Guia de Implementação da SES GO - Imunização
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Guia de Implementação da SES GO - Imunização - Downloaded Version 1.0.5 See the Directory of published versions

Perfil: RecomendacaoVacinal - Descrição detalhada

Active as of 2024-05-22

Definições para recomendacao-vacinal perfil.

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. ImmunizationRecommendation
2. ImmunizationRecommendation.patient
Definição

Identificação do sujeito da vacina.

CurtoCidadão(ã) ao qual o imunobiológico se refere
TipoReference(Indivíduo)
4. ImmunizationRecommendation.date
Definição

Indica a data em que o Imuniza Goiás analisou os imunobiológicos administrados.

CurtoData de criação da(s) recomendação(ões)
6. ImmunizationRecommendation.recommendation
8. ImmunizationRecommendation.recommendation.vaccineCode
10. ImmunizationRecommendation.recommendation.vaccineCode.coding
12. ImmunizationRecommendation.recommendation.vaccineCode.coding.code
Definição

Indica o código e nome do imunobiológico.

CurtoImunobiológico (vacina)
Controlo1..?
VínculoOs códigos DEVERÃO ser retirados de Imunobiológico
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BRImunobiologico-1.0)
14. ImmunizationRecommendation.recommendation.forecastStatus
16. ImmunizationRecommendation.recommendation.forecastStatus.coding
18. ImmunizationRecommendation.recommendation.forecastStatus.coding.code
Definição

Indica o status da previsão da administração do imunobiológico.

CurtoStatus da recomendação
Controlo1..?
VínculoOs códigos DEVERÃO ser retirados de ImmunizationRecommendationStatusCodes
(required to http://hl7.org/fhir/ValueSet/immunization-recommendation-status)
20. ImmunizationRecommendation.recommendation.dateCriterion
Controlo1..?
22. ImmunizationRecommendation.recommendation.dateCriterion.code
24. ImmunizationRecommendation.recommendation.dateCriterion.code.coding
26. ImmunizationRecommendation.recommendation.dateCriterion.code.coding.system
Controlo1..?
Valor do padrãohttp://loinc.org
28. ImmunizationRecommendation.recommendation.dateCriterion.code.coding.code
Controlo1..?
Valor do padrão30980-7
30. ImmunizationRecommendation.recommendation.dateCriterion.value
Definição

Indica a data limite em que o imunobiológico deve ser administrado. Observação: a data será de acordo com a Instrução Normativa do Calendário Nacional de Vacinação/Nota Técnica vigente.

CurtoData de recomendação da administração do imunobiológico (vacina)
32. ImmunizationRecommendation.recommendation.doseNumber[x]
Controlo1..?
[x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
SlicingEste elemento introduz um conjunto de fatias em ImmunizationRecommendation.recommendation.doseNumber[x]. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
  • type @ $this
  • 34. ImmunizationRecommendation.recommendation.doseNumber[x]:doseNumberString
    Nome da fatiadoseNumberString
    Definição

    Posição nominal da dose recomendada numa série (por exemplo, a dose 2 é a próxima dose recomendada).

    CurtoNúmero da dose
    Controlo1..1
    VínculoOs códigos DEVERÃO ser retirados de Dose do Imunobiológico
    (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRDose-1.0)
    Tipostring
    [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    36. ImmunizationRecommendation.recommendation.seriesDoses[x]
    Controlo1..?
    [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
    SlicingEste elemento introduz um conjunto de fatias em ImmunizationRecommendation.recommendation.seriesDoses[x]. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
    • type @ $this
    • 38. ImmunizationRecommendation.recommendation.seriesDoses[x]:seriesDosesPositiveInt
      Nome da fatiaseriesDosesPositiveInt
      Definição

      Número de doses necessárias para cada tipo de vacina do esquema de vacinação completo conforme Calendário Nacional de Vacinação.

      CurtoNúmero recomendado de doses para esquema de vacinação completo
      Controlo1..1
      TipopositiveInt
      [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão

      Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

      0. ImmunizationRecommendation
      Definição

      A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification.

      CurtoGuidance or advice relating to an immunization
      Controlo0..*
      É modificadorfalse
      Resumofalse
      Invariantesdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
      dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
      dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      2. ImmunizationRecommendation.implicitRules
      Definição

      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

      CurtoA set of rules under which this content was created
      Comentários

      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

      Controlo0..1
      Tipouri
      É modificadortrue porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      4. ImmunizationRecommendation.modifierExtension
      Definição

      May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      CurtoExtensions that cannot be ignored
      Comentários

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Controlo0..*
      TipoExtension
      É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Resumofalse
      Requisitos

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Nomes alternativosextensions, user content
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      6. ImmunizationRecommendation.patient
      Definição

      Identificação do sujeito da vacina.


      The patient the recommendation(s) are for.

      CurtoCidadão(ã) ao qual o imunobiológico se refereWho this profile is for
      Controlo1..1
      TipoReference(Indivíduo, Patient)
      É modificadorfalse
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. ImmunizationRecommendation.date
      Definição

      Indica a data em que o Imuniza Goiás analisou os imunobiológicos administrados.


      The date the immunization recommendation(s) were created.

      CurtoData de criação da(s) recomendação(ões)Date recommendation(s) created
      Controlo1..1
      TipodateTime
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. ImmunizationRecommendation.recommendation
      Definição

      Vaccine administration recommendations.

      CurtoVaccine administration recommendations
      Controlo1..*
      TipoBackboneElement
      É modificadorfalse
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      imr-1: One of vaccineCode or targetDisease SHALL be present (vaccineCode.exists() or targetDisease.exists())
      imr-1: One of vaccineCode or targetDisease SHALL be present (vaccineCode.exists() or targetDisease.exists())
      12. ImmunizationRecommendation.recommendation.modifierExtension
      Definição

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      CurtoExtensions that cannot be ignored even if unrecognized
      Comentários

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Controlo0..*
      TipoExtension
      É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Resumotrue
      Requisitos

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Nomes alternativosextensions, user content, modifiers
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      14. ImmunizationRecommendation.recommendation.forecastStatus
      Definição

      Indicates the patient status with respect to the path to immunity for the target disease.

      CurtoVaccine recommendation status
      Controlo1..1
      VínculoPara exemplos de códigos, ver ImmunizationRecommendationStatusCodeshttp://hl7.org/fhir/ValueSet/immunization-recommendation-status|4.0.1
      (example to http://hl7.org/fhir/ValueSet/immunization-recommendation-status|4.0.1)

      The patient's status with respect to a vaccination protocol.

      TipoCodeableConcept
      É modificadortrue porque This element is labeled as a modifier because the forecastStatus indicates whether a patient needs additional doses (due, overdue, etc) or not (contraindicated, complete, etc).
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      16. ImmunizationRecommendation.recommendation.dateCriterion
      Definição

      Vaccine date recommendations. For example, earliest date to administer, latest date to administer, etc.

      CurtoDates governing proposed immunization
      Controlo10..*
      TipoBackboneElement
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      18. ImmunizationRecommendation.recommendation.dateCriterion.modifierExtension
      Definição

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      CurtoExtensions that cannot be ignored even if unrecognized
      Comentários

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Controlo0..*
      TipoExtension
      É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Resumotrue
      Requisitos

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Nomes alternativosextensions, user content, modifiers
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      20. ImmunizationRecommendation.recommendation.dateCriterion.code
      Definição

      Date classification of recommendation. For example, earliest date to give, latest date to give, etc.

      CurtoType of date
      Controlo1..1
      VínculoPara exemplos de códigos, ver ImmunizationRecommendationDateCriterionCodeshttp://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion|4.0.1
      (example to http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion|4.0.1)

      Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).

      TipoCodeableConcept
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. ImmunizationRecommendation.recommendation.dateCriterion.value
      Definição

      Indica a data limite em que o imunobiológico deve ser administrado. Observação: a data será de acordo com a Instrução Normativa do Calendário Nacional de Vacinação/Nota Técnica vigente.


      The date whose meaning is specified by dateCriterion.code.

      CurtoData de recomendação da administração do imunobiológico (vacina)Recommended date
      Controlo1..1
      TipodateTime
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. ImmunizationRecommendation.recommendation.doseNumber[x]
      Definição

      Nominal position of the recommended dose in a series (e.g. dose 2 is the next recommended dose).

      CurtoRecommended dose number within series
      Comentários

      The use of an integer is prefered if known. A string should only be used in cases where an interger is not available (such as when documenting a recurring booster dose).

      Controlo10..1
      Tipostring, positiveInt
      [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingEste elemento introduz um conjunto de fatias em ImmunizationRecommendation.recommendation.doseNumber[x]. As fatias sãoNão ordenado e Closede pode ser diferenciado utilizando os seguintes discriminadores:
      • type @ $this
      • 26. ImmunizationRecommendation.recommendation.doseNumber[x]:doseNumberString
        Nome da fatiadoseNumberString
        Definição

        Posição nominal da dose recomendada numa série (por exemplo, a dose 2 é a próxima dose recomendada).


        Nominal position of the recommended dose in a series (e.g. dose 2 is the next recommended dose).

        CurtoNúmero da doseRecommended dose number within series
        Comentários

        The use of an integer is prefered if known. A string should only be used in cases where an interger is not available (such as when documenting a recurring booster dose).

        Controlo10..1
        VínculoOs códigos DEVERÃO ser retirados de Para códigos, ver Dose do Imunobiológico
        (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRDose-1.0)
        Tipostring, positiveInt
        [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
        É modificadorfalse
        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
        Resumotrue
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        28. ImmunizationRecommendation.recommendation.seriesDoses[x]
        Definição

        The recommended number of doses to achieve immunity.

        CurtoRecommended number of doses for immunity
        Comentários

        The use of an integer is prefered if known. A string should only be used in cases where an interger is not available (such as when documenting a recurring booster dose).

        Controlo10..1
        TipopositiveInt, string
        [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
        É modificadorfalse
        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingEste elemento introduz um conjunto de fatias em ImmunizationRecommendation.recommendation.seriesDoses[x]. As fatias sãoNão ordenado e Closede pode ser diferenciado utilizando os seguintes discriminadores:
        • type @ $this
        • 30. ImmunizationRecommendation.recommendation.seriesDoses[x]:seriesDosesPositiveInt
          Nome da fatiaseriesDosesPositiveInt
          Definição

          Número de doses necessárias para cada tipo de vacina do esquema de vacinação completo conforme Calendário Nacional de Vacinação.


          The recommended number of doses to achieve immunity.

          CurtoNúmero recomendado de doses para esquema de vacinação completoRecommended number of doses for immunity
          Comentários

          The use of an integer is prefered if known. A string should only be used in cases where an interger is not available (such as when documenting a recurring booster dose).

          Controlo10..1
          TipopositiveInt, string
          [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
          É modificadorfalse
          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
          Resumofalse
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

          Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

          0. ImmunizationRecommendation
          Definição

          A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification.

          CurtoGuidance or advice relating to an immunization
          Controlo0..*
          É modificadorfalse
          Resumofalse
          Invariantesdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
          dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          2. ImmunizationRecommendation.id
          Definição

          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

          CurtoLogical id of this artifact
          Comentários

          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

          Controlo0..1
          Tipoid
          É modificadorfalse
          Resumotrue
          4. ImmunizationRecommendation.meta
          Definição

          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

          CurtoMetadata about the resource
          Controlo0..1
          TipoMeta
          É modificadorfalse
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. ImmunizationRecommendation.implicitRules
          Definição

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          CurtoA set of rules under which this content was created
          Comentários

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

          Controlo0..1
          Tipouri
          É modificadortrue porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          8. ImmunizationRecommendation.language
          Definição

          The base language in which the resource is written.

          CurtoLanguage of the resource content
          Comentários

          Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

          Controlo0..1
          VínculoOs códigos DEVERÃO ser retirados de CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

          A human language.

          Vínculos adicionaisObjetivo
          AllLanguagesVínculo máximo
          Tipocode
          É modificadorfalse
          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
          Resumofalse
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          10. ImmunizationRecommendation.text
          Definição

          A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

          CurtoText summary of the resource, for human interpretation
          Comentários

          Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

          Controlo0..1
          TipoNarrative
          É modificadorfalse
          Resumofalse
          Nomes alternativosnarrative, html, xhtml, display
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. ImmunizationRecommendation.contained
          Definição

          These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

          CurtoContained, inline Resources
          Comentários

          This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

          Controlo0..*
          TipoResource
          É modificadorfalse
          Resumofalse
          Nomes alternativosinline resources, anonymous resources, contained resources
          14. ImmunizationRecommendation.extension
          Definição

          May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          CurtoAdditional content defined by implementations
          Comentários

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Controlo0..*
          TipoExtension
          É modificadorfalse
          Resumofalse
          Nomes alternativosextensions, user content
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          16. ImmunizationRecommendation.modifierExtension
          Definição

          May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          CurtoExtensions that cannot be ignored
          Comentários

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Controlo0..*
          TipoExtension
          É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
          Resumofalse
          Requisitos

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Nomes alternativosextensions, user content
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          18. ImmunizationRecommendation.identifier
          Definição

          A unique identifier assigned to this particular recommendation record.

          CurtoBusiness identifier
          NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
          Controlo0..*
          TipoIdentifier
          É modificadorfalse
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          20. ImmunizationRecommendation.patient
          Definição

          Identificação do sujeito da vacina.

          CurtoCidadão(ã) ao qual o imunobiológico se refere
          Controlo1..1
          TipoReference(Indivíduo)
          É modificadorfalse
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          22. ImmunizationRecommendation.date
          Definição

          Indica a data em que o Imuniza Goiás analisou os imunobiológicos administrados.

          CurtoData de criação da(s) recomendação(ões)
          Controlo1..1
          TipodateTime
          É modificadorfalse
          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          24. ImmunizationRecommendation.authority
          Definição

          Indicates the authority who published the protocol (e.g. ACIP).

          CurtoWho is responsible for protocol
          Controlo0..1
          TipoReference(Organization)
          É modificadorfalse
          Resumofalse
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          26. ImmunizationRecommendation.recommendation
          Definição

          Vaccine administration recommendations.

          CurtoVaccine administration recommendations
          Controlo1..*
          TipoBackboneElement
          É modificadorfalse
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          imr-1: One of vaccineCode or targetDisease SHALL be present (vaccineCode.exists() or targetDisease.exists())
          28. ImmunizationRecommendation.recommendation.id
          Definição

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          CurtoUnique id for inter-element referencing
          Controlo0..1
          Tipostring
          É modificadorfalse
          Formato XMLNo formato XML, esta propriedade é representada como um atributo.
          Resumofalse
          30. ImmunizationRecommendation.recommendation.extension
          Definição

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          CurtoAdditional content defined by implementations
          Comentários

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Controlo0..*
          TipoExtension
          É modificadorfalse
          Resumofalse
          Nomes alternativosextensions, user content
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          32. ImmunizationRecommendation.recommendation.modifierExtension
          Definição

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          CurtoExtensions that cannot be ignored even if unrecognized
          Comentários

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Controlo0..*
          TipoExtension
          É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Resumotrue
          Requisitos

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Nomes alternativosextensions, user content, modifiers
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          34. ImmunizationRecommendation.recommendation.vaccineCode
          Definição

          Vaccine(s) or vaccine group that pertain to the recommendation.

          CurtoVaccine or vaccine group recommendation applies to
          Controlo0..*
          VínculoPara exemplos de códigos, ver VaccineAdministeredValueSet
          (example to http://hl7.org/fhir/ValueSet/vaccine-code|4.0.1)

          The type of vaccine administered.

          TipoCodeableConcept
          É modificadorfalse
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          36. ImmunizationRecommendation.recommendation.vaccineCode.id
          Definição

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          CurtoUnique id for inter-element referencing
          Controlo0..1
          Tipostring
          É modificadorfalse
          Formato XMLNo formato XML, esta propriedade é representada como um atributo.
          Resumofalse
          38. ImmunizationRecommendation.recommendation.vaccineCode.extension
          Definição

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          CurtoAdditional content defined by implementations
          Comentários

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Controlo0..*
          TipoExtension
          É modificadorfalse
          Resumofalse
          Nomes alternativosextensions, user content
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingEste elemento introduz um conjunto de fatias em ImmunizationRecommendation.recommendation.vaccineCode.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
          • value @ url
          • 40. ImmunizationRecommendation.recommendation.vaccineCode.coding
            Definição

            A reference to a code defined by a terminology system.

            CurtoCode defined by a terminology system
            Comentários

            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

            Controlo0..*
            TipoCoding
            É modificadorfalse
            Resumotrue
            Requisitos

            Allows for alternative encodings within a code system, and translations to other code systems.

            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            42. ImmunizationRecommendation.recommendation.vaccineCode.coding.id
            Definição

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            CurtoUnique id for inter-element referencing
            Controlo0..1
            Tipostring
            É modificadorfalse
            Formato XMLNo formato XML, esta propriedade é representada como um atributo.
            Resumofalse
            44. ImmunizationRecommendation.recommendation.vaccineCode.coding.extension
            Definição

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            CurtoAdditional content defined by implementations
            Comentários

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Controlo0..*
            TipoExtension
            É modificadorfalse
            Resumofalse
            Nomes alternativosextensions, user content
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingEste elemento introduz um conjunto de fatias em ImmunizationRecommendation.recommendation.vaccineCode.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
            • value @ url
            • 46. ImmunizationRecommendation.recommendation.vaccineCode.coding.system
              Definição

              The identification of the code system that defines the meaning of the symbol in the code.

              CurtoIdentity of the terminology system
              Comentários

              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

              Controlo0..1
              Tipouri
              É modificadorfalse
              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
              Resumotrue
              Requisitos

              Need to be unambiguous about the source of the definition of the symbol.

              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              48. ImmunizationRecommendation.recommendation.vaccineCode.coding.version
              Definição

              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

              CurtoVersion of the system - if relevant
              Comentários

              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

              NotaEste é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
              Controlo0..1
              Tipostring
              É modificadorfalse
              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
              Resumotrue
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              50. ImmunizationRecommendation.recommendation.vaccineCode.coding.code
              Definição

              Indica o código e nome do imunobiológico.

              CurtoImunobiológico (vacina)
              Controlo1..1
              VínculoOs códigos DEVERÃO ser retirados de Imunobiológico
              (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRImunobiologico-1.0)
              Tipocode
              É modificadorfalse
              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
              Resumotrue
              Requisitos

              Need to refer to a particular code in the system.

              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              52. ImmunizationRecommendation.recommendation.vaccineCode.coding.display
              Definição

              A representation of the meaning of the code in the system, following the rules of the system.

              CurtoRepresentation defined by the system
              Controlo0..1
              Tipostring
              É modificadorfalse
              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
              Resumotrue
              Requisitos

              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              54. ImmunizationRecommendation.recommendation.vaccineCode.coding.userSelected
              Definição

              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

              CurtoIf this coding was chosen directly by the user
              Comentários

              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

              Controlo0..1
              Tipoboolean
              É modificadorfalse
              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
              Resumotrue
              Requisitos

              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              56. ImmunizationRecommendation.recommendation.vaccineCode.text
              Definição

              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

              CurtoPlain text representation of the concept
              Comentários

              Very often the text is the same as a displayName of one of the codings.

              Controlo0..1
              Tipostring
              É modificadorfalse
              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
              Resumotrue
              Requisitos

              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              58. ImmunizationRecommendation.recommendation.targetDisease
              Definição

              The targeted disease for the recommendation.

              CurtoDisease to be immunized against
              Controlo0..1
              VínculoPara exemplos de códigos, ver ImmunizationRecommendationTargetDiseaseCodes
              (example to http://hl7.org/fhir/ValueSet/immunization-recommendation-target-disease|4.0.1)

              The disease that the recommended vaccination targets.

              TipoCodeableConcept
              É modificadorfalse
              Resumotrue
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              60. ImmunizationRecommendation.recommendation.contraindicatedVaccineCode
              Definição

              Vaccine(s) which should not be used to fulfill the recommendation.

              CurtoVaccine which is contraindicated to fulfill the recommendation
              Controlo0..*
              VínculoPara exemplos de códigos, ver VaccineAdministeredValueSet
              (example to http://hl7.org/fhir/ValueSet/vaccine-code|4.0.1)

              The type of vaccine administered.

              TipoCodeableConcept
              É modificadorfalse
              Resumotrue
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              62. ImmunizationRecommendation.recommendation.forecastStatus
              Definição

              Indicates the patient status with respect to the path to immunity for the target disease.

              CurtoVaccine recommendation status
              Controlo1..1
              VínculoPara exemplos de códigos, ver ImmunizationRecommendationStatusCodes
              (example to http://hl7.org/fhir/ValueSet/immunization-recommendation-status|4.0.1)

              The patient's status with respect to a vaccination protocol.

              TipoCodeableConcept
              É modificadortrue porque This element is labeled as a modifier because the forecastStatus indicates whether a patient needs additional doses (due, overdue, etc) or not (contraindicated, complete, etc).
              Resumotrue
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              64. ImmunizationRecommendation.recommendation.forecastStatus.id
              Definição

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              CurtoUnique id for inter-element referencing
              Controlo0..1
              Tipostring
              É modificadorfalse
              Formato XMLNo formato XML, esta propriedade é representada como um atributo.
              Resumofalse
              66. ImmunizationRecommendation.recommendation.forecastStatus.extension
              Definição

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              CurtoAdditional content defined by implementations
              Comentários

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Controlo0..*
              TipoExtension
              É modificadorfalse
              Resumofalse
              Nomes alternativosextensions, user content
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingEste elemento introduz um conjunto de fatias em ImmunizationRecommendation.recommendation.forecastStatus.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
              • value @ url
              • 68. ImmunizationRecommendation.recommendation.forecastStatus.coding
                Definição

                A reference to a code defined by a terminology system.

                CurtoCode defined by a terminology system
                Comentários

                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                Controlo0..*
                TipoCoding
                É modificadorfalse
                Resumotrue
                Requisitos

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                70. ImmunizationRecommendation.recommendation.forecastStatus.coding.id
                Definição

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                CurtoUnique id for inter-element referencing
                Controlo0..1
                Tipostring
                É modificadorfalse
                Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                Resumofalse
                72. ImmunizationRecommendation.recommendation.forecastStatus.coding.extension
                Definição

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                CurtoAdditional content defined by implementations
                Comentários

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Controlo0..*
                TipoExtension
                É modificadorfalse
                Resumofalse
                Nomes alternativosextensions, user content
                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingEste elemento introduz um conjunto de fatias em ImmunizationRecommendation.recommendation.forecastStatus.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                • value @ url
                • 74. ImmunizationRecommendation.recommendation.forecastStatus.coding.system
                  Definição

                  The identification of the code system that defines the meaning of the symbol in the code.

                  CurtoIdentity of the terminology system
                  Comentários

                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                  Controlo0..1
                  Tipouri
                  É modificadorfalse
                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                  Resumotrue
                  Requisitos

                  Need to be unambiguous about the source of the definition of the symbol.

                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  76. ImmunizationRecommendation.recommendation.forecastStatus.coding.version
                  Definição

                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                  CurtoVersion of the system - if relevant
                  Comentários

                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                  NotaEste é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
                  Controlo0..1
                  Tipostring
                  É modificadorfalse
                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                  Resumotrue
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  78. ImmunizationRecommendation.recommendation.forecastStatus.coding.code
                  Definição

                  Indica o status da previsão da administração do imunobiológico.

                  CurtoStatus da recomendação
                  Controlo1..1
                  VínculoOs códigos DEVERÃO ser retirados de ImmunizationRecommendationStatusCodes
                  (required to http://hl7.org/fhir/ValueSet/immunization-recommendation-status)
                  Tipocode
                  É modificadorfalse
                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                  Resumotrue
                  Requisitos

                  Need to refer to a particular code in the system.

                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  80. ImmunizationRecommendation.recommendation.forecastStatus.coding.display
                  Definição

                  A representation of the meaning of the code in the system, following the rules of the system.

                  CurtoRepresentation defined by the system
                  Controlo0..1
                  Tipostring
                  É modificadorfalse
                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                  Resumotrue
                  Requisitos

                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  82. ImmunizationRecommendation.recommendation.forecastStatus.coding.userSelected
                  Definição

                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                  CurtoIf this coding was chosen directly by the user
                  Comentários

                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                  Controlo0..1
                  Tipoboolean
                  É modificadorfalse
                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                  Resumotrue
                  Requisitos

                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  84. ImmunizationRecommendation.recommendation.forecastStatus.text
                  Definição

                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                  CurtoPlain text representation of the concept
                  Comentários

                  Very often the text is the same as a displayName of one of the codings.

                  Controlo0..1
                  Tipostring
                  É modificadorfalse
                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                  Resumotrue
                  Requisitos

                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  86. ImmunizationRecommendation.recommendation.forecastReason
                  Definição

                  The reason for the assigned forecast status.

                  CurtoVaccine administration status reason
                  Controlo0..*
                  VínculoPara exemplos de códigos, ver ImmunizationRecommendationReasonCodes
                  (example to http://hl7.org/fhir/ValueSet/immunization-recommendation-reason|4.0.1)

                  The reason for the patient's status with respect to a vaccination protocol.

                  TipoCodeableConcept
                  É modificadorfalse
                  Resumotrue
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  88. ImmunizationRecommendation.recommendation.dateCriterion
                  Definição

                  Vaccine date recommendations. For example, earliest date to administer, latest date to administer, etc.

                  CurtoDates governing proposed immunization
                  Controlo1..*
                  TipoBackboneElement
                  É modificadorfalse
                  Resumofalse
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  90. ImmunizationRecommendation.recommendation.dateCriterion.id
                  Definição

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  CurtoUnique id for inter-element referencing
                  Controlo0..1
                  Tipostring
                  É modificadorfalse
                  Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                  Resumofalse
                  92. ImmunizationRecommendation.recommendation.dateCriterion.extension
                  Definição

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  CurtoAdditional content defined by implementations
                  Comentários

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Controlo0..*
                  TipoExtension
                  É modificadorfalse
                  Resumofalse
                  Nomes alternativosextensions, user content
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  94. ImmunizationRecommendation.recommendation.dateCriterion.modifierExtension
                  Definição

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  CurtoExtensions that cannot be ignored even if unrecognized
                  Comentários

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Controlo0..*
                  TipoExtension
                  É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Resumotrue
                  Requisitos

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Nomes alternativosextensions, user content, modifiers
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  96. ImmunizationRecommendation.recommendation.dateCriterion.code
                  Definição

                  Date classification of recommendation. For example, earliest date to give, latest date to give, etc.

                  CurtoType of date
                  Controlo1..1
                  VínculoPara exemplos de códigos, ver ImmunizationRecommendationDateCriterionCodes
                  (example to http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion|4.0.1)

                  Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).

                  TipoCodeableConcept
                  É modificadorfalse
                  Resumofalse
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  98. ImmunizationRecommendation.recommendation.dateCriterion.code.id
                  Definição

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  CurtoUnique id for inter-element referencing
                  Controlo0..1
                  Tipostring
                  É modificadorfalse
                  Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                  Resumofalse
                  100. ImmunizationRecommendation.recommendation.dateCriterion.code.extension
                  Definição

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  CurtoAdditional content defined by implementations
                  Comentários

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Controlo0..*
                  TipoExtension
                  É modificadorfalse
                  Resumofalse
                  Nomes alternativosextensions, user content
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingEste elemento introduz um conjunto de fatias em ImmunizationRecommendation.recommendation.dateCriterion.code.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                  • value @ url
                  • 102. ImmunizationRecommendation.recommendation.dateCriterion.code.coding
                    Definição

                    A reference to a code defined by a terminology system.

                    CurtoCode defined by a terminology system
                    Comentários

                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                    Controlo0..*
                    TipoCoding
                    É modificadorfalse
                    Resumotrue
                    Requisitos

                    Allows for alternative encodings within a code system, and translations to other code systems.

                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    104. ImmunizationRecommendation.recommendation.dateCriterion.code.coding.id
                    Definição

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    CurtoUnique id for inter-element referencing
                    Controlo0..1
                    Tipostring
                    É modificadorfalse
                    Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                    Resumofalse
                    106. ImmunizationRecommendation.recommendation.dateCriterion.code.coding.extension
                    Definição

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    CurtoAdditional content defined by implementations
                    Comentários

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Controlo0..*
                    TipoExtension
                    É modificadorfalse
                    Resumofalse
                    Nomes alternativosextensions, user content
                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingEste elemento introduz um conjunto de fatias em ImmunizationRecommendation.recommendation.dateCriterion.code.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                    • value @ url
                    • 108. ImmunizationRecommendation.recommendation.dateCriterion.code.coding.system
                      Definição

                      The identification of the code system that defines the meaning of the symbol in the code.

                      CurtoIdentity of the terminology system
                      Comentários

                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                      Controlo1..1
                      Tipouri
                      É modificadorfalse
                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                      Resumotrue
                      Requisitos

                      Need to be unambiguous about the source of the definition of the symbol.

                      Valor do padrãohttp://loinc.org
                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      110. ImmunizationRecommendation.recommendation.dateCriterion.code.coding.version
                      Definição

                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                      CurtoVersion of the system - if relevant
                      Comentários

                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                      NotaEste é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
                      Controlo0..1
                      Tipostring
                      É modificadorfalse
                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                      Resumotrue
                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      112. ImmunizationRecommendation.recommendation.dateCriterion.code.coding.code
                      Definição

                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                      CurtoSymbol in syntax defined by the system
                      Controlo1..1
                      Tipocode
                      É modificadorfalse
                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                      Resumotrue
                      Requisitos

                      Need to refer to a particular code in the system.

                      Valor do padrão30980-7
                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      114. ImmunizationRecommendation.recommendation.dateCriterion.code.coding.display
                      Definição

                      A representation of the meaning of the code in the system, following the rules of the system.

                      CurtoRepresentation defined by the system
                      Controlo0..1
                      Tipostring
                      É modificadorfalse
                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                      Resumotrue
                      Requisitos

                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      116. ImmunizationRecommendation.recommendation.dateCriterion.code.coding.userSelected
                      Definição

                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                      CurtoIf this coding was chosen directly by the user
                      Comentários

                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                      Controlo0..1
                      Tipoboolean
                      É modificadorfalse
                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                      Resumotrue
                      Requisitos

                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      118. ImmunizationRecommendation.recommendation.dateCriterion.code.text
                      Definição

                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                      CurtoPlain text representation of the concept
                      Comentários

                      Very often the text is the same as a displayName of one of the codings.

                      Controlo0..1
                      Tipostring
                      É modificadorfalse
                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                      Resumotrue
                      Requisitos

                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      120. ImmunizationRecommendation.recommendation.dateCriterion.value
                      Definição

                      Indica a data limite em que o imunobiológico deve ser administrado. Observação: a data será de acordo com a Instrução Normativa do Calendário Nacional de Vacinação/Nota Técnica vigente.

                      CurtoData de recomendação da administração do imunobiológico (vacina)
                      Controlo1..1
                      TipodateTime
                      É modificadorfalse
                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                      Resumofalse
                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      122. ImmunizationRecommendation.recommendation.description
                      Definição

                      Contains the description about the protocol under which the vaccine was administered.

                      CurtoProtocol details
                      Controlo0..1
                      Tipostring
                      É modificadorfalse
                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                      Resumofalse
                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      124. ImmunizationRecommendation.recommendation.series
                      Definição

                      One possible path to achieve presumed immunity against a disease - within the context of an authority.

                      CurtoName of vaccination series
                      Controlo0..1
                      Tipostring
                      É modificadorfalse
                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                      Resumofalse
                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      126. ImmunizationRecommendation.recommendation.doseNumber[x]
                      Definição

                      Nominal position of the recommended dose in a series (e.g. dose 2 is the next recommended dose).

                      CurtoRecommended dose number within series
                      Comentários

                      The use of an integer is prefered if known. A string should only be used in cases where an interger is not available (such as when documenting a recurring booster dose).

                      Controlo1..1
                      Tipostring
                      [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
                      É modificadorfalse
                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                      Resumotrue
                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      SlicingEste elemento introduz um conjunto de fatias em ImmunizationRecommendation.recommendation.doseNumber[x]. As fatias sãoNão ordenado e Closede pode ser diferenciado utilizando os seguintes discriminadores:
                      • type @ $this
                      • 128. ImmunizationRecommendation.recommendation.doseNumber[x]:doseNumberString
                        Nome da fatiadoseNumberString
                        Definição

                        Posição nominal da dose recomendada numa série (por exemplo, a dose 2 é a próxima dose recomendada).

                        CurtoNúmero da dose
                        Comentários

                        The use of an integer is prefered if known. A string should only be used in cases where an interger is not available (such as when documenting a recurring booster dose).

                        Controlo1..1
                        VínculoOs códigos DEVERÃO ser retirados de Dose do Imunobiológico
                        (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRDose-1.0)
                        Tipostring
                        [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
                        É modificadorfalse
                        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                        Resumotrue
                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        130. ImmunizationRecommendation.recommendation.seriesDoses[x]
                        Definição

                        The recommended number of doses to achieve immunity.

                        CurtoRecommended number of doses for immunity
                        Comentários

                        The use of an integer is prefered if known. A string should only be used in cases where an interger is not available (such as when documenting a recurring booster dose).

                        Controlo1..1
                        TipopositiveInt
                        [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
                        É modificadorfalse
                        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                        Resumofalse
                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        SlicingEste elemento introduz um conjunto de fatias em ImmunizationRecommendation.recommendation.seriesDoses[x]. As fatias sãoNão ordenado e Closede pode ser diferenciado utilizando os seguintes discriminadores:
                        • type @ $this
                        • 132. ImmunizationRecommendation.recommendation.seriesDoses[x]:seriesDosesPositiveInt
                          Nome da fatiaseriesDosesPositiveInt
                          Definição

                          Número de doses necessárias para cada tipo de vacina do esquema de vacinação completo conforme Calendário Nacional de Vacinação.

                          CurtoNúmero recomendado de doses para esquema de vacinação completo
                          Comentários

                          The use of an integer is prefered if known. A string should only be used in cases where an interger is not available (such as when documenting a recurring booster dose).

                          Controlo1..1
                          TipopositiveInt
                          [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
                          É modificadorfalse
                          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                          Resumofalse
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          134. ImmunizationRecommendation.recommendation.supportingImmunization
                          Definição

                          Immunization event history and/or evaluation that supports the status and recommendation.

                          CurtoPast immunizations supporting recommendation
                          Controlo0..*
                          TipoReference(Immunization, ImmunizationEvaluation)
                          É modificadorfalse
                          Resumofalse
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          136. ImmunizationRecommendation.recommendation.supportingPatientInformation
                          Definição

                          Patient Information that supports the status and recommendation. This includes patient observations, adverse reactions and allergy/intolerance information.

                          CurtoPatient observations supporting recommendation
                          Controlo0..*
                          TipoReference(Resource)
                          É modificadorfalse
                          Resumofalse
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))