Guia de Implementação do Registro de Regulação Assistencial (RIRA) da RNDS
1.0.0-release - STU1
Guia de Implementação do Registro de Regulação Assistencial (RIRA) da RNDS
1.0.0-release - STU1
Guia de Implementação do Registro de Regulação Assistencial (RIRA) da RNDS - Compilação de desenvolvimento local (v1.0.0-release) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas
| URL oficial: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProblemaDiagnostico | Versão: 1.0.0-release | ||||
| Standards status: Normative | Nível de maturidade: 1 | Nome computável: BRProblemaDiagnostico | |||
Problema e/ou diagnóstico atribuído pelo profissional de saúde ao indivíduo no contato assistencial.
Usos:
You can also check for usages in the FHIR IG Statistics
Descrição de perfis, diferenciais, instantâneos e suas representações.
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter:  |
|---|---|---|---|---|
  Condition |
C | 0..* | Condition | Diagnóstico ou Problema Constraints: con-3, con-4, con-5 |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
  clinicalStatus |
C | 0..1 | CodeableConcept | Estado da Resolução Vínculo: Estado da Resolução de Diagnóstico ou Problema (required): Estado da Resolução do Diagnóstico/Problema |
  coding |
1..1 | Coding | Code defined by a terminology system | |
 system |
N | 1..1 | uri | Identity of the terminology system |
 code |
N | 1..1 | code | Symbol in syntax defined by the system |
| category |
0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Vínculo: Classificação de uma condição (required): Categoria da condição. | |
| code |
1..1 | CodeableConcept | Diagnóstico ou Problema Vínculo: Classificação Internacional de Doenças e Atenção Primária (required): Identificação do problema/diagnóstico | |
| coding |
1..1 | Coding | Code defined by a terminology system | |
| system |
N | 1..1 | uri | Identity of the terminology system |
| code |
N | 1..1 | code | Symbol in syntax defined by the system |
| text |
N | 0..1 | string | Plain text representation of the concept |
 subject |
1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Indivíduo | |
 Fatias para extension |
0..* | Extension | Extension Fatia: Não ordenado, Aberto por value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
  extension:unidentifiedPatient |
0..1 | (Complexo) | Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0 | |
 Fatias para extension |
3..3 | Extension | Extension Fatia: Não ordenado, Aberto por value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
  Fatias para extension |
Conteúdo/regras para todas as fatias | |||
  extension:gender |
1..1 | Extension | Sexo Vínculo: Sexo (required) | |
 url |
1..1 | uri | "gender" | |
 value[x] |
1..1 | code | Value of extension | |
| extension:birthYear |
1..1 | Extension | Ano de nascimento estimado | |
| url |
1..1 | uri | "birthYear" | |
| value[x] |
1..1 | date | Value of extension | |
| extension:reason |
1..1 | Extension | Justificativa da impossibilidade de identificação do indivíduo Vínculo: Justificativa da Impossibilidade de Identificação do Indivíduo (ValueSet) (required) | |
| url |
1..1 | uri | "reason" | |
| value[x] |
1..1 | CodeableConcept | Value of extension | |
| url |
1..1 | uri | "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0" | |
| identifier |
1..1 | Identifier | Logical reference, when literal reference is not known | |
| system |
N | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient |
| value |
N | 1..1 | string | The value that is unique Exemplo General: 123456 |
| note |
0..1 | Annotation | Additional information about the Condition | |
| text |
N | 1..1 | markdown | Nota |
| Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Condition.clinicalStatus | Base | required | Estado da Resolução de Diagnóstico ou Problema | 📦1.0.0-release | este IG |
| Condition.category | Base | required | Classificação de uma condição | 📦1.0.0-release | este IG |
| Condition.code | Base | required | Classificação Internacional de Doenças e Atenção Primária | 📦1.0.0-release | este IG |
| Condition.subject.extension:unidentifiedPatient.extension:gender<br/>[] | Base | required | Sexo | 📦1.0.0-release | este IG |
| Condition.subject.extension:unidentifiedPatient.extension:reason<br/>[] | Base | required | Justificativa da Impossibilidade de Identificação do Indivíduo (ValueSet) | 📦1.0.0-release | este IG |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Esta estrutura deriva de Condition
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: |
|---|---|---|---|---|
| Condition |
0..* | Condition | Diagnóstico ou Problema | |
 identifier |
0..0 | External Ids for this condition | ||
| clinicalStatus |
0..1 | CodeableConcept | Estado da Resolução Vínculo: Estado da Resolução de Diagnóstico ou Problema (required): Estado da Resolução do Diagnóstico/Problema | |
| coding |
1..1 | Coding | Code defined by a terminology system | |
| system |
N | 1..1 | uri | Identity of the terminology system |
| code |
N | 1..1 | code | Symbol in syntax defined by the system |
| display |
N | 0..0 | Representation defined by the system | |
| userSelected |
N | 0..0 | If this coding was chosen directly by the user | |
| text |
N | 0..0 | Plain text representation of the concept | |
| verificationStatus |
0..0 | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error | ||
| category |
0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Vínculo: Classificação de uma condição (required): Categoria da condição. | |
| severity |
0..0 | Subjective severity of condition | ||
| code |
1..1 | CodeableConcept | Diagnóstico ou Problema Vínculo: Classificação Internacional de Doenças e Atenção Primária (required): Identificação do problema/diagnóstico | |
| id |
0..0 | Unique id for inter-element referencing | ||
| coding |
1..1 | Coding | Code defined by a terminology system | |
| id |
0..0 | Unique id for inter-element referencing | ||
| system |
N | 1..1 | uri | Identity of the terminology system |
| code |
N | 1..1 | code | Symbol in syntax defined by the system |
| display |
N | 0..0 | Representation defined by the system | |
| userSelected |
N | 0..0 | If this coding was chosen directly by the user | |
| text |
N | 0..1 | string | Plain text representation of the concept |
| bodySite |
0..0 | Anatomical location, if relevant | ||
| subject |
1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Indivíduo | |
| Fatias para extension |
0..* | Extension | Extension Fatia: Não ordenado, Aberto por value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:unidentifiedPatient |
0..1 | (Complexo) | Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0 | |
| Fatias para extension |
3..3 | Extension | Extension Fatia: Não ordenado, Aberto por value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
 Fatias para extension |
Conteúdo/regras para todas as fatias | |||
 extension:gender |
1..1 | Extension | Sexo | |
| extension:birthYear |
1..1 | Extension | Ano de nascimento estimado | |
 extension:reason |
1..1 | Extension | Justificativa da impossibilidade de identificação do indivíduo | |
| reference |
N | 0..0 | Literal reference, Relative, internal or absolute URL | |
| type |
N | 0..0 | Type the reference refers to (e.g. "Patient") Valor fixo: Patient (no extensions allowed) | |
| identifier |
1..1 | Identifier | Logical reference, when literal reference is not known | |
| use |
N | 0..0 | usual | official | temp | secondary | old (If known) | |
| type |
0..0 | Description of identifier | ||
| system |
N | 1..1 | uri | The namespace for the identifier value |
| value |
N | 1..1 | string | The value that is unique |
| period |
0..0 | Time period when id is/was valid for use | ||
| assigner |
0..0 | Organization that issued id (may be just text) | ||
| display |
N | 0..0 | Text alternative for the resource | |
| encounter |
0..0 | Encounter created as part of | ||
| onset[x] |
N | 0..0 | Estimated or actual date, date-time, or age | |
| abatement[x] |
N | 0..0 | When in resolution/remission | |
| recordedDate |
N | 0..0 | Date record was first recorded | |
| recorder |
0..0 | Who recorded the condition | ||
| asserter |
0..0 | Person who asserts this condition | ||
| stage |
0..0 | Stage/grade, usually assessed formally | ||
| evidence |
0..0 | Supporting evidence | ||
| note |
0..1 | Annotation | Additional information about the Condition | |
| author[x] |
N | 0..0 | Individual responsible for the annotation | |
| time |
N | 0..0 | When the annotation was made | |
| text |
N | 1..1 | markdown | Nota |
| Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Condition.clinicalStatus | Base | required | Estado da Resolução de Diagnóstico ou Problema | 📦1.0.0-release | este IG |
| Condition.category | Base | required | Classificação de uma condição | 📦1.0.0-release | este IG |
| Condition.code | Base | required | Classificação Internacional de Doenças e Atenção Primária | 📦1.0.0-release | este IG |
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | Condition | Diagnóstico ou Problema Constraints: con-3, con-4, con-5 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| clinicalStatus |
C | 0..1 | CodeableConcept | Estado da Resolução Vínculo: Estado da Resolução de Diagnóstico ou Problema (required): Estado da Resolução do Diagnóstico/Problema | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| coding |
1..1 | Coding | Code defined by a terminology system | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| system |
N | 1..1 | uri | Identity of the terminology system | ||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
N | 1..1 | code | Symbol in syntax defined by the system | ||||
| category |
0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Vínculo: Classificação de uma condição (required): Categoria da condição. | |||||
| code |
1..1 | CodeableConcept | Diagnóstico ou Problema Vínculo: Classificação Internacional de Doenças e Atenção Primária (required): Identificação do problema/diagnóstico | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| coding |
1..1 | Coding | Code defined by a terminology system | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| system |
N | 1..1 | uri | Identity of the terminology system | ||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
N | 1..1 | code | Symbol in syntax defined by the system | ||||
| text |
N | 0..1 | string | Plain text representation of the concept | ||||
| subject |
1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Indivíduo | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Fatias para extension |
0..* | Extension | Extension Fatia: Não ordenado, Aberto por value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:unidentifiedPatient |
0..1 | (Complexo) | Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Fatias para extension |
3..3 | Extension | Extension Fatia: Não ordenado, Aberto por value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| Fatias para extension |
Conteúdo/regras para todas as fatias | |||||||
| extension:gender |
1..1 | Extension | Sexo Vínculo: Sexo (required) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| url |
1..1 | uri | "gender" | |||||
| value[x] |
1..1 | code | Value of extension | |||||
| extension:birthYear |
1..1 | Extension | Ano de nascimento estimado | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| url |
1..1 | uri | "birthYear" | |||||
| value[x] |
1..1 | date | Value of extension | |||||
| extension:reason |
1..1 | Extension | Justificativa da impossibilidade de identificação do indivíduo Vínculo: Justificativa da Impossibilidade de Identificação do Indivíduo (ValueSet) (required) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| url |
1..1 | uri | "reason" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension | |||||
| url |
1..1 | uri | "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0" | |||||
| identifier |
1..1 | Identifier | Logical reference, when literal reference is not known | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| system |
N | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient | ||||
| value |
N | 1..1 | string | The value that is unique Exemplo General: 123456 | ||||
| note |
0..1 | Annotation | Additional information about the Condition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| text |
N | 1..1 | markdown | Nota | ||||
| Documentação para este formato | ||||||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Condition.language | Base | preferred | Common Languages | 📍4.0.1 | a norma FHIR |
| Condition.clinicalStatus | Base | required | Estado da Resolução de Diagnóstico ou Problema | 📦1.0.0-release | este IG |
| Condition.category | Base | required | Classificação de uma condição | 📦1.0.0-release | este IG |
| Condition.code | Base | required | Classificação Internacional de Doenças e Atenção Primária | 📦1.0.0-release | este IG |
| Condition.subject.extension:unidentifiedPatient.extension:gender<br/>[] | Base | required | Sexo | 📦1.0.0-release | este IG |
| Condition.subject.extension:unidentifiedPatient.extension:reason<br/>[] | Base | required | Justificativa da Impossibilidade de Identificação do Indivíduo (ValueSet) | 📦1.0.0-release | este IG |
| Condition.stage.summary | Base | example | Condition Stage | 📍4.0.1 | a norma FHIR |
| Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | a norma FHIR |
| Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Esta estrutura deriva de Condition
Resumo
Obrigatório: 7 elementos(6 aninhado obrigatoriamente elementos)
Deve ser suportado: 10 elementos
Fixo: 1 elemento
Proibido: 28 elementos
Estruturas
Esta estrutura refere-se a estas outras estruturas:
Extensões
Esta estrutura refere-se a estas extensões:
Maturidade: 1
Visão de Elementos-Chave
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: |
|---|---|---|---|---|
| Condition |
C | 0..* | Condition | Diagnóstico ou Problema Constraints: con-3, con-4, con-5 |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| clinicalStatus |
C | 0..1 | CodeableConcept | Estado da Resolução Vínculo: Estado da Resolução de Diagnóstico ou Problema (required): Estado da Resolução do Diagnóstico/Problema |
| coding |
1..1 | Coding | Code defined by a terminology system | |
| system |
N | 1..1 | uri | Identity of the terminology system |
| code |
N | 1..1 | code | Symbol in syntax defined by the system |
| category |
0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Vínculo: Classificação de uma condição (required): Categoria da condição. | |
| code |
1..1 | CodeableConcept | Diagnóstico ou Problema Vínculo: Classificação Internacional de Doenças e Atenção Primária (required): Identificação do problema/diagnóstico | |
| coding |
1..1 | Coding | Code defined by a terminology system | |
| system |
N | 1..1 | uri | Identity of the terminology system |
| code |
N | 1..1 | code | Symbol in syntax defined by the system |
| text |
N | 0..1 | string | Plain text representation of the concept |
| subject |
1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Indivíduo | |
| Fatias para extension |
0..* | Extension | Extension Fatia: Não ordenado, Aberto por value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:unidentifiedPatient |
0..1 | (Complexo) | Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0 | |
| Fatias para extension |
3..3 | Extension | Extension Fatia: Não ordenado, Aberto por value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Fatias para extension |
Conteúdo/regras para todas as fatias | |||
| extension:gender |
1..1 | Extension | Sexo Vínculo: Sexo (required) | |
| url |
1..1 | uri | "gender" | |
| value[x] |
1..1 | code | Value of extension | |
| extension:birthYear |
1..1 | Extension | Ano de nascimento estimado | |
| url |
1..1 | uri | "birthYear" | |
| value[x] |
1..1 | date | Value of extension | |
| extension:reason |
1..1 | Extension | Justificativa da impossibilidade de identificação do indivíduo Vínculo: Justificativa da Impossibilidade de Identificação do Indivíduo (ValueSet) (required) | |
| url |
1..1 | uri | "reason" | |
| value[x] |
1..1 | CodeableConcept | Value of extension | |
| url |
1..1 | uri | "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0" | |
| identifier |
1..1 | Identifier | Logical reference, when literal reference is not known | |
| system |
N | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient |
| value |
N | 1..1 | string | The value that is unique Exemplo General: 123456 |
| note |
0..1 | Annotation | Additional information about the Condition | |
| text |
N | 1..1 | markdown | Nota |
| Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Condition.clinicalStatus | Base | required | Estado da Resolução de Diagnóstico ou Problema | 📦1.0.0-release | este IG |
| Condition.category | Base | required | Classificação de uma condição | 📦1.0.0-release | este IG |
| Condition.code | Base | required | Classificação Internacional de Doenças e Atenção Primária | 📦1.0.0-release | este IG |
| Condition.subject.extension:unidentifiedPatient.extension:gender<br/>[] | Base | required | Sexo | 📦1.0.0-release | este IG |
| Condition.subject.extension:unidentifiedPatient.extension:reason<br/>[] | Base | required | Justificativa da Impossibilidade de Identificação do Indivíduo (ValueSet) | 📦1.0.0-release | este IG |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Visão Diferencial
Esta estrutura deriva de Condition
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: |
|---|---|---|---|---|
| Condition |
0..* | Condition | Diagnóstico ou Problema | |
| identifier |
0..0 | External Ids for this condition | ||
| clinicalStatus |
0..1 | CodeableConcept | Estado da Resolução Vínculo: Estado da Resolução de Diagnóstico ou Problema (required): Estado da Resolução do Diagnóstico/Problema | |
| coding |
1..1 | Coding | Code defined by a terminology system | |
| system |
N | 1..1 | uri | Identity of the terminology system |
| code |
N | 1..1 | code | Symbol in syntax defined by the system |
| display |
N | 0..0 | Representation defined by the system | |
| userSelected |
N | 0..0 | If this coding was chosen directly by the user | |
| text |
N | 0..0 | Plain text representation of the concept | |
| verificationStatus |
0..0 | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error | ||
| category |
0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Vínculo: Classificação de uma condição (required): Categoria da condição. | |
| severity |
0..0 | Subjective severity of condition | ||
| code |
1..1 | CodeableConcept | Diagnóstico ou Problema Vínculo: Classificação Internacional de Doenças e Atenção Primária (required): Identificação do problema/diagnóstico | |
| id |
0..0 | Unique id for inter-element referencing | ||
| coding |
1..1 | Coding | Code defined by a terminology system | |
| id |
0..0 | Unique id for inter-element referencing | ||
| system |
N | 1..1 | uri | Identity of the terminology system |
| code |
N | 1..1 | code | Symbol in syntax defined by the system |
| display |
N | 0..0 | Representation defined by the system | |
| userSelected |
N | 0..0 | If this coding was chosen directly by the user | |
| text |
N | 0..1 | string | Plain text representation of the concept |
| bodySite |
0..0 | Anatomical location, if relevant | ||
| subject |
1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Indivíduo | |
| Fatias para extension |
0..* | Extension | Extension Fatia: Não ordenado, Aberto por value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:unidentifiedPatient |
0..1 | (Complexo) | Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0 | |
| Fatias para extension |
3..3 | Extension | Extension Fatia: Não ordenado, Aberto por value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Fatias para extension |
Conteúdo/regras para todas as fatias | |||
| extension:gender |
1..1 | Extension | Sexo | |
| extension:birthYear |
1..1 | Extension | Ano de nascimento estimado | |
| extension:reason |
1..1 | Extension | Justificativa da impossibilidade de identificação do indivíduo | |
| reference |
N | 0..0 | Literal reference, Relative, internal or absolute URL | |
| type |
N | 0..0 | Type the reference refers to (e.g. "Patient") Valor fixo: Patient (no extensions allowed) | |
| identifier |
1..1 | Identifier | Logical reference, when literal reference is not known | |
| use |
N | 0..0 | usual | official | temp | secondary | old (If known) | |
| type |
0..0 | Description of identifier | ||
| system |
N | 1..1 | uri | The namespace for the identifier value |
| value |
N | 1..1 | string | The value that is unique |
| period |
0..0 | Time period when id is/was valid for use | ||
| assigner |
0..0 | Organization that issued id (may be just text) | ||
| display |
N | 0..0 | Text alternative for the resource | |
| encounter |
0..0 | Encounter created as part of | ||
| onset[x] |
N | 0..0 | Estimated or actual date, date-time, or age | |
| abatement[x] |
N | 0..0 | When in resolution/remission | |
| recordedDate |
N | 0..0 | Date record was first recorded | |
| recorder |
0..0 | Who recorded the condition | ||
| asserter |
0..0 | Person who asserts this condition | ||
| stage |
0..0 | Stage/grade, usually assessed formally | ||
| evidence |
0..0 | Supporting evidence | ||
| note |
0..1 | Annotation | Additional information about the Condition | |
| author[x] |
N | 0..0 | Individual responsible for the annotation | |
| time |
N | 0..0 | When the annotation was made | |
| text |
N | 1..1 | markdown | Nota |
| Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Condition.clinicalStatus | Base | required | Estado da Resolução de Diagnóstico ou Problema | 📦1.0.0-release | este IG |
| Condition.category | Base | required | Classificação de uma condição | 📦1.0.0-release | este IG |
| Condition.code | Base | required | Classificação Internacional de Doenças e Atenção Primária | 📦1.0.0-release | este IG |
Visão TotalView
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | Condition | Diagnóstico ou Problema Constraints: con-3, con-4, con-5 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| clinicalStatus |
C | 0..1 | CodeableConcept | Estado da Resolução Vínculo: Estado da Resolução de Diagnóstico ou Problema (required): Estado da Resolução do Diagnóstico/Problema | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| coding |
1..1 | Coding | Code defined by a terminology system | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| system |
N | 1..1 | uri | Identity of the terminology system | ||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
N | 1..1 | code | Symbol in syntax defined by the system | ||||
| category |
0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Vínculo: Classificação de uma condição (required): Categoria da condição. | |||||
| code |
1..1 | CodeableConcept | Diagnóstico ou Problema Vínculo: Classificação Internacional de Doenças e Atenção Primária (required): Identificação do problema/diagnóstico | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| coding |
1..1 | Coding | Code defined by a terminology system | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| system |
N | 1..1 | uri | Identity of the terminology system | ||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
N | 1..1 | code | Symbol in syntax defined by the system | ||||
| text |
N | 0..1 | string | Plain text representation of the concept | ||||
| subject |
1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Indivíduo | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Fatias para extension |
0..* | Extension | Extension Fatia: Não ordenado, Aberto por value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:unidentifiedPatient |
0..1 | (Complexo) | Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Fatias para extension |
3..3 | Extension | Extension Fatia: Não ordenado, Aberto por value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| Fatias para extension |
Conteúdo/regras para todas as fatias | |||||||
| extension:gender |
1..1 | Extension | Sexo Vínculo: Sexo (required) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| url |
1..1 | uri | "gender" | |||||
| value[x] |
1..1 | code | Value of extension | |||||
| extension:birthYear |
1..1 | Extension | Ano de nascimento estimado | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| url |
1..1 | uri | "birthYear" | |||||
| value[x] |
1..1 | date | Value of extension | |||||
| extension:reason |
1..1 | Extension | Justificativa da impossibilidade de identificação do indivíduo Vínculo: Justificativa da Impossibilidade de Identificação do Indivíduo (ValueSet) (required) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| url |
1..1 | uri | "reason" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension | |||||
| url |
1..1 | uri | "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0" | |||||
| identifier |
1..1 | Identifier | Logical reference, when literal reference is not known | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| system |
N | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient | ||||
| value |
N | 1..1 | string | The value that is unique Exemplo General: 123456 | ||||
| note |
0..1 | Annotation | Additional information about the Condition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
| text |
N | 1..1 | markdown | Nota | ||||
| Documentação para este formato | ||||||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Condition.language | Base | preferred | Common Languages | 📍4.0.1 | a norma FHIR |
| Condition.clinicalStatus | Base | required | Estado da Resolução de Diagnóstico ou Problema | 📦1.0.0-release | este IG |
| Condition.category | Base | required | Classificação de uma condição | 📦1.0.0-release | este IG |
| Condition.code | Base | required | Classificação Internacional de Doenças e Atenção Primária | 📦1.0.0-release | este IG |
| Condition.subject.extension:unidentifiedPatient.extension:gender<br/>[] | Base | required | Sexo | 📦1.0.0-release | este IG |
| Condition.subject.extension:unidentifiedPatient.extension:reason<br/>[] | Base | required | Justificativa da Impossibilidade de Identificação do Indivíduo (ValueSet) | 📦1.0.0-release | este IG |
| Condition.stage.summary | Base | example | Condition Stage | 📍4.0.1 | a norma FHIR |
| Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | a norma FHIR |
| Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Esta estrutura deriva de Condition
Resumo
Obrigatório: 7 elementos(6 aninhado obrigatoriamente elementos)
Deve ser suportado: 10 elementos
Fixo: 1 elemento
Proibido: 28 elementos
Estruturas
Esta estrutura refere-se a estas outras estruturas:
Extensões
Esta estrutura refere-se a estas extensões:
Maturidade: 1
Outras representações do perfil: CSV, Excel, Schematron