada de ServiceRequest

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | ServiceRequest | A request for a service to be performed
status |  | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Padrão necessário: completed
intent |  | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Padrão necessário: order
category |  | 1..1 | CodeableConcept | Categoria do exame Vínculo: Subgrupos da Tabela SUS (required)
code |  | 1..1 | CodeableConcept | Exame Vínculo: Exame (required)
subject |  | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
reasonCode |  | 1..* | CodeableConcept | Suspeita diagnóstica investigada Vínculo: CID-10 (required)
Documentação para este formato

#### Terminologia Ligações (Diferencial)

Caminho | Conformidade | Conjunto de valores | URI
ServiceRequest.category | required | Subgrupos da Tabela SUS `http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS`
ServiceRequest.code | required | Exame `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame` From este IG
ServiceRequest.reasonCode | required | CID10 `https://fhir.saude.go.gov.br/r4/exame/ValueSet/cid10` From este IG

Visão de elementos chave

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Vínculo: RequestStatus (required): The status of a service order. Padrão necessário: completed
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Vínculo: RequestIntent (required): The kind of service request. Padrão necessário: order
category | Σ | 1..1 | CodeableConcept | Categoria do exame Vínculo: Subgrupos da Tabela SUS (required)
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 1..1 | CodeableConcept | Exame Vínculo: Exame (required)
subject | Σ | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
reasonCode | Σ | 1..* | CodeableConcept | Suspeita diagnóstica investigada Vínculo: CID-10 (required)
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | ValueSet / Código | URI
ServiceRequest.status | required | Pattern Value: completed `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From a norma FHIR
ServiceRequest.intent | required | Pattern Value: order `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` From a norma FHIR
ServiceRequest.category | required | Subgrupos da Tabela SUS `http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS`
ServiceRequest.code | required | Exame `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame` From este IG
ServiceRequest.reasonCode | required | CID10 `https://fhir.saude.go.gov.br/r4/exame/ValueSet/cid10` From este IG

#### Restrições

Id | Grau | Caminho(s) | Detalhes | Requisitos
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |

Visão instantâneo

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifiers assigned to this order
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Vínculo: RequestStatus (required): The status of a service order. Padrão necessário: completed
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Vínculo: RequestIntent (required): The kind of service request. Padrão necessário: order
category | Σ | 1..1 | CodeableConcept | Categoria do exame Vínculo: Subgrupos da Tabela SUS (required)
priority | Σ | 0..1 | code | routine | urgent | asap | stat Vínculo: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 1..1 | CodeableConcept | Exame Vínculo: Exame (required)
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Vínculo: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | Σ | 0..1 |  | Preconditions for service Vínculo: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | Σ | 0..1 | dateTime | Date request signed
requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service
performerType | Σ | 0..1 | CodeableConcept | Performer role Vínculo: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer
locationCode | Σ | 0..* | CodeableConcept | Requested location Vínculo: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | Σ | 1..* | CodeableConcept | Suspeita diagnóstica investigada Vínculo: CID-10 (required)
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional clinical information
specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note |  | 0..* | Annotation | Comments
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | ValueSet / Código | URI
ServiceRequest.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From a norma FHIR
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
ServiceRequest.status | required | Pattern Value: completed `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From a norma FHIR
ServiceRequest.intent | required | Pattern Value: order `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` From a norma FHIR
ServiceRequest.category | required | Subgrupos da Tabela SUS `http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS`
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` From a norma FHIR
ServiceRequest.code | required | Exame `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame` From este IG
ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` From a norma FHIR
ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes `http://hl7.org/fhir/ValueSet/medication-as-needed-reason` From a norma FHIR
ServiceRequest.performerType | example | ParticipantRoles `http://hl7.org/fhir/ValueSet/participant-role` From a norma FHIR
ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleType `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType`
ServiceRequest.reasonCode | required | CID10 `https://fhir.saude.go.gov.br/r4/exame/ValueSet/cid10` From este IG
ServiceRequest.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From a norma FHIR

#### Restrições

Id | Grau | Caminho(s) | Detalhes | Requisitos
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |

Essa estrutura é derivada de ServiceRequest

Resumo

Obrigatório: 3 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

- Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)

Outras representações do perfil: CSV, Excel, Schematron