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: Imagens do Exame

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

Imagens do exame

Usos:

- Refere a este Perfil: Laudo de 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 Media

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Media |  | 0..* | Media | A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
identifier |  | 1..1 | Identifier | Identifier(s) for the image
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) | Procedure that caused this media to be created
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
partOf |  | 1..1 | Reference(Laudo de Exame) | Part of referenced event
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
status |  | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Padrão necessário: completed
subject |  | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
content |  |  |  |
data |  | 1..1 | base64Binary | Dados da(s) imagem(ns) do exame
url |  | 1..1 | url | Localização(ões) da(s) imagem(ns) do exame
Documentação para este formato

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Media |  | 0..* | Media | A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
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 | Identifier(s) for the image
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 | Σ | 1..1 | Reference(Informações Sobre a Solicitação do Exame) | Procedure that caused this media to be created
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
partOf | Σ | 1..1 | Reference(Laudo de Exame) | Part of referenced event
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Vínculo: EventStatus (required): Codes identifying the lifecycle stage of an event. Padrão necessário: completed
subject | Σ | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
content | Σ | 1..1 | Attachment | Actual Media - reference or data
data |  | 1..1 | base64Binary | Dados da(s) imagem(ns) do exame
url | Σ | 1..1 | url | Localização(ões) da(s) imagem(ns) do exame Exemplo General: http://www.acme.com/logo-small.png
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | ValueSet / Código | URI
Media.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
Media.status | required | Pattern Value: completed `http://hl7.org/fhir/ValueSet/event-status|4.0.1` From a norma FHIR

#### Restrições

Id | Grau | Caminho(s) | Detalhes | Requisitos
dom-2 | error | Media | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Media | 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 | Media | 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 | Media | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Media | 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
--- | --- | --- | --- | ---
Media |  | 0..* | Media | A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
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 | Identifier(s) for the image
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 | Σ | 1..1 | Reference(Informações Sobre a Solicitação do Exame) | Procedure that caused this media to be created
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 | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
partOf | Σ | 1..1 | Reference(Laudo de Exame) | Part of referenced event
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 | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Vínculo: EventStatus (required): Codes identifying the lifecycle stage of an event. Padrão necessário: completed
type | Σ | 0..1 | CodeableConcept | Classification of media as image, video, or audio Vínculo: MediaType (extensible): Codes for high level media categories.
modality | Σ | 0..1 | CodeableConcept | The type of acquisition equipment/process Vínculo: MediaModality (example): Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it.
view | Σ | 0..1 | CodeableConcept | Imaging view, e.g. Lateral or Antero-posterior Vínculo: MediaCollectionView/Projection (example): Imaging view (projection) used when collecting an image.
subject | Σ | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | Σ | 0..1 | Reference(Encounter) | Encounter associated with media
created[x] | Σ | 0..1 |  | When Media was collected
createdDateTime |  |  | dateTime |
createdPeriod |  |  | Period |
issued | Σ | 0..1 | instant | Date/Time this version was made available
operator | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) | The person who generated the image
reasonCode | Σ | 0..* | CodeableConcept | Why was event performed? Vínculo: ProcedureReasonCodes (example): The reason for the media.
bodySite | Σ | 0..1 | CodeableConcept | Observed body part Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
deviceName | Σ | 0..1 | string | Name of the device/manufacturer
device | Σ | 0..1 | Reference(Device | DeviceMetric | Device) | Observing Device
height | Σ | 0..1 | positiveInt | Height of the image in pixels (photo/video)
width | Σ | 0..1 | positiveInt | Width of the image in pixels (photo/video)
frames | Σ | 0..1 | positiveInt | Number of frames if > 1 (photo)
duration | Σ | 0..1 | decimal | Length in seconds (audio / video)
content | Σ | 1..1 | Attachment | Actual Media - reference or data
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 |  | 1..1 | base64Binary | Dados da(s) imagem(ns) do exame
url | Σ | 1..1 | url | Localização(ões) da(s) imagem(ns) 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
note |  | 0..* | Annotation | Comments made about the media
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | ValueSet / Código | URI
Media.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From a norma FHIR
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Media.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
Media.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From a norma FHIR
Media.basedOn.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From a norma FHIR
Media.partOf.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From a norma FHIR
Media.status | required | Pattern Value: completed `http://hl7.org/fhir/ValueSet/event-status|4.0.1` From a norma FHIR
Media.type | extensible | MediaType `http://hl7.org/fhir/ValueSet/media-type` From a norma FHIR
Media.modality | example | MediaModality `http://hl7.org/fhir/ValueSet/media-modality` From a norma FHIR
Media.view | example | MediaCollectionView/Projection `http://hl7.org/fhir/ValueSet/media-view` From a norma FHIR
Media.subject.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From a norma FHIR
Media.reasonCode | example | ProcedureReasonCodes `http://hl7.org/fhir/ValueSet/procedure-reason` From a norma FHIR
Media.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From a norma FHIR
Media.content.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
Media.content.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
dom-2 | error | Media | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Media | 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 | Media | 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 | Media | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Media | 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 Media

Resumo

Obrigatório: 11 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)
- Laudo de Exame (https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/laudo-exame)
- Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)

Visão de diferenças

Essa estrutura é derivada de Media

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Media |  | 0..* | Media | A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
identifier |  | 1..1 | Identifier | Identifier(s) for the image
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) | Procedure that caused this media to be created
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
partOf |  | 1..1 | Reference(Laudo de Exame) | Part of referenced event
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
status |  | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Padrão necessário: completed
subject |  | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
content |  |  |  |
data |  | 1..1 | base64Binary | Dados da(s) imagem(ns) do exame
url |  | 1..1 | url | Localização(ões) da(s) imagem(ns) do exame
Documentação para este formato

Visão de elementos chave

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Media |  | 0..* | Media | A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
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 | Identifier(s) for the image
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 | Σ | 1..1 | Reference(Informações Sobre a Solicitação do Exame) | Procedure that caused this media to be created
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
partOf | Σ | 1..1 | Reference(Laudo de Exame) | Part of referenced event
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Vínculo: EventStatus (required): Codes identifying the lifecycle stage of an event. Padrão necessário: completed
subject | Σ | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
content | Σ | 1..1 | Attachment | Actual Media - reference or data
data |  | 1..1 | base64Binary | Dados da(s) imagem(ns) do exame
url | Σ | 1..1 | url | Localização(ões) da(s) imagem(ns) do exame Exemplo General: http://www.acme.com/logo-small.png
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | ValueSet / Código | URI
Media.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
Media.status | required | Pattern Value: completed `http://hl7.org/fhir/ValueSet/event-status|4.0.1` From a norma FHIR

#### Restrições

Id | Grau | Caminho(s) | Detalhes | Requisitos
dom-2 | error | Media | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Media | 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 | Media | 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 | Media | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Media | 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
--- | --- | --- | --- | ---
Media |  | 0..* | Media | A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
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 | Identifier(s) for the image
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 | Σ | 1..1 | Reference(Informações Sobre a Solicitação do Exame) | Procedure that caused this media to be created
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 | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
partOf | Σ | 1..1 | Reference(Laudo de Exame) | Part of referenced event
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 | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Vínculo: EventStatus (required): Codes identifying the lifecycle stage of an event. Padrão necessário: completed
type | Σ | 0..1 | CodeableConcept | Classification of media as image, video, or audio Vínculo: MediaType (extensible): Codes for high level media categories.
modality | Σ | 0..1 | CodeableConcept | The type of acquisition equipment/process Vínculo: MediaModality (example): Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it.
view | Σ | 0..1 | CodeableConcept | Imaging view, e.g. Lateral or Antero-posterior Vínculo: MediaCollectionView/Projection (example): Imaging view (projection) used when collecting an image.
subject | Σ | 1..1 | Reference(Indivíduo) | Cidadão(ã) ao qual o exame se refere
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | Σ | 0..1 | Reference(Encounter) | Encounter associated with media
created[x] | Σ | 0..1 |  | When Media was collected
createdDateTime |  |  | dateTime |
createdPeriod |  |  | Period |
issued | Σ | 0..1 | instant | Date/Time this version was made available
operator | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) | The person who generated the image
reasonCode | Σ | 0..* | CodeableConcept | Why was event performed? Vínculo: ProcedureReasonCodes (example): The reason for the media.
bodySite | Σ | 0..1 | CodeableConcept | Observed body part Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
deviceName | Σ | 0..1 | string | Name of the device/manufacturer
device | Σ | 0..1 | Reference(Device | DeviceMetric | Device) | Observing Device
height | Σ | 0..1 | positiveInt | Height of the image in pixels (photo/video)
width | Σ | 0..1 | positiveInt | Width of the image in pixels (photo/video)
frames | Σ | 0..1 | positiveInt | Number of frames if > 1 (photo)
duration | Σ | 0..1 | decimal | Length in seconds (audio / video)
content | Σ | 1..1 | Attachment | Actual Media - reference or data
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 |  | 1..1 | base64Binary | Dados da(s) imagem(ns) do exame
url | Σ | 1..1 | url | Localização(ões) da(s) imagem(ns) 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
note |  | 0..* | Annotation | Comments made about the media
Documentação para este formato

#### Terminologia Ligações

Caminho | Conformidade | ValueSet / Código | URI
Media.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From a norma FHIR
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Media.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From a norma FHIR
Media.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From a norma FHIR
Media.basedOn.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From a norma FHIR
Media.partOf.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From a norma FHIR
Media.status | required | Pattern Value: completed `http://hl7.org/fhir/ValueSet/event-status|4.0.1` From a norma FHIR
Media.type | extensible | MediaType `http://hl7.org/fhir/ValueSet/media-type` From a norma FHIR
Media.modality | example | MediaModality `http://hl7.org/fhir/ValueSet/media-modality` From a norma FHIR
Media.view | example | MediaCollectionView/Projection `http://hl7.org/fhir/ValueSet/media-view` From a norma FHIR
Media.subject.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From a norma FHIR
Media.reasonCode | example | ProcedureReasonCodes `http://hl7.org/fhir/ValueSet/procedure-reason` From a norma FHIR
Media.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From a norma FHIR
Media.content.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
Media.content.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
dom-2 | error | Media | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Media | 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 | Media | 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 | Media | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Media | 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 Media

Resumo

Obrigatório: 11 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)
- Laudo de Exame (https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/laudo-exame)
- Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)

Outras representações do perfil: CSV, Excel, Schematron