BR.GOV.SAUDE.IPS.FHIR\CompositionBRIPS - Definitions

idstring

Is Modifier false

Summary true

4. Composition.meta

Definition

ID lógico deste artefato

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Short ID lógico deste artefatoMetadata about the resource

Control 0..1

Meta

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

6. Composition.implicitRules

Definition

Conjunto de regras utilizadas para a elaboração deste conteúdo

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Short Conjunto de regras utilizadas para a elaboração deste conteúdoA set of rules under which this content was created

Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control 0..1

Is Modifier true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

8. Composition.language

Definition

Idioma do conteúdo do recurso

The base language in which the resource is written.

Short Idioma do conteúdo do recursoLanguage of the resource content

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control 0..1

The codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
(preferred to http://hl7.org/fhir/ValueSet/languages)

A human language.

Additional Bindings

Purpose

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

10. Composition.text

Definition

Resumo do recurso para interpretação humana

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Short Resumo do recurso para interpretação humanaText summary of the resource, for human interpretation

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control 0..1

Is Modifier false

Must Support true

Summary false

Alternate Names narrative, html, xhtml, display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

12. Composition.contained

Definition

Recursos contidos neste artefato

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Short Recursos contidosContained, inline Resources

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Control 0..*

Resource

Is Modifier false

Summary false

Alternate Names inline resources, anonymous resources, contained resources

14. Composition.extension:versionNumber

Slice Name versionNumber

Definition

Identificador específico da versão da Composition

Short Identificador específico da versão da Composition

Comments

While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example.

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(Composition Version Number) (Extension Type: string)

Is Modifier false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

16. Composition.modifierExtension

Definition

Extensões que não podem ser ignoradas

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradasExtensions that cannot be ignored

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them

Summary false

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Names extensions, user content

18. Composition.identifier

Definition

Identificador independente da versão da Composition

A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.

Short Identificador independente da versão da CompositionVersion-independent identifier for the Composition

Comments

Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Identifier

Is Modifier false

Must Support true

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

20. Composition.status

Definition

Status/Situação da Composition: preliminar, definitivo, alterado, inserido com erro

The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

Short Status/Situação da Compositionpreliminary | final | amended | entered-in-error

Comments

If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.

Control 1..1

The codes SHALL be taken from CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/composition-status|4.0.1)

The workflow/clinical status of the composition.

Is Modifier true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

Requirements

Need to be able to mark interim, amended, or withdrawn compositions or documents.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

22. Composition.type

Definition

Tipo da Composition (fixo em 'Sumário Internacional do Paciente)

Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.

Short Tipo da CompositionKind of composition (LOINC if possible)

Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

Control 1..1
This element is affected by the following invariants: ele-1

The codes SHOULD be taken from FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodes
(preferred to http://hl7.org/fhir/ValueSet/doc-typecodes)

Type of a composition.

Type CodeableConcept(Codeable Concept (IPS))

Is Modifier false

Must Support true

Requirements

Key metadata element describing the composition, used in searching/filtering.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "60591-5" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

24. Composition.type.id

Definition

ID exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short ID exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

26. Composition.type.extension

Definition

Conteúdo adicional definido por implementações

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

28. Composition.type.coding

Definition

Código definido por uma terminologia

A reference to a code defined by a terminology system.

Short Código definido por uma terminologiaCode defined by a terminology system

Comments

Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control 0..*
This element is affected by the following invariants: ele-1

Type Coding(Coding with translations)

Is Modifier false

Must Support true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

30. Composition.type.coding.id

Definition

ID exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short ID exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

32. Composition.type.coding.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

34. Composition.type.coding.system

Definition

Identidficador do sistema de terminologia.

The identification of the code system that defines the meaning of the symbol in the code.

Short Identificador do sistema de terminologiaIdentity of the terminology system

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

36. Composition.type.coding.version

Definition

Versão da terminologia LOINC - se relevante

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

Short Versão da terminologia LOINCVersion of the system - if relevant

Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

38. Composition.type.coding.code

Definition

Código conforme terminologia.

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Código conforme terminologiaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

40. Composition.type.coding.display

Definition

Descrição conforme definição da terminologia LOINC

A representation of the meaning of the code in the system, following the rules of the system.

Short Descrição conforme definição da terminologia LOINCRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

42. Composition.type.coding.display.extension:translation

Slice Name translation

Definition

Language translation from base language of resource to another language.

Short Language Translation (Localization)

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(Translation) (Complex Extension)

Is Modifier false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

44. Composition.type.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

46. Composition.type.text

Definition

Representação em texto livre do conceito

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação em texto livre do conceitoPlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

48. Composition.category

Definition

Categorização da Composition

A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

Short Categorização da CompositionCategorization of Composition

Comments

This is a metadata field from XDS/MHD.

Control 0..*

For example codes, see DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodes
(example to http://hl7.org/fhir/ValueSet/document-classcodes)

High-level kind of a clinical document at a macro level.

Is Modifier false

Summary true

Requirements

Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

50. Composition.subject

Definition

Sobre quem e/ou sobre o que é a Composition

Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).

Short Sobre quem e/ou sobre o que é a CompositionWho and/or what the composition is about

Comments

For clinical documents, this is usually the patient.

Control 10..1

Type Reference(PatientBRIPS, Resource)

Is Modifier false

Must Support true

Summary true

Requirements

Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

52. Composition.subject.id

Definition

ID exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short ID exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

54. Composition.subject.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

56. Composition.subject.reference

Definition

Referência literal, URL relativa, interna ou absoluta

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Short Referência literal, URL relativa, interna ou absolutaLiteral reference, Relative, internal or absolute URL

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Control 10..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

58. Composition.subject.type

Definition

Tipo ao qual a referência se refere (por exemplo,'Paciente')

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Short Tipo ao qual a referência se refereType the reference refers to (e.g. "Patient")

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Control 0..1

Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
(extensible to http://hl7.org/fhir/ValueSet/resource-types)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

60. Composition.subject.identifier

Definition

Referência lógica, quando a referência literal não é conhecida

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Short Referência lógica, quando a referência literal não é conhecidaLogical reference, when literal reference is not known

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Identifier

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

62. Composition.subject.display

Definition

Texto alternativo para o recurso

Plain text narrative that identifies the resource in addition to the resource reference.

Short Texto alternativo para o recursoText alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

64. Composition.encounter

Definition

Contato assistencial descrito nesta Composition

Describes the clinical encounter or type of care this documentation is associated with.

Short Contato assistencial descrito nesta CompositionContext of the Composition

Control 0..1

Type Reference(Encounter)

Is Modifier false

Summary true

Requirements

Provides context for the composition and supports searching.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

66. Composition.date

Definition

Data de edição da Composition

The composition editing time, when the composition was last logically changed by the author.

Short Data de edição da CompositionComposition editing time

Comments

The Last Modified Date on the composition may be after the date of the document was attested without being changed.

Control 1..1

dateTime

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

Requirements

dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

68. Composition.author

Definition

Quem e/ou o que foi o autor desta Compositon

Identifies who is responsible for the information in the composition, not necessarily who typed it in.

Short Quem e/ou o que foi o autor desta CompositionWho and/or what authored the composition

Control 1..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Must Support true

Must Support Types No must-support rules about the choice of types/profiles

Summary true

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

70. Composition.title

Definition

Sumário Internacional do Paciente

Official human-readable label for the composition.

Short Sumário Internacional do PacienteHuman Readable name/title

Comments

For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

72. Composition.confidentiality

Definition

Códigos que especificam o nível de confidencialidade da Composition

The code specifying the level of confidentiality of the Composition.

Short Códigos que especificam o nível de confidencialidade da CompositionAs defined by affinity domain

Comments

The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.

Control 0..1

The codes SHALL be taken from v3.ConfidentialityClassification (2014-03-26)http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
(required to http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26)

Codes specifying the level of confidentiality of the composition.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

74. Composition.attester

Definition

Responsável por atestar a acurácia da Composition

A participant who has attested to the accuracy of the composition/document.

Short Responsável por atestar a acurácia da CompositionAttests to accuracy of composition

Comments

Only list each attester once.

Control 0..*

Is Modifier false

Must Support true

Summary false

Requirements

Identifies responsibility for the accuracy of the composition content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

76. Composition.attester.id

Definition

ID exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short ID exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

78. Composition.attester.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

80. Composition.attester.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

82. Composition.attester.mode

Definition

Métodolo utilizada para autenticar a Composition: pessoal, profissional, legal, oficial

The type of attestation the authenticator offers.

Short Métodolo utilizada para autenticar a Compositionpersonal | professional | legal | official

Control 1..1

The codes SHALL be taken from CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)

The way in which a person authenticated a composition.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary false

Requirements

Indicates the level of authority of the attestation.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

84. Composition.attester.time

Definition

Quando a Composition foi atestada

When the composition was attested by the party.

Short Quando a Composition foi atestadaWhen the composition was attested

Control 0..1

dateTime

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary false

Requirements

Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

86. Composition.attester.party

Definition

Quem atestou a Composition

Who attested the composition in the specified way.

Short Quem atestou a CompositionWho attested the composition

Control 0..1

Type Reference(PatientBRIPS, RelatedPerson, PractitionerBRIPS, PractitionerRoleBRIPS, OrganizationBRIPS, Patient, Practitioner, PractitionerRole, Organization)

Is Modifier false

Must Support true

Must Support Types No must-support rules about the choice of types/profiles

Summary false

Requirements

Identifies who has taken on the responsibility for accuracy of the composition content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

88. Composition.custodian

Definition

Organização responsável pela custódia da Composition

Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.

Short Organização responsável pela custódia da CompositionOrganization which maintains the composition

Comments

This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.

Control 0..1

Type Reference(OrganizationBRIPS, Organization)

Is Modifier false

Must Support true

Summary true

Requirements

Identifies where to go to find the current version, where to report issues, etc.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

90. Composition.relatesTo

Definition

Relacionamentos com outras Compositions/Documents

Relationships that this composition has with other compositions or documents that already exist.

Short Relacionamentos com outras Compositions/DocumentsRelationships to other compositions/documents

Comments

A document is a version specific composition.

Control 0..*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

92. Composition.relatesTo.id

Definition

Relacionamentos com outras composições/Documents

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Relacionamentos com outras composições/DocumentsUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

94. Composition.relatesTo.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

96. Composition.relatesTo.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

98. Composition.relatesTo.code

Definition

O tipo de relacionamento entre os Documents: substitui, transforma, sinaliza, adiciona

The type of relationship that this composition has with anther composition or document.

Short O tipo de relacionamento entre os Documentsreplaces | transforms | signs | appends

Comments

If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

Control 1..1

The codes SHALL be taken from DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
(required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)

The type of relationship between documents.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

100. Composition.relatesTo.target[x]

Definition

Relacionamento alvo

The target composition/document of this relationship.

Short Relacionamento alvoTarget of the relationship

Control 1..1

Type Choice of: Identifier, Reference(Composition, Composition (IPS))

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.relatesTo.target[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:

type @ $this

102. Composition.relatesTo.target[x]:targetReference

Slice Name targetReference

Definition

Referência ao Documento/Composition alvo

The target composition/document of this relationship.

Short Referência ao Documento/Composition alvoTarget of the relationship

Control 01..1

Type Reference(CompositionBRIPS, Composition), Identifier

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

104. Composition.event

Definition

erviços assistenciais documentados

The clinical service, such as a colonoscopy or an appendectomy, being documented.

Short Serviços assistenciais documentadosThe clinical service(s) being documented

Comments

The event needs to be consistent with the type element, though can provide further information if desired.

Control 0..*

Is Modifier false

Summary true

Requirements

Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.event. The slices areUnordered and Open, and can be differentiated using the following discriminators:

pattern @ code

106. Composition.event.id

Definition

ID exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short ID exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

108. Composition.event.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

110. Composition.event.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

112. Composition.event.code

Definition

Código(s) aplicável(is) aos eventos documentados

This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.

Short Código(s) aplicável(is) aos eventos documentadosCode(s) that apply to the event being documented

Comments

An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.

Control 0..*

For example codes, see v3 Code System ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode
(example to http://terminology.hl7.org/ValueSet/v3-ActCode)

This list of codes represents the main clinical acts being documented.

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

114. Composition.event.period

Definition

Período da documentação

The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

Short Período da documentaçãoThe period covered by the documentation

Control 0..1

Period

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

116. Composition.event.detail

Definition

Detalhes do(s) evento(s) documentado(s)

The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.

Short Detalhes do(s) evento(s) documentado(s)The event(s) being documented

Control 0..*

Type Reference(Resource)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

118. Composition.event:careProvisioningEvent

Slice Name careProvisioningEvent

Definition

Prestação de cuidados de saúde documentada

The clinical service, such as a colonoscopy or an appendectomy, being documented.

Short Prestação de cuidados documentadaThe clinical service(s) being documented

Comments

The event needs to be consistent with the type element, though can provide further information if desired.

Control 0..1*

Is Modifier false

Must Support true

Summary true

Requirements

Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

120. Composition.event:careProvisioningEvent.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

122. Composition.event:careProvisioningEvent.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

124. Composition.event:careProvisioningEvent.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

126. Composition.event:careProvisioningEvent.code

Definition

Códigos que representam os atos clínicos documentados

Short Código(s) aplicável(is) ao evento documentadoCode(s) that apply to the event being documented

Comments

Control 10..1*

For example codes, see v3 Code System ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode
(example to http://terminology.hl7.org/ValueSet/v3-ActCode)

This list of codes represents the main clinical acts being documented.

Is Modifier false

Must Support true

Summary true

Pattern Value { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass", "code" : "PCPR" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

128. Composition.event:careProvisioningEvent.code.id

Definition

ID exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short ID exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

130. Composition.event:careProvisioningEvent.code.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.event.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

132. Composition.event:careProvisioningEvent.code.coding

Definition

Código definido por um sistema de terminologia

A reference to a code defined by a terminology system.

Short Código definido por um sistema de terminologiaCode defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

134. Composition.event:careProvisioningEvent.code.coding.id

Definition

ID exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short ID exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

136. Composition.event:careProvisioningEvent.code.coding.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.event.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

138. Composition.event:careProvisioningEvent.code.coding.system

Definition

Identificador do sistema de terminologia

The identification of the code system that defines the meaning of the symbol in the code.

Short Identificador do sistema de terminologiaIdentity of the terminology system

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

140. Composition.event:careProvisioningEvent.code.coding.version

Definition

Versão do sistema de terminologia, se relevante

Short Versão do sistema de terminologiaVersion of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

142. Composition.event:careProvisioningEvent.code.coding.code

Definition

Códgo na sintaxe definida pelo sistema de terminologia

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Código na sintaxe definida pela terminologiaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

144. Composition.event:careProvisioningEvent.code.coding.display

Definition

Descrição definida pela terminologia

A representation of the meaning of the code in the system, following the rules of the system.

Short Descrição conforme definida pela terminologiaRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

146. Composition.event:careProvisioningEvent.code.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

148. Composition.event:careProvisioningEvent.code.text

Definition

Representação em texto livre do conceito

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação em texto livre do conceitoPlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

150. Composition.event:careProvisioningEvent.period

Definition

Período da documentação

The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

Short Período da documentaçãoThe period covered by the documentation

Control 0..1

Period

Is Modifier false

Must Support true

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

152. Composition.event:careProvisioningEvent.detail

Definition

Detalhes do(s) evento(s) documentado(s)

The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.

Short Detalhes do(s) evento(s) documentado(s)The event(s) being documented

Control 0..*

Type Reference(Resource)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

154. Composition.section

Definition

Seções que compõem o Sumário Internacional do Paciente

The root of the sections that make up the composition.

Short Seções que compõem o Sumário Internacional do PacienteComposition is broken into sections

Control 10..*

Is Modifier false

Must Support true

Summary false

Invariants cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())

This element introduces a set of slices on Composition.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:

pattern @ code

156. Composition.section.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementoUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

158. Composition.section.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

160. Composition.section.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

162. Composition.section.title

Definition

Título da seção do Sumário Internacional do Paciente

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Título da seçãoLabel for section (e.g. for ToC)

Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

164. Composition.section.code

Definition

Conceito - referência a uma terminologia ou apenas texto

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classificação a seção da Composition/DocumentClassification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Control 10..1
This element is affected by the following invariants: ele-1

For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
(example to http://hl7.org/fhir/ValueSet/doc-section-codes)

Classification of a section of a composition/document.

Type CodeableConcept(Codeable Concept (IPS))

Is Modifier false

Must Support true

Requirements

Provides computable standardized labels to topics within the document.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

166. Composition.section.author

Definition

Quem e/ou o que foi o autor desta seção

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Quem e/ou o que foi o autor desta seçãoWho and/or what authored the section

Control 0..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

168. Composition.section.focus

Definition

Sobre quem/o que é a seção, quando não é sobre o assunto da Composition

The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

Short Quem/o que é a seçãoWho/what the section is about, when it is not about the subject of composition

Comments

Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

170. Composition.section.text

Definition

Resumo de texto da seção para interpretação humana

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Short Resumo de texto da seçãoText summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 10..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Must Support true

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

172. Composition.section.mode

Definition

Método de processamento da seção

How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

Short Método de processamento da seçãoworking | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

174. Composition.section.orderedBy

Definition

Ordem dos elementos na seção 'entry'

Specifies the order applied to the items in the section entries.

Short Ordem dos elementos na seção 'entry'Order of section entries

Comments

Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

Control 0..1

The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
(preferred to http://hl7.org/fhir/ValueSet/list-order)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

176. Composition.section.entry

Definition

Entrada de uma seção

A reference to the actual resource from which the narrative in the section is derived.

Short Entrada de uma seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

178. Composition.section.emptyReason

Definition

Motivo pelo qual a seção está em branco

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Short Motivo pelo qual a seção está em brancoWhy the section is empty

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

Control 0..01
This element is affected by the following invariants: cmp-2

The codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
(preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

If a section is empty, why it is empty.

Is Modifier false

Must Support false

Summary false

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

180. Composition.section.section

Definition

A nested sub-section within this section.

Short Nested Section

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Control 0..0*
This element is affected by the following invariants: cmp-1

Type Seettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section

Is Modifier false

Must Support false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

182. Composition.section:sectionMedications

Slice Name sectionMedications

Definition

Seção de Resumo de Medicação do Sumário do Paciente

The root of the sections that make up the composition.

Short Seção de Resumo de Medicamentos do Sumário Internacional do PacienteComposition is broken into sections

Control 10..1*

Is Modifier false

Must Support true

Summary false

184. Composition.section:sectionMedications.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

186. Composition.section:sectionMedications.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

188. Composition.section:sectionMedications.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

190. Composition.section:sectionMedications.title

Definition

Título da seção - Fixo em 'Sumário de Medicamentos'

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Título da seção - Fixo em 'Sumário de Medicamentos'Label for section (e.g. for ToC)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

192. Composition.section:sectionMedications.code

Definition

Classificação da seção da Composition/Document

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classificação da seção da Composition/DocumentClassification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

Control 0..1

For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
(example to http://hl7.org/fhir/ValueSet/doc-section-codes)

Classification of a section of a composition/document.

Is Modifier false

Summary false

Requirements

Provides computable standardized labels to topics within the document.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "10160-0" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

194. Composition.section:sectionMedications.code.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

196. Composition.section:sectionMedications.code.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

198. Composition.section:sectionMedications.code.coding

Definition

Código definido por uma terminologia

A reference to a code defined by a terminology system.

Short Código definido por uma terminologiaCode defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

200. Composition.section:sectionMedications.code.coding.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

202. Composition.section:sectionMedications.code.coding.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

204. Composition.section:sectionMedications.code.coding.system

Definition

Identidade da terminologia

The identification of the code system that defines the meaning of the symbol in the code.

Short Identificador da terminologiaIdentity of the terminology system

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

206. Composition.section:sectionMedications.code.coding.version

Definition

Versão da terminologia - se relevante

Short Versão da terminologia - se relevanteVersion of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

208. Composition.section:sectionMedications.code.coding.code

Definition

Código do conceito na sintaxe definida pela terminologia - fixo em 'loinc#10160-0 (Medicamentos em uso)'

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Código do conceito na sintaxe definida pela terminologiaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

210. Composition.section:sectionMedications.code.coding.display

Definition

Representação definida pela terminologia

A representation of the meaning of the code in the system, following the rules of the system.

Short Descrição conforme definido pela terminologiaRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

212. Composition.section:sectionMedications.code.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

214. Composition.section:sectionMedications.code.text

Definition

Representação em texto do conceito

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação em texto do conceitoPlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

216. Composition.section:sectionMedications.author

Definition

Quem/o quê foi o autor desta seção

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Quem/o quê foi o autor desta seçãoWho and/or what authored the section

Control 0..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

218. Composition.section:sectionMedications.focus

Definition

Sobre quem/o quê é a seção, quando não é sobre o assunto da Composition

Short Sobre quem/o quê é a seção, quando não é sobre o assunto da CompositionWho/what the section is about, when it is not about the subject of composition

Comments

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

220. Composition.section:sectionMedications.text

Definition

Resumo de texto da seção

Short Resumo de texto da seçãoText summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 0..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

222. Composition.section:sectionMedications.mode

Definition

Método de processamento da seção

Short Método de processamento da seçãoworking | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

224. Composition.section:sectionMedications.orderedBy

Definition

Ordem dos elementos na seção 'entry'

Specifies the order applied to the items in the section entries.

Short Ordem dos elementos na seção 'entry'Order of section entries

Comments

Control 0..1

The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
(preferred to http://hl7.org/fhir/ValueSet/list-order)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

226. Composition.section:sectionMedications.entry

Definition

Medicamentos relevantes para o sumário internacional do paciente

A reference to the actual resource from which the narrative in the section is derived.

Short Medicamentos relevantes para o sumário internacional do pacienteA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 10..*
This element is affected by the following invariants: cmp-2

Type Reference(MedicationStatement, MedicationRequest, MedicationAdministration, MedicationDispense, DocumentReference, Resource)

Is Modifier false

Must Support true

Must Support Types No must-support rules about the choice of types/profiles

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:

profile @ resolve()

228. Composition.section:sectionMedications.entry:medicationStatement

Slice Name medicationStatement

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(MedicationStatementBRIPS, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

230. Composition.section:sectionMedications.entry:medicationRequest

Slice Name medicationRequest

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(MedicationRequestBRIPS, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

232. Composition.section:sectionMedications.emptyReason

Definition

Informa por quê esta seção está ausente

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Short Informa por quê esta seção está ausenteWhy the section is empty

Comments

Control 0..1
This element is affected by the following invariants: cmp-2

The codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
(preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

If a section is empty, why it is empty.

Is Modifier false

Summary false

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

234. Composition.section:sectionMedications.section

Definition

Subseção do Document

A nested sub-section within this section.

Short Subseção do DocumentNested Section

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Control 0..*
This element is affected by the following invariants: cmp-1

Type Seettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

236. Composition.section:sectionAllergies

Slice Name sectionAllergies

Definition

Seção de Alergias e Intolerâncias do Internacional do Paciente - (IPS - International Patient Summary)

The root of the sections that make up the composition.

Short Seção de Alergias e Intolerâncias do Sumário Internacional do Paciente - (IPS - International Patient Summary)Composition is broken into sections

Control 10..1*

Is Modifier false

Must Support true

Summary false

238. Composition.section:sectionAllergies.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

240. Composition.section:sectionAllergies.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

242. Composition.section:sectionAllergies.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

244. Composition.section:sectionAllergies.title

Definition

Título da subseção - Fixo em 'Alergias e Intolerâncias'

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Título da subseção - Fixo em 'Alergias e Intolerâncias'Label for section (e.g. for ToC)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

246. Composition.section:sectionAllergies.code

Definition

Classificação da subseção

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classificação da subseçãoClassification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

Control 0..1

For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
(example to http://hl7.org/fhir/ValueSet/doc-section-codes)

Classification of a section of a composition/document.

Is Modifier false

Summary false

Requirements

Provides computable standardized labels to topics within the document.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "48765-2" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

248. Composition.section:sectionAllergies.code.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

250. Composition.section:sectionAllergies.code.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

252. Composition.section:sectionAllergies.code.coding

Definition

Código definido por um sistema de terminologia

A reference to a code defined by a terminology system.

Short Código definido por um sistema de terminologiaCode defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

254. Composition.section:sectionAllergies.code.coding.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

256. Composition.section:sectionAllergies.code.coding.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

258. Composition.section:sectionAllergies.code.coding.system

Definition

identificador da terminologia

The identification of the code system that defines the meaning of the symbol in the code.

Short Identificador da terminologiaIdentity of the terminology system

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

260. Composition.section:sectionAllergies.code.coding.version

Definition

Versão da terminologia, se relevante

Short Versão da terminologia, se relevanteVersion of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

262. Composition.section:sectionAllergies.code.coding.code

Definition

Código do conceito na sintaxe definida pela terminologia - fixo em 48765-2 (Alergias e Reações Adversas)

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Código do conceito na sintaxe definida pela terminologiaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

264. Composition.section:sectionAllergies.code.coding.display

Definition

Descrição conforme definida pela terminologia

A representation of the meaning of the code in the system, following the rules of the system.

Short Descrição conforme definida pela terminologiaRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

266. Composition.section:sectionAllergies.code.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

268. Composition.section:sectionAllergies.code.text

Definition

Representação do conceito em texto

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação do conceito em textoPlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

270. Composition.section:sectionAllergies.author

Definition

Quem/o quê foi o autor desta seção

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Quem/o quê foi o autor desta seçãoWho and/or what authored the section

Control 0..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

272. Composition.section:sectionAllergies.focus

Definition

Sobre quem/o que é a seção, quando não é sobre o assunto da Composition

Short Sobre quem/o que é a seção, quando não é sobre o assunto da CompositionWho/what the section is about, when it is not about the subject of composition

Comments

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

274. Composition.section:sectionAllergies.text

Definition

Resumo em texto da seção

Short Resumo em texto da seçãoText summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 0..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

276. Composition.section:sectionAllergies.mode

Definition

Método de processamento da seção

Short Método de processamento da seçãoworking | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

278. Composition.section:sectionAllergies.orderedBy

Definition

Ordem dos elementos na seção 'entry'

Specifies the order applied to the items in the section entries.

Short Ordem dos elementos na seção 'entry'Order of section entries

Comments

Control 0..1

The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
(preferred to http://hl7.org/fhir/ValueSet/list-order)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

280. Composition.section:sectionAllergies.entry

Definition

Alergias ou intolerâncias (condições) relevantes para aquele paciente

A reference to the actual resource from which the narrative in the section is derived.

Short Alergias ou intolerâncias (condições) relevantes para o pacienteA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 10..*
This element is affected by the following invariants: cmp-2

Type Reference(AllergyIntolerance, DocumentReference, Resource)

Is Modifier false

Must Support true

Must Support Types No must-support rules about the choice of types/profiles

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:

profile @ resolve()

282. Composition.section:sectionAllergies.entry:allergyOrIntolerance

Slice Name allergyOrIntolerance

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 10..*
This element is affected by the following invariants: cmp-2

Type Reference(AllergyIntoleranceBRIPS, Resource)

Is Modifier false

Must Support true

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

284. Composition.section:sectionAllergies.emptyReason

Definition

Informa por quê esta seção está ausente

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Short Informa por quê esta seção está ausenteWhy the section is empty

Comments

Control 0..1
This element is affected by the following invariants: cmp-2

The codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
(preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

If a section is empty, why it is empty.

Is Modifier false

Summary false

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

286. Composition.section:sectionAllergies.section

Definition

Subseção do Document

A nested sub-section within this section.

Short Subseção do DocumentNested Section

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Control 0..*
This element is affected by the following invariants: cmp-1

Type Seettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

288. Composition.section:sectionProblems

Slice Name sectionProblems

Definition

Seção da Lista de Problemas do Sumário Internacional do Paciente

The root of the sections that make up the composition.

Short Seção da Lista de Problemas do Sumário Internacional do PacienteComposition is broken into sections

Control 10..1*

Is Modifier false

Must Support true

Summary false

290. Composition.section:sectionProblems.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

292. Composition.section:sectionProblems.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

294. Composition.section:sectionProblems.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

296. Composition.section:sectionProblems.title

Definition

Título da subseção - Fixo em: Lista de Problemas

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Título da subseção - Fixo em: Lista de ProblemasLabel for section (e.g. for ToC)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

298. Composition.section:sectionProblems.code

Definition

Classificação da seção da Composition/Document

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classificação da seção da Composition/DocumentClassification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

Control 0..1

For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
(example to http://hl7.org/fhir/ValueSet/doc-section-codes)

Classification of a section of a composition/document.

Is Modifier false

Summary false

Requirements

Provides computable standardized labels to topics within the document.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "11450-4" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

300. Composition.section:sectionProblems.code.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

302. Composition.section:sectionProblems.code.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

304. Composition.section:sectionProblems.code.coding

Definition

Código definido por um sistema de terminologia

A reference to a code defined by a terminology system.

Short Código definido por um sistema de terminologiaCode defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

306. Composition.section:sectionProblems.code.coding.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

308. Composition.section:sectionProblems.code.coding.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

310. Composition.section:sectionProblems.code.coding.system

Definition

Identificação do sistema de terminologia

The identification of the code system that defines the meaning of the symbol in the code.

Short Identificação do sistema de terminologiaIdentity of the terminology system

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

312. Composition.section:sectionProblems.code.coding.version

Definition

Versão da terminologia, se relevante

Short Versão da terminologia, se relevanteVersion of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

314. Composition.section:sectionProblems.code.coding.code

Definition

Símbolo na sintaxe definida pela terminologia - fixo em 'loinc#11450-4 (Lista de Problemas)'

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Símbolo na sintaxe definida pela terminologiaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

316. Composition.section:sectionProblems.code.coding.display

Definition

Representação definida pelo sistema

A representation of the meaning of the code in the system, following the rules of the system.

Short Representação definida pelo sistemaRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

318. Composition.section:sectionProblems.code.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

320. Composition.section:sectionProblems.code.text

Definition

Representação do conceito em texto simples

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação do conceito em texto simplesPlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

322. Composition.section:sectionProblems.author

Definition

Quem/o quê foi o autor desta seção

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Quem/o quê foi o autor desta seçãoWho and/or what authored the section

Control 0..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

324. Composition.section:sectionProblems.focus

Definition

Sobre quem/o que é a seção, quando não é sobre o assunto da Composition

Short Sobre quem/o que é a seção, quando não é sobre o assunto da CompositionWho/what the section is about, when it is not about the subject of composition

Comments

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

326. Composition.section:sectionProblems.text

Definition

Resumo de texto da seção em texto livre

Short Resumo de texto da seção em texto livreText summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 0..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

328. Composition.section:sectionProblems.mode

Definition

Método de processamento da seção

Short Método de processamento da seçãoworking | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

330. Composition.section:sectionProblems.orderedBy

Definition

Ordem dos elementos na seção 'entry'

Specifies the order applied to the items in the section entries.

Short Ordem dos elementos na seção 'entry'Order of section entries

Comments

Control 0..1

The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
(preferred to http://hl7.org/fhir/ValueSet/list-order)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

332. Composition.section:sectionProblems.entry

Definition

Problemas ou condições clínicas do paciente em monitoramento

A reference to the actual resource from which the narrative in the section is derived.

Short Problemas ou condições clínicas do paciente em monitoramentoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 10..*
This element is affected by the following invariants: cmp-2

Type Reference(Condition, DocumentReference, Resource)

Is Modifier false

Must Support true

Must Support Types No must-support rules about the choice of types/profiles

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:

profile @ resolve()

334. Composition.section:sectionProblems.entry:problem

Slice Name problem

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 10..*
This element is affected by the following invariants: cmp-2

Type Reference(ConditionBRIPS, Resource)

Is Modifier false

Must Support true

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

336. Composition.section:sectionProblems.emptyReason

Definition

Informa por quê esta seção está ausente

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Short Informa por quê esta seção está ausenteWhy the section is empty

Comments

Control 0..1
This element is affected by the following invariants: cmp-2

The codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
(preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

If a section is empty, why it is empty.

Is Modifier false

Summary false

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

338. Composition.section:sectionProblems.section

Definition

Subseção do Document

A nested sub-section within this section.

Short Subseção do DocumentNested Section

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Control 0..*
This element is affected by the following invariants: cmp-1

Type Seettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

340. Composition.section:sectionProceduresHx

Slice Name sectionProceduresHx

Definition

Seção de Histórico de Procedimentos Sumário Internacional do Paciente

The root of the sections that make up the composition.

Short Seção de Histórico de Procedimentos do Sumário Internacional do PacienteComposition is broken into sections

Control 0..1*

Is Modifier false

Must Support true

Summary false

342. Composition.section:sectionProceduresHx.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

344. Composition.section:sectionProceduresHx.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

346. Composition.section:sectionProceduresHx.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

348. Composition.section:sectionProceduresHx.title

Definition

Título da subseção - Fixo em 'Histórico de Procedimentos do Paciente'

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Título da subseção - fixo em 'Histórico de Procedimentos do Paciente'Label for section (e.g. for ToC)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

350. Composition.section:sectionProceduresHx.code

Definition

Classificação da seção da Composition/Document

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classificação da seção da Composition/DocumentClassification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

Control 0..1

For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
(example to http://hl7.org/fhir/ValueSet/doc-section-codes)

Classification of a section of a composition/document.

Is Modifier false

Summary false

Requirements

Provides computable standardized labels to topics within the document.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "47519-4" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

352. Composition.section:sectionProceduresHx.code.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

354. Composition.section:sectionProceduresHx.code.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

356. Composition.section:sectionProceduresHx.code.coding

Definition

Código definido por um sistema de terminologia

A reference to a code defined by a terminology system.

Short Código definido por um sistema de terminologiaCode defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

358. Composition.section:sectionProceduresHx.code.coding.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

360. Composition.section:sectionProceduresHx.code.coding.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

362. Composition.section:sectionProceduresHx.code.coding.system

Definition

Identificação do sistema de terminologia

The identification of the code system that defines the meaning of the symbol in the code.

Short Identificação do sistema de terminologiaIdentity of the terminology system

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

364. Composition.section:sectionProceduresHx.code.coding.version

Definition

Versão do sistema de terminologia, se relevante

Short Versão do sistema de terminologia, se relevanteVersion of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

366. Composition.section:sectionProceduresHx.code.coding.code

Definition

Código do conceito na sintaxe definida pela terminologia. Fixo em 'loinc#47519-4 (Histórico de Procedimentos)'

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Código do conceito na sintaxe definida pela terminologiaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

368. Composition.section:sectionProceduresHx.code.coding.display

Definition

Representação definida pelo sisRepresentação definida pela terminologia

A representation of the meaning of the code in the system, following the rules of the system.

Short Representação definida pelo sistema de terminologiaRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

370. Composition.section:sectionProceduresHx.code.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

372. Composition.section:sectionProceduresHx.code.text

Definition

Representação do conceito em texto

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação do conceito em textoPlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

374. Composition.section:sectionProceduresHx.author

Definition

Quem/o quê foi o autor desta seção

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Quem/o quê foi o autor desta seçãoWho and/or what authored the section

Control 0..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

376. Composition.section:sectionProceduresHx.focus

Definition

Sobre quem/o que é a seção, quando não é sobre o assunto da Composition

Short Sobre quem/o que é a seção, quando não é sobre o assunto da CompositionWho/what the section is about, when it is not about the subject of composition

Comments

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

378. Composition.section:sectionProceduresHx.text

Definition

Resumo da seção em texto livre

Short Resumo da seção em texto livreText summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 0..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

380. Composition.section:sectionProceduresHx.mode

Definition

Método de processamento da seção

Short Método de processamento da seçãoworking | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

382. Composition.section:sectionProceduresHx.orderedBy

Definition

Ordem dos elementos na seção 'entry'

Specifies the order applied to the items in the section entries.

Short Ordem dos elementos na seção 'entry'Order of section entries

Comments

Control 0..1

The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
(preferred to http://hl7.org/fhir/ValueSet/list-order)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

384. Composition.section:sectionProceduresHx.entry

Definition

Lista os procedimentos anteriores do paciente que são pertinentes ao escopo deste Document

A reference to the actual resource from which the narrative in the section is derived.

Short Procedimentos anteriores do paciente pertinentes ao escopo deste DocumentA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 10..*
This element is affected by the following invariants: cmp-2

Type Reference(Procedure, DocumentReference, Resource)

Is Modifier false

Must Support true

Must Support Types No must-support rules about the choice of types/profiles

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:

profile @ resolve()

386. Composition.section:sectionProceduresHx.entry:procedure

Slice Name procedure

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 10..*
This element is affected by the following invariants: cmp-2

Type Reference(ProcedureBRIPS, Resource)

Is Modifier false

Must Support true

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

388. Composition.section:sectionProceduresHx.emptyReason

Definition

Informa por quê esta seção está ausente

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Short Informa por quê esta seção está ausenteWhy the section is empty

Comments

Control 0..1
This element is affected by the following invariants: cmp-2

The codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
(preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

If a section is empty, why it is empty.

Is Modifier false

Summary false

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

390. Composition.section:sectionProceduresHx.section

Definition

Subseção do Document

A nested sub-section within this section.

Short Subseção do DocumentNested Section

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Control 0..*
This element is affected by the following invariants: cmp-1

Type Seettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

392. Composition.section:sectionImmunizations

Slice Name sectionImmunizations

Definition

Seção de Imunizações do Sumário Internacional do Paciente

The root of the sections that make up the composition.

Short Seção de Imunizações do Sumário Internacional do PacienteComposition is broken into sections

Control 0..1*

Is Modifier false

Must Support true

Summary false

394. Composition.section:sectionImmunizations.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

396. Composition.section:sectionImmunizations.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

398. Composition.section:sectionImmunizations.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

400. Composition.section:sectionImmunizations.title

Definition

Título da subseção. Fixo em 'Histórico de Imunizações do Paciente'

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Título da subseçãoLabel for section (e.g. for ToC)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

402. Composition.section:sectionImmunizations.code

Definition

Classificação da seção da Composition/Document

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classificação da seção da Composition/DocumentClassification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

Control 0..1

For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
(example to http://hl7.org/fhir/ValueSet/doc-section-codes)

Classification of a section of a composition/document.

Is Modifier false

Summary false

Requirements

Provides computable standardized labels to topics within the document.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "11369-6" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

404. Composition.section:sectionImmunizations.code.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

406. Composition.section:sectionImmunizations.code.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

408. Composition.section:sectionImmunizations.code.coding

Definition

Código definido por um sistema de terminologia

A reference to a code defined by a terminology system.

Short Código definido por um sistema de terminologiaCode defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

410. Composition.section:sectionImmunizations.code.coding.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

412. Composition.section:sectionImmunizations.code.coding.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

414. Composition.section:sectionImmunizations.code.coding.system

Definition

Identificação do sistema de terminologia

The identification of the code system that defines the meaning of the symbol in the code.

Short Identificação do sistema de terminologiaIdentity of the terminology system

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

416. Composition.section:sectionImmunizations.code.coding.version

Definition

Versão do sistema de terminologia, se relevante

Short Versão do sistema de terminologia, se relevanteVersion of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

418. Composition.section:sectionImmunizations.code.coding.code

Definition

Código na sintaxe definida pelo sistema de terminologia. Fixo em 'loinc#11369-6 (Histórico de Imunizações)'

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Código na sintaxe definida pelo sistema de terminologiaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

420. Composition.section:sectionImmunizations.code.coding.display

Definition

Representação definida pelo sistema

A representation of the meaning of the code in the system, following the rules of the system.

Short Representação definida pelo sistemaRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

422. Composition.section:sectionImmunizations.code.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

424. Composition.section:sectionImmunizations.code.text

Definition

Representação do conceito em texto livre

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação do conceito em texto livrePlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

426. Composition.section:sectionImmunizations.author

Definition

Quem/o quê foi o autor desta seção

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Quem/o quê foi o autor desta seçãoWho and/or what authored the section

Control 0..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

428. Composition.section:sectionImmunizations.focus

Definition

Sobre quem/o que é a seção, quando não é sobre o assunto da Composition

Short Sobre quem/o que é a seção, quando não é sobre o assunto da CompositionWho/what the section is about, when it is not about the subject of composition

Comments

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

430. Composition.section:sectionImmunizations.text

Definition

Resumo da seção em texto livre

Short Resumo da seção em texto livreText summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 0..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

432. Composition.section:sectionImmunizations.mode

Definition

Método de processamento da seção

Short Método de processamento da seçãoworking | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

434. Composition.section:sectionImmunizations.orderedBy

Definition

Ordem dos elementos na seção 'entry'

Specifies the order applied to the items in the section entries.

Short Ordem dos elementos na seção 'entry'Order of section entries

Comments

Control 0..1

The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
(preferred to http://hl7.org/fhir/ValueSet/list-order)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

436. Composition.section:sectionImmunizations.entry

Definition

Status e história de imunização do paciente

A reference to the actual resource from which the narrative in the section is derived.

Short Status e história de imunização do pacienteA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 10..*
This element is affected by the following invariants: cmp-2

Type Reference(Immunization, DocumentReference, Resource)

Is Modifier false

Must Support true

Must Support Types No must-support rules about the choice of types/profiles

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:

profile @ resolve()

438. Composition.section:sectionImmunizations.entry:immunization

Slice Name immunization

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 10..*
This element is affected by the following invariants: cmp-2

Type Reference(ImmunizationBRIPS, Resource)

Is Modifier false

Must Support true

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

440. Composition.section:sectionImmunizations.emptyReason

Definition

Informa por quê esta seção está ausente

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Short Informa por quê esta seção está ausenteWhy the section is empty

Comments

Control 0..1
This element is affected by the following invariants: cmp-2

The codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
(preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

If a section is empty, why it is empty.

Is Modifier false

Summary false

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

442. Composition.section:sectionImmunizations.section

Definition

Subseção do Document

A nested sub-section within this section.

Short Subseção do DocumentNested Section

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Control 0..*
This element is affected by the following invariants: cmp-1

Type Seettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

444. Composition.section:sectionMedicalDevices

Slice Name sectionMedicalDevices

Definition

Seção de Dispositivos Médicos do Sumário Internacional do Paciente

The root of the sections that make up the composition.

Short Seção de Dispositivos Médicos do Sumário Internacional do PacienteComposition is broken into sections

Control 0..1*

Is Modifier false

Must Support true

Summary false

446. Composition.section:sectionMedicalDevices.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

448. Composition.section:sectionMedicalDevices.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

450. Composition.section:sectionMedicalDevices.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

452. Composition.section:sectionMedicalDevices.title

Definition

Título da subseção - Fixo em 'Histórico de Dispositivos Médicos do Paciente'

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Título da subseçãoLabel for section (e.g. for ToC)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

454. Composition.section:sectionMedicalDevices.code

Definition

Classificação da seção da Composition/Document

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classificação da seção da Composition/DocumentClassification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

Control 0..1

For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
(example to http://hl7.org/fhir/ValueSet/doc-section-codes)

Classification of a section of a composition/document.

Is Modifier false

Summary false

Requirements

Provides computable standardized labels to topics within the document.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "46264-8" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

456. Composition.section:sectionMedicalDevices.code.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

458. Composition.section:sectionMedicalDevices.code.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

460. Composition.section:sectionMedicalDevices.code.coding

Definition

Código definido por um sistema de terminologia

A reference to a code defined by a terminology system.

Short Código definido por um sistema de terminologiaCode defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

462. Composition.section:sectionMedicalDevices.code.coding.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

464. Composition.section:sectionMedicalDevices.code.coding.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

466. Composition.section:sectionMedicalDevices.code.coding.system

Definition

Identificação do sistema de terminologia

The identification of the code system that defines the meaning of the symbol in the code.

Short Identificação do sistema de terminologiaIdentity of the terminology system

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

468. Composition.section:sectionMedicalDevices.code.coding.version

Definition

Versão do sistema de terminologia, se relevante

Short Versão do sistema de terminologia, se relevanteVersion of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

470. Composition.section:sectionMedicalDevices.code.coding.code

Definition

Código na sintaxe definida pelo sistema de terminologia. Fixo em 'loinc#46264-8 - (História de dispositivos médicos em uso)'

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Código na sintaxe definida pelo sistema de terminologiaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

472. Composition.section:sectionMedicalDevices.code.coding.display

Definition

Representação definida pelo sistema de terminologia

A representation of the meaning of the code in the system, following the rules of the system.

Short Representação definida pelo sistema de terminologiaRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

474. Composition.section:sectionMedicalDevices.code.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

476. Composition.section:sectionMedicalDevices.code.text

Definition

Representação do conceito em texto livre

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação do conceito em texto livrePlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

478. Composition.section:sectionMedicalDevices.author

Definition

Quem/o quê foi o autor desta seção

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Quem/o quê foi o autor desta seçãoWho and/or what authored the section

Control 0..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

480. Composition.section:sectionMedicalDevices.focus

Definition

Sobre quem/o quê se trata a seção, quando não é sobre o assunto da Composition

Short Sobre quem/o quê se trata a seção, quando não é sobre o assunto da CompositionWho/what the section is about, when it is not about the subject of composition

Comments

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

482. Composition.section:sectionMedicalDevices.text

Definition

Resumo da seção em texto livre

Short Resumo da seção em texto livreText summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 0..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

484. Composition.section:sectionMedicalDevices.mode

Definition

Método de processamento da seção

Short Método de processamento da seçãoworking | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

486. Composition.section:sectionMedicalDevices.orderedBy

Definition

Ordem dos elementos na seção 'entry'

Specifies the order applied to the items in the section entries.

Short Ordem dos elementos na seção 'entry'Order of section entries

Comments

Control 0..1

The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
(preferred to http://hl7.org/fhir/ValueSet/list-order)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

488. Composition.section:sectionMedicalDevices.entry

Definition

Descreve o histórico de uso de dispositivos médicos do paciente

A reference to the actual resource from which the narrative in the section is derived.

Short Histórico ed uso de dispositivos médicos de um pacienteA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 10..*
This element is affected by the following invariants: cmp-2

Type Reference(DeviceUseStatement, DocumentReference, Resource)

Is Modifier false

Must Support true

Must Support Types No must-support rules about the choice of types/profiles

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:

profile @ resolve()

490. Composition.section:sectionMedicalDevices.entry:deviceStatement

Slice Name deviceStatement

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 10..*
This element is affected by the following invariants: cmp-2

Type Reference(Device Use Statement (IPS), Resource)

Is Modifier false

Must Support true

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

492. Composition.section:sectionMedicalDevices.emptyReason

Definition

Informa por quê esta seção está ausente

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Short Informa por quê esta seção está ausenteWhy the section is empty

Comments

Control 0..1
This element is affected by the following invariants: cmp-2

The codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
(preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

If a section is empty, why it is empty.

Is Modifier false

Summary false

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

494. Composition.section:sectionMedicalDevices.section

Definition

Subseção do Document

A nested sub-section within this section.

Short Subseção do DocumentNested Section

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Control 0..*
This element is affected by the following invariants: cmp-1

Type Seettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

496. Composition.section:sectionResults

Slice Name sectionResults

Definition

Seção Resultados do Sumário Internacional do Paciente

The root of the sections that make up the composition.

Short Seção Resultados do Sumário Internacional do PacienteComposition is broken into sections

Control 0..1*

Is Modifier false

Must Support true

Summary false

498. Composition.section:sectionResults.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

500. Composition.section:sectionResults.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

502. Composition.section:sectionResults.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

504. Composition.section:sectionResults.title

Definition

Título da subseção da Composition/Document fixo em: 'Histórico de Resultados do Paciente'

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Título da subseção da Composition/DocumentLabel for section (e.g. for ToC)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Must Support true

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

506. Composition.section:sectionResults.code

Definition

Classificação da seção da Composition/Document

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classificação da seção da Composition/DocumentClassification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

Control 0..1

For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
(example to http://hl7.org/fhir/ValueSet/doc-section-codes)

Classification of a section of a composition/document.

Is Modifier false

Summary false

Requirements

Provides computable standardized labels to topics within the document.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "30954-2" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

508. Composition.section:sectionResults.code.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

510. Composition.section:sectionResults.code.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

512. Composition.section:sectionResults.code.coding

Definition

Código definido por um sistema de terminologia

A reference to a code defined by a terminology system.

Short Código definido por um sistema de terminologiaCode defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

514. Composition.section:sectionResults.code.coding.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

516. Composition.section:sectionResults.code.coding.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

518. Composition.section:sectionResults.code.coding.system

Definition

Identificação do sistema de terminologia

The identification of the code system that defines the meaning of the symbol in the code.

Short Identificação do sistema de terminologiaIdentity of the terminology system

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

520. Composition.section:sectionResults.code.coding.version

Definition

Versão do sistema de terminologia, se relevante

Short Versão do sistema, se relevanteVersion of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

522. Composition.section:sectionResults.code.coding.code

Definition

Código na sintaxe definida pelo sistema de terminologia. Fixo em 'loinc#30954-2 (Histórico de Resultados)'

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Símbolo na sintaxe definida pelo sistema de terminologiaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

524. Composition.section:sectionResults.code.coding.display

Definition

Descrição definida pelo sistema de terminologia

A representation of the meaning of the code in the system, following the rules of the system.

Short Descrição definida pelo sistema de terminologiaRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

526. Composition.section:sectionResults.code.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

528. Composition.section:sectionResults.code.text

Definition

Representação do conceito em texto livre

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação do conceito em texto livrePlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

530. Composition.section:sectionResults.author

Definition

Quem/o quê foi o autor desta seção

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Quem/o quê foi o autor desta seçãoWho and/or what authored the section

Control 0..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

532. Composition.section:sectionResults.focus

Definition

Sobre quem/o quê se trata a seção, quando não é sobre o assunto da Composition

Short Sobre quem/o quê se trata a seção, quando não é sobre o assunto da CompositionWho/what the section is about, when it is not about the subject of composition

Comments

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

534. Composition.section:sectionResults.text

Definition

Resumo da seção em texto livre

Short Resumo da seção em texto livreText summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 0..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

536. Composition.section:sectionResults.mode

Definition

Método de processamento da seção

Short Método de processamento da seçãoworking | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

538. Composition.section:sectionResults.orderedBy

Definition

Ordem dos elementos na seção 'entry'

Specifies the order applied to the items in the section entries.

Short Ordem dos elementos na seção 'entry'Order of section entries

Comments

Control 0..1

The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
(preferred to http://hl7.org/fhir/ValueSet/list-order)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

540. Composition.section:sectionResults.entry

Definition

Seção de Resultados do Sumário Internacional do Paciente

A reference to the actual resource from which the narrative in the section is derived.

Short Seção de Resultados do Sumário Internacional do PacienteA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 10..*
This element is affected by the following invariants: cmp-2

Type Reference(Observation, DiagnosticReport, DocumentReference, Resource)

Is Modifier false

Must Support true

Must Support Types No must-support rules about the choice of types/profiles

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:

type @ resolve()

profile @ resolve()

542. Composition.section:sectionResults.entry:results-observation

Slice Name results-observation

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(ObservationResultsBRIPS, Resource)

Is Modifier false

Must Support true

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

544. Composition.section:sectionResults.entry:results-diagnosticReport

Slice Name results-diagnosticReport

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(DiagnosticReportBRIPS, Resource)

Is Modifier false

Must Support true

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

546. Composition.section:sectionResults.emptyReason

Definition

Informa por quê esta seção está ausente

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Short Informa por quê esta seção está ausenteWhy the section is empty

Comments

Control 0..1
This element is affected by the following invariants: cmp-2

The codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
(preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

If a section is empty, why it is empty.

Is Modifier false

Summary false

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

548. Composition.section:sectionResults.section

Definition

Subseção do Document

A nested sub-section within this section.

Short Subseção do DocumentNested Section

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Control 0..*
This element is affected by the following invariants: cmp-1

Type Seettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

550. Composition.section:sectionVitalSigns

Slice Name sectionVitalSigns

Definition

Seção de Sinais Vitais Sumário Internacional do Paciente

The root of the sections that make up the composition.

Short Seção de Sinais Vitais Sumário Internacional do PacienteComposition is broken into sections

Control 0..1*

Is Modifier false

Summary false

Label Vital signs

552. Composition.section:sectionVitalSigns.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

554. Composition.section:sectionVitalSigns.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

556. Composition.section:sectionVitalSigns.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

558. Composition.section:sectionVitalSigns.title

Definition

Título da subseção do histórico de Sinais Vitais do Paciente

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Título da subseção de Sinais Vitais do PacienteLabel for section (e.g. for ToC)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

560. Composition.section:sectionVitalSigns.code

Definition

Classificação da seção da Composition/Document

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classificação da seção da Composition/DocumentClassification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

Control 0..1

For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
(example to http://hl7.org/fhir/ValueSet/doc-section-codes)

Classification of a section of a composition/document.

Is Modifier false

Summary false

Requirements

Provides computable standardized labels to topics within the document.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "8716-3" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

562. Composition.section:sectionVitalSigns.code.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

564. Composition.section:sectionVitalSigns.code.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

566. Composition.section:sectionVitalSigns.code.coding

Definition

Código definido por um sistema de terminologia

A reference to a code defined by a terminology system.

Short Código definido por um sistema de terminologiaCode defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

568. Composition.section:sectionVitalSigns.code.coding.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

570. Composition.section:sectionVitalSigns.code.coding.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

572. Composition.section:sectionVitalSigns.code.coding.system

Definition

Identificação do sistema de terminologia

The identification of the code system that defines the meaning of the symbol in the code.

Short Identificação do sistema de terminologiaIdentity of the terminology system

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

574. Composition.section:sectionVitalSigns.code.coding.version

Definition

Versão do sistema, se relevante

Short Versão do sistema, se relevanteVersion of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

576. Composition.section:sectionVitalSigns.code.coding.code

Definition

Símbolo na sintaxe definida pelo sistema de terminologia. Fixo em 'loinc#8716-3 (Sinais Vitais)'

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Código na sintaxe definida pelo sistema de terminologiaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

578. Composition.section:sectionVitalSigns.code.coding.display

Definition

Descrição definida pelo sistema

A representation of the meaning of the code in the system, following the rules of the system.

Short Descrição definida pelo sistema de terminologiaRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

580. Composition.section:sectionVitalSigns.code.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

582. Composition.section:sectionVitalSigns.code.text

Definition

Representação do conceito em texto simples

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação do conceito em texto simplesPlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

584. Composition.section:sectionVitalSigns.author

Definition

Quem/o quê foi o autor desta seção

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Quem/o quê foi o autor desta seçãoWho and/or what authored the section

Control 0..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

586. Composition.section:sectionVitalSigns.focus

Definition

Sobre quem/o quê se trata a seção, quando não é sobre o assunto da Composition

Short Sobre quem/o quê se trata a seção, quando não é sobre o assunto da CompositionWho/what the section is about, when it is not about the subject of composition

Comments

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

588. Composition.section:sectionVitalSigns.text

Definition

Resumo da seção em texto livre

Short Resumo da seção em texto livreText summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 0..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

590. Composition.section:sectionVitalSigns.mode

Definition

Método de processamento da seção

Short Método de processamento da seçãoworking | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

592. Composition.section:sectionVitalSigns.orderedBy

Definition

Ordem dos elementos na seção 'entry'

Specifies the order applied to the items in the section entries.

Short Ordem dos elementos na seção 'entry'Order of section entries

Comments

Control 0..1

The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
(preferred to http://hl7.org/fhir/ValueSet/list-order)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

594. Composition.section:sectionVitalSigns.entry

Definition

Sinais vitais ou achados físicos relevantes do paciente

A reference to the actual resource from which the narrative in the section is derived.

Short Sinais vitais ou achados físicos relevantes do pacienteA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(Observation, DocumentReference, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:

profile @ resolve()

596. Composition.section:sectionVitalSigns.entry:vitalSign

Slice Name vitalSign

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(VitalSignsBRIPS, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

598. Composition.section:sectionVitalSigns.emptyReason

Definition

Informa se uma seção está vazia e porque está vazia

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Short Informa se uma seção está vazia e porque está vaziaWhy the section is empty

Comments

Control 0..1
This element is affected by the following invariants: cmp-2

The codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
(preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

If a section is empty, why it is empty.

Is Modifier false

Summary false

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

600. Composition.section:sectionVitalSigns.section

Definition

Subseção do Document

A nested sub-section within this section.

Short Subseção do DocumentNested Section

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Control 0..*
This element is affected by the following invariants: cmp-1

Type Seettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

602. Composition.section:sectionPastIllnessHx

Slice Name sectionPastIllnessHx

Definition

Seção de Histórico de Doenças Pregressas do Sumário Internacional do Paciente

The root of the sections that make up the composition.

Short Seção de Histórico de Doenças Pregressas do Sumário Internacional do PacienteComposition is broken into sections

Control 0..1*

Is Modifier false

Summary false

604. Composition.section:sectionPastIllnessHx.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

606. Composition.section:sectionPastIllnessHx.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

608. Composition.section:sectionPastIllnessHx.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

610. Composition.section:sectionPastIllnessHx.title

Definition

Título da subseção - Fixo em 'Histórico de Doenças Pregressas do Paciente'

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Título da seçãoLabel for section (e.g. for ToC)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

612. Composition.section:sectionPastIllnessHx.code

Definition

Classificação da seção da Composition/Document

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classificação da seção da Composition/DocumentClassification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

Control 0..1

For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
(example to http://hl7.org/fhir/ValueSet/doc-section-codes)

Classification of a section of a composition/document.

Is Modifier false

Summary false

Requirements

Provides computable standardized labels to topics within the document.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "11348-0" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

614. Composition.section:sectionPastIllnessHx.code.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

616. Composition.section:sectionPastIllnessHx.code.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

618. Composition.section:sectionPastIllnessHx.code.coding

Definition

Código definido por um sistema de terminologia

A reference to a code defined by a terminology system.

Short Código definido por um sistema de terminologiaCode defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

620. Composition.section:sectionPastIllnessHx.code.coding.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

622. Composition.section:sectionPastIllnessHx.code.coding.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

624. Composition.section:sectionPastIllnessHx.code.coding.system

Definition

Identificação do sistema de terminologia

The identification of the code system that defines the meaning of the symbol in the code.

Short Identificação do sistema de terminologiaIdentity of the terminology system

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

626. Composition.section:sectionPastIllnessHx.code.coding.version

Definition

Versão do sistema de terminologia, se relevante

Short Versão do sistema de terminologia, se relevanteVersion of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

628. Composition.section:sectionPastIllnessHx.code.coding.code

Definition

Código na sintaxe definida pelo sistema de terminologia. Fixo em 'loinc#11348-0 (Histórico de Doenças Pregressas)'

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Código na sintaxe definida pelo sistema de terminologiaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

630. Composition.section:sectionPastIllnessHx.code.coding.display

Definition

Descrição definida pelo sistema de terminologia

A representation of the meaning of the code in the system, following the rules of the system.

Short Descrição definida pelo sistema de terminologiaRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

632. Composition.section:sectionPastIllnessHx.code.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

634. Composition.section:sectionPastIllnessHx.code.text

Definition

Representação do conceito em texto livre

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação do conceito em texto livrePlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

636. Composition.section:sectionPastIllnessHx.author

Definition

Quem/o quê foi o autor desta seção

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Quem/o quê foi o autor desta seçãoWho and/or what authored the section

Control 0..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

638. Composition.section:sectionPastIllnessHx.focus

Definition

Sobre quem/o quê se trata a seção, quando não é sobre o assunto da Composition

Short Sobre quem/o quê se trata a seção, quando não é sobre o assunto da CompositionWho/what the section is about, when it is not about the subject of composition

Comments

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

640. Composition.section:sectionPastIllnessHx.text

Definition

Resumo de texto da seção em texto livre

Short Resumo de texto da seção em texto livreText summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 0..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

642. Composition.section:sectionPastIllnessHx.mode

Definition

Método de processamento da seção

Short Método de processamento da seçãoworking | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

644. Composition.section:sectionPastIllnessHx.orderedBy

Definition

Ordem dos elementos na seção 'entry'

Specifies the order applied to the items in the section entries.

Short Ordem dos elementos na seção 'entry'Order of section entries

Comments

Control 0..1

The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
(preferred to http://hl7.org/fhir/ValueSet/list-order)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

646. Composition.section:sectionPastIllnessHx.entry

Definition

Contém uma descrição das condições que o paciente sofreu no passado

A reference to the actual resource from which the narrative in the section is derived.

Short Condições que o paciente sofreu no passadoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 10..*
This element is affected by the following invariants: cmp-2

Type Reference(Condition, DocumentReference, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:

profile @ resolve()

648. Composition.section:sectionPastIllnessHx.entry:pastProblem

Slice Name pastProblem

Definition

A reference to the actual resource from which the narrative in the section is derived.

Short A reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 10..*
This element is affected by the following invariants: cmp-2

Type Reference(ConditionBRIPS, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

650. Composition.section:sectionFunctionalStatus

Slice Name sectionFunctionalStatus

Definition

Seção de Capacidade Funcional do Sumário Internacional do Paciente

The root of the sections that make up the composition.

Short Seção de Capacidade Funcional do Sumário Internacional do PacienteComposition is broken into sections

Control 0..1*

Is Modifier false

Summary false

652. Composition.section:sectionFunctionalStatus.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

654. Composition.section:sectionFunctionalStatus.extension

Definition

Elemento adicional definido por implementações

Short Elemento adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

656. Composition.section:sectionFunctionalStatus.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

658. Composition.section:sectionFunctionalStatus.title

Definition

Título da seção

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Título da seçãoLabel for section (e.g. for ToC)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

660. Composition.section:sectionFunctionalStatus.code

Definition

Classificação da seção da Composition/Document

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classificação da seção da Composition/DocumentClassification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

Control 0..1

For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
(example to http://hl7.org/fhir/ValueSet/doc-section-codes)

Classification of a section of a composition/document.

Is Modifier false

Summary false

Requirements

Provides computable standardized labels to topics within the document.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "47420-5" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

662. Composition.section:sectionFunctionalStatus.code.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

664. Composition.section:sectionFunctionalStatus.code.extension

Definition

Elemento adicional definido por implementações

Short Elemento adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

666. Composition.section:sectionFunctionalStatus.code.coding

Definition

Código definido por sistema de terminologia

A reference to a code defined by a terminology system.

Short Código definido por sistema de terminologiaCode defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

668. Composition.section:sectionFunctionalStatus.code.coding.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

670. Composition.section:sectionFunctionalStatus.code.coding.extension

Definition

Elemento adicional definido por implementações

Short Elemento adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

672. Composition.section:sectionFunctionalStatus.code.coding.system

Definition

Identidade do sistema de terminologia

The identification of the code system that defines the meaning of the symbol in the code.

Short Identidade do sistema de terminologiaIdentity of the terminology system

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

674. Composition.section:sectionFunctionalStatus.code.coding.version

Definition

Versão do sistema - se relevante

Short Versão do sistema - se relevanteVersion of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

676. Composition.section:sectionFunctionalStatus.code.coding.code

Definition

Código na sintaxe definida pelo sistema de terminologia.Fixo em 'loinc#47420-5 (Capacidade Funcional)'

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Código na sintaxe definida pelo sistema de terminologiaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

678. Composition.section:sectionFunctionalStatus.code.coding.display

Definition

Descrição definida pelo sistema

A representation of the meaning of the code in the system, following the rules of the system.

Short Descrição definida pelo sistemaRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

680. Composition.section:sectionFunctionalStatus.code.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

682. Composition.section:sectionFunctionalStatus.code.text

Definition

Representação do conceito em texto livre

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação do conceito em texto livrePlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

684. Composition.section:sectionFunctionalStatus.author

Definition

Quem/o quê foi o autor desta seção

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Quem/o quê foi o autor desta seçãoWho and/or what authored the section

Control 0..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

686. Composition.section:sectionFunctionalStatus.focus

Definition

Sobre quem/o quê se trata a seção, quando não é sobre o assunto da Composition

Short Sobre quem/o quê se trata a seção, quando não é sobre o assunto da CompositionWho/what the section is about, when it is not about the subject of composition

Comments

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

688. Composition.section:sectionFunctionalStatus.text

Definition

Resumo da seção em texto livre

Short Resumo da seção em texto livreText summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 0..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

690. Composition.section:sectionFunctionalStatus.mode

Definition

Método de processamento da seção

Short Método de processamento da seçãoworking | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

692. Composition.section:sectionFunctionalStatus.orderedBy

Definition

Ordem dos elementos na seção 'entry'

Specifies the order applied to the items in the section entries.

Short Ordem dos elementos na seção 'entry''Order of section entries

Comments

Control 0..1

The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
(preferred to http://hl7.org/fhir/ValueSet/list-order)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

694. Composition.section:sectionFunctionalStatus.entry

Definition

Descreve as capacidades do paciente para realizar atos da vida diária, incluindo possíveis necessidades do paciente a serem continuamente avaliadas por terceiros. O status de invalidez pode, de fato, influenciar as decisões sobre como administrar tratamentos. Perfis para expressar deficiências e avaliações funcionais serão especificados em versões futuras deste guia

A reference to the actual resource from which the narrative in the section is derived.

Short Entrada opcional usada para representar deficiências e avaliações funcionaisA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(Condition, ClinicalImpression, DocumentReference, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:

profile @ resolve()

696. Composition.section:sectionFunctionalStatus.entry:disability

Slice Name disability

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(ConditionBRIPS, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

698. Composition.section:sectionFunctionalStatus.entry:functionalAssessment

Slice Name functionalAssessment

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(ClinicalImpression, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

700. Composition.section:sectionFunctionalStatus.emptyReason

Definition

Informa por quê esta seção está ausente

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Short Informa por quê esta seção está ausenteWhy the section is empty

Comments

Control 0..1
This element is affected by the following invariants: cmp-2

The codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
(preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

If a section is empty, why it is empty.

Is Modifier false

Summary false

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

702. Composition.section:sectionFunctionalStatus.section

Definition

Subseção do Document

A nested sub-section within this section.

Short Subseção do DocumentNested Section

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Control 0..*
This element is affected by the following invariants: cmp-1

Type Seettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

704. Composition.section:sectionPlanOfCare

Slice Name sectionPlanOfCare

Definition

Seção de Plano de Cuidados do Sumário Internacional do Paciente

The root of the sections that make up the composition.

Short Seção de Plano de Cuidados do Sumário Internacional do PacienteComposition is broken into sections

Control 0..1*

Is Modifier false

Summary false

706. Composition.section:sectionPlanOfCare.id

Definition

ID exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short ID exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

708. Composition.section:sectionPlanOfCare.extension

Definition

Elemento adicional definido por implementações

Short Elemento adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

710. Composition.section:sectionPlanOfCare.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

712. Composition.section:sectionPlanOfCare.title

Definition

Título da seção

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Título da seçãoLabel for section (e.g. for ToC)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

714. Composition.section:sectionPlanOfCare.code

Definition

Classificação da seção da Composition/Document

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classificação da seçãoClassification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

Control 0..1

For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
(example to http://hl7.org/fhir/ValueSet/doc-section-codes)

Classification of a section of a composition/document.

Is Modifier false

Summary false

Requirements

Provides computable standardized labels to topics within the document.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "18776-5" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

716. Composition.section:sectionPlanOfCare.code.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

718. Composition.section:sectionPlanOfCare.code.extension

Definition

Elemento adicional definido por implementações

Short Elemento adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

720. Composition.section:sectionPlanOfCare.code.coding

Definition

Código definido por sistema de terminologia

A reference to a code defined by a terminology system.

Short Código definido por sistema de terminologiaCode defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

722. Composition.section:sectionPlanOfCare.code.coding.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

724. Composition.section:sectionPlanOfCare.code.coding.extension

Definition

Elemento adicional definido por implementações

Short Elemento adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

726. Composition.section:sectionPlanOfCare.code.coding.system

Definition

Identificador do sistema de terminologia

The identification of the code system that defines the meaning of the symbol in the code.

Short Identificador do sistema de terminologiaIdentity of the terminology system

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

728. Composition.section:sectionPlanOfCare.code.coding.version

Definition

Versão do sistema de terminologia - se relevante

Short Versão do sistema de terminologia - se relevanteVersion of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

730. Composition.section:sectionPlanOfCare.code.coding.code

Definition

Símbolo na sintaxe definida pelo sistema de terminologia. Fixo em 'loinc#18776-5 (Plano de Cuidados)'

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Código na sintaxe definida pelo sistemaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

732. Composition.section:sectionPlanOfCare.code.coding.display

Definition

Descrição definida pelo sistema de terminologia

A representation of the meaning of the code in the system, following the rules of the system.

Short Descrição definida pelo sistema de terminologiaRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

734. Composition.section:sectionPlanOfCare.code.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

736. Composition.section:sectionPlanOfCare.code.text

Definition

Representação do conceito em texto livre

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação do conceito em texto livrePlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

738. Composition.section:sectionPlanOfCare.author

Definition

Quem/o quê foi o autor desta seção

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Quem/o quê foi o autor desta seçãoWho and/or what authored the section

Control 0..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

740. Composition.section:sectionPlanOfCare.focus

Definition

Sobre quem/o quê se trata a seção, quando não é sobre o assunto da Composition

Short Sobre quem/o quê se trata a seção, quando não é sobre o assunto da CompositionWho/what the section is about, when it is not about the subject of composition

Comments

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

742. Composition.section:sectionPlanOfCare.text

Definition

Resumo da seção em texto livre

Short Resumo da seção em texto livreText summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 0..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

744. Composition.section:sectionPlanOfCare.mode

Definition

Método de processamento da seção

Short Método de processamento da seçãoworking | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

746. Composition.section:sectionPlanOfCare.orderedBy

Definition

Ordem dos elementos na seção 'entry'

Specifies the order applied to the items in the section entries.

Short Ordem dos elementos na seção 'entry'Order of section entries

Comments

Control 0..1

The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
(preferred to http://hl7.org/fhir/ValueSet/list-order)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

748. Composition.section:sectionPlanOfCare.entry

Definition

Plano dinâmico e personalizado, incluindo atividade de saúde necessária identificada, objetivos de saúde e metas de saúde, relacionados a um ou mais problemas de saúde específicos em um processo de saúde

A reference to the actual resource from which the narrative in the section is derived.

Short Entrada opcional usada para representar planos de cuidados estruturadosA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(CarePlan, DocumentReference, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:

profile @ resolve()

750. Composition.section:sectionPlanOfCare.entry:carePlan

Slice Name carePlan

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(CarePlan, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

752. Composition.section:sectionPlanOfCare.emptyReason

Definition

Informa por quê esta seção está ausente

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Short Informa por quê esta seção está ausenteWhy the section is empty

Comments

Control 0..1
This element is affected by the following invariants: cmp-2

The codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
(preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

If a section is empty, why it is empty.

Is Modifier false

Summary false

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

754. Composition.section:sectionPlanOfCare.section

Definition

Subseção do Document

A nested sub-section within this section.

Short Subseção do DocumentNested Section

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Control 0..*
This element is affected by the following invariants: cmp-1

Type Seettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

756. Composition.section:sectionSocialHistory

Slice Name sectionSocialHistory

Definition

Seção de História Social do Sumário Internacional do Paciente

The root of the sections that make up the composition.

Short Seção de História Social do Sumário Internacional do PacienteComposition is broken into sections

Control 0..1*

Is Modifier false

Summary false

758. Composition.section:sectionSocialHistory.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

760. Composition.section:sectionSocialHistory.extension

Definition

Elemento adicional definido por implementações

Short Elemento adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

762. Composition.section:sectionSocialHistory.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

764. Composition.section:sectionSocialHistory.title

Definition

Título da seção. Fixo em 'História Social'

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Título da seçãoLabel for section (e.g. for ToC)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

766. Composition.section:sectionSocialHistory.code

Definition

Classificação dda seção da Composition/Document

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classificação da seçãoClassification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

Control 0..1

For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
(example to http://hl7.org/fhir/ValueSet/doc-section-codes)

Classification of a section of a composition/document.

Is Modifier false

Summary false

Requirements

Provides computable standardized labels to topics within the document.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "29762-2" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

768. Composition.section:sectionSocialHistory.code.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

770. Composition.section:sectionSocialHistory.code.extension

Definition

Elemento adicional definido por implementações

Short Elemento adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

772. Composition.section:sectionSocialHistory.code.coding

Definition

Código definido por sistema de terminologia

A reference to a code defined by a terminology system.

Short Código definido por sistema de terminologiaCode defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

774. Composition.section:sectionSocialHistory.code.coding.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

776. Composition.section:sectionSocialHistory.code.coding.extension

Definition

Elemento adicional definido por implementações

Short Elemento adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

778. Composition.section:sectionSocialHistory.code.coding.system

Definition

Identificador do sistema de terminologia

The identification of the code system that defines the meaning of the symbol in the code.

Short Identificador do sistema de terminologiaIdentity of the terminology system

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

780. Composition.section:sectionSocialHistory.code.coding.version

Definition

Versão do sistema de terminologia - se relevante

Short Versão do sistema - se relevanteVersion of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

782. Composition.section:sectionSocialHistory.code.coding.code

Definition

Código na sintaxe definida pelo sistema de terminologia. Fixo em 'loinc#29762-2 (História Social)'

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Código na sintaxe definida pelo sistema de terminologiaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

784. Composition.section:sectionSocialHistory.code.coding.display

Definition

Desrição definida pelo sistema de terminologia

A representation of the meaning of the code in the system, following the rules of the system.

Short Descrição definida pelo sistema de terminologiaRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

786. Composition.section:sectionSocialHistory.code.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

788. Composition.section:sectionSocialHistory.code.text

Definition

Representação do conceito em texto livre

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação do conceito em texto livrePlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

790. Composition.section:sectionSocialHistory.author

Definition

Quem/o quê foi o autor desta seção

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Quem/o quê foi o autor desta seçãoWho and/or what authored the section

Control 0..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

792. Composition.section:sectionSocialHistory.focus

Definition

Sobre quem/o que é a seção, quando não é sobre o assunto da Composition

Short Sobre quem/o que é a seção, quando não é sobre o assunto da CompositionWho/what the section is about, when it is not about the subject of composition

Comments

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

794. Composition.section:sectionSocialHistory.text

Definition

Resumo da seção em texto livre

Short Resumo da seção em texto livreText summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 0..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

796. Composition.section:sectionSocialHistory.mode

Definition

Método de processamento da seção

Short Método de processamento da seçãoworking | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

798. Composition.section:sectionSocialHistory.orderedBy

Definition

Ordem dos elementos na seção 'entry'

Specifies the order applied to the items in the section entries.

Short Ordem dos elementos na seção 'entry'Order of section entries

Comments

Control 0..1

The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
(preferred to http://hl7.org/fhir/ValueSet/list-order)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

800. Composition.section:sectionSocialHistory.entry

Definition

Descrição dos fatores de estilo de vida relacionados à saúde da pessoa ou observações de estilo de vida (por exemplo, hábitos de fumar; consumo de álcool; dietas, hábitos de risco)

A reference to the actual resource from which the narrative in the section is derived.

Short Fatores de estilo de vida relacionados à saúde ou observações de estilo de vida (por exemplo, hábitos de fumar; consumo de álcool; dietas, hábitos de risco)A reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(Observation, DocumentReference, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:

profile @ resolve()

802. Composition.section:sectionSocialHistory.entry:smokingTobaccoUse

Slice Name smokingTobaccoUse

Definition

A reference to the actual resource from which the narrative in the section is derived.

Short A reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..1*
This element is affected by the following invariants: cmp-2

Type Reference(Observation - SH: tobacco use, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

804. Composition.section:sectionSocialHistory.entry:alcoholUse

Slice Name alcoholUse

Definition

A reference to the actual resource from which the narrative in the section is derived.

Short A reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..1*
This element is affected by the following invariants: cmp-2

Type Reference(Observation - SH: alcohol use, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

806. Composition.section:sectionSocialHistory.emptyReason

Definition

Informa se uma seção está vazia e porque está vazia

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Short Informa se uma seção está vazia e porque está vaziaWhy the section is empty

Comments

Control 0..1
This element is affected by the following invariants: cmp-2

The codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
(preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

If a section is empty, why it is empty.

Is Modifier false

Summary false

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

808. Composition.section:sectionSocialHistory.section

Definition

Subseção do Document

A nested sub-section within this section.

Short Subseção do DocumentNested Section

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Control 0..*
This element is affected by the following invariants: cmp-1

Type Seettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

810. Composition.section:sectionPregnancyHx

Slice Name sectionPregnancyHx

Definition

Seção de História Obstétrica do Sumário Internacional da Paciente

The root of the sections that make up the composition.

Short Seção de História Obstétrica do Sumário Internacional da PacienteComposition is broken into sections

Control 0..1*

Is Modifier false

Summary false

812. Composition.section:sectionPregnancyHx.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

814. Composition.section:sectionPregnancyHx.extension

Definition

Elemento adicional definido por implementações

Short Elemento adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

816. Composition.section:sectionPregnancyHx.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

818. Composition.section:sectionPregnancyHx.title

Definition

Título da seção. Fixo em 'História Obstétrica'

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Título da seçãoLabel for section (e.g. for ToC)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

820. Composition.section:sectionPregnancyHx.code

Definition

Classificação da seção da Composition/Document

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classificação da seçãoClassification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

Control 0..1

For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
(example to http://hl7.org/fhir/ValueSet/doc-section-codes)

Classification of a section of a composition/document.

Is Modifier false

Summary false

Requirements

Provides computable standardized labels to topics within the document.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "10162-6" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

822. Composition.section:sectionPregnancyHx.code.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

824. Composition.section:sectionPregnancyHx.code.extension

Definition

Elemento adicional definido por implementações

Short Elemento adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

826. Composition.section:sectionPregnancyHx.code.coding

Definition

Código definido por sistema de terminologia

A reference to a code defined by a terminology system.

Short Código definido por sistema de terminologiaCode defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

828. Composition.section:sectionPregnancyHx.code.coding.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

830. Composition.section:sectionPregnancyHx.code.coding.extension

Definition

Elemento adicional definido por implementações

Short Elemento adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

832. Composition.section:sectionPregnancyHx.code.coding.system

Definition

Identificador do sistema de terminologia

The identification of the code system that defines the meaning of the symbol in the code.

Short Identificador do sistema de terminologiaIdentity of the terminology system

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

834. Composition.section:sectionPregnancyHx.code.coding.version

Definition

Versão do sistema de terminologia, se relevante

Short Versão do sistema de terminologiaVersion of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

836. Composition.section:sectionPregnancyHx.code.coding.code

Definition

Código na sintaxe definida pelo sistema. Fixo em 'loinc#10162-6 (História Obstétrica)'

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Código na sintaxe definida pelo sistemaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

838. Composition.section:sectionPregnancyHx.code.coding.display

Definition

Descrição definida pelo sistema de terminologia

A representation of the meaning of the code in the system, following the rules of the system.

Short Descrição definida pelo sistema de terminologiaRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

840. Composition.section:sectionPregnancyHx.code.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

842. Composition.section:sectionPregnancyHx.code.text

Definition

Representação do conceito em texto livre

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação do conceito em texto livrePlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

844. Composition.section:sectionPregnancyHx.author

Definition

Quem/o quê foi o autor desta seção

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Quem/o quê foi o autor desta seçãoWho and/or what authored the section

Control 0..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

846. Composition.section:sectionPregnancyHx.focus

Definition

Sobre quem/o quê se trata a seção, quando não é sobre o assunto da Composition

Short Sobre quem/o quê se trata a seção, quando não é sobre o assunto da CompositionWho/what the section is about, when it is not about the subject of composition

Comments

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

848. Composition.section:sectionPregnancyHx.text

Definition

Resumo de texto da seção em texto livre

Short Resumo de texto da seção em texto livreText summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 0..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

850. Composition.section:sectionPregnancyHx.mode

Definition

Método de processamento da seção

Short Método de processamento da seçãoworking | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

852. Composition.section:sectionPregnancyHx.orderedBy

Definition

Ordem dos elementos na seção 'entry'

Specifies the order applied to the items in the section entries.

Short Ordem dos elementos na seção 'entry'Order of section entries

Comments

Control 0..1

The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
(preferred to http://hl7.org/fhir/ValueSet/list-order)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

854. Composition.section:sectionPregnancyHx.entry

Definition

História da gravidez e, opcionalmente, informações sobre gestações anteriores

A reference to the actual resource from which the narrative in the section is derived.

Short História da gravidez e, opcionalmente, informações sobre gestações anterioresA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(Observation, DocumentReference, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:

profile @ resolve()

856. Composition.section:sectionPregnancyHx.entry:pregnancyStatus

Slice Name pregnancyStatus

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(Observation - Pregnancy: status, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

858. Composition.section:sectionPregnancyHx.entry:pregnancyOutcomeSummary

Slice Name pregnancyOutcomeSummary

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(Observation - Pregnancy: outcome, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

860. Composition.section:sectionPregnancyHx.emptyReason

Definition

Informa por quê esta seção está ausente

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Short Informa por quê esta seção está ausenteWhy the section is empty

Comments

Control 0..1
This element is affected by the following invariants: cmp-2

The codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
(preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

If a section is empty, why it is empty.

Is Modifier false

Summary false

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

862. Composition.section:sectionPregnancyHx.section

Definition

Subseção do Document

A nested sub-section within this section.

Short Subseção do DocumentNested Section

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Control 0..*
This element is affected by the following invariants: cmp-1

Type Seettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

864. Composition.section:sectionAdvanceDirectives

Slice Name sectionAdvanceDirectives

Definition

Seção de Diretivas Antecipadas de Vontade do Sumário Internacional do Paciente

The root of the sections that make up the composition.

Short Seção de Diretivas Antecipadas de Vontade do Sumário Internacional do PacienteComposition is broken into sections

Control 0..1*

Is Modifier false

Summary false

866. Composition.section:sectionAdvanceDirectives.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

868. Composition.section:sectionAdvanceDirectives.extension

Definition

Elemento adicional definido por implementa

Short Elemento adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

870. Composition.section:sectionAdvanceDirectives.modifierExtension

Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized

Comments

Control 0..*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

872. Composition.section:sectionAdvanceDirectives.title

Definition

Título da seção. Fixo em 'Diretivas Antecipadas de Vontade'

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Short Título da seçãoLabel for section (e.g. for ToC)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Names header, label, caption

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

874. Composition.section:sectionAdvanceDirectives.code

Definition

Classificação da seção na Composition/Document

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Short Classificação da seçãoClassification of section (recommended)

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

Control 0..1

For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
(example to http://hl7.org/fhir/ValueSet/doc-section-codes)

Classification of a section of a composition/document.

Is Modifier false

Summary false

Requirements

Provides computable standardized labels to topics within the document.

Pattern Value { "coding" : [{ "system" : "http://loinc.org", "code" : "42348-3" }] }

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

876. Composition.section:sectionAdvanceDirectives.code.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

878. Composition.section:sectionAdvanceDirectives.code.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

880. Composition.section:sectionAdvanceDirectives.code.coding

Definition

Código definido por um sistema de terminologia

A reference to a code defined by a terminology system.

Short Código definido por sistema de terminologiaCode defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

882. Composition.section:sectionAdvanceDirectives.code.coding.id

Definition

Identificador exclusivo para referência entre elementos

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Identificador exclusivo para referência entre elementosUnique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

884. Composition.section:sectionAdvanceDirectives.code.coding.extension

Definition

Conteúdo adicional definido por implementações

Short Conteúdo adicional definido por implementaçõesAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on Composition.section.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

886. Composition.section:sectionAdvanceDirectives.code.coding.system

Definition

Identificador do sistema de terminologia

The identification of the code system that defines the meaning of the symbol in the code.

Short Identificador do sistema de terminologiaIdentity of the terminology system

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

888. Composition.section:sectionAdvanceDirectives.code.coding.version

Definition

Versão do sistema de terminologia, se relevante

Short Versão do sistema de terminologiaVersion of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

890. Composition.section:sectionAdvanceDirectives.code.coding.code

Definition

Código na sintaxe definida pelo sistema de terminologia. Fixo em 'loinc#42348-3 (Diretivas Antecipadas de Vontade)'

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Código na sintaxe definida pelo sistema de terminologiaSymbol in syntax defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

892. Composition.section:sectionAdvanceDirectives.code.coding.display

Definition

Descrição definida pelo sistema de terminologia

A representation of the meaning of the code in the system, following the rules of the system.

Short Descrição definida pelo sistema de terminologiaRepresentation defined by the system

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

894. Composition.section:sectionAdvanceDirectives.code.coding.userSelected

Definition

Se esta codificação foi escolhida diretamente pelo usuário

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short Se esta codificação foi escolhida diretamente pelo usuárioIf this coding was chosen directly by the user

Comments

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

896. Composition.section:sectionAdvanceDirectives.code.text

Definition

Representação em texto livre do conceito

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Representação em texto livre do conceitoPlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

898. Composition.section:sectionAdvanceDirectives.author

Definition

Quem/o quê foi o autor desta seção

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Short Quem/o quê foi o autor desta seçãoWho and/or what authored the section

Control 0..*

Type Reference(PractitionerBRIPS, PractitionerRoleBRIPS, Device, PatientBRIPS, RelatedPerson, OrganizationBRIPS, Practitioner, PractitionerRole, Patient, Organization)

Is Modifier false

Summary false

Requirements

Identifies who is responsible for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

900. Composition.section:sectionAdvanceDirectives.focus

Definition

Sobre quem/o quê se trata a seção, quando não é sobre o assunto da Composition

Short Sobre quem/o quê se trata a seção, quando não é sobre o assunto da CompositionnWho/what the section is about, when it is not about the subject of composition

Comments

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

902. Composition.section:sectionAdvanceDirectives.text

Definition

Resumo da seção em texto livre

Short Resumo da seção em texto livreText summary of the section, for human interpretation

Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

Control 0..1
This element is affected by the following invariants: cmp-1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

904. Composition.section:sectionAdvanceDirectives.mode

Definition

Método de processamento da seção

Short Método de processamento da seçãoworking | snapshot | changes

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

Control 0..1

The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

The processing mode that applies to this section.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

906. Composition.section:sectionAdvanceDirectives.orderedBy

Definition

Ordem dos elementos na seção 'entry'

Specifies the order applied to the items in the section entries.

Short Ordem dos elementos na seção 'entry'Order of section entries

Comments

Control 0..1

The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
(preferred to http://hl7.org/fhir/ValueSet/list-order)

What order applies to the items in the entry.

Is Modifier false

Summary false

Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

908. Composition.section:sectionAdvanceDirectives.entry

Definition

Descrição das diretrizes antecipadas de vontade do paciente

A reference to the actual resource from which the narrative in the section is derived.

Short Descrição das diretrizes antecipadas de vontade do pacienteA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(Consent, DocumentReference, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:

profile @ resolve()

910. Composition.section:sectionAdvanceDirectives.entry:advanceDirectivesConsent

Slice Name advanceDirectivesConsent

Definition

Referência aos dados desta seção

A reference to the actual resource from which the narrative in the section is derived.

Short Referência aos dados desta seçãoA reference to data that supports this section

Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

Control 0..*
This element is affected by the following invariants: cmp-2

Type Reference(Consent, Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

912. Composition.section:sectionAdvanceDirectives.emptyReason

Definition

Informa por quê esta seção está ausente

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Short Informa por quê esta seção está ausenteWhy the section is empty

Comments

Control 0..1
This element is affected by the following invariants: cmp-2

The codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
(preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

If a section is empty, why it is empty.

Is Modifier false

Summary false

Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

914. Composition.section:sectionAdvanceDirectives.section

Definition

Subseção do Document

A nested sub-section within this section.

Short Subseção do DocumentNested Section

Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

Control 0..*
This element is affected by the following invariants: cmp-1

Type Seettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here

0. Composition

Definition

Short International Patient Summary composition

Comments

Control 0..*

Is Modifier false

Summary false

Invariants dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())

2. Composition.id

Definition

ID lógico deste artefato

Short ID lógico deste artefato

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control 0..1

Is Modifier false

Summary true

4. Composition.meta

Definition

ID lógico deste artefato

Short ID lógico deste artefato

Control 0..1