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: CondicaoTrimestreGestacionalSD - Descrição detalhada

Draft as of 2026-02-25

Definições para condicao-trimestregestacional-sd perfil.

- Elementos distintos
- Elementos
- Instantâneo

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Observation
2. Observation.identifier
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
4. Observation.identifier.system
Controlo | 1..?
Valor do padrão | `https://fhir.saude.go.gov.br/sid/sinan`
6. Observation.identifier.value
Definição | Número de identificação do registro da notificação.
Curto | Número da notificação
Controlo | 1..?
8. Observation.status
Valor do padrão | `final`
10. Observation.code
12. Observation.code.coding
Controlo | 1..1
14. Observation.code.coding.system
Valor do padrão | `http://loinc.org`
16. Observation.code.coding.code
Controlo | 1..?
Valor do padrão | `32418-6`
18. Observation.subject
Definição | Identifica o/a paciente que apresenta o agravo de saúde objeto da notificação.
Curto | Paciente
Controlo | 1..?
Tipo | Reference(Indivíduo)
20. Observation.issued
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()`)
22. Observation.performer
Definição | Inscrição no Cadastro Nacional de Estabelecimentos de Saúde (CNES) do Estabelecimento de Saúde que realizou o atendimento e a notificação do agravo.
Curto | Estabelecimento de Saúde ou outra fonte notificadora
Controlo | 0..1
Tipo | Reference(Estabelecimento de Saúde)
24. Observation.value[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 `Observation.value[x]`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: type @ $this
26. Observation.value[x]:valueCodeableConcept
Nome da fatia | valueCodeableConcept
Controlo | 1..1
Tipo | CodeableConcept
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
28. Observation.value[x]:valueCodeableConcept.coding
Controlo | 1..1
30. Observation.value[x]:valueCodeableConcept.coding.system
Controlo | 1..?
Valor do padrão | `https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/condicao-trimestre-gestacional-cs`
32. Observation.value[x]:valueCodeableConcept.coding.code
Definição | Informações sobre a condição de estar ou não gestante ou sobre o trimestre gestacional, quando afirmativo.
Curto | Condição ou trimestre gestacional
Controlo | 1..?
Vínculo | Os códigos DEVERÃO ser retirados de Condição ou Trimestre Gestacional (required to `https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/ValueSet/condicao-trimestre-gestacional-vs` )

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Observation
Definição | Measurements and simple assertions made about a patient, device or other subject.
Curto | Measurements and simple assertions
Comentários | Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.
Controlo | 0..*
É modificador | false
Resumo | false
Nomes alternativos | Vital Signs, Measurement, Results, Tests
Invariantes | 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()) obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present (`dataAbsentReason.empty() or value.empty()`) obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present (`value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`) obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present (dataAbsentReason.empty() or value.empty()) obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present (value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty())
2. Observation.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. Observation.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())
6. Observation.identifier
Definição | A unique identifier assigned to this observation.
Curto | Business Identifier for observation
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 observations to be distinguished and referenced.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Observation.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()))
10. Observation.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()))
12. Observation.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()))
14. Observation.status
Definição | The status of the result value.
Curto | registered | preliminary | final | amended +
Comentários | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` ) Codes providing the status of an observation.
Tipo | code
É modificador | true porque This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to track the status of individual results. Some results are finalized before the whole report is finalized.
Valor do padrão | `final`
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Observation.code
Definição | Describes what was observed. Sometimes this is called the observation "name".
Curto | Type of observation (code / type)
Comentários | All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.
Controlo | 1..1
Vínculo | Para exemplos de códigos, ver LOINCCodes http://hl7.org/fhir/ValueSet/observation-codes|4.0.1 (example to `http://hl7.org/fhir/ValueSet/observation-codes|4.0.1` ) Codes identifying names of simple observations.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Knowing what kind of observation is being made is essential to understanding the observation.
Nomes alternativos | Name
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Observation.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()))
20. Observation.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 | 0..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://loinc.org`
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Observation.code.coding.code
Definição | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Curto | 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.
Valor do padrão | `32418-6`
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Observation.subject
Definição | Identifica o/a paciente que apresenta o agravo de saúde objeto da notificação. The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.
Curto | PacienteWho and/or what the observation is about
Comentários | One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.
Controlo | 10..1
Tipo | Reference(Indivíduo, Patient, Group, Device, Location)
É modificador | false
Resumo | true
Requisitos | Observations have no value if you don't know who or what they're about.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Observation.issued
Definição | Refere-se à data de preenchimento da notificação do caso. The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.
Curto | Data da notificaçãoDate/Time this version was made available
Comentários | For Observations that don’t require review and verification, it may be the same as the `lastUpdated` time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.
Controlo | 10..1
Tipo | instant
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()`)
28. Observation.performer
Definição | Inscrição no Cadastro Nacional de Estabelecimentos de Saúde (CNES) do Estabelecimento de Saúde que realizou o atendimento e a notificação do agravo. Who was responsible for asserting the observed value as "true".
Curto | Estabelecimento de Saúde ou outra fonte notificadoraWho is responsible for the observation
Controlo | 0..1*
Tipo | Reference(Estabelecimento de Saúde, Practitioner, PractitionerRole, Organization, CareTeam, Patient, RelatedPerson)
É modificador | false
Resumo | true
Requisitos | May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Observation.value[x]
Definição | The information determined as a result of making the observation, if the information has a simple value.
Curto | Actual result
Comentários | An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the Notes section below.
Controlo | 10..1 Este elemento é afetado pelas seguintes invariantes: obs-7
Tipo | CodeableConcept, dateTime, boolean, string, SampledData, Quantity, Period, Ratio, integer, time, Range
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Resumo | true
Requisitos | An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.
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 `Observation.value[x]`. As fatias sãoNão ordenado e Closede pode ser diferenciado utilizando os seguintes discriminadores: type @ $this
32. Observation.value[x]:valueCodeableConcept
Nome da fatia | valueCodeableConcept
Definição | The information determined as a result of making the observation, if the information has a simple value.
Curto | Actual result
Comentários | An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the Notes section below.
Controlo | 10..1 Este elemento é afetado pelas seguintes invariantes: obs-7
Tipo | CodeableConcept, dateTime, boolean, string, SampledData, Quantity, Period, Ratio, integer, time, Range
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Resumo | true
Requisitos | An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Observation.value[x]:valueCodeableConcept.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()))
36. Observation.value[x]:valueCodeableConcept.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://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/condicao-trimestre-gestacional-cs`
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Observation.value[x]:valueCodeableConcept.coding.code
Definição | Informações sobre a condição de estar ou não gestante ou sobre o trimestre gestacional, quando afirmativo. 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 | Condição ou trimestre gestacionalSymbol in syntax defined by the system
Controlo | 10..1
Vínculo | Os códigos DEVERÃO ser retirados de Para códigos, ver Condição ou Trimestre Gestacional (required to `https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/ValueSet/condicao-trimestre-gestacional-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()))

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Observation
Definição | Measurements and simple assertions made about a patient, device or other subject.
Curto | Measurements and simple assertions
Comentários | Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.
Controlo | 0..*
É modificador | false
Resumo | false
Nomes alternativos | Vital Signs, Measurement, Results, Tests
Invariantes | 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()`) obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present (`dataAbsentReason.empty() or value.empty()`) obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present (`value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`)
2. Observation.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. Observation.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. Observation.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. Observation.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. Observation.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. Observation.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. Observation.extension
Definição | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
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()`)
16. Observation.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()`)
18. Observation.identifier
Definição | A unique identifier assigned to this observation.
Curto | Business Identifier for observation
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 observations to be distinguished and referenced.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. Observation.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
22. Observation.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 `Observation.identifier.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
24. Observation.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())`)
26. Observation.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())`)
28. Observation.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())`)
30. Observation.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())`)
32. Observation.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())`)
34. Observation.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())`)
36. Observation.basedOn
Definição | A plan, proposal or order that is fulfilled in whole or in part by this event. For example, a MedicationRequest may require a patient to have laboratory test performed before it is dispensed.
Curto | Fulfills plan, proposal or order
Controlo | 0..*
Tipo | Reference(CarePlan, DeviceRequest, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest)
É modificador | false
Resumo | true
Requisitos | Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.
Nomes alternativos | Fulfills
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. Observation.partOf
Definição | A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.
Curto | Part of referenced event
Comentários | To link an Observation to an Encounter use `encounter`. See the Notes below for guidance on referencing another Observation.
Controlo | 0..*
Tipo | Reference(MedicationAdministration, MedicationDispense, MedicationStatement, Procedure, Immunization, ImagingStudy)
É modificador | false
Resumo | true
Nomes alternativos | Container
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. Observation.status
Definição | The status of the result value.
Curto | registered | preliminary | final | amended +
Comentários | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de ObservationStatus (required to `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` ) Codes providing the status of an observation.
Tipo | code
É modificador | true porque This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to track the status of individual results. Some results are finalized before the whole report is finalized.
Valor do padrão | `final`
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. Observation.category
Definição | A code that classifies the general type of observation being made.
Curto | Classification of type of observation
Comentários | In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.
Controlo | 0..*
Vínculo | Os códigos DEVERÃO ser retirados de ObservationCategoryCodes (preferred to `http://hl7.org/fhir/ValueSet/observation-category|4.0.1` ) Codes for high level observation categories.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Requisitos | Used for filtering what observations are retrieved and displayed.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. Observation.code
Definição | Describes what was observed. Sometimes this is called the observation "name".
Curto | Type of observation (code / type)
Comentários | All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.
Controlo | 1..1
Vínculo | Para exemplos de códigos, ver LOINCCodes (example to `http://hl7.org/fhir/ValueSet/observation-codes|4.0.1` ) Codes identifying names of simple observations.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Knowing what kind of observation is being made is essential to understanding the observation.
Nomes alternativos | Name
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. Observation.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
48. Observation.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 `Observation.code.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
50. Observation.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())`)
52. Observation.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
54. Observation.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 `Observation.code.coding.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
56. Observation.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 | 0..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://loinc.org`
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. Observation.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())`)
60. Observation.code.coding.code
Definição | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Curto | Symbol in syntax defined by the system
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.
Valor do padrão | `32418-6`
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. Observation.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())`)
64. Observation.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())`)
66. Observation.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())`)
68. Observation.subject
Definição | Identifica o/a paciente que apresenta o agravo de saúde objeto da notificação.
Curto | Paciente
Comentários | One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.
Controlo | 1..1
Tipo | Reference(Indivíduo)
É modificador | false
Resumo | true
Requisitos | Observations have no value if you don't know who or what they're about.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. Observation.focus
Definição | The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record. The focus of an observation could also be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.
Curto | What the observation is about, when it is not about the subject of record
Comentários | Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., "Blood Glucose") and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension focusCode.
Controlo | 0..*
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())`)
72. Observation.encounter
Definição | The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.
Curto | Healthcare event during which this observation is made
Comentários | This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).
Controlo | 0..1
Tipo | Reference(Encounter)
É modificador | false
Resumo | true
Requisitos | For some observations it may be important to know the link between an observation and a particular encounter.
Nomes alternativos | Context
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. Observation.effective[x]
Definição | The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the "physiologically relevant time". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.
Curto | Clinically relevant time/time-period for observation
Comentários | At least a date should be present unless this observation is a historical report. For recording imprecise or "fuzzy" times (For example, a blood glucose measurement taken "after breakfast") use the Timing datatype which allow the measurement to be tied to regular life events.
Controlo | 0..1
Tipo | Escolha de: dateTime, Period, Timing, instant
[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
Requisitos | Knowing when an observation was deemed true is important to its relevance as well as determining trends.
Nomes alternativos | Occurrence
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. Observation.issued
Definição | Refere-se à data de preenchimento da notificação do caso.
Curto | Data da notificação
Comentários | For Observations that don’t require review and verification, it may be the same as the `lastUpdated` time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.
Controlo | 1..1
Tipo | instant
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()`)
78. Observation.performer
Definição | Inscrição no Cadastro Nacional de Estabelecimentos de Saúde (CNES) do Estabelecimento de Saúde que realizou o atendimento e a notificação do agravo.
Curto | Estabelecimento de Saúde ou outra fonte notificadora
Controlo | 0..1
Tipo | Reference(Estabelecimento de Saúde)
É modificador | false
Resumo | true
Requisitos | May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. Observation.value[x]
Definição | The information determined as a result of making the observation, if the information has a simple value.
Curto | Actual result
Comentários | An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the Notes section below.
Controlo | 1..1 Este elemento é afetado pelas seguintes invariantes: obs-7
Tipo | CodeableConcept
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Resumo | true
Requisitos | An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.
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 `Observation.value[x]`. As fatias sãoNão ordenado e Closede pode ser diferenciado utilizando os seguintes discriminadores: type @ $this
82. Observation.value[x]:valueCodeableConcept
Nome da fatia | valueCodeableConcept
Definição | The information determined as a result of making the observation, if the information has a simple value.
Curto | Actual result
Comentários | An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the Notes section below.
Controlo | 1..1 Este elemento é afetado pelas seguintes invariantes: obs-7
Tipo | CodeableConcept
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Resumo | true
Requisitos | An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. Observation.value[x]:valueCodeableConcept.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
86. Observation.value[x]:valueCodeableConcept.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 `Observation.value[x].extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
88. Observation.value[x]:valueCodeableConcept.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())`)
90. Observation.value[x]:valueCodeableConcept.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
92. Observation.value[x]:valueCodeableConcept.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 `Observation.value[x].coding.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
94. Observation.value[x]:valueCodeableConcept.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://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/condicao-trimestre-gestacional-cs`
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. Observation.value[x]:valueCodeableConcept.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())`)
98. Observation.value[x]:valueCodeableConcept.coding.code
Definição | Informações sobre a condição de estar ou não gestante ou sobre o trimestre gestacional, quando afirmativo.
Curto | Condição ou trimestre gestacional
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de Condição ou Trimestre Gestacional (required to `https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/ValueSet/condicao-trimestre-gestacional-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())`)
100. Observation.value[x]:valueCodeableConcept.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())`)
102. Observation.value[x]:valueCodeableConcept.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())`)
104. Observation.value[x]:valueCodeableConcept.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())`)
106. Observation.dataAbsentReason
Definição | Provides a reason why the expected value in the element Observation.value[x] is missing.
Curto | Why the result is missing
Comentários | Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "specimen unsatisfactory". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: obs-6
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de DataAbsentReason (extensible to `http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1` ) Codes specifying why the result (`Observation.value[x]`) is missing.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Requisitos | For many results it is necessary to handle exceptional values in measurements.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. Observation.interpretation
Definição | A categorical assessment of an observation value. For example, high, low, normal.
Curto | High, low, normal, etc.
Comentários | Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.
Controlo | 0..*
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ObservationInterpretationCodes (extensible to `http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1` ) Codes identifying interpretations of observations.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Requisitos | For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.
Nomes alternativos | Abnormal Flag
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. Observation.note
Definição | Comments about the observation or the results.
Curto | Comments about the observation
Comentários | May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.
Controlo | 0..*
Tipo | Annotation
É modificador | false
Resumo | false
Requisitos | Need to be able to provide free text additional information.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. Observation.bodySite
Definição | Indicates the site on the subject's body where the observation was made (i.e. the target site).
Curto | Observed body part
Comentários | Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension bodySite.
Controlo | 0..1
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 | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. Observation.method
Definição | Indicates the mechanism used to perform the observation.
Curto | How it was done
Comentários | Only used if not implicit in code for Observation.code.
Controlo | 0..1
Vínculo | Para exemplos de códigos, ver ObservationMethods (example to `http://hl7.org/fhir/ValueSet/observation-methods|4.0.1` ) Methods for simple observations.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Requisitos | In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. Observation.specimen
Definição | The specimen that was used when this observation was made.
Curto | Specimen used for this observation
Comentários | Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).
Controlo | 0..1
Tipo | Reference(Specimen)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. Observation.device
Definição | The device used to generate the observation data.
Curto | (Measurement) Device
Comentários | Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway. Such devices may be documented using the Provenance resource where relevant.
Controlo | 0..1
Tipo | Reference(Device, DeviceMetric)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. Observation.referenceRange
Definição | Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an "OR". In other words, to represent two distinct target populations, two `referenceRange` elements would be used.
Curto | Provides guide for interpretation
Comentários | Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.
Controlo | 0..*
Tipo | BackboneElement
É modificador | false
Resumo | false
Requisitos | Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) obs-3: Must have at least a low or a high or text (`low.exists() or high.exists() or text.exists()`)
122. Observation.referenceRange.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. Observation.referenceRange.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. Observation.referenceRange.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. Observation.referenceRange.low
Definição | The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).
Curto | Low Range, if relevant
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: obs-3
Tipo | Quantity(SimpleQuantity)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. Observation.referenceRange.high
Definição | The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).
Curto | High Range, if relevant
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: obs-3
Tipo | Quantity(SimpleQuantity)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
132. Observation.referenceRange.type
Definição | Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.
Curto | Reference range qualifier
Comentários | This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de ObservationReferenceRangeMeaningCodes (preferred to `http://hl7.org/fhir/ValueSet/referencerange-meaning|4.0.1` ) Code for the meaning of a reference range.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Requisitos | Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc., - for proper interpretation.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. Observation.referenceRange.appliesTo
Definição | Codes to indicate the target population this reference range applies to. For example, a reference range may be based on the normal population or a particular sex or race. Multiple `appliesTo` are interpreted as an "AND" of the target populations. For example, to represent a target population of African American females, both a code of female and a code for African American would be used.
Curto | Reference range population
Comentários | This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.
Controlo | 0..*
Vínculo | Para exemplos de códigos, ver ObservationReferenceRangeAppliesToCodes (example to `http://hl7.org/fhir/ValueSet/referencerange-appliesto|4.0.1` ) Codes identifying the population the reference range applies to.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Requisitos | Need to be able to identify the target population for proper interpretation.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. Observation.referenceRange.age
Definição | The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.
Curto | Applicable age range, if relevant
Controlo | 0..1
Tipo | Range
É modificador | false
Resumo | false
Requisitos | Some analytes vary greatly over age.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
138. Observation.referenceRange.text
Definição | Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of "Negative" or a list or table of "normals".
Curto | Text based reference range in an observation
Controlo | 0..1
Tipo | string
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())`)
140. Observation.hasMember
Definição | This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.
Curto | Related resource that belongs to the Observation group
Comentários | When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see Notes below. Note that a system may calculate results from QuestionnaireResponse into a final score and represent the score as an Observation.
Controlo | 0..*
Tipo | Reference(Observation, QuestionnaireResponse, MolecularSequence)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. Observation.derivedFrom
Definição | The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.
Curto | Related measurements the observation is made from
Comentários | All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see Notes below.
Controlo | 0..*
Tipo | Reference(DocumentReference, ImagingStudy, Media, QuestionnaireResponse, Observation, MolecularSequence)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. Observation.component
Definição | Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.
Curto | Component results
Comentários | For a discussion on the ways Observations can be assembled in groups together see Notes below.
Controlo | 0..*
Tipo | BackboneElement
É modificador | false
Resumo | true
Requisitos | Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. Observation.component.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
148. Observation.component.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()`)
150. Observation.component.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()`)
152. Observation.component.code
Definição | Describes what was observed. Sometimes this is called the observation "code".
Curto | Type of component observation (code / type)
Comentários | All code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.
Controlo | 1..1
Vínculo | Para exemplos de códigos, ver LOINCCodes (example to `http://hl7.org/fhir/ValueSet/observation-codes|4.0.1` ) Codes identifying names of simple observations.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Knowing what kind of observation is being made is essential to understanding the observation.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
154. Observation.component.value[x]
Definição | The information determined as a result of making the observation, if the information has a simple value.
Curto | Actual component result
Comentários | Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the Notes section below.
Controlo | 0..1
Tipo | Escolha de: Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period
[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
Requisitos | An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. Observation.component.dataAbsentReason
Definição | Provides a reason why the expected value in the element Observation.component.value[x] is missing.
Curto | Why the component result is missing
Comentários | "Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "test not done". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: obs-6
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de DataAbsentReason (extensible to `http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1` ) Codes specifying why the result (`Observation.value[x]`) is missing.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Requisitos | For many results it is necessary to handle exceptional values in measurements.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
158. Observation.component.interpretation
Definição | A categorical assessment of an observation value. For example, high, low, normal.
Curto | High, low, normal, etc.
Comentários | Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.
Controlo | 0..*
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ObservationInterpretationCodes (extensible to `http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1` ) Codes identifying interpretations of observations.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Requisitos | For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.
Nomes alternativos | Abnormal Flag
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
160. Observation.component.referenceRange
Definição | Guidance on how to interpret the value by comparison to a normal or recommended range.
Curto | Provides guide for interpretation of component result
Comentários | Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.
Controlo | 0..*
Tipo | Verttp://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange
É modificador | false
Resumo | false
Requisitos | Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)