Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
identifier		1..1	Identifier	Unique identifier
system		1..1	uri	The namespace for the identifier value Padrão necessário: https://fhir.saude.go.gov.br/sid/sinan
value		1..1	string	Número da notificação
status		1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Padrão necessário: completed
category		1..1	CodeableConcept	Message category
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/categoria-comunicacao-cs
code		1..1	code	Symbol in syntax defined by the system Padrão necessário: notificacao-agravo
subject		1..1	Reference(Indivíduo)	Paciente
topic		1..1	CodeableConcept	Description of the purpose/content
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/tipo-notificacao-agravo-cs
code		1..1	code	Tipo de notificação Padrão necessário: 2
sent	C	1..1	dateTime	Data da notificação Constraints: DataNotificacaoMenorAtual
sender		0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de Saúde ou outra fonte notificadora
reasonReference		1..*	Reference(Agravo ou doença notificada)	Agravo(s) ou doença(s) notificada(s)
payload		1..1	BackboneElement	Message payload
Fatias para content[x]		1..1	string, Attachment, Reference(Resource)	Message part content Fatia: Não ordenado, Aberto por type:$this
content[x]:contentReference		0..1	Reference(Condição ou Trimestre Gestacional)	Condição ou Trimestre Gestacional
Documentação para este formato

Restrições

Id	Grau	Caminho(s)	Descrição	Expressão
DataNotificacaoMenorAtual	error	Communication.sent	Data da Notificação deve ser menor que a data atual.	$this < today()

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Unique identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Padrão necessário: https://fhir.saude.go.gov.br/sid/sinan
value	Σ	1..1	string	Número da notificação Exemplo General: 123456
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Vínculo: EventStatus (required): The status of the communication. Padrão necessário: completed
category		1..1	CodeableConcept	Message category Vínculo: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/categoria-comunicacao-cs
code	Σ	1..1	code	Symbol in syntax defined by the system Padrão necessário: notificacao-agravo
subject	Σ	1..1	Reference(Indivíduo)	Paciente
topic		1..1	CodeableConcept	Description of the purpose/content Vínculo: CommunicationTopic (example): Codes describing the purpose or content of the communication.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/tipo-notificacao-agravo-cs
code	Σ	1..1	code	Tipo de notificação Padrão necessário: 2
sent	C	1..1	dateTime	Data da notificação Constraints: DataNotificacaoMenorAtual
sender		0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de Saúde ou outra fonte notificadora
reasonReference	Σ	1..*	Reference(Agravo ou doença notificada)	Agravo(s) ou doença(s) notificada(s)
payload		1..1	BackboneElement	Message payload
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Fatias para content[x]		1..1		Message part content Fatia: Não ordenado, Aberto por type:$this
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
content[x]:contentReference		0..1	Reference(Condição ou Trimestre Gestacional)	Condição ou Trimestre Gestacional
Documentação para este formato

Terminologia Ligações

Caminho	Estado	Utilização	Conjunto de valores	Versão	Fonte
Communication.identifier.​use	Base	required	IdentifierUse	📍4.0.1	a norma FHIR
Communication.status	Base	required	EventStatus	📍4.0.1	a norma FHIR
Communication.category	Base	example	CommunicationCategory	📍4.0.1	a norma FHIR
Communication.topic	Base	example	CommunicationTopic	📍4.0.1	a norma FHIR

Restrições

Id	Grau	Caminho(s)	Descrição	Expressão
DataNotificacaoMenorAtual	error	Communication.sent	Data da Notificação deve ser menor que a data atual.	$this < today()
dom-2	error	Communication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Communication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Communication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Communication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Communication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Vínculo: CommonLanguages (preferred): A human language. Vínculos adicionais Objetivo AllLanguages Vínculo máximo
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Unique identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Padrão necessário: https://fhir.saude.go.gov.br/sid/sinan
value	Σ	1..1	string	Número da notificação Exemplo General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(Resource)	Request fulfilled by this communication
partOf	Σ	0..*	Reference(Resource)	Part of this action
inResponseTo		0..*	Reference(Communication)	Reply to
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Vínculo: EventStatus (required): The status of the communication. Padrão necessário: completed
statusReason	Σ	0..1	CodeableConcept	Reason for current status Vínculo: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
category		1..1	CodeableConcept	Message category Vínculo: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system	Σ	1..1	uri	Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/categoria-comunicacao-cs
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Padrão necessário: notificacao-agravo
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Vínculo: RequestPriority (required): Codes indicating the relative importance of a communication.
medium		0..*	CodeableConcept	A channel of communication Vínculo: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject	Σ	1..1	Reference(Indivíduo)	Paciente
topic		1..1	CodeableConcept	Description of the purpose/content Vínculo: CommunicationTopic (example): Codes describing the purpose or content of the communication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system	Σ	1..1	uri	Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/tipo-notificacao-agravo-cs
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Tipo de notificação Padrão necessário: 2
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
about		0..*	Reference(Resource)	Resources that pertain to this communication
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
sent	C	1..1	dateTime	Data da notificação Constraints: DataNotificacaoMenorAtual
received		0..1	dateTime	When received
recipient		0..*	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)	Message recipient
sender		0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de Saúde ou outra fonte notificadora
reasonCode	Σ	0..*	CodeableConcept	Indication for message Vínculo: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	Σ	1..*	Reference(Agravo ou doença notificada)	Agravo(s) ou doença(s) notificada(s)
payload		1..1	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Fatias para content[x]		1..1		Message part content Fatia: Não ordenado, Aberto por type:$this
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
content[x]:contentReference		0..1	Reference(Condição ou Trimestre Gestacional)	Condição ou Trimestre Gestacional
note		0..*	Annotation	Comments made about the communication
Documentação para este formato

Terminologia Ligações

Caminho	Estado	Utilização	Conjunto de valores	Versão	Fonte
Communication.language	Base	preferred	Common Languages	📍4.0.1	a norma FHIR
Communication.identifier.​use	Base	required	IdentifierUse	📍4.0.1	a norma FHIR
Communication.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	a norma FHIR
Communication.status	Base	required	EventStatus	📍4.0.1	a norma FHIR
Communication.statusReason	Base	example	CommunicationNotDoneReason	📍4.0.1	a norma FHIR
Communication.category	Base	example	CommunicationCategory	📍4.0.1	a norma FHIR
Communication.priority	Base	required	Request priority	📍4.0.1	a norma FHIR
Communication.medium	Base	example	ParticipationMode	📦3.0.0	THO v6.5
Communication.topic	Base	example	CommunicationTopic	📍4.0.1	a norma FHIR
Communication.reasonCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	a norma FHIR

Restrições

Id	Grau	Caminho(s)	Descrição	Expressão
DataNotificacaoMenorAtual	error	Communication.sent	Data da Notificação deve ser menor que a data atual.	$this < today()
dom-2	error	Communication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Communication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Communication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Communication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Communication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Resumo

Obrigatório: 15 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

• Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)
• Estabelecimento de Saúde (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/estabelecimento-saude)
• Agravo ou doença notificada (https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/StructureDefinition/agravo-notificacao)
• Condição ou Trimestre Gestacional (https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/StructureDefinition/condicao-trimestregestacional-sd)

Fatias

Esta estrutura define os seguintes Slices:

• The element 1 is sliced based on the value of Communication.payload.content[x]

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
identifier		1..1	Identifier	Unique identifier
system		1..1	uri	The namespace for the identifier value Padrão necessário: https://fhir.saude.go.gov.br/sid/sinan
value		1..1	string	Número da notificação
status		1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Padrão necessário: completed
category		1..1	CodeableConcept	Message category
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/categoria-comunicacao-cs
code		1..1	code	Symbol in syntax defined by the system Padrão necessário: notificacao-agravo
subject		1..1	Reference(Indivíduo)	Paciente
topic		1..1	CodeableConcept	Description of the purpose/content
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/tipo-notificacao-agravo-cs
code		1..1	code	Tipo de notificação Padrão necessário: 2
sent	C	1..1	dateTime	Data da notificação Constraints: DataNotificacaoMenorAtual
sender		0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de Saúde ou outra fonte notificadora
reasonReference		1..*	Reference(Agravo ou doença notificada)	Agravo(s) ou doença(s) notificada(s)
payload		1..1	BackboneElement	Message payload
Fatias para content[x]		1..1	string, Attachment, Reference(Resource)	Message part content Fatia: Não ordenado, Aberto por type:$this
content[x]:contentReference		0..1	Reference(Condição ou Trimestre Gestacional)	Condição ou Trimestre Gestacional
Documentação para este formato

Restrições

Id	Grau	Caminho(s)	Descrição	Expressão
DataNotificacaoMenorAtual	error	Communication.sent	Data da Notificação deve ser menor que a data atual.	$this < today()

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Unique identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Padrão necessário: https://fhir.saude.go.gov.br/sid/sinan
value	Σ	1..1	string	Número da notificação Exemplo General: 123456
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Vínculo: EventStatus (required): The status of the communication. Padrão necessário: completed
category		1..1	CodeableConcept	Message category Vínculo: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/categoria-comunicacao-cs
code	Σ	1..1	code	Symbol in syntax defined by the system Padrão necessário: notificacao-agravo
subject	Σ	1..1	Reference(Indivíduo)	Paciente
topic		1..1	CodeableConcept	Description of the purpose/content Vínculo: CommunicationTopic (example): Codes describing the purpose or content of the communication.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/tipo-notificacao-agravo-cs
code	Σ	1..1	code	Tipo de notificação Padrão necessário: 2
sent	C	1..1	dateTime	Data da notificação Constraints: DataNotificacaoMenorAtual
sender		0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de Saúde ou outra fonte notificadora
reasonReference	Σ	1..*	Reference(Agravo ou doença notificada)	Agravo(s) ou doença(s) notificada(s)
payload		1..1	BackboneElement	Message payload
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Fatias para content[x]		1..1		Message part content Fatia: Não ordenado, Aberto por type:$this
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
content[x]:contentReference		0..1	Reference(Condição ou Trimestre Gestacional)	Condição ou Trimestre Gestacional
Documentação para este formato

Terminologia Ligações

Caminho	Estado	Utilização	Conjunto de valores	Versão	Fonte
Communication.identifier.​use	Base	required	IdentifierUse	📍4.0.1	a norma FHIR
Communication.status	Base	required	EventStatus	📍4.0.1	a norma FHIR
Communication.category	Base	example	CommunicationCategory	📍4.0.1	a norma FHIR
Communication.topic	Base	example	CommunicationTopic	📍4.0.1	a norma FHIR

Restrições

Id	Grau	Caminho(s)	Descrição	Expressão
DataNotificacaoMenorAtual	error	Communication.sent	Data da Notificação deve ser menor que a data atual.	$this < today()
dom-2	error	Communication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Communication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Communication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Communication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Communication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Vínculo: CommonLanguages (preferred): A human language. Vínculos adicionais Objetivo AllLanguages Vínculo máximo
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Unique identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Padrão necessário: https://fhir.saude.go.gov.br/sid/sinan
value	Σ	1..1	string	Número da notificação Exemplo General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(Resource)	Request fulfilled by this communication
partOf	Σ	0..*	Reference(Resource)	Part of this action
inResponseTo		0..*	Reference(Communication)	Reply to
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Vínculo: EventStatus (required): The status of the communication. Padrão necessário: completed
statusReason	Σ	0..1	CodeableConcept	Reason for current status Vínculo: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
category		1..1	CodeableConcept	Message category Vínculo: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system	Σ	1..1	uri	Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/categoria-comunicacao-cs
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Padrão necessário: notificacao-agravo
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Vínculo: RequestPriority (required): Codes indicating the relative importance of a communication.
medium		0..*	CodeableConcept	A channel of communication Vínculo: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject	Σ	1..1	Reference(Indivíduo)	Paciente
topic		1..1	CodeableConcept	Description of the purpose/content Vínculo: CommunicationTopic (example): Codes describing the purpose or content of the communication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system	Σ	1..1	uri	Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/tipo-notificacao-agravo-cs
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Tipo de notificação Padrão necessário: 2
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
about		0..*	Reference(Resource)	Resources that pertain to this communication
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
sent	C	1..1	dateTime	Data da notificação Constraints: DataNotificacaoMenorAtual
received		0..1	dateTime	When received
recipient		0..*	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)	Message recipient
sender		0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de Saúde ou outra fonte notificadora
reasonCode	Σ	0..*	CodeableConcept	Indication for message Vínculo: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	Σ	1..*	Reference(Agravo ou doença notificada)	Agravo(s) ou doença(s) notificada(s)
payload		1..1	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Fatias para content[x]		1..1		Message part content Fatia: Não ordenado, Aberto por type:$this
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
content[x]:contentReference		0..1	Reference(Condição ou Trimestre Gestacional)	Condição ou Trimestre Gestacional
note		0..*	Annotation	Comments made about the communication
Documentação para este formato

Terminologia Ligações

Caminho	Estado	Utilização	Conjunto de valores	Versão	Fonte
Communication.language	Base	preferred	Common Languages	📍4.0.1	a norma FHIR
Communication.identifier.​use	Base	required	IdentifierUse	📍4.0.1	a norma FHIR
Communication.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	a norma FHIR
Communication.status	Base	required	EventStatus	📍4.0.1	a norma FHIR
Communication.statusReason	Base	example	CommunicationNotDoneReason	📍4.0.1	a norma FHIR
Communication.category	Base	example	CommunicationCategory	📍4.0.1	a norma FHIR
Communication.priority	Base	required	Request priority	📍4.0.1	a norma FHIR
Communication.medium	Base	example	ParticipationMode	📦3.0.0	THO v6.5
Communication.topic	Base	example	CommunicationTopic	📍4.0.1	a norma FHIR
Communication.reasonCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	a norma FHIR

Restrições

Id	Grau	Caminho(s)	Descrição	Expressão
DataNotificacaoMenorAtual	error	Communication.sent	Data da Notificação deve ser menor que a data atual.	$this < today()
dom-2	error	Communication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Communication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Communication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Communication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Communication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Resumo

Obrigatório: 15 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

• Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)
• Estabelecimento de Saúde (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/estabelecimento-saude)
• Agravo ou doença notificada (https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/StructureDefinition/agravo-notificacao)
• Condição ou Trimestre Gestacional (https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/StructureDefinition/condicao-trimestregestacional-sd)

Fatias

Esta estrutura define os seguintes Slices:

• The element 1 is sliced based on the value of Communication.payload.content[x]