HL7 PT FHIR Implementation Guide: Noticia de Nascimento
1.0.0 - STU1
HL7 PT FHIR Implementation Guide: Noticia de Nascimento
1.0.0 - STU1
HL7 PT FHIR Implementation Guide: Noticia de Nascimento, publicado por HL7 Portugal. Este guia não é uma publicação autorizada; é a compilação contínua para a versão 1.0.0 construída pela FHIR (HL7® FHIR® Standard) CI Build. Esta versão é baseada no conteúdo atual de https://github.com/hl7-pt/obs-neonat-ig/ e muda regularmente. Veja o Diretório de versões publicadas
| Official URL: https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/CompositionNoticia | Version: 1.0.0 | |||
| Active as of 2026-10-13 | Computable Name: CompositionNoticia | |||
Perfil do recurso Composition que cria as secções da noticia nascimento
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:  |
|---|---|---|---|---|
  Composition |
0..* | Clinical Document | A set of resources composed into a single coherent clinical statement with clinical attestation | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
  Fatias para extension |
Conteúdo/regras para todas as fatias | |||
   extension:versionNumber |
0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 identifier |
1..1 | Identifier | Version-independent identifier for the Composition | |
| status |
1..1 | code | preliminary | final | amended | entered-in-error Vínculo: CompositionStatus (required): The workflow/clinical status of the composition. Padrão necessário: final | |
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Vínculo: FHIRDocumentTypeCodes (preferred): Type of a composition. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
 coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org/ | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 71230-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Birth certificate | |
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
 encounter |
1..1 | Reference(Encounter) | Context of the Composition | |
| date |
1..1 | dateTime | Composition editing time | |
| author |
1..1 | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition | |
| title |
1..1 | string | Human Readable name/title | |
 Fatias para section |
C | 8..* | BackboneElement | Sections composing the IPS Fatia: Não ordenado, Aberto por pattern:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
   section:Todas as fatias |
Conteúdo/regras para todas as fatias | |||
  modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |
| section:mother |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
 code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 10160-0 | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
 entry |
C | 0..* | Reference(Perfil da mãe) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:pregnancy |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 56833-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Pregnancy related history Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| entry |
C | 0..* | Reference(Perfil de Informação de gravidez) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:birth |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 57074-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Labor and delivery process Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| Fatias para entry |
C | 2..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
 Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:birthInfo |
C | 1..1 | Reference(Perfil de Informação do Parto) | A reference to data that supports this section |
| entry:episode |
C | 1..* | Reference(Encounter | Perfil sobre episódio da notícia de nascimento) | A reference to data that supports this section |
| section:newborn |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 57075-4 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Newborn delivery information | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| entry |
C | 0..* | Reference(Perfil do recém-nascido) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:exams |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 73738-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Newborn screening test results panel - Point of Care | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| Fatias para entry |
C | 5..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:length |
C | 0..1 | Reference(Observation Body Height Profile) | Comprimento (cm) |
| entry:bodyweigth |
C | 1..1 | Reference(Observation Body Weight Profile) | Peso (gr) |
| entry:cephalicPerimeter |
C | 1..1 | Reference(Observation Head Circumference Profile) | Perímetro cefálico (cm) |
| entry:apgar |
C | 1..1 | Reference(Perfil de informação clinicas - apgarScore) | Índice(s) apgar |
| entry:malformation |
C | 0..1 | Reference(Perfil de informação clinicas - Dados de malformações) | A reference to data that supports this section |
| entry:Phototherapy |
C | 0..1 | Reference(Perfil de informação clinicas - Fototerapia) | A reference to data that supports this section |
| entry:hearingscreen |
C | 0..1 | Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal) | A reference to data that supports this section |
| entry:Congenital |
C | 1..1 | Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas) | A reference to data that supports this section |
| entry:Metabolic |
C | 0..1 | Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas) | A reference to data that supports this section |
| entry:Pupillary |
C | 1..1 | Reference(Perfil de informação clinicas - Teste Reflexo pupilar) | Teste Reflexo pupilar |
| entry:newbornriskassessment |
C | 0..1 | Reference(Perfil de Informação sobre Avaliação de risco e referenciação ao NHACJR) | Avaliação de risco e referenciação ao NHACJR |
| section:vaccination |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 11369-6 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: History of Immunization Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| Fatias para entry |
C | 3..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:vhb |
C | 1..1 | Reference(Perfil de Informação sobre vacinação - hepb) | A reference to data that supports this section |
| entry:bcg |
C | 1..1 | Reference(Perfil de Informação sobre vacinação - BCG) | A reference to data that supports this section |
| entry:immuno |
C | 1..1 | Reference(Perfil de Informação sobre vacinação - antid) | A reference to data that supports this section |
| section:followup |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 11544-4 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Hospital discharge follow-up Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| Fatias para entry |
C | 1..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:puerperium |
C | 1..1 | Reference(Perfil para registar dados do puerpério até à alta) | A reference to data that supports this section |
| entry:childhealthsurveilance |
C | 0..1 | Reference(Perfil da vigilância de saúde infantil) | A reference to data that supports this section |
| entry:bulletindelivery |
C | 0..1 | Reference(Perfil de Informação sobre entrega de boletim) | A reference to data that supports this section |
| entry:letter |
C | 0..1 | Reference(Perfil sobre Elaboração de carta com informação clínica suplementar) | A reference to data that supports this section |
| entry:nextappointment |
C | 0..1 | Reference(Encounter) | A reference to data that supports this section |
| entry:transport |
C | 0..1 | Reference(Perfil de informação sobre Transportes) | A reference to data that supports this section |
 section:destination |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://snomed.info/sct | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 45131006 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Primary care hospital (environment) | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| entry |
C | 0..* | Reference(Organization) | A reference to data that supports this section |
| Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | a norma FHIR |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | a norma FHIR |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:mother.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:pregnancy.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:birth.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:newborn.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:exams.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:vaccination.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:followup.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:destination.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| cmp-1 | error | Composition.section, Composition.section:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup, Composition.section:destination | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup, Composition.section:destination | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | 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 Clinical Document
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: |
|---|---|---|---|---|
| Composition |
0..* | Clinical Document | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| identifier |
1..1 | Identifier | Version-independent identifier for the Composition | |
| status |
1..1 | code | preliminary | final | amended | entered-in-error Padrão necessário: final | |
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org/ | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 71230-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Birth certificate | |
| encounter |
1..1 | Reference(Encounter) | Context of the Composition | |
| date |
1..1 | dateTime | Composition editing time | |
| author |
1..1 | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition | |
| Fatias para section |
8..* | BackboneElement | Sections composing the IPS Fatia: Não ordenado, Aberto por pattern:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| section:Todas as fatias |
Conteúdo/regras para todas as fatias | |||
| code |
1..1 | CodeableConcept | Classification of section (recommended) | |
| section |
0..0 | Nested Section | ||
| section:mother |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 10160-0 | |
| entry |
0..* | Reference(Perfil da mãe) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| section:pregnancy |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 56833-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Pregnancy related history Narrative | |
| entry |
0..* | Reference(Perfil de Informação de gravidez) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| section:birth |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 57074-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Labor and delivery process Narrative | |
| Fatias para entry |
2..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:birthInfo |
1..1 | Reference(Perfil de Informação do Parto) | A reference to data that supports this section | |
| entry:episode |
1..* | Reference(Encounter | Perfil sobre episódio da notícia de nascimento) | A reference to data that supports this section | |
| section:newborn |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 57075-4 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Newborn delivery information | |
| entry |
0..* | Reference(Perfil do recém-nascido) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| section:exams |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 73738-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Newborn screening test results panel - Point of Care | |
| Fatias para entry |
5..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:length |
0..1 | Reference(Observation Body Height Profile) | Comprimento (cm) | |
| entry:bodyweigth |
1..1 | Reference(Observation Body Weight Profile) | Peso (gr) | |
| entry:cephalicPerimeter |
1..1 | Reference(Observation Head Circumference Profile) | Perímetro cefálico (cm) | |
| entry:apgar |
1..1 | Reference(Perfil de informação clinicas - apgarScore) | Índice(s) apgar | |
| entry:malformation |
0..1 | Reference(Perfil de informação clinicas - Dados de malformações) | A reference to data that supports this section | |
| entry:Phototherapy |
0..1 | Reference(Perfil de informação clinicas - Fototerapia) | A reference to data that supports this section | |
| entry:hearingscreen |
0..1 | Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal) | A reference to data that supports this section | |
| entry:Congenital |
1..1 | Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas) | A reference to data that supports this section | |
| entry:Metabolic |
0..1 | Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas) | A reference to data that supports this section | |
| entry:Pupillary |
1..1 | Reference(Perfil de informação clinicas - Teste Reflexo pupilar) | Teste Reflexo pupilar | |
| entry:newbornriskassessment |
0..1 | Reference(Perfil de Informação sobre Avaliação de risco e referenciação ao NHACJR) | Avaliação de risco e referenciação ao NHACJR | |
| section:vaccination |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 11369-6 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: History of Immunization Narrative | |
| Fatias para entry |
3..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:vhb |
1..1 | Reference(Perfil de Informação sobre vacinação - hepb) | A reference to data that supports this section | |
| entry:bcg |
1..1 | Reference(Perfil de Informação sobre vacinação - BCG) | A reference to data that supports this section | |
| entry:immuno |
1..1 | Reference(Perfil de Informação sobre vacinação - antid) | A reference to data that supports this section | |
| section:followup |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 11544-4 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Hospital discharge follow-up Narrative | |
| Fatias para entry |
1..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:puerperium |
1..1 | Reference(Perfil para registar dados do puerpério até à alta) | A reference to data that supports this section | |
| entry:childhealthsurveilance |
0..1 | Reference(Perfil da vigilância de saúde infantil) | A reference to data that supports this section | |
| entry:bulletindelivery |
0..1 | Reference(Perfil de Informação sobre entrega de boletim) | A reference to data that supports this section | |
| entry:letter |
0..1 | Reference(Perfil sobre Elaboração de carta com informação clínica suplementar) | A reference to data that supports this section | |
| entry:nextappointment |
0..1 | Reference(Encounter) | A reference to data that supports this section | |
| entry:transport |
0..1 | Reference(Perfil de informação sobre Transportes) | A reference to data that supports this section | |
| section:destination |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 45131006 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Primary care hospital (environment) | |
| entry |
0..* | Reference(Organization) | A reference to data that supports this section | |
| Documentação para este formato | ||||
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | Clinical Document | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
| 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 | |||||
 Fatias para extension |
0..* | Extension | Extension Fatia: Não ordenado, Aberto por value:url | |||||
| extension:versionNumber |
0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
1..1 | Identifier | Version-independent identifier for the Composition | |||||
| status |
1..1 | code | preliminary | final | amended | entered-in-error Vínculo: CompositionStatus (required): The workflow/clinical status of the composition. Padrão necessário: final | |||||
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Vínculo: FHIRDocumentTypeCodes (preferred): Type of a composition. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org/ | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 71230-7 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: Birth certificate | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| category |
0..* | CodeableConcept | Categorization of Composition Vínculo: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | |||||
| subject |
0..1 | Reference(Patient | Practitioner | Group | Device | Location) | Who and/or what the composition is about | |||||
| encounter |
1..1 | Reference(Encounter) | Context of the Composition | |||||
| date |
1..1 | dateTime | Composition editing time | |||||
| author |
1..1 | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition | |||||
| title |
1..1 | string | Human Readable name/title | |||||
| confidentiality |
0..1 | code | As defined by affinity domain Vínculo: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | |||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition | |||||
| 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 | |||||
| mode |
1..1 | code | personal | professional | legal | official Vínculo: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
| time |
0..1 | dateTime | When the composition was attested | |||||
| party |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
| custodian |
0..1 | Reference(Organization) | Organization which maintains the composition | |||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||
| 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 | |||||
| code |
1..1 | code | replaces | transforms | signs | appends Vínculo: DocumentRelationshipType (required): The type of relationship between documents. | |||||
 target[x] |
1..1 | Target of the relationship | ||||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(Composition) | |||||||
| event |
0..* | BackboneElement | The clinical service(s) being documented | |||||
| 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 | |||||
| code |
0..* | CodeableConcept | Code(s) that apply to the event being documented Vínculo: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | |||||
| period |
0..1 | Period | The period covered by the documentation | |||||
| detail |
0..* | Reference(Resource) | The event(s) being documented | |||||
| Fatias para section |
C | 8..* | BackboneElement | Sections composing the IPS Fatia: Não ordenado, Aberto por pattern:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| section:Todas as fatias |
Conteúdo/regras para todas as fatias | |||||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section:mother |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 10160-0 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Perfil da mãe) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| section:pregnancy |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 56833-7 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: Pregnancy related history Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Perfil de Informação de gravidez) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| section:birth |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 57074-7 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: Labor and delivery process Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Fatias para entry |
C | 2..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||||||
| entry:birthInfo |
C | 1..1 | Reference(Perfil de Informação do Parto) | A reference to data that supports this section | ||||
| entry:episode |
C | 1..* | Reference(Encounter | Perfil sobre episódio da notícia de nascimento) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| section:newborn |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 57075-4 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: Newborn delivery information | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Perfil do recém-nascido) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| section:exams |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 73738-7 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: Newborn screening test results panel - Point of Care | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Fatias para entry |
C | 5..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||||||
| entry:length |
C | 0..1 | Reference(Observation Body Height Profile) | Comprimento (cm) | ||||
| entry:bodyweigth |
C | 1..1 | Reference(Observation Body Weight Profile) | Peso (gr) | ||||
| entry:cephalicPerimeter |
C | 1..1 | Reference(Observation Head Circumference Profile) | Perímetro cefálico (cm) | ||||
| entry:apgar |
C | 1..1 | Reference(Perfil de informação clinicas - apgarScore) | Índice(s) apgar | ||||
| entry:malformation |
C | 0..1 | Reference(Perfil de informação clinicas - Dados de malformações) | A reference to data that supports this section | ||||
| entry:Phototherapy |
C | 0..1 | Reference(Perfil de informação clinicas - Fototerapia) | A reference to data that supports this section | ||||
| entry:hearingscreen |
C | 0..1 | Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal) | A reference to data that supports this section | ||||
| entry:Congenital |
C | 1..1 | Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas) | A reference to data that supports this section | ||||
| entry:Metabolic |
C | 0..1 | Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas) | A reference to data that supports this section | ||||
| entry:Pupillary |
C | 1..1 | Reference(Perfil de informação clinicas - Teste Reflexo pupilar) | Teste Reflexo pupilar | ||||
| entry:newbornriskassessment |
C | 0..1 | Reference(Perfil de Informação sobre Avaliação de risco e referenciação ao NHACJR) | Avaliação de risco e referenciação ao NHACJR | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| section:vaccination |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 11369-6 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: History of Immunization Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Fatias para entry |
C | 3..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||||||
| entry:vhb |
C | 1..1 | Reference(Perfil de Informação sobre vacinação - hepb) | A reference to data that supports this section | ||||
| entry:bcg |
C | 1..1 | Reference(Perfil de Informação sobre vacinação - BCG) | A reference to data that supports this section | ||||
| entry:immuno |
C | 1..1 | Reference(Perfil de Informação sobre vacinação - antid) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| section:followup |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 11544-4 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: Hospital discharge follow-up Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Fatias para entry |
C | 1..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||||||
| entry:puerperium |
C | 1..1 | Reference(Perfil para registar dados do puerpério até à alta) | A reference to data that supports this section | ||||
| entry:childhealthsurveilance |
C | 0..1 | Reference(Perfil da vigilância de saúde infantil) | A reference to data that supports this section | ||||
| entry:bulletindelivery |
C | 0..1 | Reference(Perfil de Informação sobre entrega de boletim) | A reference to data that supports this section | ||||
| entry:letter |
C | 0..1 | Reference(Perfil sobre Elaboração de carta com informação clínica suplementar) | A reference to data that supports this section | ||||
| entry:nextappointment |
C | 0..1 | Reference(Encounter) | A reference to data that supports this section | ||||
| entry:transport |
C | 0..1 | Reference(Perfil de informação sobre Transportes) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| section:destination |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://snomed.info/sct | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 45131006 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: Primary care hospital (environment) | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Organization) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| Documentação para este formato | ||||||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | a norma FHIR |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | a norma FHIR |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | a norma FHIR |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | a norma FHIR |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | a norma FHIR |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | a norma FHIR |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | a norma FHIR |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.4 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:mother.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:mother.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:mother.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:mother.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:pregnancy.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:pregnancy.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:pregnancy.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:pregnancy.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:birth.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:birth.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:birth.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:birth.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:newborn.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:newborn.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:newborn.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:newborn.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:exams.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:exams.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:exams.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:exams.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:vaccination.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:vaccination.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:vaccination.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:vaccination.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:followup.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:followup.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:followup.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:followup.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:destination.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:destination.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:destination.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:destination.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| cmp-1 | error | Composition.section, Composition.section:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup, Composition.section:destination | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup, Composition.section:destination | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | 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 Clinical Document
Resumo
Obrigatório: 23 elementos
Deve ser suportado: 18 elementos
Proibido: 1 elemento
Estruturas
Esta estrutura refere-se a estas outras estruturas:
Fatias
Esta estrutura define os seguintes Slices:
Key Elements View
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: |
|---|---|---|---|---|
| Composition |
0..* | Clinical Document | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| Fatias para extension |
Conteúdo/regras para todas as fatias | |||
| extension:versionNumber |
0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
1..1 | Identifier | Version-independent identifier for the Composition | |
| status |
1..1 | code | preliminary | final | amended | entered-in-error Vínculo: CompositionStatus (required): The workflow/clinical status of the composition. Padrão necessário: final | |
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Vínculo: FHIRDocumentTypeCodes (preferred): Type of a composition. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org/ | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 71230-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Birth certificate | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| encounter |
1..1 | Reference(Encounter) | Context of the Composition | |
| date |
1..1 | dateTime | Composition editing time | |
| author |
1..1 | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition | |
| title |
1..1 | string | Human Readable name/title | |
| Fatias para section |
C | 8..* | BackboneElement | Sections composing the IPS Fatia: Não ordenado, Aberto por pattern:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:Todas as fatias |
Conteúdo/regras para todas as fatias | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |
| section:mother |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 10160-0 | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| entry |
C | 0..* | Reference(Perfil da mãe) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:pregnancy |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 56833-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Pregnancy related history Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| entry |
C | 0..* | Reference(Perfil de Informação de gravidez) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:birth |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 57074-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Labor and delivery process Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| Fatias para entry |
C | 2..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:birthInfo |
C | 1..1 | Reference(Perfil de Informação do Parto) | A reference to data that supports this section |
| entry:episode |
C | 1..* | Reference(Encounter | Perfil sobre episódio da notícia de nascimento) | A reference to data that supports this section |
| section:newborn |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 57075-4 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Newborn delivery information | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| entry |
C | 0..* | Reference(Perfil do recém-nascido) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:exams |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 73738-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Newborn screening test results panel - Point of Care | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| Fatias para entry |
C | 5..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:length |
C | 0..1 | Reference(Observation Body Height Profile) | Comprimento (cm) |
| entry:bodyweigth |
C | 1..1 | Reference(Observation Body Weight Profile) | Peso (gr) |
| entry:cephalicPerimeter |
C | 1..1 | Reference(Observation Head Circumference Profile) | Perímetro cefálico (cm) |
| entry:apgar |
C | 1..1 | Reference(Perfil de informação clinicas - apgarScore) | Índice(s) apgar |
| entry:malformation |
C | 0..1 | Reference(Perfil de informação clinicas - Dados de malformações) | A reference to data that supports this section |
| entry:Phototherapy |
C | 0..1 | Reference(Perfil de informação clinicas - Fototerapia) | A reference to data that supports this section |
| entry:hearingscreen |
C | 0..1 | Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal) | A reference to data that supports this section |
| entry:Congenital |
C | 1..1 | Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas) | A reference to data that supports this section |
| entry:Metabolic |
C | 0..1 | Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas) | A reference to data that supports this section |
| entry:Pupillary |
C | 1..1 | Reference(Perfil de informação clinicas - Teste Reflexo pupilar) | Teste Reflexo pupilar |
| entry:newbornriskassessment |
C | 0..1 | Reference(Perfil de Informação sobre Avaliação de risco e referenciação ao NHACJR) | Avaliação de risco e referenciação ao NHACJR |
| section:vaccination |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 11369-6 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: History of Immunization Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| Fatias para entry |
C | 3..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:vhb |
C | 1..1 | Reference(Perfil de Informação sobre vacinação - hepb) | A reference to data that supports this section |
| entry:bcg |
C | 1..1 | Reference(Perfil de Informação sobre vacinação - BCG) | A reference to data that supports this section |
| entry:immuno |
C | 1..1 | Reference(Perfil de Informação sobre vacinação - antid) | A reference to data that supports this section |
| section:followup |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 11544-4 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Hospital discharge follow-up Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| Fatias para entry |
C | 1..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:puerperium |
C | 1..1 | Reference(Perfil para registar dados do puerpério até à alta) | A reference to data that supports this section |
| entry:childhealthsurveilance |
C | 0..1 | Reference(Perfil da vigilância de saúde infantil) | A reference to data that supports this section |
| entry:bulletindelivery |
C | 0..1 | Reference(Perfil de Informação sobre entrega de boletim) | A reference to data that supports this section |
| entry:letter |
C | 0..1 | Reference(Perfil sobre Elaboração de carta com informação clínica suplementar) | A reference to data that supports this section |
| entry:nextappointment |
C | 0..1 | Reference(Encounter) | A reference to data that supports this section |
| entry:transport |
C | 0..1 | Reference(Perfil de informação sobre Transportes) | A reference to data that supports this section |
| section:destination |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://snomed.info/sct | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 45131006 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Primary care hospital (environment) | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| entry |
C | 0..* | Reference(Organization) | A reference to data that supports this section |
| Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | a norma FHIR |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | a norma FHIR |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:mother.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:pregnancy.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:birth.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:newborn.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:exams.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:vaccination.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:followup.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:destination.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| cmp-1 | error | Composition.section, Composition.section:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup, Composition.section:destination | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup, Composition.section:destination | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | 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 Clinical Document
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: |
|---|---|---|---|---|
| Composition |
0..* | Clinical Document | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| identifier |
1..1 | Identifier | Version-independent identifier for the Composition | |
| status |
1..1 | code | preliminary | final | amended | entered-in-error Padrão necessário: final | |
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org/ | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 71230-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Birth certificate | |
| encounter |
1..1 | Reference(Encounter) | Context of the Composition | |
| date |
1..1 | dateTime | Composition editing time | |
| author |
1..1 | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition | |
| Fatias para section |
8..* | BackboneElement | Sections composing the IPS Fatia: Não ordenado, Aberto por pattern:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| section:Todas as fatias |
Conteúdo/regras para todas as fatias | |||
| code |
1..1 | CodeableConcept | Classification of section (recommended) | |
| section |
0..0 | Nested Section | ||
| section:mother |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 10160-0 | |
| entry |
0..* | Reference(Perfil da mãe) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| section:pregnancy |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 56833-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Pregnancy related history Narrative | |
| entry |
0..* | Reference(Perfil de Informação de gravidez) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| section:birth |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 57074-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Labor and delivery process Narrative | |
| Fatias para entry |
2..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:birthInfo |
1..1 | Reference(Perfil de Informação do Parto) | A reference to data that supports this section | |
| entry:episode |
1..* | Reference(Encounter | Perfil sobre episódio da notícia de nascimento) | A reference to data that supports this section | |
| section:newborn |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 57075-4 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Newborn delivery information | |
| entry |
0..* | Reference(Perfil do recém-nascido) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| section:exams |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 73738-7 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Newborn screening test results panel - Point of Care | |
| Fatias para entry |
5..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:length |
0..1 | Reference(Observation Body Height Profile) | Comprimento (cm) | |
| entry:bodyweigth |
1..1 | Reference(Observation Body Weight Profile) | Peso (gr) | |
| entry:cephalicPerimeter |
1..1 | Reference(Observation Head Circumference Profile) | Perímetro cefálico (cm) | |
| entry:apgar |
1..1 | Reference(Perfil de informação clinicas - apgarScore) | Índice(s) apgar | |
| entry:malformation |
0..1 | Reference(Perfil de informação clinicas - Dados de malformações) | A reference to data that supports this section | |
| entry:Phototherapy |
0..1 | Reference(Perfil de informação clinicas - Fototerapia) | A reference to data that supports this section | |
| entry:hearingscreen |
0..1 | Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal) | A reference to data that supports this section | |
| entry:Congenital |
1..1 | Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas) | A reference to data that supports this section | |
| entry:Metabolic |
0..1 | Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas) | A reference to data that supports this section | |
| entry:Pupillary |
1..1 | Reference(Perfil de informação clinicas - Teste Reflexo pupilar) | Teste Reflexo pupilar | |
| entry:newbornriskassessment |
0..1 | Reference(Perfil de Informação sobre Avaliação de risco e referenciação ao NHACJR) | Avaliação de risco e referenciação ao NHACJR | |
| section:vaccination |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 11369-6 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: History of Immunization Narrative | |
| Fatias para entry |
3..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:vhb |
1..1 | Reference(Perfil de Informação sobre vacinação - hepb) | A reference to data that supports this section | |
| entry:bcg |
1..1 | Reference(Perfil de Informação sobre vacinação - BCG) | A reference to data that supports this section | |
| entry:immuno |
1..1 | Reference(Perfil de Informação sobre vacinação - antid) | A reference to data that supports this section | |
| section:followup |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 11544-4 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Hospital discharge follow-up Narrative | |
| Fatias para entry |
1..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||
| entry:puerperium |
1..1 | Reference(Perfil para registar dados do puerpério até à alta) | A reference to data that supports this section | |
| entry:childhealthsurveilance |
0..1 | Reference(Perfil da vigilância de saúde infantil) | A reference to data that supports this section | |
| entry:bulletindelivery |
0..1 | Reference(Perfil de Informação sobre entrega de boletim) | A reference to data that supports this section | |
| entry:letter |
0..1 | Reference(Perfil sobre Elaboração de carta com informação clínica suplementar) | A reference to data that supports this section | |
| entry:nextappointment |
0..1 | Reference(Encounter) | A reference to data that supports this section | |
| entry:transport |
0..1 | Reference(Perfil de informação sobre Transportes) | A reference to data that supports this section | |
| section:destination |
1..1 | BackboneElement | Composition is broken into sections | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos | |
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 45131006 | |
| display |
1..1 | string | Representation defined by the system Valor fixo: Primary care hospital (environment) | |
| entry |
0..* | Reference(Organization) | A reference to data that supports this section | |
| Documentação para este formato | ||||
Snapshot View
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | Clinical Document | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
| 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 | |||||
| Fatias para extension |
0..* | Extension | Extension Fatia: Não ordenado, Aberto por value:url | |||||
| extension:versionNumber |
0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
1..1 | Identifier | Version-independent identifier for the Composition | |||||
| status |
1..1 | code | preliminary | final | amended | entered-in-error Vínculo: CompositionStatus (required): The workflow/clinical status of the composition. Padrão necessário: final | |||||
| type |
1..1 | CodeableConcept | Kind of composition (LOINC if possible) Vínculo: FHIRDocumentTypeCodes (preferred): Type of a composition. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org/ | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 71230-7 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: Birth certificate | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| category |
0..* | CodeableConcept | Categorization of Composition Vínculo: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | |||||
| subject |
0..1 | Reference(Patient | Practitioner | Group | Device | Location) | Who and/or what the composition is about | |||||
| encounter |
1..1 | Reference(Encounter) | Context of the Composition | |||||
| date |
1..1 | dateTime | Composition editing time | |||||
| author |
1..1 | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition | |||||
| title |
1..1 | string | Human Readable name/title | |||||
| confidentiality |
0..1 | code | As defined by affinity domain Vínculo: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | |||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition | |||||
| 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 | |||||
| mode |
1..1 | code | personal | professional | legal | official Vínculo: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
| time |
0..1 | dateTime | When the composition was attested | |||||
| party |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
| custodian |
0..1 | Reference(Organization) | Organization which maintains the composition | |||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||
| 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 | |||||
| code |
1..1 | code | replaces | transforms | signs | appends Vínculo: DocumentRelationshipType (required): The type of relationship between documents. | |||||
| target[x] |
1..1 | Target of the relationship | ||||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(Composition) | |||||||
| event |
0..* | BackboneElement | The clinical service(s) being documented | |||||
| 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 | |||||
| code |
0..* | CodeableConcept | Code(s) that apply to the event being documented Vínculo: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | |||||
| period |
0..1 | Period | The period covered by the documentation | |||||
| detail |
0..* | Reference(Resource) | The event(s) being documented | |||||
| Fatias para section |
C | 8..* | BackboneElement | Sections composing the IPS Fatia: Não ordenado, Aberto por pattern:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| section:Todas as fatias |
Conteúdo/regras para todas as fatias | |||||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section:mother |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 10160-0 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Perfil da mãe) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| section:pregnancy |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 56833-7 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: Pregnancy related history Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Perfil de Informação de gravidez) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| section:birth |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 57074-7 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: Labor and delivery process Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Fatias para entry |
C | 2..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||||||
| entry:birthInfo |
C | 1..1 | Reference(Perfil de Informação do Parto) | A reference to data that supports this section | ||||
| entry:episode |
C | 1..* | Reference(Encounter | Perfil sobre episódio da notícia de nascimento) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| section:newborn |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 57075-4 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: Newborn delivery information | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Perfil do recém-nascido) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| section:exams |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 73738-7 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: Newborn screening test results panel - Point of Care | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Fatias para entry |
C | 5..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||||||
| entry:length |
C | 0..1 | Reference(Observation Body Height Profile) | Comprimento (cm) | ||||
| entry:bodyweigth |
C | 1..1 | Reference(Observation Body Weight Profile) | Peso (gr) | ||||
| entry:cephalicPerimeter |
C | 1..1 | Reference(Observation Head Circumference Profile) | Perímetro cefálico (cm) | ||||
| entry:apgar |
C | 1..1 | Reference(Perfil de informação clinicas - apgarScore) | Índice(s) apgar | ||||
| entry:malformation |
C | 0..1 | Reference(Perfil de informação clinicas - Dados de malformações) | A reference to data that supports this section | ||||
| entry:Phototherapy |
C | 0..1 | Reference(Perfil de informação clinicas - Fototerapia) | A reference to data that supports this section | ||||
| entry:hearingscreen |
C | 0..1 | Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal) | A reference to data that supports this section | ||||
| entry:Congenital |
C | 1..1 | Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas) | A reference to data that supports this section | ||||
| entry:Metabolic |
C | 0..1 | Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas) | A reference to data that supports this section | ||||
| entry:Pupillary |
C | 1..1 | Reference(Perfil de informação clinicas - Teste Reflexo pupilar) | Teste Reflexo pupilar | ||||
| entry:newbornriskassessment |
C | 0..1 | Reference(Perfil de Informação sobre Avaliação de risco e referenciação ao NHACJR) | Avaliação de risco e referenciação ao NHACJR | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| section:vaccination |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 11369-6 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: History of Immunization Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Fatias para entry |
C | 3..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||||||
| entry:vhb |
C | 1..1 | Reference(Perfil de Informação sobre vacinação - hepb) | A reference to data that supports this section | ||||
| entry:bcg |
C | 1..1 | Reference(Perfil de Informação sobre vacinação - BCG) | A reference to data that supports this section | ||||
| entry:immuno |
C | 1..1 | Reference(Perfil de Informação sobre vacinação - antid) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| section:followup |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 11544-4 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: Hospital discharge follow-up Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Fatias para entry |
C | 1..* | Reference(Resource) | A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Fatias para entry |
Conteúdo/regras para todas as fatias | |||||||
| entry:puerperium |
C | 1..1 | Reference(Perfil para registar dados do puerpério até à alta) | A reference to data that supports this section | ||||
| entry:childhealthsurveilance |
C | 0..1 | Reference(Perfil da vigilância de saúde infantil) | A reference to data that supports this section | ||||
| entry:bulletindelivery |
C | 0..1 | Reference(Perfil de Informação sobre entrega de boletim) | A reference to data that supports this section | ||||
| entry:letter |
C | 0..1 | Reference(Perfil sobre Elaboração de carta com informação clínica suplementar) | A reference to data that supports this section | ||||
| entry:nextappointment |
C | 0..1 | Reference(Encounter) | A reference to data that supports this section | ||||
| entry:transport |
C | 0..1 | Reference(Perfil de informação sobre Transportes) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| section:destination |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
| 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 | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Valor fixo: http://snomed.info/sct | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 45131006 | |||||
| display |
1..1 | string | Representation defined by the system Valor fixo: Primary care hospital (environment) | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Organization) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | Ver section (Composition) | Nested Section | ||||
| Documentação para este formato | ||||||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | a norma FHIR |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | a norma FHIR |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | a norma FHIR |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | a norma FHIR |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | a norma FHIR |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | a norma FHIR |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | a norma FHIR |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.4 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:mother.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:mother.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:mother.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:mother.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:pregnancy.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:pregnancy.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:pregnancy.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:pregnancy.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:birth.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:birth.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:birth.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:birth.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:newborn.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:newborn.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:newborn.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:newborn.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:exams.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:exams.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:exams.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:exams.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:vaccination.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:vaccination.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:vaccination.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:vaccination.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:followup.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:followup.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:followup.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:followup.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:destination.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:destination.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:destination.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:destination.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| cmp-1 | error | Composition.section, Composition.section:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup, Composition.section:destination | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup, Composition.section:destination | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | 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 Clinical Document
Resumo
Obrigatório: 23 elementos
Deve ser suportado: 18 elementos
Proibido: 1 elemento
Estruturas
Esta estrutura refere-se a estas outras estruturas:
Fatias
Esta estrutura define os seguintes Slices:
Other representations of profile: CSV, Excel, Schematron