HL7 PT FHIR Implementation Guide: Example IG Release 1 | STU1
1.0.0 - STU1
HL7 PT FHIR Implementation Guide: Example IG Release 1 | STU1
1.0.0 - STU1
HL7 PT FHIR Implementation Guide: Example IG Release 1 | STU1, 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/patient-admin-ig/ e muda regularmente. Veja o Diretório de versões publicadas
{
"resourceType" : "Bundle",
"id" : "patient-update",
"type" : "message",
"timestamp" : "2025-10-24T14:16:30.035+01:00",
"entry" : [
{
"fullUrl" : "urn:uuid:96af02f3-5a9c-4220-8f62-ece462f2b4d1",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "96af02f3-5a9c-4220-8f62-ece462f2b4d1",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_96af02f3-5a9c-4220-8f62-ece462f2b4d1\"> </a><p class=\"res-header-id\"><b>Narrativa gerada: MessageHeader 96af02f3-5a9c-4220-8f62-ece462f2b4d1</b></p><a name=\"96af02f3-5a9c-4220-8f62-ece462f2b4d1\"> </a><a name=\"hc96af02f3-5a9c-4220-8f62-ece462f2b4d1\"> </a><p><b>event</b>: <a href=\"CodeSystem-cs-fhir-events.html#cs-fhir-events-PATIENT_UPDATE\">FHIR Events CodeSystem: PATIENT_UPDATE</a> (Atualização de dados do utente)</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td>EXTERNAL SYSTEM</td><td>DEV/EXTERNALSYSTEM</td><td><a href=\"Bundle-patient-link.html#urn-uuid-70cfff33-ebcb-4f99-9bf5-c560575295d8\">Unidade Local de Saúde Dev</a></td></tr></table><p><b>sender</b>: <a href=\"Bundle-patient-link.html#urn-uuid-70cfff33-ebcb-4f99-9bf5-c560575295d8\">Unidade Local de Saúde Dev</a></p><p><b>enterer</b>: <a href=\"Bundle-patient-update.html#urn-uuid-cc5416a2-8697-3367-bba8-eec87f189665\">Practitioner: identifier = Numero interno do profissional:\u00a0cc5416a2-8697-3367-bba8-eec87f189665\u00a0(use:\u00a0usual,\u00a0),Numero mecanográfico do profissional:\u00a030047\u00a0(use:\u00a0official,\u00a0)</a></p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>ADT</td><td>DEV/ADT</td></tr></table><p><b>focus</b>: <a href=\"Bundle-patient-update.html#urn-uuid-21af15d4-7e31-3976-8391-ff0b3a4ab37e\">Liliana Cristina Alves (official) Female, DoB: 1995-10-09 ( Identificador sequencial do utente na entidade:\u00a0404066\u00a0(use:\u00a0usual,\u00a0))</a></p></div>"
},
"eventCoding" : {
"system" : "http://example.com/fhir/hl7pt/CodeSystem/cs-fhir-events",
"code" : "PATIENT_UPDATE",
"display" : "Atualização de dados do utente"
},
"destination" : [
{
"name" : "EXTERNAL SYSTEM",
"endpoint" : "DEV/EXTERNALSYSTEM",
"receiver" : {
"reference" : "urn:uuid:70cfff33-ebcb-4f99-9bf5-c560575295d8",
"display" : "Unidade Local de Saúde Dev"
}
}
],
"sender" : {
"reference" : "urn:uuid:70cfff33-ebcb-4f99-9bf5-c560575295d8",
"display" : "Unidade Local de Saúde Dev"
},
"enterer" : {
"reference" : "urn:uuid:cc5416a2-8697-3367-bba8-eec87f189665"
},
"source" : {
"name" : "ADT",
"endpoint" : "DEV/ADT"
},
"focus" : [
{
"reference" : "urn:uuid:21af15d4-7e31-3976-8391-ff0b3a4ab37e"
}
]
}
},
{
"fullUrl" : "urn:uuid:21af15d4-7e31-3976-8391-ff0b3a4ab37e",
"resource" : {
"resourceType" : "Patient",
"id" : "21af15d4-7e31-3976-8391-ff0b3a4ab37e",
"meta" : {
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "N",
"display" : "Normal"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_21af15d4-7e31-3976-8391-ff0b3a4ab37e\"> </a><p class=\"res-header-id\"><b>Narrativa gerada: Patient 21af15d4-7e31-3976-8391-ff0b3a4ab37e</b></p><a name=\"21af15d4-7e31-3976-8391-ff0b3a4ab37e\"> </a><a name=\"hc21af15d4-7e31-3976-8391-ff0b3a4ab37e\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Etiqueta de segurança: Normal (Pormenores: Confidentiality código N = 'Normal')</p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Liliana Cristina Alves (official) Female, DoB: 1995-10-09 ( Identificador sequencial do utente na entidade:\u00a0404066\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"O registo está ativo\">Ativo:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Estado conhecido do doente\">Falecido:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>Identificador sequencial do utente na entidade/b4d3104a-7d7d-4fc0-a61b-3547836fb84c\u00a0(utilização:\u00a0usual,\u00a0)</li><li>Número do processo/18015692\u00a0(utilização:\u00a0official,\u00a0)</li><li>Número de identificação fiscal/254781369\u00a0(utilização:\u00a0official,\u00a0)</li><li>Passport number/589471XS\u00a0(utilização:\u00a0official,\u00a0)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Formas de contactar o doente\">Detalhes do contacto</td><td colspan=\"3\"><ul><li>ph: 265842987</li><li>ph: 915469872(Mobile)</li><li><a href=\"mailto:li@email.com\">li@email.com</a></li><li>Rua De Casa, N.2 Ançã 3060-009 (billing)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Contacto nomeado: Self\">Self:</td><td colspan=\"3\"><ul><li>Lilia Jose Teste Alves (Official)</li><li>ph: 265842987</li><li>ph: 915469872(Mobile)</li><li><a href=\"mailto:li@email.com\">li@email.com</a></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ligações para doentes\">Ligações:</td><td colspan=\"3\"><ul><li>Médico de clínica geral: <a href=\"Bundle-patient-update.html#urn-uuid-0040e52f-85c7-3d99-b3dd-4c6431285d30\">Practitioner Ana Torres </a></li><li>Médico de clínica geral: <a href=\"Bundle-patient-update.html#urn-uuid-17fafe5f-6ce2-3190-8ec0-9d2e80a4cbf6\">Organization USF DEV</a></li><li>Organização de gestão: <a href=\"Bundle-patient-update.html#urn-uuid-21af15d4-7e31-3976-8391-fe0b3a4ab37d\">Organization ULS DEV</a></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Represents the patient's nationality\"><a href=\"StructureDefinition-nationality-pt.html\">Nationality Extension</a></td><td colspan=\"3\"><span title=\"Códigos:{https://www.iso.org/iso-3166-country-codes.html PT}\">Portugal</span></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://example.com/fhir/hl7pt/StructureDefinition/nationality-pt",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.iso.org/iso-3166-country-codes.html",
"code" : "PT",
"display" : "Portugal"
}
]
}
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PI",
"display" : "Patient internal identifier"
}
],
"text" : "Identificador sequencial do utente na entidade"
},
"system" : "http://example.org/ADT",
"value" : "b4d3104a-7d7d-4fc0-a61b-3547836fb84c"
},
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PI",
"display" : "Patient internal identifier"
}
],
"text" : "Identificador sequencial do utente na entidade"
},
"system" : "http://example.org/SONHO",
"value" : "404066"
},
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical record number"
}
],
"text" : "Número do processo"
},
"system" : "http://example.org/SONHO",
"value" : "18015692"
},
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "TAX",
"display" : "Tax ID number"
}
],
"text" : "Número de identificação fiscal"
},
"system" : "http://example.org/AT",
"value" : "254781369"
},
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PPN",
"display" : "Passport Number"
}
],
"text" : "Passport number"
},
"value" : "589471XS"
}
],
"active" : true,
"name" : [
{
"use" : "official",
"family" : "Alves",
"given" : [
"Liliana",
"Cristina"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "265842987",
"rank" : 1
},
{
"system" : "phone",
"value" : "915469872",
"use" : "mobile",
"rank" : 1
},
{
"system" : "email",
"value" : "li@email.com",
"rank" : 1
}
],
"gender" : "female",
"birthDate" : "1995-10-09",
"deceasedBoolean" : false,
"address" : [
{
"extension" : [
{
"extension" : [
{
"url" : "address-type-pt",
"valueCoding" : {
"system" : "http://spms.min-saude.pt/rnu/extensions/address-types",
"code" : "MA",
"display" : "Main Address"
}
},
{
"url" : "parish-pt",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://www.ine.pt",
"code" : "060201"
}
]
}
},
{
"url" : "municipality-pt",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://www.ine.pt",
"code" : "0602"
}
]
}
},
{
"url" : "county-pt",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://www.ine.pt",
"code" : "06"
}
]
}
},
{
"url" : "country-pt",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.iso.org/iso-3166-country-codes.html",
"code" : "PT"
}
]
}
}
],
"url" : "http://example.com/fhir/hl7pt/StructureDefinition/address-pt"
}
],
"use" : "billing",
"line" : [
"Rua De Casa, N.2 Ançã"
],
"postalCode" : "3060-009"
}
],
"contact" : [
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "ONESELF",
"display" : "Self"
}
]
}
],
"name" : {
"use" : "official",
"family" : "Alves",
"given" : [
"Lilia",
"Jose Teste"
]
},
"telecom" : [
{
"system" : "phone",
"value" : "265842987",
"rank" : 1
},
{
"system" : "phone",
"value" : "915469872",
"use" : "mobile",
"rank" : 1
},
{
"system" : "email",
"value" : "li@email.com",
"rank" : 1
}
]
}
],
"generalPractitioner" : [
{
"reference" : "urn:uuid:0040e52f-85c7-3d99-b3dd-4c6431285d30"
},
{
"reference" : "urn:uuid:17fafe5f-6ce2-3190-8ec0-9d2e80a4cbf6"
}
],
"managingOrganization" : {
"reference" : "urn:uuid:21af15d4-7e31-3976-8391-fe0b3a4ab37d"
}
}
},
{
"fullUrl" : "urn:uuid:cc5416a2-8697-3367-bba8-eec87f189665",
"resource" : {
"resourceType" : "Practitioner",
"id" : "cc5416a2-8697-3367-bba8-eec87f189665",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_cc5416a2-8697-3367-bba8-eec87f189665\"> </a><p class=\"res-header-id\"><b>Narrativa gerada: Practitioner cc5416a2-8697-3367-bba8-eec87f189665</b></p><a name=\"cc5416a2-8697-3367-bba8-eec87f189665\"> </a><a name=\"hccc5416a2-8697-3367-bba8-eec87f189665\"> </a><p><b>identifier</b>: Numero interno do profissional/cc5416a2-8697-3367-bba8-eec87f189665\u00a0(utilização:\u00a0usual,\u00a0), Numero mecanográfico do profissional/30047\u00a0(utilização:\u00a0official,\u00a0)</p><p><b>active</b>: true</p></div>"
},
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "EI",
"display" : "Employee number"
}
],
"text" : "Numero interno do profissional"
},
"system" : "http://example.org/ADT",
"value" : "cc5416a2-8697-3367-bba8-eec87f189665"
},
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "EI",
"display" : "Employee number"
}
],
"text" : "Numero mecanográfico do profissional"
},
"system" : "http://example.org/RHV",
"value" : "30047"
}
],
"active" : true
}
},
{
"fullUrl" : "urn:uuid:8d71060c-92da-35e9-a62e-576973141ccb",
"resource" : {
"resourceType" : "Coverage",
"id" : "8d71060c-92da-35e9-a62e-576973141ccb",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_8d71060c-92da-35e9-a62e-576973141ccb\"> </a><p class=\"res-header-id\"><b>Narrativa gerada: Coverage 8d71060c-92da-35e9-a62e-576973141ccb</b></p><a name=\"8d71060c-92da-35e9-a62e-576973141ccb\"> </a><a name=\"hc8d71060c-92da-35e9-a62e-576973141ccb\"> </a><p><b>PTCoverageReason</b>: <span title=\"Códigos:{http://example.org/SONHO 705}\">Insuficiencia Económica</span></p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Códigos:{http://spms.min-saude.pt/rnu/systemcodes/coverage-type BU}\">Beneficio do utente</span></p><p><b>beneficiary</b>: <a href=\"Bundle-patient-update.html#urn-uuid-21af15d4-7e31-3976-8391-ff0b3a4ab37e\">Liliana Cristina Alves (official) Female, DoB: 1995-10-09 ( Identificador sequencial do utente na entidade:\u00a0404066\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>period</b>: 2024-12-08 00:00:00+0000 --> (em curso)</p><p><b>payor</b>: <a href=\"Bundle-patient-update.html#urn-uuid-7cb2fb44-1e55-4fde-bde1-652ce717a0ce\">Organization Serviço Nacional de Saúde</a></p></div>"
},
"extension" : [
{
"url" : "http://example.com/fhir/hl7pt/StructureDefinition/coverage-reason-pt",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://example.org/SONHO",
"code" : "705",
"display" : "Insuficiencia Económica"
}
]
}
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://spms.min-saude.pt/rnu/systemcodes/coverage-type",
"code" : "BU",
"display" : "Beneficio do utente"
}
]
},
"beneficiary" : {
"reference" : "urn:uuid:21af15d4-7e31-3976-8391-ff0b3a4ab37e"
},
"period" : {
"start" : "2024-12-08T00:00:00+00:00"
},
"payor" : [
{
"reference" : "urn:uuid:7cb2fb44-1e55-4fde-bde1-652ce717a0ce"
}
]
}
},
{
"fullUrl" : "urn:uuid:7cb2fb44-1e55-4fde-bde1-652ce717a0ce",
"resource" : {
"resourceType" : "Organization",
"id" : "7cb2fb44-1e55-4fde-bde1-652ce717a0ce",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_7cb2fb44-1e55-4fde-bde1-652ce717a0ce\"> </a><p class=\"res-header-id\"><b>Narrativa gerada: Organization 7cb2fb44-1e55-4fde-bde1-652ce717a0ce</b></p><a name=\"7cb2fb44-1e55-4fde-bde1-652ce717a0ce\"> </a><a name=\"hc7cb2fb44-1e55-4fde-bde1-652ce717a0ce\"> </a><p><b>identifier</b>: <code>http://example.org/SONHO</code>/935601\u00a0(utilização:\u00a0usual,\u00a0)</p><p><b>active</b>: true</p><p><b>name</b>: Serviço Nacional de Saúde</p></div>"
},
"identifier" : [
{
"use" : "usual",
"system" : "http://example.org/SONHO",
"value" : "935601"
}
],
"active" : true,
"name" : "Serviço Nacional de Saúde"
}
},
{
"fullUrl" : "urn:uuid:0040e52f-85c7-3d99-b3dd-4c6431285d30",
"resource" : {
"resourceType" : "Practitioner",
"id" : "0040e52f-85c7-3d99-b3dd-4c6431285d30",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_0040e52f-85c7-3d99-b3dd-4c6431285d30\"> </a><p class=\"res-header-id\"><b>Narrativa gerada: Practitioner 0040e52f-85c7-3d99-b3dd-4c6431285d30</b></p><a name=\"0040e52f-85c7-3d99-b3dd-4c6431285d30\"> </a><a name=\"hc0040e52f-85c7-3d99-b3dd-4c6431285d30\"> </a><p><b>active</b>: true</p><p><b>name</b>: Ana Torres </p></div>"
},
"active" : true,
"name" : [
{
"family" : "Torres",
"given" : [
"Ana"
]
}
]
}
},
{
"fullUrl" : "urn:uuid:21af15d4-7e31-3976-8391-fe0b3a4ab37d",
"resource" : {
"resourceType" : "Organization",
"id" : "21af15d4-7e31-3976-8391-fe0b3a4ab37d",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_21af15d4-7e31-3976-8391-fe0b3a4ab37d\"> </a><p class=\"res-header-id\"><b>Narrativa gerada: Organization 21af15d4-7e31-3976-8391-fe0b3a4ab37d</b></p><a name=\"21af15d4-7e31-3976-8391-fe0b3a4ab37d\"> </a><a name=\"hc21af15d4-7e31-3976-8391-fe0b3a4ab37d\"> </a><p><b>identifier</b>: <code>http://example.org/SONHO</code>/454321\u00a0(utilização:\u00a0usual,\u00a0)</p><p><b>active</b>: true</p><p><b>name</b>: ULS DEV</p></div>"
},
"identifier" : [
{
"use" : "usual",
"system" : "http://example.org/SONHO",
"value" : "454321"
}
],
"active" : true,
"name" : "ULS DEV"
}
},
{
"fullUrl" : "urn:uuid:17fafe5f-6ce2-3190-8ec0-9d2e80a4cbf6",
"resource" : {
"resourceType" : "Organization",
"id" : "17fafe5f-6ce2-3190-8ec0-9d2e80a4cbf6",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_17fafe5f-6ce2-3190-8ec0-9d2e80a4cbf6\"> </a><p class=\"res-header-id\"><b>Narrativa gerada: Organization 17fafe5f-6ce2-3190-8ec0-9d2e80a4cbf6</b></p><a name=\"17fafe5f-6ce2-3190-8ec0-9d2e80a4cbf6\"> </a><a name=\"hc17fafe5f-6ce2-3190-8ec0-9d2e80a4cbf6\"> </a><p><b>identifier</b>: <code>http://example.org/SONHO</code>/454321\u00a0(utilização:\u00a0usual,\u00a0)</p><p><b>active</b>: true</p><p><b>name</b>: USF DEV</p></div>"
},
"identifier" : [
{
"use" : "usual",
"system" : "http://example.org/SONHO",
"value" : "454321"
}
],
"active" : true,
"name" : "USF DEV"
}
}
]
}