Guia de Implementação da SES GO - Vigilância Epidemiológica
1.0.6 - draft

Guia de Implementação da SES GO - Vigilância Epidemiológica - Downloaded Version 1.0.6 See the Directory of published versions

## Perfil: Registro de Notificação Agregada.

URL oficial: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/StructureDefinition/notificacao-agregada-agravo | Versão: 1.0.6
Draft as of 2026-02-25 | Nome para computador: NotificacaoAgregadaAgravo

Tem como objetivo notificar casos agregados abrangendo surtos e tracoma.

Usos:

- Este Perfil não é utilizado por nenhum perfil neste guia de implementação

You can also check for usages in the FHIR IG Statistics

### Representações do perfil

Descrição de perfis, diferenças, instantâneo, e como apresentações diferentes funcionam.

- Diferenças
- Elementos chave
- Detalhes
- Estatísticas/Referencias
- Tudo

Essa estrutura é derivada de Communication

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 | Notificação de Agravo
system |  | 1..1 | uri | Sistema de Informação de Agravos de Notificação (SINAN) 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: final
category |  | 1..1 | CodeableConcept | Message category
coding |  | 1..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Tipo da notificação 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(Grupo Alvo da Notificação de Agravo) | Grupo Alvo da Notificação de Agravo
topic |  | 1..1 | CodeableConcept | Description of the purpose/content
coding |  | 1..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Identifica o tipo da notificação. Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/tipo-notificacao-agravo-cs
code |  | 1..1 | code | Tipo de notificação Vínculo: Tipo de Notificação (required)
sent |  | 1..1 | dateTime | Data da notificação.
sender |  | 0..1 | Reference(Estabelecimento de Saúde) | Estabelecimento de Saúde ou outra fonte notificadora
reasonReference |  | 1..* | Reference(Condition) | Agravo ou doença notificada
Documentação para este formato

#### Terminologia Ligações (Diferencial)

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
Communication.topic.​coding.code | Base | required | Tipo de Notificação | 📦1.0.6 | este IG

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 | Notificação de Agravo
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | Sistema de Informação de Agravos de Notificação (SINAN) 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: final
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 | Tipo da notificação 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(Grupo Alvo da Notificação de Agravo) | Grupo Alvo da Notificação de Agravo
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 | Identifica o tipo da notificação. Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/tipo-notificacao-agravo-cs
code | Σ | 1..1 | code | Tipo de notificação Vínculo: Tipo de Notificação (required)
sent |  | 1..1 | dateTime | Data da notificação.
sender |  | 0..1 | Reference(Estabelecimento de Saúde) | Estabelecimento de Saúde ou outra fonte notificadora
reasonReference | Σ | 1..* | Reference(Condition) | Agravo ou doença notificada
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
Communication.topic.​coding.code | Base | required | Tipo de Notificação | 📦1.0.6 | este IG

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
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 | Notificação de Agravo
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | Sistema de Informação de Agravos de Notificação (SINAN) 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: final
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 | Tipo da notificação 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(Grupo Alvo da Notificação de Agravo) | Grupo Alvo da Notificação de Agravo
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 | Identifica o tipo da notificação. 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 Vínculo: Tipo de Notificação (required)
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 |  | 1..1 | dateTime | Data da notificação.
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(Condition) | Agravo ou doença notificada
payload |  | 0..* | 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
content[x] |  | 1..1 |  | Message part content
contentString |  |  | string |
contentAttachment |  |  | Attachment |
contentReference |  |  | Reference(Resource) |
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.topic.​coding.code | Base | required | Tipo de Notificação | 📦1.0.6 | este IG
Communication.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | a norma FHIR

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
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()`

Essa estrutura é derivada de Communication

Resumo

Obrigatório: 14 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

- Grupo Alvo da Notificação de Agravo (https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/StructureDefinition/grupo-casos-agregados)
- Estabelecimento de Saúde (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/estabelecimento-saude)

Visão de diferenças

Essa estrutura é derivada de Communication

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 | Notificação de Agravo
system |  | 1..1 | uri | Sistema de Informação de Agravos de Notificação (SINAN) 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: final
category |  | 1..1 | CodeableConcept | Message category
coding |  | 1..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Tipo da notificação 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(Grupo Alvo da Notificação de Agravo) | Grupo Alvo da Notificação de Agravo
topic |  | 1..1 | CodeableConcept | Description of the purpose/content
coding |  | 1..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Identifica o tipo da notificação. Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/tipo-notificacao-agravo-cs
code |  | 1..1 | code | Tipo de notificação Vínculo: Tipo de Notificação (required)
sent |  | 1..1 | dateTime | Data da notificação.
sender |  | 0..1 | Reference(Estabelecimento de Saúde) | Estabelecimento de Saúde ou outra fonte notificadora
reasonReference |  | 1..* | Reference(Condition) | Agravo ou doença notificada
Documentação para este formato

#### Terminologia Ligações (Diferencial)

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
Communication.topic.​coding.code | Base | required | Tipo de Notificação | 📦1.0.6 | este IG

Visão de elementos chave

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 | Notificação de Agravo
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | Sistema de Informação de Agravos de Notificação (SINAN) 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: final
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 | Tipo da notificação 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(Grupo Alvo da Notificação de Agravo) | Grupo Alvo da Notificação de Agravo
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 | Identifica o tipo da notificação. Padrão necessário: https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/tipo-notificacao-agravo-cs
code | Σ | 1..1 | code | Tipo de notificação Vínculo: Tipo de Notificação (required)
sent |  | 1..1 | dateTime | Data da notificação.
sender |  | 0..1 | Reference(Estabelecimento de Saúde) | Estabelecimento de Saúde ou outra fonte notificadora
reasonReference | Σ | 1..* | Reference(Condition) | Agravo ou doença notificada
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
Communication.topic.​coding.code | Base | required | Tipo de Notificação | 📦1.0.6 | este IG

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
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()`

Visão instantâneo

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 | Notificação de Agravo
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | Sistema de Informação de Agravos de Notificação (SINAN) 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: final
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 | Tipo da notificação 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(Grupo Alvo da Notificação de Agravo) | Grupo Alvo da Notificação de Agravo
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 | Identifica o tipo da notificação. 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 Vínculo: Tipo de Notificação (required)
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 |  | 1..1 | dateTime | Data da notificação.
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(Condition) | Agravo ou doença notificada
payload |  | 0..* | 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
content[x] |  | 1..1 |  | Message part content
contentString |  |  | string |
contentAttachment |  |  | Attachment |
contentReference |  |  | Reference(Resource) |
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.topic.​coding.code | Base | required | Tipo de Notificação | 📦1.0.6 | este IG
Communication.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | a norma FHIR

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
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()`

Essa estrutura é derivada de Communication

Resumo

Obrigatório: 14 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

- Grupo Alvo da Notificação de Agravo (https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/StructureDefinition/grupo-casos-agregados)
- Estabelecimento de Saúde (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/estabelecimento-saude)

Outras representações do perfil: CSV, Excel, Schematron