HL7 Portugal FHIR Implementation Guide para alergias e reacções adversas ao medicamento
1.0.0-ballot - CI Build
HL7 Portugal FHIR Implementation Guide para alergias e reacções adversas ao medicamento
1.0.0-ballot - CI Build
HL7 Portugal FHIR Implementation Guide para alergias e reacções adversas ao medicamento, publicado por HL7 Portugal. Este guia não é uma publicação autorizada; é a compilação contínua para a versão 1.0.0-ballot construída pela FHIR (HL7® FHIR® Standard) CI Build. Esta versão é baseada no conteúdo atual de https://github.com/hl7-pt/adr-ig/ e muda regularmente. Veja o Diretório de versões publicadas
| Official URL: https://hl7.pt/fhir/ADR/StructureDefinition/Doente | Version: 1.0.0-ballot | |||
| Active as of 2026-10-20 | Computable Name: Doente | |||
Perfil para notificação de RAM - Doente
Usos:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter:  |
|---|---|---|---|---|
  Patient |
0..* | Patient | Information about an individual or animal receiving health care services | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| contained |
0..* | Resource | Contained, inline Resources | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| active |
0..1 | boolean | Whether this patient's record is in active use | |
 name |
0..* | HumanName | A name associated with the patient | |
| gender |
0..1 | code | male | female | other | unknown Vínculo: AdministrativeGender (required): The gender of a person used for administrative purposes. | |
| birthDate |
0..1 | date | The date of birth for the individual | |
  deceased[x] |
0..1 | Indicates if the individual is deceased or not | ||
 deceasedBoolean |
boolean | |||
 deceasedDateTime |
dateTime | |||
 link |
0..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
 other |
1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | |
| type |
1..1 | code | replaced-by | replaces | refer | seealso Vínculo: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code | |
| Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Patient.gender | Base | required | AdministrativeGender | 📍5.0.0 | a norma FHIR |
| Patient.link.type | Base | required | Link Type | 📍5.0.0 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Patient | 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Patient | 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 | Patient | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Patient | 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()
|
This structure is derived from Patient
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: |
|---|---|---|---|---|
| Patient |
0..* | Patient | Information about an individual or animal receiving health care services | |
 name |
0..* | HumanName | A name associated with the patient | |
| gender |
0..1 | code | male | female | other | unknown | |
| birthDate |
0..1 | date | The date of birth for the individual | |
| Documentação para este formato | ||||
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Patient |
0..* | Patient | Information about an individual or animal receiving health care services | |||||
| 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: AllLanguages (required): IETF language tag for 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 | |||||
| identifier |
0..* | Identifier | An identifier for this patient | |||||
| active |
0..1 | boolean | Whether this patient's record is in active use | |||||
| name |
0..* | HumanName | A name associated with the patient | |||||
| telecom |
0..* | ContactPoint | A contact detail for the individual | |||||
| gender |
0..1 | code | male | female | other | unknown Vínculo: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
| birthDate |
0..1 | date | The date of birth for the individual | |||||
| deceased[x] |
0..1 | Indicates if the individual is deceased or not | ||||||
| deceasedBoolean |
boolean | |||||||
| deceasedDateTime |
dateTime | |||||||
| address |
0..* | Address | An address for the individual | |||||
| maritalStatus |
0..1 | CodeableConcept | Marital (civil) status of a patient Vínculo: MaritalStatusCodes (extensible): The domestic partnership status of a person. | |||||
| multipleBirth[x] |
0..1 | Whether patient is part of a multiple birth | ||||||
| multipleBirthBoolean |
boolean | |||||||
| multipleBirthInteger |
integer | |||||||
| photo |
0..* | Attachment | Image of the patient | |||||
| contact |
C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| relationship |
0..* | CodeableConcept | The kind of relationship Vínculo: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. | |||||
| name |
C | 0..1 | HumanName | A name associated with the contact person | ||||
| telecom |
C | 0..* | ContactPoint | A contact detail for the person | ||||
| address |
C | 0..1 | Address | Address for the contact person | ||||
| gender |
0..1 | code | male | female | other | unknown Vínculo: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
| organization |
C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
| period |
0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
| communication |
0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| language |
1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Vínculo: AllLanguages (required): IETF language tag for a human language
| |||||
| preferred |
0..1 | boolean | Language preference indicator | |||||
| generalPractitioner |
0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider | |||||
| managingOrganization |
0..1 | Reference(Organization) | Organization that is the custodian of the patient record | |||||
| link |
0..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| other |
1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | |||||
| type |
1..1 | code | replaced-by | replaces | refer | seealso Vínculo: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code | |||||
| Documentação para este formato | ||||||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Patient.language | Base | required | All Languages | 📍5.0.0 | a norma FHIR |
| Patient.gender | Base | required | AdministrativeGender | 📍5.0.0 | a norma FHIR |
| Patient.maritalStatus | Base | extensible | Marital Status Codes | 📍5.0.0 | a norma FHIR |
| Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍5.0.0 | a norma FHIR |
| Patient.contact.gender | Base | required | AdministrativeGender | 📍5.0.0 | a norma FHIR |
| Patient.communication.language | Base | required | All Languages | 📍5.0.0 | a norma FHIR |
| Patient.link.type | Base | required | Link Type | 📍5.0.0 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Patient | 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Patient | 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 | Patient | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Patient | 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()
|
| pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization |
name.exists() or telecom.exists() or address.exists() or organization.exists()
|
This structure is derived from Patient
Key Elements View
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: |
|---|---|---|---|---|
| Patient |
0..* | Patient | Information about an individual or animal receiving health care services | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| contained |
0..* | Resource | Contained, inline Resources | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| active |
0..1 | boolean | Whether this patient's record is in active use | |
| name |
0..* | HumanName | A name associated with the patient | |
| gender |
0..1 | code | male | female | other | unknown Vínculo: AdministrativeGender (required): The gender of a person used for administrative purposes. | |
| birthDate |
0..1 | date | The date of birth for the individual | |
| deceased[x] |
0..1 | Indicates if the individual is deceased or not | ||
| deceasedBoolean |
boolean | |||
| deceasedDateTime |
dateTime | |||
| link |
0..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| other |
1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | |
| type |
1..1 | code | replaced-by | replaces | refer | seealso Vínculo: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code | |
| Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Patient.gender | Base | required | AdministrativeGender | 📍5.0.0 | a norma FHIR |
| Patient.link.type | Base | required | Link Type | 📍5.0.0 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Patient | 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Patient | 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 | Patient | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Patient | 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()
|
Differential View
This structure is derived from Patient
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: |
|---|---|---|---|---|
| Patient |
0..* | Patient | Information about an individual or animal receiving health care services | |
| name |
0..* | HumanName | A name associated with the patient | |
| gender |
0..1 | code | male | female | other | unknown | |
| birthDate |
0..1 | date | The date of birth for the individual | |
| Documentação para este formato | ||||
Snapshot View
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Patient |
0..* | Patient | Information about an individual or animal receiving health care services | |||||
| 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: AllLanguages (required): IETF language tag for 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 | |||||
| identifier |
0..* | Identifier | An identifier for this patient | |||||
| active |
0..1 | boolean | Whether this patient's record is in active use | |||||
| name |
0..* | HumanName | A name associated with the patient | |||||
| telecom |
0..* | ContactPoint | A contact detail for the individual | |||||
| gender |
0..1 | code | male | female | other | unknown Vínculo: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
| birthDate |
0..1 | date | The date of birth for the individual | |||||
| deceased[x] |
0..1 | Indicates if the individual is deceased or not | ||||||
| deceasedBoolean |
boolean | |||||||
| deceasedDateTime |
dateTime | |||||||
| address |
0..* | Address | An address for the individual | |||||
| maritalStatus |
0..1 | CodeableConcept | Marital (civil) status of a patient Vínculo: MaritalStatusCodes (extensible): The domestic partnership status of a person. | |||||
| multipleBirth[x] |
0..1 | Whether patient is part of a multiple birth | ||||||
| multipleBirthBoolean |
boolean | |||||||
| multipleBirthInteger |
integer | |||||||
| photo |
0..* | Attachment | Image of the patient | |||||
| contact |
C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| relationship |
0..* | CodeableConcept | The kind of relationship Vínculo: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. | |||||
| name |
C | 0..1 | HumanName | A name associated with the contact person | ||||
| telecom |
C | 0..* | ContactPoint | A contact detail for the person | ||||
| address |
C | 0..1 | Address | Address for the contact person | ||||
| gender |
0..1 | code | male | female | other | unknown Vínculo: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
| organization |
C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
| period |
0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
| communication |
0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| language |
1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Vínculo: AllLanguages (required): IETF language tag for a human language
| |||||
| preferred |
0..1 | boolean | Language preference indicator | |||||
| generalPractitioner |
0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider | |||||
| managingOrganization |
0..1 | Reference(Organization) | Organization that is the custodian of the patient record | |||||
| link |
0..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| other |
1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | |||||
| type |
1..1 | code | replaced-by | replaces | refer | seealso Vínculo: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code | |||||
| Documentação para este formato | ||||||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Patient.language | Base | required | All Languages | 📍5.0.0 | a norma FHIR |
| Patient.gender | Base | required | AdministrativeGender | 📍5.0.0 | a norma FHIR |
| Patient.maritalStatus | Base | extensible | Marital Status Codes | 📍5.0.0 | a norma FHIR |
| Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍5.0.0 | a norma FHIR |
| Patient.contact.gender | Base | required | AdministrativeGender | 📍5.0.0 | a norma FHIR |
| Patient.communication.language | Base | required | All Languages | 📍5.0.0 | a norma FHIR |
| Patient.link.type | Base | required | Link Type | 📍5.0.0 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Patient | 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Patient | 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 | Patient | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Patient | 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()
|
| pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization |
name.exists() or telecom.exists() or address.exists() or organization.exists()
|
This structure is derived from Patient
Other representations of profile: CSV, Excel, Schematron