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: Laudo de Exame

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

Laudo de exame

Usos:

- Refere a este Perfil: Imagens do Exame

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 DiagnosticReport

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
DiagnosticReport | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: DataConclusaoExamePosteriorDataSolicitacaoExame, interpretacao-resultado
identifier |  | 1..1 | Identifier | Business identifier for report
system |  | 1..1 | uri | Sistema de origem do exame
value |  | 1..1 | string | Identificador do exame no sistema de origem
basedOn |  | 1..1 | Reference(Informações Sobre a Solicitação do Exame) | What was requested
category |  | 0..0 |  |
code |  | 1..1 | CodeableConcept | Exame realizado Vínculo: Exame (required)
subject |  | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
encounter |  | 0..0 |  |
effective[x] |  | 0..0 |  |
issued |  | 1..1 | instant | Data/hora de conclusão do execução exame
performer |  | 0..0 |  |
Fatias para resultsInterpreter |  | 2..3 | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Fatia: Não ordenado, Fechado por value:id
resultsInterpreter:Todas as fatias |  |  |  | Conteúdo/regras para todas as fatias
identifier |  | 1..1 | Identifier | Logical reference, when literal reference is not known
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
resultsInterpreter:estabelecimentoPrincipal |  | 1..1 | Reference(Estabelecimento de Saúde) | Estabelecimento principal
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: estabelecimentoPrincipal
resultsInterpreter:estabelecimentoApoio |  | 0..1 | Reference(Estabelecimento de Saúde) | Estabelecimento de apoio ou referência - executor
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: estabelecimentoApoio
resultsInterpreter:responsavel |  | 1..1 | Reference(Ocupacao do Profissional) | Profissional responsável pela liberação do exame
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: responsavel
specimen |  | 0..0 |  |
result |  | 0..0 |  |
imagingStudy |  | 0..0 |  |
media |  |  |  |
comment |  | 0..0 |  |
link |  | 1..1 | Reference(Imagens do Exame) | Localização(ões) da(s) imagem(ns) do exame
conclusion |  | 0..1 | string | Conclusão não estruturada
conclusionCode |  | 0..* | CodeableConcept | Conclusão estruturada (terminologia) Vínculo: Conclusão do exame com imagem e/ou laudo (required)
coding |  |  |  |
system |  | 1..1 | uri | Identity of the terminology system
code |  | 1..1 | code | Symbol in syntax defined by the system
presentedForm |  |  |  |
data |  | 0..1 | base64Binary | Dados do(s) laudo(s) do exame
url |  | 0..1 | url | Localização(ões) do(s) laudo(s) do exame
Documentação para este formato

#### Terminologia Ligações (Diferencial)

Caminho | Conformidade | Conjunto de valores | URI
DiagnosticReport.code | required | Exame `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame` From este IG
DiagnosticReport.conclusionCode | required | ExameImagemLaudoConclusionCode `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame-imagem-laudo-conclusion-code` From este IG

#### Restrições

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

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
DiagnosticReport | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: DataConclusaoExamePosteriorDataSolicitacaoExame, interpretacao-resultado
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..1 | Identifier | Business identifier for report
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | Sistema de origem do exame Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | Identificador do exame no sistema de origem Exemplo General: 123456
basedOn |  | 1..1 | Reference(Informações Sobre a Solicitação do Exame) | What was requested
status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Vínculo: DiagnosticReportStatus (required): The status of the diagnostic report.
code | Σ | 1..1 | CodeableConcept | Exame realizado Vínculo: Exame (required)
subject | Σ | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
issued | Σ | 1..1 | instant | Data/hora de conclusão do execução exame
Fatias para resultsInterpreter | Σ | 2..3 | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Fatia: Não ordenado, Fechado por value:id
resultsInterpreter:Todas as fatias |  |  |  | Conteúdo/regras para todas as fatias
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
resultsInterpreter:estabelecimentoPrincipal | Σ | 1..1 | Reference(Estabelecimento de Saúde) | Estabelecimento principal
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: estabelecimentoPrincipal
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
resultsInterpreter:estabelecimentoApoio | Σ | 0..1 | Reference(Estabelecimento de Saúde) | Estabelecimento de apoio ou referência - executor
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: estabelecimentoApoio
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
resultsInterpreter:responsavel | Σ | 1..1 | Reference(Ocupacao do Profissional) | Profissional responsável pela liberação do exame
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: responsavel
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
conclusion |  | 0..1 | string | Conclusão não estruturada
conclusionCode |  | 0..* | CodeableConcept | Conclusão estruturada (terminologia) Vínculo: Conclusão do exame com imagem e/ou laudo (required)
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | Conjunto de valores | URI
DiagnosticReport.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.status | required | DiagnosticReportStatus `http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1` From a norma FHIR
DiagnosticReport.code | required | Exame `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame` From este IG
DiagnosticReport.resultsInterpreter.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.resultsInterpreter:responsavel.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.conclusionCode | required | ExameImagemLaudoConclusionCode `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame-imagem-laudo-conclusion-code` From este IG

#### Restrições

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

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
DiagnosticReport | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: DataConclusaoExamePosteriorDataSolicitacaoExame, interpretacao-resultado
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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 | 1..1 | Identifier | Business identifier for report
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | Sistema de origem do exame Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | Identificador do exame no sistema de origem Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
basedOn |  | 1..1 | Reference(Informações Sobre a Solicitação do Exame) | What was requested
status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Vínculo: DiagnosticReportStatus (required): The status of the diagnostic report.
code | Σ | 1..1 | CodeableConcept | Exame realizado Vínculo: Exame (required)
subject | Σ | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
issued | Σ | 1..1 | instant | Data/hora de conclusão do execução exame
Fatias para resultsInterpreter | Σ | 2..3 | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Fatia: Não ordenado, Fechado por value:id
resultsInterpreter:Todas as fatias |  |  |  | Conteúdo/regras para todas as fatias
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
resultsInterpreter:estabelecimentoPrincipal | Σ | 1..1 | Reference(Estabelecimento de Saúde) | Estabelecimento principal
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: estabelecimentoPrincipal
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
resultsInterpreter:estabelecimentoApoio | Σ | 0..1 | Reference(Estabelecimento de Saúde) | Estabelecimento de apoio ou referência - executor
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: estabelecimentoApoio
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
resultsInterpreter:responsavel | Σ | 1..1 | Reference(Ocupacao do Profissional) | Profissional responsável pela liberação do exame
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: responsavel
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
media | Σ | 0..* | BackboneElement | Key images associated with this report
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 1..1 | Reference(Imagens do Exame) | Localização(ões) da(s) imagem(ns) do exame
conclusion |  | 0..1 | string | Conclusão não estruturada
conclusionCode |  | 0..* | CodeableConcept | Conclusão estruturada (terminologia) Vínculo: Conclusão do exame com imagem e/ou laudo (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system | Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
presentedForm |  | 0..* | Attachment | Entire report as issued
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
contentType | Σ | 0..1 | code | Mime type of the content, with charset etc. Vínculo: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Exemplo General: text/plain; charset=UTF-8, image/png
language | Σ | 0..1 | code | Human language of the content (BCP-47) Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Exemplo General: en-AU
data |  | 0..1 | base64Binary | Dados do(s) laudo(s) do exame
url | Σ | 0..1 | url | Localização(ões) do(s) laudo(s) do exame Exemplo General: http://www.acme.com/logo-small.png
size | Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided)
hash | Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed)
title | Σ | 0..1 | string | Label to display in place of the data Exemplo General: Official Corporate Logo
creation | Σ | 0..1 | dateTime | Date attachment was first created
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | Conjunto de valores | URI
DiagnosticReport.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From a norma FHIR
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
DiagnosticReport.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From a norma FHIR
DiagnosticReport.status | required | DiagnosticReportStatus `http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1` From a norma FHIR
DiagnosticReport.code | required | Exame `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame` From este IG
DiagnosticReport.resultsInterpreter.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From a norma FHIR
DiagnosticReport.resultsInterpreter.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.resultsInterpreter.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoApoio.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From a norma FHIR
DiagnosticReport.resultsInterpreter:responsavel.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From a norma FHIR
DiagnosticReport.resultsInterpreter:responsavel.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.resultsInterpreter:responsavel.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From a norma FHIR
DiagnosticReport.conclusionCode | required | ExameImagemLaudoConclusionCode `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame-imagem-laudo-conclusion-code` From este IG
DiagnosticReport.presentedForm.contentType | required | Mime Types(a valid code from `urn:ietf:bcp:13`) `http://hl7.org/fhir/ValueSet/mimetypes|4.0.1` From a norma FHIR
DiagnosticReport.presentedForm.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From a norma FHIR
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo

#### Restrições

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

Essa estrutura é derivada de DiagnosticReport

Resumo

Obrigatório: 13 elementos(3 aninhado obrigatoriamente elementos)
Proibido: 8 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

- Informações Sobre a Solicitação do Exame (https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/solicitacao-exame-imagem-laudo)
- Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)
- Estabelecimento de Saúde (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/estabelecimento-saude)
- Ocupacao do Profissional (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/profissional-ocupacao)
- Imagens do Exame (https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/imagens-exame)

Fatias

Esta estrutura define os seguintes Slices:

- The element 1 is sliced based on the value of DiagnosticReport.resultsInterpreter (Closed)

Visão de diferenças

Essa estrutura é derivada de DiagnosticReport

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
DiagnosticReport | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: DataConclusaoExamePosteriorDataSolicitacaoExame, interpretacao-resultado
identifier |  | 1..1 | Identifier | Business identifier for report
system |  | 1..1 | uri | Sistema de origem do exame
value |  | 1..1 | string | Identificador do exame no sistema de origem
basedOn |  | 1..1 | Reference(Informações Sobre a Solicitação do Exame) | What was requested
category |  | 0..0 |  |
code |  | 1..1 | CodeableConcept | Exame realizado Vínculo: Exame (required)
subject |  | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
encounter |  | 0..0 |  |
effective[x] |  | 0..0 |  |
issued |  | 1..1 | instant | Data/hora de conclusão do execução exame
performer |  | 0..0 |  |
Fatias para resultsInterpreter |  | 2..3 | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Fatia: Não ordenado, Fechado por value:id
resultsInterpreter:Todas as fatias |  |  |  | Conteúdo/regras para todas as fatias
identifier |  | 1..1 | Identifier | Logical reference, when literal reference is not known
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
resultsInterpreter:estabelecimentoPrincipal |  | 1..1 | Reference(Estabelecimento de Saúde) | Estabelecimento principal
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: estabelecimentoPrincipal
resultsInterpreter:estabelecimentoApoio |  | 0..1 | Reference(Estabelecimento de Saúde) | Estabelecimento de apoio ou referência - executor
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: estabelecimentoApoio
resultsInterpreter:responsavel |  | 1..1 | Reference(Ocupacao do Profissional) | Profissional responsável pela liberação do exame
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: responsavel
specimen |  | 0..0 |  |
result |  | 0..0 |  |
imagingStudy |  | 0..0 |  |
media |  |  |  |
comment |  | 0..0 |  |
link |  | 1..1 | Reference(Imagens do Exame) | Localização(ões) da(s) imagem(ns) do exame
conclusion |  | 0..1 | string | Conclusão não estruturada
conclusionCode |  | 0..* | CodeableConcept | Conclusão estruturada (terminologia) Vínculo: Conclusão do exame com imagem e/ou laudo (required)
coding |  |  |  |
system |  | 1..1 | uri | Identity of the terminology system
code |  | 1..1 | code | Symbol in syntax defined by the system
presentedForm |  |  |  |
data |  | 0..1 | base64Binary | Dados do(s) laudo(s) do exame
url |  | 0..1 | url | Localização(ões) do(s) laudo(s) do exame
Documentação para este formato

#### Terminologia Ligações (Diferencial)

Caminho | Conformidade | Conjunto de valores | URI
DiagnosticReport.code | required | Exame `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame` From este IG
DiagnosticReport.conclusionCode | required | ExameImagemLaudoConclusionCode `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame-imagem-laudo-conclusion-code` From este IG

#### Restrições

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

Visão de elementos chave

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
DiagnosticReport | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: DataConclusaoExamePosteriorDataSolicitacaoExame, interpretacao-resultado
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..1 | Identifier | Business identifier for report
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | Sistema de origem do exame Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | Identificador do exame no sistema de origem Exemplo General: 123456
basedOn |  | 1..1 | Reference(Informações Sobre a Solicitação do Exame) | What was requested
status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Vínculo: DiagnosticReportStatus (required): The status of the diagnostic report.
code | Σ | 1..1 | CodeableConcept | Exame realizado Vínculo: Exame (required)
subject | Σ | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
issued | Σ | 1..1 | instant | Data/hora de conclusão do execução exame
Fatias para resultsInterpreter | Σ | 2..3 | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Fatia: Não ordenado, Fechado por value:id
resultsInterpreter:Todas as fatias |  |  |  | Conteúdo/regras para todas as fatias
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
resultsInterpreter:estabelecimentoPrincipal | Σ | 1..1 | Reference(Estabelecimento de Saúde) | Estabelecimento principal
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: estabelecimentoPrincipal
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
resultsInterpreter:estabelecimentoApoio | Σ | 0..1 | Reference(Estabelecimento de Saúde) | Estabelecimento de apoio ou referência - executor
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: estabelecimentoApoio
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
resultsInterpreter:responsavel | Σ | 1..1 | Reference(Ocupacao do Profissional) | Profissional responsável pela liberação do exame
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: responsavel
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
conclusion |  | 0..1 | string | Conclusão não estruturada
conclusionCode |  | 0..* | CodeableConcept | Conclusão estruturada (terminologia) Vínculo: Conclusão do exame com imagem e/ou laudo (required)
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | Conjunto de valores | URI
DiagnosticReport.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.status | required | DiagnosticReportStatus `http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1` From a norma FHIR
DiagnosticReport.code | required | Exame `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame` From este IG
DiagnosticReport.resultsInterpreter.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.resultsInterpreter:responsavel.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.conclusionCode | required | ExameImagemLaudoConclusionCode `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame-imagem-laudo-conclusion-code` From este IG

#### Restrições

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

Visão instantâneo

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
DiagnosticReport | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: DataConclusaoExamePosteriorDataSolicitacaoExame, interpretacao-resultado
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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 | 1..1 | Identifier | Business identifier for report
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | Sistema de origem do exame Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | Identificador do exame no sistema de origem Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
basedOn |  | 1..1 | Reference(Informações Sobre a Solicitação do Exame) | What was requested
status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Vínculo: DiagnosticReportStatus (required): The status of the diagnostic report.
code | Σ | 1..1 | CodeableConcept | Exame realizado Vínculo: Exame (required)
subject | Σ | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
issued | Σ | 1..1 | instant | Data/hora de conclusão do execução exame
Fatias para resultsInterpreter | Σ | 2..3 | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Fatia: Não ordenado, Fechado por value:id
resultsInterpreter:Todas as fatias |  |  |  | Conteúdo/regras para todas as fatias
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
resultsInterpreter:estabelecimentoPrincipal | Σ | 1..1 | Reference(Estabelecimento de Saúde) | Estabelecimento principal
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: estabelecimentoPrincipal
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
resultsInterpreter:estabelecimentoApoio | Σ | 0..1 | Reference(Estabelecimento de Saúde) | Estabelecimento de apoio ou referência - executor
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: estabelecimentoApoio
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
resultsInterpreter:responsavel | Σ | 1..1 | Reference(Ocupacao do Profissional) | Profissional responsável pela liberação do exame
id |  | 1..1 | string | Unique id for inter-element referencing Padrão necessário: responsavel
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
media | Σ | 0..* | BackboneElement | Key images associated with this report
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 1..1 | Reference(Imagens do Exame) | Localização(ões) da(s) imagem(ns) do exame
conclusion |  | 0..1 | string | Conclusão não estruturada
conclusionCode |  | 0..* | CodeableConcept | Conclusão estruturada (terminologia) Vínculo: Conclusão do exame com imagem e/ou laudo (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system | Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
presentedForm |  | 0..* | Attachment | Entire report as issued
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
contentType | Σ | 0..1 | code | Mime type of the content, with charset etc. Vínculo: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Exemplo General: text/plain; charset=UTF-8, image/png
language | Σ | 0..1 | code | Human language of the content (BCP-47) Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Exemplo General: en-AU
data |  | 0..1 | base64Binary | Dados do(s) laudo(s) do exame
url | Σ | 0..1 | url | Localização(ões) do(s) laudo(s) do exame Exemplo General: http://www.acme.com/logo-small.png
size | Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided)
hash | Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed)
title | Σ | 0..1 | string | Label to display in place of the data Exemplo General: Official Corporate Logo
creation | Σ | 0..1 | dateTime | Date attachment was first created
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | Conjunto de valores | URI
DiagnosticReport.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From a norma FHIR
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
DiagnosticReport.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From a norma FHIR
DiagnosticReport.status | required | DiagnosticReportStatus `http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1` From a norma FHIR
DiagnosticReport.code | required | Exame `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame` From este IG
DiagnosticReport.resultsInterpreter.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From a norma FHIR
DiagnosticReport.resultsInterpreter.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.resultsInterpreter.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoPrincipal.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoApoio.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.resultsInterpreter:estabelecimentoApoio.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From a norma FHIR
DiagnosticReport.resultsInterpreter:responsavel.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From a norma FHIR
DiagnosticReport.resultsInterpreter:responsavel.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
DiagnosticReport.resultsInterpreter:responsavel.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From a norma FHIR
DiagnosticReport.conclusionCode | required | ExameImagemLaudoConclusionCode `https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame-imagem-laudo-conclusion-code` From este IG
DiagnosticReport.presentedForm.contentType | required | Mime Types(a valid code from `urn:ietf:bcp:13`) `http://hl7.org/fhir/ValueSet/mimetypes|4.0.1` From a norma FHIR
DiagnosticReport.presentedForm.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From a norma FHIR
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo

#### Restrições

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

Essa estrutura é derivada de DiagnosticReport

Resumo

Obrigatório: 13 elementos(3 aninhado obrigatoriamente elementos)
Proibido: 8 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

- Informações Sobre a Solicitação do Exame (https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/solicitacao-exame-imagem-laudo)
- Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)
- Estabelecimento de Saúde (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/estabelecimento-saude)
- Ocupacao do Profissional (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/profissional-ocupacao)
- Imagens do Exame (https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/imagens-exame)

Fatias

Esta estrutura define os seguintes Slices:

- The element 1 is sliced based on the value of DiagnosticReport.resultsInterpreter (Closed)

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