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: AgravoNotificado - Descrição detalhada

Draft as of 2026-02-25

Definições para agravo-notificacao perfil.

- Elementos distintos
- Elementos
- Instantâneo

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Condition
Invariantes | DataPrimeirosSintomasMenorDataNotificacao: Quando informada, a Data dos Primeiros Sintomas deve ser anterior ou igual à Data da Notificação. (`onset <= recordedDate`)
2. Condition.extension
Slicing | Este elemento introduz um conjunto de fatias em `Condition.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
4. Condition.extension:relacionadoTrabalho
Nome da fatia | relacionadoTrabalho
Definição | Identifica se a doença ou agravo foi adquirida em decorrência do processo de trabalho, determinada pelos ambientes ou pelas condições inadequadas.
Curto | Doença ou agravo relacionado ao trabalho
Controlo | 0..1
Tipo | Extension(Doença ou agravo relacionado ao trabalho) (Tipo de extensão: boolean)
6. Condition.extension:relacionadoDesastre
Nome da fatia | relacionadoDesastre
Definição | Identifica se a doença ou agravo foi adquirida durante ou após desastre.
Curto | Doença ou agravo relacionado a desastre
Controlo | 0..1
Tipo | Extension(Doença ou agravo relacionado a desastre) (Tipo de extensão: boolean)
8. Condition.identifier
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
10. Condition.identifier.system
Controlo | 1..?
Valor do padrão | `https://fhir.saude.go.gov.br/sid/sinan`
12. Condition.identifier.value
Definição | Número de identificação do registro da notificação.
Curto | Número da notificação
Controlo | 1..?
14. Condition.code
Invariantes | AidsRequerQualificadorIdade: Quando o código do agravo for B24 (AIDS), o campo code.text deve ser preenchido com o qualificador de idade. (`coding.where(code = 'B24').exists() implies text.exists()`)
16. Condition.code.coding
Controlo | 1..2
Slicing | Este elemento introduz um conjunto de fatias em `Condition.code.coding`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ code
18. Condition.code.coding.system
Controlo | 1..?
Valor do padrão | `http://www.saude.gov.br/fhir/r4/CodeSystem/BRCID10`
20. Condition.code.coding.code
Definição | Agravo ou doença a que se refere a notificação.
Curto | Agravo ou doença notificada
Controlo | 1..?
22. Condition.code.coding:especificacao
Nome da fatia | especificacao
Definição | Especifica o diagnóstico de suspeição do agravo e, para a síndrome da imunodeficiência adquirida (aids), identifica se a notificação é em adulto ou criança.
Curto | Especificação da suspeita do agravo
Controlo | 0..1
24. Condition.code.coding:especificacao.code
Vínculo | Os códigos DEVERÃO ser retirados de Especificação de Suspeita do Agravo (required to `https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/ValueSet/especificacao-suspeita-agravo-vs` )
26. Condition.code.text
Definição | Quando o código for B24 (AIDS), deve ser preenchido com 'AIDS em menores de 13 anos' ou 'AIDS em pessoas de 13 anos ou mais'.
Curto | Qualificador de idade para AIDS
28. Condition.subject
Definição | Identifica o/a paciente que apresenta o agravo de saúde objeto da notificação.
Curto | Paciente
Tipo | Reference(Indivíduo)
30. Condition.onset[x]
Controlo | 1..?
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
Slicing | Este elemento introduz um conjunto de fatias em `Condition.onset[x]`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: type @ $this
32. Condition.onset[x]:onsetDateTime
Nome da fatia | onsetDateTime
Definição | Data de início dos primeiros sintomas do caso, para a notificação do tipo individual, ou do primeiro caso suspeito, na hipótese de notificação do tipo surto.
Curto | Data dos primeiros sintomas
Controlo | 1..1
Tipo | dateTime
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
34. Condition.recordedDate
Definição | Refere-se à data de preenchimento da notificação do caso.
Curto | Data da notificação
Controlo | 1..?
Invariantes | DataNotificacaoMenorAtual: Data da Notificação deve ser menor que a data atual. (`$this < today()`)
36. Condition.evidence
Controlo | 1..?
38. Condition.evidence.code
Controlo | 1..1
40. Condition.evidence.code.coding
Controlo | 1..1
42. Condition.evidence.code.coding.system
Controlo | 1..?
Valor do padrão | `https://www.meddra.org/`
44. Condition.evidence.code.coding.code
Definição | Sinal(is) e/ou sintoma(s) relatado(s) pelo indivíduo ou observado(s) pelo profissional de saúde, os quais apoiam a suspeição diagnóstica da notificação.
Curto | Sinal(is) e/ou sintoma(s)
Controlo | 1..?

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Condition
Definição | A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
Curto | Detailed information about conditions, problems or diagnoses
Controlo | 0..*
É modificador | false
Resumo | false
Invariantes | con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item (`clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`) con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (`abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`) con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (`verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`) dom-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()) DataPrimeirosSintomasMenorDataNotificacao: Quando informada, a Data dos Primeiros Sintomas deve ser anterior ou igual à Data da Notificação. (`onset <= recordedDate`) con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item (clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()) con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()) con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty())
2. Condition.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.
Curto | A 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.
Controlo | 0..1
Tipo | uri
É modificador | true 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 primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Condition.extension
Definição | An Extension 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.
Curto | ExtensionAdditional 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-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())
Slicing | Este elemento introduz um conjunto de fatias em `Condition.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
6. Condition.extension:relacionadoTrabalho
Nome da fatia | relacionadoTrabalho
Definição | Identifica se a doença ou agravo foi adquirida em decorrência do processo de trabalho, determinada pelos ambientes ou pelas condições inadequadas.
Curto | Doença ou agravo relacionado ao trabalho
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ele-1
Tipo | Extension(Doença ou agravo relacionado ao trabalho) (Tipo de extensão: boolean)
É modificador | false
Resumo | false
Invariantes | ele-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()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Condition.extension:relacionadoDesastre
Nome da fatia | relacionadoDesastre
Definição | Identifica se a doença ou agravo foi adquirida durante ou após desastre.
Curto | Doença ou agravo relacionado a desastre
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ele-1
Tipo | Extension(Doença ou agravo relacionado a desastre) (Tipo de extensão: boolean)
É modificador | false
Resumo | false
Invariantes | ele-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()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. Condition.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).
Curto | Extensions 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.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumo | false
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 alternativos | extensions, user content
Invariantes | ele-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())
12. Condition.identifier
Definição | Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
Curto | External Ids for this condition
Comentários | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 10..1*
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Condition.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Condition.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 10..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Valor do padrão | `https://fhir.saude.go.gov.br/sid/sinan`
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Condition.identifier.value
Definição | Número de identificação do registro da notificação. The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | Número da notificaçãoThe value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 10..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Condition.clinicalStatus
Definição | The clinical status of the condition.
Curto | active | recurrence | relapse | inactive | remission | resolved
Comentários | The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: con-3, con-4, con-5
Vínculo | Os códigos DEVERÃO ser retirados de ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 (required to `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` ) The clinical status of the condition or diagnosis.
Tipo | CodeableConcept
É modificador | true porque This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Condition.verificationStatus
Definição | The verification status to support the clinical status of the condition.
Curto | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Comentários | verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: con-3, con-5
Vínculo | Os códigos DEVERÃO ser retirados de ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` ) The verification status to support or decline the clinical status of the condition or diagnosis.
Tipo | CodeableConcept
É modificador | true porque This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Condition.code
Definição | Identification of the condition, problem or diagnosis.
Curto | Identification of the condition, problem or diagnosis
Controlo | 0..1
Vínculo | Para exemplos de códigos, ver Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code|4.0.1 (example to `http://hl7.org/fhir/ValueSet/condition-code|4.0.1` ) Identification of the condition or diagnosis.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | 0..1 to account for primarily narrative only resources.
Nomes alternativos | type
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) AidsRequerQualificadorIdade: Quando o código do agravo for B24 (AIDS), o campo code.text deve ser preenchido com o qualificador de idade. (`coding.where(code = 'B24').exists() implies text.exists()`)
26. Condition.code.coding
Definição | A reference to a code defined by a terminology system.
Curto | Code 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.
Controlo | 10..2*
Tipo | Coding
É modificador | false
Resumo | true
Requisitos | Allows for alternative encodings within a code system, and translations to other code systems.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | Este elemento introduz um conjunto de fatias em `Condition.code.coding`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ code
28. Condition.code.coding.system
Definição | The identification of the code system that defines the meaning of the symbol in the code.
Curto | Identity 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.
Controlo | 10..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be unambiguous about the source of the definition of the symbol.
Valor do padrão | `http://www.saude.gov.br/fhir/r4/CodeSystem/BRCID10`
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Condition.code.coding.code
Definição | Agravo ou doença a que se refere a notificação. 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).
Curto | Agravo ou doença notificadaSymbol in syntax defined by the system
Controlo | 10..1
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to refer to a particular code in the system.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Condition.code.coding:especificacao
Nome da fatia | especificacao
Definição | Especifica o diagnóstico de suspeição do agravo e, para a síndrome da imunodeficiência adquirida (aids), identifica se a notificação é em adulto ou criança. A reference to a code defined by a terminology system.
Curto | Especificação da suspeita do agravoCode 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.
Controlo | 0..1*
Tipo | Coding
É modificador | false
Resumo | true
Requisitos | Allows for alternative encodings within a code system, and translations to other code systems.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Condition.code.coding:especificacao.system
Definição | The identification of the code system that defines the meaning of the symbol in the code.
Curto | Identity 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.
Controlo | 10..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be unambiguous about the source of the definition of the symbol.
Valor do padrão | `http://www.saude.gov.br/fhir/r4/CodeSystem/BRCID10`
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Condition.code.coding:especificacao.code
Definição | Agravo ou doença a que se refere a notificação. 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).
Curto | Agravo ou doença notificadaSymbol in syntax defined by the system
Controlo | 10..1
Vínculo | Os códigos DEVERÃO ser retirados de Para códigos, ver Especificação de Suspeita do Agravo (required to `https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/ValueSet/especificacao-suspeita-agravo-vs` )
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to refer to a particular code in the system.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Condition.code.text
Definição | Quando o código for B24 (AIDS), deve ser preenchido com 'AIDS em menores de 13 anos' ou 'AIDS em pessoas de 13 anos ou mais'. 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.
Curto | Qualificador de idade para AIDSPlain text representation of the concept
Comentários | Very often the text is the same as a displayName of one of the codings.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
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.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Condition.subject
Definição | Identifica o/a paciente que apresenta o agravo de saúde objeto da notificação. Indicates the patient or group who the condition record is associated with.
Curto | PacienteWho has the condition?
Controlo | 1..1
Tipo | Reference(Indivíduo, Patient, Group)
É modificador | false
Resumo | true
Requisitos | Group is typically used for veterinary or public health use cases.
Nomes alternativos | patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Condition.onset[x]
Definição | Estimated or actual date or date-time the condition began, in the opinion of the clinician.
Curto | Estimated or actual date, date-time, or age
Comentários | Age is generally used when the patient reports an age at which the Condition began to occur.
Controlo | 10..1
Tipo | dateTime, string, Period, Range, Age
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | Este elemento introduz um conjunto de fatias em `Condition.onset[x]`. As fatias sãoNão ordenado e Closede pode ser diferenciado utilizando os seguintes discriminadores: type @ $this
44. Condition.onset[x]:onsetDateTime
Nome da fatia | onsetDateTime
Definição | Data de início dos primeiros sintomas do caso, para a notificação do tipo individual, ou do primeiro caso suspeito, na hipótese de notificação do tipo surto. Estimated or actual date or date-time the condition began, in the opinion of the clinician.
Curto | Data dos primeiros sintomasEstimated or actual date, date-time, or age
Comentários | Age is generally used when the patient reports an age at which the Condition began to occur.
Controlo | 10..1
Tipo | dateTime, string, Period, Range, Age
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Condition.recordedDate
Definição | Refere-se à data de preenchimento da notificação do caso. The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.
Curto | Data da notificaçãoDate record was first recorded
Controlo | 10..1
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) DataNotificacaoMenorAtual: Data da Notificação deve ser menor que a data atual. (`$this < today()`)
48. Condition.evidence
Definição | Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.
Curto | Supporting evidence
Comentários | The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.
Controlo | 10..*
Tipo | BackboneElement
É modificador | false
Resumo | false
Invariantes | con-2: evidence SHALL have code or details (`code.exists() or detail.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) con-2: evidence SHALL have code or details (code.exists() or detail.exists())
50. Condition.evidence.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).
Curto | Extensions 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.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
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 alternativos | extensions, user content, modifiers
Invariantes | ele-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())
52. Condition.evidence.code
Definição | A manifestation or symptom that led to the recording of this condition.
Curto | Manifestation/symptom
Controlo | 10..1* Este elemento é afetado pelas seguintes invariantes: con-2
Vínculo | Para exemplos de códigos, ver ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom|4.0.1 (example to `http://hl7.org/fhir/ValueSet/manifestation-or-symptom|4.0.1` ) Codes that describe the manifestation or symptoms of a condition.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Condition.evidence.code.coding
Definição | A reference to a code defined by a terminology system.
Curto | Code 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.
Controlo | 10..1*
Tipo | Coding
É modificador | false
Resumo | true
Requisitos | Allows for alternative encodings within a code system, and translations to other code systems.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. Condition.evidence.code.coding.system
Definição | The identification of the code system that defines the meaning of the symbol in the code.
Curto | Identity 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.
Controlo | 10..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be unambiguous about the source of the definition of the symbol.
Valor do padrão | `https://www.meddra.org/`
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. Condition.evidence.code.coding.code
Definição | Sinal(is) e/ou sintoma(s) relatado(s) pelo indivíduo ou observado(s) pelo profissional de saúde, os quais apoiam a suspeição diagnóstica da notificação. 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).
Curto | Sinal(is) e/ou sintoma(s)Symbol in syntax defined by the system
Controlo | 10..1
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to refer to a particular code in the system.
Invariantes | ele-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. Condition
Definição | A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
Curto | Detailed information about conditions, problems or diagnoses
Controlo | 0..*
É modificador | false
Resumo | false
Invariantes | con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item (`clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`) con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (`abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`) con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (`verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`) dom-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()`) DataPrimeirosSintomasMenorDataNotificacao: Quando informada, a Data dos Primeiros Sintomas deve ser anterior ou igual à Data da Notificação. (`onset <= recordedDate`)
2. Condition.id
Definição | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Curto | Logical 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.
Controlo | 0..1
Tipo | id
É modificador | false
Resumo | true
4. Condition.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.
Curto | Metadata about the resource
Controlo | 0..1
Tipo | Meta
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Condition.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.
Curto | A 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.
Controlo | 0..1
Tipo | uri
É modificador | true 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 primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. Condition.language
Definição | The base language in which the resource is written.
Curto | Language 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).
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Condition.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.
Curto | Text 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.
Controlo | 0..1
Tipo | Narrative
É modificador | false
Resumo | false
Nomes alternativos | narrative, html, xhtml, display
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Condition.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.
Curto | Contained, 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.
Controlo | 0..*
Tipo | Resource
É modificador | false
Resumo | false
Nomes alternativos | inline resources, anonymous resources, contained resources
14. Condition.extension
Definição | An Extension
Curto | Extension
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Invariantes | ele-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()`)
Slicing | Este elemento introduz um conjunto de fatias em `Condition.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
16. Condition.extension:relacionadoTrabalho
Nome da fatia | relacionadoTrabalho
Definição | Identifica se a doença ou agravo foi adquirida em decorrência do processo de trabalho, determinada pelos ambientes ou pelas condições inadequadas.
Curto | Doença ou agravo relacionado ao trabalho
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ele-1
Tipo | Extension(Doença ou agravo relacionado ao trabalho) (Tipo de extensão: boolean)
É modificador | false
Resumo | false
Invariantes | ele-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. Condition.extension:relacionadoDesastre
Nome da fatia | relacionadoDesastre
Definição | Identifica se a doença ou agravo foi adquirida durante ou após desastre.
Curto | Doença ou agravo relacionado a desastre
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ele-1
Tipo | Extension(Doença ou agravo relacionado a desastre) (Tipo de extensão: boolean)
É modificador | false
Resumo | false
Invariantes | ele-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. Condition.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).
Curto | Extensions 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.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumo | false
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 alternativos | extensions, user content
Invariantes | ele-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()`)
22. Condition.identifier
Definição | Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
Curto | External Ids for this condition
Comentários | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. Condition.identifier.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
26. Condition.identifier.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.
Curto | Additional 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-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()`)
Slicing | Este elemento introduz um conjunto de fatias em `Condition.identifier.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
28. Condition.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. Condition.identifier.type
Definição | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Curto | Description of identifier
Comentários | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Allows users to make use of identifiers when the identifier system is not known.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. Condition.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Valor do padrão | `https://fhir.saude.go.gov.br/sid/sinan`
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. Condition.identifier.value
Definição | Número de identificação do registro da notificação.
Curto | Número da notificação
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 1..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. Condition.identifier.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 0..1
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. Condition.identifier.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 0..1
Tipo | Reference(Organization)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. Condition.clinicalStatus
Definição | The clinical status of the condition.
Curto | active | recurrence | relapse | inactive | remission | resolved
Comentários | The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: con-3, con-4, con-5
Vínculo | Os códigos DEVERÃO ser retirados de ConditionClinicalStatusCodes (required to `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` ) The clinical status of the condition or diagnosis.
Tipo | CodeableConcept
É modificador | true porque This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. Condition.verificationStatus
Definição | The verification status to support the clinical status of the condition.
Curto | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Comentários | verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: con-3, con-5
Vínculo | Os códigos DEVERÃO ser retirados de ConditionVerificationStatus (required to `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` ) The verification status to support or decline the clinical status of the condition or diagnosis.
Tipo | CodeableConcept
É modificador | true porque This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. Condition.category
Definição | A category assigned to the condition.
Curto | problem-list-item | encounter-diagnosis
Comentários | The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.
Controlo | 0..*
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ConditionCategoryCodes (extensible to `http://hl7.org/fhir/ValueSet/condition-category|4.0.1` ) A category assigned to the condition.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. Condition.severity
Definição | A subjective assessment of the severity of the condition as evaluated by the clinician.
Curto | Subjective severity of condition
Comentários | Coding of the severity with a terminology is preferred, where possible.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de Condition/DiagnosisSeverity (preferred to `http://hl7.org/fhir/ValueSet/condition-severity|4.0.1` ) A subjective assessment of the severity of the condition as evaluated by the clinician.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. Condition.code
Definição | Identification of the condition, problem or diagnosis.
Curto | Identification of the condition, problem or diagnosis
Controlo | 0..1
Vínculo | Para exemplos de códigos, ver Condition/Problem/DiagnosisCodes (example to `http://hl7.org/fhir/ValueSet/condition-code|4.0.1` ) Identification of the condition or diagnosis.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | 0..1 to account for primarily narrative only resources.
Nomes alternativos | type
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) AidsRequerQualificadorIdade: Quando o código do agravo for B24 (AIDS), o campo code.text deve ser preenchido com o qualificador de idade. (`coding.where(code = 'B24').exists() implies text.exists()`)
50. Condition.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.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
52. Condition.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.
Curto | Additional 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-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()`)
Slicing | Este elemento introduz um conjunto de fatias em `Condition.code.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
54. Condition.code.coding
Definição | A reference to a code defined by a terminology system.
Curto | Code 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.
Controlo | 1..2
Tipo | Coding
É modificador | false
Resumo | true
Requisitos | Allows for alternative encodings within a code system, and translations to other code systems.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Este elemento introduz um conjunto de fatias em `Condition.code.coding`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ code
56. Condition.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.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
58. Condition.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.
Curto | Additional 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-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()`)
Slicing | Este elemento introduz um conjunto de fatias em `Condition.code.coding.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
60. Condition.code.coding.system
Definição | The identification of the code system that defines the meaning of the symbol in the code.
Curto | Identity 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.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be unambiguous about the source of the definition of the symbol.
Valor do padrão | `http://www.saude.gov.br/fhir/r4/CodeSystem/BRCID10`
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. Condition.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.
Curto | Version 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.
Nota | Este é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. Condition.code.coding.code
Definição | Agravo ou doença a que se refere a notificação.
Curto | Agravo ou doença notificada
Controlo | 1..1
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to refer to a particular code in the system.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. Condition.code.coding.display
Definição | A representation of the meaning of the code in the system, following the rules of the system.
Curto | Representation defined by the system
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. Condition.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).
Curto | If 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.
Controlo | 0..1
Tipo | boolean
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
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.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. Condition.code.coding:especificacao
Nome da fatia | especificacao
Definição | Especifica o diagnóstico de suspeição do agravo e, para a síndrome da imunodeficiência adquirida (aids), identifica se a notificação é em adulto ou criança.
Curto | Especificação da suspeita do agravo
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.
Controlo | 0..1
Tipo | Coding
É modificador | false
Resumo | true
Requisitos | Allows for alternative encodings within a code system, and translations to other code systems.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. Condition.code.coding:especificacao.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
74. Condition.code.coding:especificacao.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.
Curto | Additional 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-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()`)
Slicing | Este elemento introduz um conjunto de fatias em `Condition.code.coding.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
76. Condition.code.coding:especificacao.system
Definição | The identification of the code system that defines the meaning of the symbol in the code.
Curto | Identity 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.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be unambiguous about the source of the definition of the symbol.
Valor do padrão | `http://www.saude.gov.br/fhir/r4/CodeSystem/BRCID10`
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
78. Condition.code.coding:especificacao.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.
Curto | Version 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.
Nota | Este é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. Condition.code.coding:especificacao.code
Definição | Agravo ou doença a que se refere a notificação.
Curto | Agravo ou doença notificada
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de Especificação de Suspeita do Agravo (required to `https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/ValueSet/especificacao-suspeita-agravo-vs` )
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to refer to a particular code in the system.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. Condition.code.coding:especificacao.display
Definição | A representation of the meaning of the code in the system, following the rules of the system.
Curto | Representation defined by the system
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. Condition.code.coding:especificacao.userSelected
Definição | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Curto | If 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.
Controlo | 0..1
Tipo | boolean
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
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.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. Condition.code.text
Definição | Quando o código for B24 (AIDS), deve ser preenchido com 'AIDS em menores de 13 anos' ou 'AIDS em pessoas de 13 anos ou mais'.
Curto | Qualificador de idade para AIDS
Comentários | Very often the text is the same as a displayName of one of the codings.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
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.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. Condition.bodySite
Definição | The anatomical location where this condition manifests itself.
Curto | Anatomical location, if relevant
Comentários | Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.
Controlo | 0..*
Vínculo | Para exemplos de códigos, ver SNOMEDCTBodyStructures (example to `http://hl7.org/fhir/ValueSet/body-site|4.0.1` ) Codes describing anatomical locations. May include laterality.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. Condition.subject
Definição | Identifica o/a paciente que apresenta o agravo de saúde objeto da notificação.
Curto | Paciente
Controlo | 1..1
Tipo | Reference(Indivíduo)
É modificador | false
Resumo | true
Requisitos | Group is typically used for veterinary or public health use cases.
Nomes alternativos | patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. Condition.encounter
Definição | The Encounter during which this Condition was created or to which the creation of this record is tightly associated.
Curto | Encounter created as part of
Comentários | This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".
Controlo | 0..1
Tipo | Reference(Encounter)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. Condition.onset[x]
Definição | Estimated or actual date or date-time the condition began, in the opinion of the clinician.
Curto | Estimated or actual date, date-time, or age
Comentários | Age is generally used when the patient reports an age at which the Condition began to occur.
Controlo | 1..1
Tipo | dateTime
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Este elemento introduz um conjunto de fatias em `Condition.onset[x]`. As fatias sãoNão ordenado e Closede pode ser diferenciado utilizando os seguintes discriminadores: type @ $this
96. Condition.onset[x]:onsetDateTime
Nome da fatia | onsetDateTime
Definição | Data de início dos primeiros sintomas do caso, para a notificação do tipo individual, ou do primeiro caso suspeito, na hipótese de notificação do tipo surto.
Curto | Data dos primeiros sintomas
Comentários | Age is generally used when the patient reports an age at which the Condition began to occur.
Controlo | 1..1
Tipo | dateTime
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. Condition.abatement[x]
Definição | The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.
Curto | When in resolution/remission
Comentários | There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: con-4
Tipo | Escolha de: dateTime, Age, Period, Range, string
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. Condition.recordedDate
Definição | Refere-se à data de preenchimento da notificação do caso.
Curto | Data da notificação
Controlo | 1..1
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) DataNotificacaoMenorAtual: Data da Notificação deve ser menor que a data atual. (`$this < today()`)
102. Condition.recorder
Definição | Individual who recorded the record and takes responsibility for its content.
Curto | Who recorded the condition
Controlo | 0..1
Tipo | Reference(Practitioner, PractitionerRole, Patient, RelatedPerson)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. Condition.asserter
Definição | Individual who is making the condition statement.
Curto | Person who asserts this condition
Controlo | 0..1
Tipo | Reference(Practitioner, PractitionerRole, Patient, RelatedPerson)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. Condition.stage
Definição | Clinical stage or grade of a condition. May include formal severity assessments.
Curto | Stage/grade, usually assessed formally
Controlo | 0..*
Tipo | BackboneElement
É modificador | false
Resumo | false
Invariantes | con-1: Stage SHALL have summary or assessment (`summary.exists() or assessment.exists()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. Condition.stage.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
110. Condition.stage.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.
Curto | Additional 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-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()`)
112. Condition.stage.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).
Curto | Extensions 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.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
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 alternativos | extensions, user content, modifiers
Invariantes | ele-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()`)
114. Condition.stage.summary
Definição | A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific.
Curto | Simple summary (disease specific)
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: con-1
Vínculo | Para exemplos de códigos, ver ConditionStage (example to `http://hl7.org/fhir/ValueSet/condition-stage|4.0.1` ) Codes describing condition stages (e.g. Cancer stages).
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. Condition.stage.assessment
Definição | Reference to a formal record of the evidence on which the staging assessment is based.
Curto | Formal record of assessment
Controlo | 0..* Este elemento é afetado pelas seguintes invariantes: con-1
Tipo | Reference(ClinicalImpression, DiagnosticReport, Observation)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. Condition.stage.type
Definição | The kind of staging, such as pathological or clinical staging.
Curto | Kind of staging
Controlo | 0..1
Vínculo | Para exemplos de códigos, ver ConditionStageType (example to `http://hl7.org/fhir/ValueSet/condition-stage-type|4.0.1` ) Codes describing the kind of condition staging (e.g. clinical or pathological).
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. Condition.evidence
Definição | Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.
Curto | Supporting evidence
Comentários | The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.
Controlo | 1..*
Tipo | BackboneElement
É modificador | false
Resumo | false
Invariantes | con-2: evidence SHALL have code or details (`code.exists() or detail.exists()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. Condition.evidence.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
124. Condition.evidence.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.
Curto | Additional 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-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()`)
126. Condition.evidence.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).
Curto | Extensions 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.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
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 alternativos | extensions, user content, modifiers
Invariantes | ele-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()`)
128. Condition.evidence.code
Definição | A manifestation or symptom that led to the recording of this condition.
Curto | Manifestation/symptom
Controlo | 1..1 Este elemento é afetado pelas seguintes invariantes: con-2
Vínculo | Para exemplos de códigos, ver ManifestationAndSymptomCodes (example to `http://hl7.org/fhir/ValueSet/manifestation-or-symptom|4.0.1` ) Codes that describe the manifestation or symptoms of a condition.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. Condition.evidence.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.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
132. Condition.evidence.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.
Curto | Additional 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-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()`)
Slicing | Este elemento introduz um conjunto de fatias em `Condition.evidence.code.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
134. Condition.evidence.code.coding
Definição | A reference to a code defined by a terminology system.
Curto | Code 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.
Controlo | 1..1
Tipo | Coding
É modificador | false
Resumo | true
Requisitos | Allows for alternative encodings within a code system, and translations to other code systems.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. Condition.evidence.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.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
138. Condition.evidence.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.
Curto | Additional 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-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()`)
Slicing | Este elemento introduz um conjunto de fatias em `Condition.evidence.code.coding.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
140. Condition.evidence.code.coding.system
Definição | The identification of the code system that defines the meaning of the symbol in the code.
Curto | Identity 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.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be unambiguous about the source of the definition of the symbol.
Valor do padrão | `https://www.meddra.org/`
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. Condition.evidence.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.
Curto | Version 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.
Nota | Este é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. Condition.evidence.code.coding.code
Definição | Sinal(is) e/ou sintoma(s) relatado(s) pelo indivíduo ou observado(s) pelo profissional de saúde, os quais apoiam a suspeição diagnóstica da notificação.
Curto | Sinal(is) e/ou sintoma(s)
Controlo | 1..1
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to refer to a particular code in the system.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. Condition.evidence.code.coding.display
Definição | A representation of the meaning of the code in the system, following the rules of the system.
Curto | Representation defined by the system
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
148. Condition.evidence.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).
Curto | If 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.
Controlo | 0..1
Tipo | boolean
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
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.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
150. Condition.evidence.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.
Curto | Plain text representation of the concept
Comentários | Very often the text is the same as a displayName of one of the codings.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
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.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
152. Condition.evidence.detail
Definição | Links to other relevant information, including pathology reports.
Curto | Supporting information found elsewhere
Controlo | 0..* Este elemento é afetado pelas seguintes invariantes: con-2
Tipo | Reference(Resource)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
154. Condition.note
Definição | Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.
Curto | Additional information about the Condition
Controlo | 0..*
Tipo | Annotation
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)