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: NotificacaoAgregadaAgravo - Descrição detalhada

Draft as of 2026-02-25

Definições para notificacao-agregada-agravo perfil.

- Elementos distintos
- Elementos
- Instantâneo

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Communication
2. Communication.identifier
Curto | Notificação de Agravo
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
4. Communication.identifier.system
Curto | Sistema de Informação de Agravos de Notificação (SINAN)
Controlo | 1..?
Valor do padrão | `https://fhir.saude.go.gov.br/sid/sinan`
6. Communication.identifier.value
Definição | Número de identificação do registro da notificação.
Curto | Número da notificação
Controlo | 1..?
8. Communication.status
Valor do padrão | `final`
10. Communication.category
Controlo | 1..1
12. Communication.category.coding
Controlo | 1..1
14. Communication.category.coding.system
Curto | Tipo da notificação
Controlo | 1..?
Valor do padrão | `https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/categoria-comunicacao-cs`
16. Communication.category.coding.code
Controlo | 1..?
Valor do padrão | `notificacao-agravo`
18. Communication.subject
Curto | Grupo Alvo da Notificação de Agravo
Controlo | 1..?
Tipo | Reference(Grupo Alvo da Notificação de Agravo)
20. Communication.topic
Controlo | 1..?
22. Communication.topic.coding
Controlo | 1..1
24. Communication.topic.coding.system
Curto | Identifica o tipo da notificação.
Controlo | 1..?
Valor do padrão | `https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/CodeSystem/tipo-notificacao-agravo-cs`
26. Communication.topic.coding.code
Definição | Identifica o tipo da notificação.
Curto | Tipo de notificação
Controlo | 1..?
Vínculo | Os códigos DEVERÃO ser retirados de Tipo de Notificação (required to `https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/ValueSet/tipo-notificacao-agravo-vs` )
28. Communication.sent
Definição | Refere-se à data de preenchimento da notificação do caso.
Curto | Data da notificação.
Controlo | 1..?
30. Communication.sender
Definição | Inscrição no Cadastro Nacional de Estabelecimentos de Saúde (CNES) do Estabelecimento de Saúde que realizou o atendimento e a notificação do caso.
Curto | Estabelecimento de Saúde ou outra fonte notificadora
Tipo | Reference(Estabelecimento de Saúde)
32. Communication.reasonReference
Curto | Agravo ou doença notificada
Controlo | 1..?
Tipo | Reference(Condition)

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Communication
Definição | An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency that was notified about a reportable condition.
Curto | A record of information transmitted from a sender to a receiver
Controlo | 0..*
É modificador | false
Resumo | false
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())
2. Communication.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. Communication.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. Communication.identifier
Definição | Business identifiers assigned to this communication by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
Curto | Notificação de AgravoUnique identifier
Comentários | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 10..1*
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Allows identification of the communication as it is known by various participating systems and in a way that remains consistent across servers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Communication.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. Communication.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | Sistema de Informação de Agravos de Notificação (SINAN)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. Communication.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. Communication.status
Definição | The status of the transmission.
Curto | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Comentários | This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid.
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/event-status|4.0.1` ) The status of the communication.
Tipo | code
É modificador | true porque This element is labelled 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
Valor do padrão | `final`
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Communication.category
Definição | The type of message conveyed such as alert, notification, reminder, instruction, etc.
Curto | Message category
Comentários | There may be multiple axes of categorization and one communication may serve multiple purposes.
Controlo | 10..1*
Vínculo | Para exemplos de códigos, ver CommunicationCategory http://hl7.org/fhir/ValueSet/communication-category|4.0.1 (example to `http://hl7.org/fhir/ValueSet/communication-category|4.0.1` ) Codes for general categories of communications such as alerts, instructions, etc.
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()))
18. Communication.category.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. Communication.category.coding.system
Definição | The identification of the code system that defines the meaning of the symbol in the code.
Curto | Tipo da notificaçãoIdentity 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/categoria-comunicacao-cs`
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Communication.category.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 | `notificacao-agravo`
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Communication.subject
Definição | The patient or group that was the focus of this communication.
Curto | Grupo Alvo da Notificação de AgravoFocus of message
Controlo | 10..1
Tipo | Reference(Grupo Alvo da Notificação de Agravo, Patient, Group)
É modificador | false
Resumo | true
Nomes alternativos | patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Communication.topic
Definição | Description of the purpose/content, similar to a subject line in an email.
Curto | Description of the purpose/content
Comentários | Communication.topic.text can be used without any codings.
Controlo | 10..1
Vínculo | Para exemplos de códigos, ver CommunicationTopic http://hl7.org/fhir/ValueSet/communication-topic|4.0.1 (example to `http://hl7.org/fhir/ValueSet/communication-topic|4.0.1` ) Codes describing the purpose or content of the communication.
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()))
28. Communication.topic.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()))
30. Communication.topic.coding.system
Definição | The identification of the code system that defines the meaning of the symbol in the code.
Curto | Identifica o tipo da notificação.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/tipo-notificacao-agravo-cs`
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Communication.topic.coding.code
Definição | Identifica o tipo da notificação. A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Curto | Tipo de notificaçãoSymbol in syntax defined by the system
Controlo | 10..1
Vínculo | Os códigos DEVERÃO ser retirados de Para códigos, ver Tipo de Notificação (required to `https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/ValueSet/tipo-notificacao-agravo-vs` )
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to refer to a particular code in the system.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Communication.sent
Definição | Refere-se à data de preenchimento da notificação do caso. The time when this communication was sent.
Curto | Data da notificação.When sent
Controlo | 10..1
Tipo | dateTime
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()))
36. Communication.sender
Definição | Inscrição no Cadastro Nacional de Estabelecimentos de Saúde (CNES) do Estabelecimento de Saúde que realizou o atendimento e a notificação do caso. The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication.
Curto | Estabelecimento de Saúde ou outra fonte notificadoraMessage sender
Controlo | 0..1
Tipo | Reference(Estabelecimento de Saúde, Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson, HealthcareService)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Communication.reasonReference
Definição | Indicates another resource whose existence justifies this communication.
Curto | Agravo ou doença notificadaWhy was communication done?
Controlo | 10..*
Tipo | Reference(Condition, Condition, Observation, DiagnosticReport, DocumentReference)
É modificador | false
Resumo | true
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. Communication
Definição | An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency that was notified about a reportable condition.
Curto | A record of information transmitted from a sender to a receiver
Controlo | 0..*
É modificador | false
Resumo | false
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()`)
2. Communication.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. Communication.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. Communication.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. Communication.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. Communication.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. Communication.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. Communication.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. Communication.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. Communication.identifier
Definição | Business identifiers assigned to this communication by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
Curto | Notificação de Agravo
Comentários | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Allows identification of the communication as it is known by various participating systems and in a way that remains consistent across servers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. Communication.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. Communication.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 `Communication.identifier.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
24. Communication.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. Communication.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. Communication.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | Sistema de Informação de Agravos de Notificação (SINAN)
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. Communication.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. Communication.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. Communication.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. Communication.instantiatesCanonical
Definição | The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.
Curto | Instantiates FHIR protocol or definition
Controlo | 0..*
Tipo | canonical(PlanDefinition, ActivityDefinition, Measure, OperationDefinition, Questionnaire)
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())`)
38. Communication.instantiatesUri
Definição | The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.
Curto | Instantiates external protocol or definition
Comentários | This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
Controlo | 0..*
Tipo | uri
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())`)
40. Communication.basedOn
Definição | An order, proposal or plan fulfilled in whole or in part by this Communication.
Curto | Request fulfilled by this communication
Comentários | This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ServiceRequest, MedicationRequest, etc.
Controlo | 0..*
Tipo | Reference(Resource)
É modificador | false
Resumo | true
Nomes alternativos | fulfills
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. Communication.partOf
Definição | Part of this action.
Curto | Part of this action
Controlo | 0..*
Tipo | Reference(Resource)
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())`)
44. Communication.inResponseTo
Definição | Prior communication that this communication is in response to.
Curto | Reply to
Controlo | 0..*
Tipo | Reference(Communication)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. Communication.status
Definição | The status of the transmission.
Curto | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Comentários | This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid.
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de EventStatus (required to `http://hl7.org/fhir/ValueSet/event-status|4.0.1` ) The status of the communication.
Tipo | code
É modificador | true porque This element is labelled 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
Valor do padrão | `final`
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. Communication.statusReason
Definição | Captures the reason for the current state of the Communication.
Curto | Reason for current status
Comentários | This is generally only used for "exception" statuses such as "not-done", "suspended" or "aborted". The reason for performing the event at all is captured in reasonCode, not here.
Controlo | 0..1
Vínculo | Para exemplos de códigos, ver CommunicationNotDoneReason (example to `http://hl7.org/fhir/ValueSet/communication-not-done-reason|4.0.1` ) Codes for the reason why a communication did not happen.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Nomes alternativos | Suspended Reason, Cancelled Reason
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Communication.category
Definição | The type of message conveyed such as alert, notification, reminder, instruction, etc.
Curto | Message category
Comentários | There may be multiple axes of categorization and one communication may serve multiple purposes.
Controlo | 1..1
Vínculo | Para exemplos de códigos, ver CommunicationCategory (example to `http://hl7.org/fhir/ValueSet/communication-category|4.0.1` ) Codes for general categories of communications such as alerts, instructions, etc.
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())`)
52. Communication.category.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. Communication.category.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 `Communication.category.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
56. Communication.category.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())`)
58. Communication.category.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
60. Communication.category.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 `Communication.category.coding.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
62. Communication.category.coding.system
Definição | The identification of the code system that defines the meaning of the symbol in the code.
Curto | Tipo da notificação
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/categoria-comunicacao-cs`
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. Communication.category.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())`)
66. Communication.category.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 | `notificacao-agravo`
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. Communication.category.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())`)
70. Communication.category.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())`)
72. Communication.category.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())`)
74. Communication.priority
Definição | Characterizes how quickly the planned or in progress communication must be addressed. Includes concepts such as stat, urgent, routine.
Curto | routine | urgent | asap | stat
Comentários | Used to prioritize workflow (such as which communication to read first) when the communication is planned or in progress.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de RequestPriority (required to `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` ) Codes indicating the relative importance of a communication.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Significado em caso de falta | If missing, this communication should be treated with normal priority
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. Communication.medium
Definição | A channel that was used for this communication (e.g. email, fax).
Curto | A channel of communication
Controlo | 0..*
Vínculo | Para exemplos de códigos, ver ParticipationMode (example to `http://terminology.hl7.org/ValueSet/v3-ParticipationMode` ) Codes for communication mediums such as phone, fax, email, in person, etc.
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())`)
78. Communication.subject
Definição | The patient or group that was the focus of this communication.
Curto | Grupo Alvo da Notificação de Agravo
Controlo | 1..1
Tipo | Reference(Grupo Alvo da Notificação de Agravo)
É modificador | false
Resumo | true
Nomes alternativos | patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. Communication.topic
Definição | Description of the purpose/content, similar to a subject line in an email.
Curto | Description of the purpose/content
Comentários | Communication.topic.text can be used without any codings.
Controlo | 1..1
Vínculo | Para exemplos de códigos, ver CommunicationTopic (example to `http://hl7.org/fhir/ValueSet/communication-topic|4.0.1` ) Codes describing the purpose or content of the communication.
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())`)
82. Communication.topic.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
84. Communication.topic.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 `Communication.topic.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
86. Communication.topic.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())`)
88. Communication.topic.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
90. Communication.topic.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 `Communication.topic.coding.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
92. Communication.topic.coding.system
Definição | The identification of the code system that defines the meaning of the symbol in the code.
Curto | Identifica o tipo da notificação.
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/tipo-notificacao-agravo-cs`
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. Communication.topic.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())`)
96. Communication.topic.coding.code
Definição | Identifica o tipo da notificação.
Curto | Tipo de notificação
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de Tipo de Notificação (required to `https://fhir.saude.go.gov.br/r4/vigilancia-epidemiologica/ValueSet/tipo-notificacao-agravo-vs` )
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to refer to a particular code in the system.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. Communication.topic.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())`)
100. Communication.topic.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())`)
102. Communication.topic.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())`)
104. Communication.about
Definição | Other resources that pertain to this communication and to which this communication should be associated.
Curto | Resources that pertain to this communication
Comentários | Don't use Communication.about element when a more specific element exists, such as basedOn or reasonReference.
Controlo | 0..*
Tipo | Reference(Resource)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. Communication.encounter
Definição | The Encounter during which this Communication was created or to which the creation of this record is tightly associated.
Curto | Encounter created as part of
Comentários | This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.
Controlo | 0..1
Tipo | Reference(Encounter)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. Communication.sent
Definição | Refere-se à data de preenchimento da notificação do caso.
Curto | Data da notificação.
Controlo | 1..1
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. Communication.received
Definição | The time when this communication arrived at the destination.
Curto | When received
Controlo | 0..1
Tipo | dateTime
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())`)
112. Communication.recipient
Definição | The entity (e.g. person, organization, clinical information system, care team or device) which was the target of the communication. If receipts need to be tracked by an individual, a separate resource instance will need to be created for each recipient. Multiple recipient communications are intended where either receipts are not tracked (e.g. a mass mail-out) or a receipt is captured in aggregate (all emails confirmed received by a particular time).
Curto | Message recipient
Controlo | 0..*
Tipo | Reference(Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson, Group, CareTeam, HealthcareService)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. Communication.sender
Definição | Inscrição no Cadastro Nacional de Estabelecimentos de Saúde (CNES) do Estabelecimento de Saúde que realizou o atendimento e a notificação do caso.
Curto | Estabelecimento de Saúde ou outra fonte notificadora
Controlo | 0..1
Tipo | Reference(Estabelecimento de Saúde)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. Communication.reasonCode
Definição | The reason or justification for the communication.
Curto | Indication for message
Comentários | Textual reasons can be captured using reasonCode.text.
Controlo | 0..*
Vínculo | Para exemplos de códigos, ver SNOMEDCTClinicalFindings (example to `http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1` ) Codes for describing reasons for the occurrence of a communication.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. Communication.reasonReference
Definição | Indicates another resource whose existence justifies this communication.
Curto | Agravo ou doença notificada
Controlo | 1..*
Tipo | Reference(Condition)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. Communication.payload
Definição | Text, attachment(s), or resource(s) that was communicated to the recipient.
Curto | Message payload
Controlo | 0..*
Tipo | BackboneElement
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. Communication.payload.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. Communication.payload.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. Communication.payload.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. Communication.payload.content[x]
Definição | A communicated content (or for multi-part communications, one portion of the communication).
Curto | Message part content
Controlo | 1..1
Tipo | Escolha de: string, Attachment, Reference(Resource)
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. Communication.note
Definição | Additional notes or commentary about the communication by the sender, receiver or other interested parties.
Curto | Comments made about the communication
Controlo | 0..*
Tipo | Annotation
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)