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: Amostra para Exame Laboratorial

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

Amostra para Exame Laboratorial

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 Specimen

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
type |  | 1..1 | CodeableConcept | Tipo de amostra biológica Vínculo: Tipo Amostra Biológica (required)
collection |  | 1..1 | BackboneElement | Detalhes da coleta da amostra
collected[x] |  | 1..1 | dateTime | Data e hora da coleta da amostra
Documentação para este formato

#### Terminologia Ligações (Diferencial)

Caminho | Conformidade | Conjunto de valores | URI
Specimen.type | required | TipoAmostraBiologica `https://fhir.saude.go.gov.br/r4/exame/ValueSet/tipo-amostra-biologica` From este IG

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
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 | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Vínculo: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 1..1 | CodeableConcept | Tipo de amostra biológica Vínculo: Tipo Amostra Biológica (required)
collection |  | 1..1 | BackboneElement | Detalhes da coleta da amostra
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
collected[x] | Σ | 1..1 | dateTime | Data e hora da coleta da amostra
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | Conjunto de valores | URI
Specimen.status | required | SpecimenStatus `http://hl7.org/fhir/ValueSet/specimen-status|4.0.1` From a norma FHIR
Specimen.type | required | TipoAmostraBiologica `https://fhir.saude.go.gov.br/r4/exame/ValueSet/tipo-amostra-biologica` From este IG

#### Restrições

Id | Grau | Caminho(s) | Detalhes | Requisitos
dom-2 | error | Specimen | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Specimen | 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 | Specimen | 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 | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Specimen | 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() |

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
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 | External Identifier
accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab
status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Vínculo: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 1..1 | CodeableConcept | Tipo de amostra biológica Vínculo: Tipo Amostra Biológica (required)
subject | Σ | 0..1 | Reference(Patient | Group | Device | Substance | Location) | Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
receivedTime | Σ | 0..1 | dateTime | The time when specimen was received for processing
parent |  | 0..* | Reference(Specimen) | Specimen from which this specimen originated
request |  | 0..* | Reference(ServiceRequest) | Why the specimen was collected
collection |  | 1..1 | BackboneElement | Detalhes da coleta da amostra
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
collector | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who collected the specimen
collected[x] | Σ | 1..1 | dateTime | Data e hora da coleta da amostra
duration | Σ | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity | The quantity of specimen collected
method |  | 0..1 | CodeableConcept | Technique used to perform collection Vínculo: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
fastingStatus[x] | Σ | 0..1 |  | Whether or how long patient abstained from food and/or drink Vínculo: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept |  |  | CodeableConcept |
fastingStatusDuration |  |  | Duration |
processing |  | 0..* | BackboneElement | Processing and processing step details
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
description |  | 0..1 | string | Textual description of procedure
procedure |  | 0..1 | CodeableConcept | Indicates the treatment step applied to the specimen Vínculo: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
additive |  | 0..* | Reference(Substance) | Material used in the processing step
time[x] |  | 0..1 |  | Date and time of specimen processing
timeDateTime |  |  | dateTime |
timePeriod |  |  | Period |
container |  | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.)
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
identifier | Σ | 0..* | Identifier | Id for the container
description |  | 0..1 | string | Textual description of the container
type |  | 0..1 | CodeableConcept | Kind of container directly associated with specimen Vínculo: SpecimenContainerType (example): Type of specimen container.
capacity |  | 0..1 | SimpleQuantity | Container volume or size
specimenQuantity |  | 0..1 | SimpleQuantity | Quantity of specimen within container
additive[x] |  | 0..1 |  | Additive associated with container Vínculo: hl7VS-additivePreservative (example): Substance added to specimen container.
additiveCodeableConcept |  |  | CodeableConcept |
additiveReference |  |  | Reference(Substance) |
condition | Σ | 0..* | CodeableConcept | State of the specimen Vínculo: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note |  | 0..* | Annotation | Comments
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | Conjunto de valores | URI
Specimen.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From a norma FHIR
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Specimen.status | required | SpecimenStatus `http://hl7.org/fhir/ValueSet/specimen-status|4.0.1` From a norma FHIR
Specimen.type | required | TipoAmostraBiologica `https://fhir.saude.go.gov.br/r4/exame/ValueSet/tipo-amostra-biologica` From este IG
Specimen.collection.method | example | FHIRSpecimenCollectionMethod `http://hl7.org/fhir/ValueSet/specimen-collection-method` From a norma FHIR
Specimen.collection.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From a norma FHIR
Specimen.collection.fastingStatus[x] | extensible | Hl7VSRelevantClincialInformation `http://terminology.hl7.org/ValueSet/v2-0916`
Specimen.processing.procedure | example | SpecimenProcessingProcedure `http://hl7.org/fhir/ValueSet/specimen-processing-procedure` From a norma FHIR
Specimen.container.type | example | SpecimenContainerType `http://hl7.org/fhir/ValueSet/specimen-container-type` From a norma FHIR
Specimen.container.additive[x] | example | Hl7VSAdditivePreservative `http://terminology.hl7.org/ValueSet/v2-0371`
Specimen.condition | extensible | Hl7VSSpecimenCondition `http://terminology.hl7.org/ValueSet/v2-0493`

#### Restrições

Id | Grau | Caminho(s) | Detalhes | Requisitos
dom-2 | error | Specimen | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Specimen | 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 | Specimen | 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 | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Specimen | 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() |

Essa estrutura é derivada de Specimen

Resumo

Obrigatório: 3 elementos

Visão de diferenças

Essa estrutura é derivada de Specimen

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
type |  | 1..1 | CodeableConcept | Tipo de amostra biológica Vínculo: Tipo Amostra Biológica (required)
collection |  | 1..1 | BackboneElement | Detalhes da coleta da amostra
collected[x] |  | 1..1 | dateTime | Data e hora da coleta da amostra
Documentação para este formato

#### Terminologia Ligações (Diferencial)

Caminho | Conformidade | Conjunto de valores | URI
Specimen.type | required | TipoAmostraBiologica `https://fhir.saude.go.gov.br/r4/exame/ValueSet/tipo-amostra-biologica` From este IG

Visão de elementos chave

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
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 | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Vínculo: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 1..1 | CodeableConcept | Tipo de amostra biológica Vínculo: Tipo Amostra Biológica (required)
collection |  | 1..1 | BackboneElement | Detalhes da coleta da amostra
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
collected[x] | Σ | 1..1 | dateTime | Data e hora da coleta da amostra
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | Conjunto de valores | URI
Specimen.status | required | SpecimenStatus `http://hl7.org/fhir/ValueSet/specimen-status|4.0.1` From a norma FHIR
Specimen.type | required | TipoAmostraBiologica `https://fhir.saude.go.gov.br/r4/exame/ValueSet/tipo-amostra-biologica` From este IG

#### Restrições

Id | Grau | Caminho(s) | Detalhes | Requisitos
dom-2 | error | Specimen | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Specimen | 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 | Specimen | 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 | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Specimen | 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() |

Visão instantâneo

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
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 | External Identifier
accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab
status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Vínculo: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 1..1 | CodeableConcept | Tipo de amostra biológica Vínculo: Tipo Amostra Biológica (required)
subject | Σ | 0..1 | Reference(Patient | Group | Device | Substance | Location) | Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
receivedTime | Σ | 0..1 | dateTime | The time when specimen was received for processing
parent |  | 0..* | Reference(Specimen) | Specimen from which this specimen originated
request |  | 0..* | Reference(ServiceRequest) | Why the specimen was collected
collection |  | 1..1 | BackboneElement | Detalhes da coleta da amostra
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
collector | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who collected the specimen
collected[x] | Σ | 1..1 | dateTime | Data e hora da coleta da amostra
duration | Σ | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity | The quantity of specimen collected
method |  | 0..1 | CodeableConcept | Technique used to perform collection Vínculo: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
fastingStatus[x] | Σ | 0..1 |  | Whether or how long patient abstained from food and/or drink Vínculo: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept |  |  | CodeableConcept |
fastingStatusDuration |  |  | Duration |
processing |  | 0..* | BackboneElement | Processing and processing step details
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
description |  | 0..1 | string | Textual description of procedure
procedure |  | 0..1 | CodeableConcept | Indicates the treatment step applied to the specimen Vínculo: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
additive |  | 0..* | Reference(Substance) | Material used in the processing step
time[x] |  | 0..1 |  | Date and time of specimen processing
timeDateTime |  |  | dateTime |
timePeriod |  |  | Period |
container |  | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.)
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
identifier | Σ | 0..* | Identifier | Id for the container
description |  | 0..1 | string | Textual description of the container
type |  | 0..1 | CodeableConcept | Kind of container directly associated with specimen Vínculo: SpecimenContainerType (example): Type of specimen container.
capacity |  | 0..1 | SimpleQuantity | Container volume or size
specimenQuantity |  | 0..1 | SimpleQuantity | Quantity of specimen within container
additive[x] |  | 0..1 |  | Additive associated with container Vínculo: hl7VS-additivePreservative (example): Substance added to specimen container.
additiveCodeableConcept |  |  | CodeableConcept |
additiveReference |  |  | Reference(Substance) |
condition | Σ | 0..* | CodeableConcept | State of the specimen Vínculo: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note |  | 0..* | Annotation | Comments
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | Conjunto de valores | URI
Specimen.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From a norma FHIR
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Specimen.status | required | SpecimenStatus `http://hl7.org/fhir/ValueSet/specimen-status|4.0.1` From a norma FHIR
Specimen.type | required | TipoAmostraBiologica `https://fhir.saude.go.gov.br/r4/exame/ValueSet/tipo-amostra-biologica` From este IG
Specimen.collection.method | example | FHIRSpecimenCollectionMethod `http://hl7.org/fhir/ValueSet/specimen-collection-method` From a norma FHIR
Specimen.collection.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From a norma FHIR
Specimen.collection.fastingStatus[x] | extensible | Hl7VSRelevantClincialInformation `http://terminology.hl7.org/ValueSet/v2-0916`
Specimen.processing.procedure | example | SpecimenProcessingProcedure `http://hl7.org/fhir/ValueSet/specimen-processing-procedure` From a norma FHIR
Specimen.container.type | example | SpecimenContainerType `http://hl7.org/fhir/ValueSet/specimen-container-type` From a norma FHIR
Specimen.container.additive[x] | example | Hl7VSAdditivePreservative `http://terminology.hl7.org/ValueSet/v2-0371`
Specimen.condition | extensible | Hl7VSSpecimenCondition `http://terminology.hl7.org/ValueSet/v2-0493`

#### Restrições

Id | Grau | Caminho(s) | Detalhes | Requisitos
dom-2 | error | Specimen | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Specimen | 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 | Specimen | 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 | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Specimen | 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() |

Essa estrutura é derivada de Specimen

Resumo

Obrigatório: 3 elementos

Outras representações do perfil: CSV, Excel, Schematron