HL7 PT FHIR Implementation Guide: Noticia de Nascimento
1.0.0 - STU1 Portugal flag

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

Resource Profile: Perfil de informação clinicas - Rastreio de doenças metabólicas

Official URL: https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Metabolic Version: 1.0.0
Active as of 2026-10-13 Computable Name: Metabolic

Perfil de informação clinicas - Rastreio de doenças metabólicas

Usos:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.implicitRules Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..1 uri A set of rules under which this content was created
Observation.modifierExtension Este elemento é um elemento modificador. 0..* Extension Extensions that cannot be ignored
Observation.status Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 1..1 code registered | preliminary | final | amended +
Vínculo: ObservationStatus (required): Codes providing the status of an observation.
Padrão necessário: final
Observation.code Este elemento está incluído nos resumos. 1..1 CodeableConcept Type of observation (code / type)
Vínculo: LOINCCodes (example): Codes identifying names of simple observations.
Padrão necessário: Pelo menos os seguintes elementos
Observation.code.id 0..1 string Unique id for inter-element referencing
Observation.code.extension 0..* Extension Additional content defined by implementations
Observation.code.coding 1..* Coding Code defined by a terminology system
Valor fixo: (complexo)
Observation.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.code.coding.extension 0..* Extension Additional content defined by implementations
Observation.code.coding.system 1..1 uri Identity of the terminology system
Valor fixo: http://snomed.info/sct
Observation.code.coding.version 0..1 string Version of the system - if relevant
Observation.code.coding.code 1..1 code Symbol in syntax defined by the system
Valor fixo: 275977009
Observation.code.coding.display 1..1 string Representation defined by the system
Valor fixo: Guthrie test
Observation.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.code.text 0..1 string Plain text representation of the concept
Observation.effective[x] Este elemento está incluído nos resumos. 0..1 dateTime Data do rastreio
Observation.value[x] Este elemento está incluído nos resumos. C 1..1 Actual result
Observation.value[x].valueQuantity Quantity
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.value[x].valueString string
Observation.value[x].valueBoolean boolean
Observation.value[x].valueInteger integer
Observation.value[x].valueRange Range
Observation.value[x].valueRatio Ratio
Observation.value[x].valueSampledData SampledData
Observation.value[x].valueTime time
Observation.value[x].valueDateTime dateTime
Observation.value[x].valuePeriod Period
Observation.dataAbsentReason Este elemento deve ser suportado. C 0..1 CodeableConcept Why the result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.note Este elemento deve ser suportado. 0..* Annotation Observações

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Observation.status Base required ObservationStatus 📍4.0.1 a norma FHIR
Observation.code Base example LOINC Codes 📍4.0.1 a norma FHIR
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 Observation 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 Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation 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()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: doco
Observation 0..* Observation Measurements and simple assertions
Observation.status 1..1 code registered | preliminary | final | amended +
Padrão necessário: final
Observation.code 1..1 CodeableConcept Type of observation (code / type)
Padrão necessário: Pelo menos os seguintes elementos
Observation.code.coding 1..* Coding Code defined by a terminology system
Valor fixo: (complexo)
Observation.code.coding.system 1..1 uri Identity of the terminology system
Valor fixo: http://snomed.info/sct
Observation.code.coding.code 1..1 code Symbol in syntax defined by the system
Valor fixo: 275977009
Observation.code.coding.display 1..1 string Representation defined by the system
Valor fixo: Guthrie test
Observation.effective[x] 0..1 dateTime Data do rastreio
Observation.dataAbsentReason Este elemento deve ser suportado. 0..1 CodeableConcept Why the result is missing
Observation.note Este elemento deve ser suportado. 0..* Annotation Observações

doco Documentação para este formato
NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.id Este elemento está incluído nos resumos. 0..1 id Logical id of this artifact
Observation.meta Este elemento está incluído nos resumos. 0..1 Meta Metadata about the resource
Observation.implicitRules Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionaisObjetivo
AllLanguages Vínculo máximo
Observation.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
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension Este elemento é um elemento modificador. 0..* Extension Extensions that cannot be ignored
Observation.identifier Este elemento está incluído nos resumos. 0..* Identifier Business Identifier for observation
Observation.basedOn Este elemento está incluído nos resumos. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf Este elemento está incluído nos resumos. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 1..1 code registered | preliminary | final | amended +
Vínculo: ObservationStatus (required): Codes providing the status of an observation.
Padrão necessário: final
Observation.category 0..* CodeableConcept Classification of type of observation
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code Este elemento está incluído nos resumos. 1..1 CodeableConcept Type of observation (code / type)
Vínculo: LOINCCodes (example): Codes identifying names of simple observations.
Padrão necessário: Pelo menos os seguintes elementos
Observation.code.id 0..1 string Unique id for inter-element referencing
Observation.code.extension 0..* Extension Additional content defined by implementations
Observation.code.coding 1..* Coding Code defined by a terminology system
Valor fixo: (complexo)
Observation.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.code.coding.extension 0..* Extension Additional content defined by implementations
Observation.code.coding.system 1..1 uri Identity of the terminology system
Valor fixo: http://snomed.info/sct
Observation.code.coding.version 0..1 string Version of the system - if relevant
Observation.code.coding.code 1..1 code Symbol in syntax defined by the system
Valor fixo: 275977009
Observation.code.coding.display 1..1 string Representation defined by the system
Valor fixo: Guthrie test
Observation.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.code.text 0..1 string Plain text representation of the concept
Observation.subject Este elemento está incluído nos resumos. 0..1 Reference(Patient | Group | Device | Location) Who and/or what the observation is about
Observation.focus Este elemento está incluído nos resumos. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter Este elemento está incluído nos resumos. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] Este elemento está incluído nos resumos. 0..1 dateTime Data do rastreio
Observation.issued Este elemento está incluído nos resumos. 0..1 instant Date/Time this version was made available
Observation.performer Este elemento está incluído nos resumos. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.value[x] Este elemento está incluído nos resumos. C 1..1 Actual result
Observation.value[x].valueQuantity Quantity
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.value[x].valueString string
Observation.value[x].valueBoolean boolean
Observation.value[x].valueInteger integer
Observation.value[x].valueRange Range
Observation.value[x].valueRatio Ratio
Observation.value[x].valueSampledData SampledData
Observation.value[x].valueTime time
Observation.value[x].valueDateTime dateTime
Observation.value[x].valuePeriod Period
Observation.dataAbsentReason Este elemento deve ser suportado. C 0..1 CodeableConcept Why the result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note Este elemento deve ser suportado. 0..* Annotation Observações
Observation.bodySite 0..1 CodeableConcept Observed body part
Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Vínculo: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Vínculo: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Vínculo: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember Este elemento está incluído nos resumos. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom Este elemento está incluído nos resumos. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Observation.component Este elemento está incluído nos resumos. 0..* BackboneElement Component results
Observation.component.id 0..1 string Unique id for inter-element referencing
Observation.component.extension 0..* Extension Additional content defined by implementations
Observation.component.modifierExtension Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code Este elemento está incluído nos resumos. 1..1 CodeableConcept Type of component observation (code / type)
Vínculo: LOINCCodes (example): Codes identifying names of simple observations.
Observation.component.value[x] Este elemento está incluído nos resumos. 0..1 Actual component result
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation 0..* CodeableConcept High, low, normal, etc.
Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.referenceRange 0..* Ver referenceRange (Observation) Provides guide for interpretation of component result

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Observation.language Base preferred Common Languages 📍4.0.1 a norma FHIR
Observation.status Base required ObservationStatus 📍4.0.1 a norma FHIR
Observation.category Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.code Base example LOINC Codes 📍4.0.1 a norma FHIR
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 a norma FHIR
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 a norma FHIR
Observation.method Base example Observation Methods 📍4.0.1 a norma FHIR
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 a norma FHIR
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 a norma FHIR
Observation.component.​code Base example LOINC Codes 📍4.0.1 a norma FHIR
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 Observation 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 Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation 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()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from Observation

Resumo

Obrigatório: 1 elemento
Deve ser suportado: 2 elementos

Key Elements View

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.implicitRules Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..1 uri A set of rules under which this content was created
Observation.modifierExtension Este elemento é um elemento modificador. 0..* Extension Extensions that cannot be ignored
Observation.status Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 1..1 code registered | preliminary | final | amended +
Vínculo: ObservationStatus (required): Codes providing the status of an observation.
Padrão necessário: final
Observation.code Este elemento está incluído nos resumos. 1..1 CodeableConcept Type of observation (code / type)
Vínculo: LOINCCodes (example): Codes identifying names of simple observations.
Padrão necessário: Pelo menos os seguintes elementos
Observation.code.id 0..1 string Unique id for inter-element referencing
Observation.code.extension 0..* Extension Additional content defined by implementations
Observation.code.coding 1..* Coding Code defined by a terminology system
Valor fixo: (complexo)
Observation.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.code.coding.extension 0..* Extension Additional content defined by implementations
Observation.code.coding.system 1..1 uri Identity of the terminology system
Valor fixo: http://snomed.info/sct
Observation.code.coding.version 0..1 string Version of the system - if relevant
Observation.code.coding.code 1..1 code Symbol in syntax defined by the system
Valor fixo: 275977009
Observation.code.coding.display 1..1 string Representation defined by the system
Valor fixo: Guthrie test
Observation.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.code.text 0..1 string Plain text representation of the concept
Observation.effective[x] Este elemento está incluído nos resumos. 0..1 dateTime Data do rastreio
Observation.value[x] Este elemento está incluído nos resumos. C 1..1 Actual result
Observation.value[x].valueQuantity Quantity
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.value[x].valueString string
Observation.value[x].valueBoolean boolean
Observation.value[x].valueInteger integer
Observation.value[x].valueRange Range
Observation.value[x].valueRatio Ratio
Observation.value[x].valueSampledData SampledData
Observation.value[x].valueTime time
Observation.value[x].valueDateTime dateTime
Observation.value[x].valuePeriod Period
Observation.dataAbsentReason Este elemento deve ser suportado. C 0..1 CodeableConcept Why the result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.note Este elemento deve ser suportado. 0..* Annotation Observações

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Observation.status Base required ObservationStatus 📍4.0.1 a norma FHIR
Observation.code Base example LOINC Codes 📍4.0.1 a norma FHIR
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 Observation 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 Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation 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()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from Observation

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: doco
Observation 0..* Observation Measurements and simple assertions
Observation.status 1..1 code registered | preliminary | final | amended +
Padrão necessário: final
Observation.code 1..1 CodeableConcept Type of observation (code / type)
Padrão necessário: Pelo menos os seguintes elementos
Observation.code.coding 1..* Coding Code defined by a terminology system
Valor fixo: (complexo)
Observation.code.coding.system 1..1 uri Identity of the terminology system
Valor fixo: http://snomed.info/sct
Observation.code.coding.code 1..1 code Symbol in syntax defined by the system
Valor fixo: 275977009
Observation.code.coding.display 1..1 string Representation defined by the system
Valor fixo: Guthrie test
Observation.effective[x] 0..1 dateTime Data do rastreio
Observation.value[x] 1..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
Observation.dataAbsentReason Este elemento deve ser suportado. 0..1 CodeableConcept Why the result is missing
Observation.note Este elemento deve ser suportado. 0..* Annotation Observações

doco Documentação para este formato

Snapshot View

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.id Este elemento está incluído nos resumos. 0..1 id Logical id of this artifact
Observation.meta Este elemento está incluído nos resumos. 0..1 Meta Metadata about the resource
Observation.implicitRules Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionaisObjetivo
AllLanguages Vínculo máximo
Observation.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
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension Este elemento é um elemento modificador. 0..* Extension Extensions that cannot be ignored
Observation.identifier Este elemento está incluído nos resumos. 0..* Identifier Business Identifier for observation
Observation.basedOn Este elemento está incluído nos resumos. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf Este elemento está incluído nos resumos. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 1..1 code registered | preliminary | final | amended +
Vínculo: ObservationStatus (required): Codes providing the status of an observation.
Padrão necessário: final
Observation.category 0..* CodeableConcept Classification of type of observation
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code Este elemento está incluído nos resumos. 1..1 CodeableConcept Type of observation (code / type)
Vínculo: LOINCCodes (example): Codes identifying names of simple observations.
Padrão necessário: Pelo menos os seguintes elementos
Observation.code.id 0..1 string Unique id for inter-element referencing
Observation.code.extension 0..* Extension Additional content defined by implementations
Observation.code.coding 1..* Coding Code defined by a terminology system
Valor fixo: (complexo)
Observation.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.code.coding.extension 0..* Extension Additional content defined by implementations
Observation.code.coding.system 1..1 uri Identity of the terminology system
Valor fixo: http://snomed.info/sct
Observation.code.coding.version 0..1 string Version of the system - if relevant
Observation.code.coding.code 1..1 code Symbol in syntax defined by the system
Valor fixo: 275977009
Observation.code.coding.display 1..1 string Representation defined by the system
Valor fixo: Guthrie test
Observation.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.code.text 0..1 string Plain text representation of the concept
Observation.subject Este elemento está incluído nos resumos. 0..1 Reference(Patient | Group | Device | Location) Who and/or what the observation is about
Observation.focus Este elemento está incluído nos resumos. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter Este elemento está incluído nos resumos. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] Este elemento está incluído nos resumos. 0..1 dateTime Data do rastreio
Observation.issued Este elemento está incluído nos resumos. 0..1 instant Date/Time this version was made available
Observation.performer Este elemento está incluído nos resumos. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.value[x] Este elemento está incluído nos resumos. C 1..1 Actual result
Observation.value[x].valueQuantity Quantity
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.value[x].valueString string
Observation.value[x].valueBoolean boolean
Observation.value[x].valueInteger integer
Observation.value[x].valueRange Range
Observation.value[x].valueRatio Ratio
Observation.value[x].valueSampledData SampledData
Observation.value[x].valueTime time
Observation.value[x].valueDateTime dateTime
Observation.value[x].valuePeriod Period
Observation.dataAbsentReason Este elemento deve ser suportado. C 0..1 CodeableConcept Why the result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note Este elemento deve ser suportado. 0..* Annotation Observações
Observation.bodySite 0..1 CodeableConcept Observed body part
Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Vínculo: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Vínculo: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Vínculo: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember Este elemento está incluído nos resumos. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom Este elemento está incluído nos resumos. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Observation.component Este elemento está incluído nos resumos. 0..* BackboneElement Component results
Observation.component.id 0..1 string Unique id for inter-element referencing
Observation.component.extension 0..* Extension Additional content defined by implementations
Observation.component.modifierExtension Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code Este elemento está incluído nos resumos. 1..1 CodeableConcept Type of component observation (code / type)
Vínculo: LOINCCodes (example): Codes identifying names of simple observations.
Observation.component.value[x] Este elemento está incluído nos resumos. 0..1 Actual component result
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation 0..* CodeableConcept High, low, normal, etc.
Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.referenceRange 0..* Ver referenceRange (Observation) Provides guide for interpretation of component result

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Observation.language Base preferred Common Languages 📍4.0.1 a norma FHIR
Observation.status Base required ObservationStatus 📍4.0.1 a norma FHIR
Observation.category Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.code Base example LOINC Codes 📍4.0.1 a norma FHIR
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 a norma FHIR
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 a norma FHIR
Observation.method Base example Observation Methods 📍4.0.1 a norma FHIR
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 a norma FHIR
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 a norma FHIR
Observation.component.​code Base example LOINC Codes 📍4.0.1 a norma FHIR
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 Observation 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 Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation 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()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from Observation

Resumo

Obrigatório: 1 elemento
Deve ser suportado: 2 elementos

 

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