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

idstring

Is Modifier false

Summary true

4. Patient.meta

Definition

Metadados adicionais sobre o recurso

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 Metadados sobre o recursoMetadata 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. Patient.implicitRules

Definition

Um ou mais códigos que servem para identificar o tipo de recurso

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 URI(s) sob as quais este recurso é conhecidoA 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. Patient.language

Definition

A linguagem humana natural do recurso

The base language in which the resource is written.

Short Linguagem 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. Patient.text

Definition

Um texto narrativo resumindo as informações do recurso

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 Texto narrativo, 72 caracteres para resumoText 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

Narrative

Is Modifier false

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. Patient.contained

Definition

Recursos contidos no recurso

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. Patient.extension

Definition

Extensões adicionais que não fazem parte do modelo base

May be used to represent additional information that is not part of the basic definition of the resource. 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 Extensões adicionaisAdditional content defined by implementations

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 false

Summary false

Alternate Names extensions, user content

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

value @ url

16. Patient.extension:localNascimento

Slice Name localNascimento

Definition

Local de nascimento do paciente

Short Local de nascimento do paciente

Control 0..1

Type Extension(Patient Birth Place) (Extension Type: Address)

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())
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())

18. Patient.extension:raca

Slice Name raca

Definition

Raça do paciente

Short Raça do paciente

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

Type Extension(Raça BR IPS) (Extension Type: CodeableConcept)

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())

20. Patient.extension:povoIndigena

Slice Name povoIndigena

Definition

Afiliação do paciente

Short Afiliação do paciente

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

Type Extension(Extensão de povo indígena BR IPS) (Extension Type: CodeableConcept)

Is Modifier false

22. Patient.extension:sexoNascimento

Slice Name sexoNascimento

Definition

Sexo do nascimento do paciente

Short Sexo do nascimento do paciente

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

Type Extension(Sexo no nascimento BR IPS) (Extension Type: CodeableConcept)

Is Modifier false

24. Patient.extension:identidadeGenero

Slice Name identidadeGenero

Definition

Identidade de gênero do paciente

Short Identidade de gênero do paciente

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

Type Extension(Identidade de gênero BR IPS) (Extension Type: CodeableConcept)

Is Modifier false

26. Patient.modifierExtension

Definition

Extensões adicionais que não fazem parte do modelo base

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 adicionaisExtensions that cannot be ignored

Comments

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

28. Patient.identifier

Definition

Identificadores nacionais do paciente

An identifier for this patient.

Short Identificadores nacionais do pacienteAn identifier for this patient

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

Control 0..*

Is Modifier false

Must Support true

Summary true

Requirements

Patients are almost always assigned specific numerical identifiers.

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 Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ system

30. Patient.identifier:cns

Slice Name cns

Definition

Identificador do paciente

An identifier for this patient.

Short Identificador do pacienteAn identifier for this patient

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

Control 0..1*

Is Modifier false

Must Support true

Summary true

Requirements

Patients are almost always assigned specific numerical identifiers.

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

32. Patient.identifier:cns.id

Definition

Id lógico do identificador do paciente

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

Short Id lógico do identificador do pacienteUnique 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

34. Patient.identifier:cns.extension

Definition

Extensões incluídas no identificador do paciente

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 Extensões do identificador do pacienteAdditional 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 Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

36. Patient.identifier:cns.use

Definition

usual: identificador usual do paciente. official: identificador oficial do paciente. temp: identificador temporário do paciente. secondary: identificador secundário do paciente.

The purpose of this identifier.

Short Uso do identificador do pacienteusual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..1

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

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

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Fixed Value official

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

38. Patient.identifier:cns.type

Definition

Código que representa o tipo do identificador do paciente

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Tipo do identificador do pacienteDescription of identifier

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Control 0..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

Tipo do identificador do paciente

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

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

40. Patient.identifier:cns.type.id

Definition

Id lógico do tipo do identificador do paciente

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

Short Id lógico do tipo do identificador do pacienteUnique 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

42. Patient.identifier:cns.type.extension

Definition

Extensões incluídas no tipo do identificador do paciente

Short Extensões do tipo do identificador do pacienteAdditional 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 Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

44. Patient.identifier:cns.type.coding

Definition

Codificação que representa o tipo do identificador do paciente

A reference to a code defined by a terminology system.

Short Codificação do tipo do identificador do pacienteCode 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. 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 10..1*

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()))

46. Patient.identifier:cns.type.coding.id

Definition

Id lógico da codificação do tipo do identificador do paciente

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

Short Id lógico da codificação do tipo do identificador do pacienteUnique 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

48. Patient.identifier:cns.type.coding.extension

Definition

Extensões incluídas na codificação do tipo do identificador do paciente

Short Extensões da codificação do tipo do identificador do pacienteAdditional 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 Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

50. Patient.identifier:cns.type.coding.system

Definition

Sistema que identifica a codificação do tipo do identificador do paciente

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

Short Sistema da codificação do tipo do identificador do pacienteIdentity 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 10..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.

Fixed Value http://terminology.hl7.org/CodeSystem/v2-0203

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

52. Patient.identifier:cns.type.coding.version

Definition

Versão da codificação do tipo do identificador do paciente

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 codificação do tipo do identificador do pacienteVersion 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()))

54. Patient.identifier:cns.type.coding.code

Definition

Código que representa a codificação do tipo do identificador do paciente

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 da codificação do tipo do identificador do pacienteSymbol in syntax defined by the system

Control 10..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.

Fixed Value HC

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

56. Patient.identifier:cns.type.coding.display

Definition

Texto que representa a codificação do tipo do identificador do paciente

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

Short Texto da codificação do tipo do identificador do pacienteRepresentation 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()))

58. Patient.identifier:cns.type.coding.userSelected

Definition

Indica se a codificação do tipo do identificador do paciente foi selecionada 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 Seleção do usuário da codificação do tipo do identificador do pacienteIf 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()))

60. Patient.identifier:cns.type.text

Definition

Texto que representa o tipo do identificador do paciente

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 Texto do tipo do identificador do pacientePlain 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

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()))

62. Patient.identifier:cns.system

Definition

Sistema que identifica o tipo do identificador do paciente

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short Sistema do identificador do pacienteThe namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

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

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Fixed Value https://saude.gov.br/fhir/sid/cns

Example General:http://www.acme.com/identifiers/patient

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

64. Patient.identifier:cns.value

Definition

Valor do identificador do paciente

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short Valor do identificador do pacienteThe value that is unique

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Control 10..1

Is Modifier false

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

Summary true

Example General:123456

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

66. Patient.identifier:cns.period

Definition

Período de tempo durante o qual o identificador do paciente foi utilizado

Time period during which identifier is/was valid for use.

Short Período de uso do identificador do pacienteTime period when id is/was valid for use

Control 0..1

Is Modifier false

Summary true

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

68. Patient.identifier:cns.assigner

Definition

Entidade que atribuiu o identificador do paciente

Organization that issued/manages the identifier.

Short Entidade que atribuiu o identificador do pacienteOrganization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..1

Type Reference(OrganizationBRIPS, Organization)

Is Modifier false

Summary true

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

70. Patient.identifier:cns.assigner.display

Definition

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

Short Nome da entidade que atribuiu o identificador do pacienteText 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()))

72. Patient.identifier:cpf

Slice Name cpf

Definition

Identificador do paciente

An identifier for this patient.

Short Identificador do pacienteAn identifier for this patient

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

Control 0..1*

Is Modifier false

Must Support true

Summary true

Requirements

Patients are almost always assigned specific numerical identifiers.

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

74. Patient.identifier:cpf.id

Definition

Id lógico do identificador do paciente

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

Short Id lógico do identificador do pacienteUnique 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

76. Patient.identifier:cpf.extension

Definition

Extensões incluídas no identificador do paciente

Short Extensões do identificador do pacienteAdditional 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 Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

78. Patient.identifier:cpf.use

Definition

usual: identificador usual do paciente. official: identificador oficial do paciente. temp: identificador temporário do paciente. secondary: identificador secundário do paciente.

The purpose of this identifier.

Short Uso do identificador do pacienteusual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..1

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

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

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Fixed Value official

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

80. Patient.identifier:cpf.type

Definition

Código que representa o tipo do identificador do paciente

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Tipo do identificador do pacienteDescription of identifier

Comments

Control 0..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

Tipo do identificador do paciente

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

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

82. Patient.identifier:cpf.type.id

Definition

Id lógico do tipo do identificador do paciente

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

Short Id lógico do tipo do identificador do pacienteUnique 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

84. Patient.identifier:cpf.type.extension

Definition

Extensões incluídas no tipo do identificador do paciente

Short Extensões do tipo do identificador do pacienteAdditional 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 Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

86. Patient.identifier:cpf.type.coding

Definition

Codificação que representa o tipo do identificador do paciente

A reference to a code defined by a terminology system.

Short Codificação do tipo do identificador do pacienteCode defined by a terminology system

Comments

Control 10..1*

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()))

88. Patient.identifier:cpf.type.coding.id

Definition

Id lógico da codificação do tipo do identificador do paciente

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

Short Id lógico da codificação do tipo do identificador do pacienteUnique 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

90. Patient.identifier:cpf.type.coding.extension

Definition

Extensões incluídas na codificação do tipo do identificador do paciente

Short Extensões da codificação do tipo do identificador do pacienteAdditional 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 Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

92. Patient.identifier:cpf.type.coding.system

Definition

Sistema que identifica a codificação do tipo do identificador do paciente

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

Short Sistema da codificação do tipo do identificador do pacienteIdentity of the terminology system

Comments

Control 10..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.

Fixed Value http://terminology.hl7.org/CodeSystem/v2-0203

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

94. Patient.identifier:cpf.type.coding.version

Definition

Versão da codificação do tipo do identificador do paciente

Short Versão da codificação do tipo do identificador do pacienteVersion 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()))

96. Patient.identifier:cpf.type.coding.code

Definition

Código que representa a codificação do tipo do identificador do paciente

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 da codificação do tipo do identificador do pacienteSymbol in syntax defined by the system

Control 10..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.

Fixed Value TAX

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

98. Patient.identifier:cpf.type.coding.display

Definition

Texto que representa a codificação do tipo do identificador do paciente

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

Short Texto da codificação do tipo do identificador do pacienteRepresentation 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()))

100. Patient.identifier:cpf.type.coding.userSelected

Definition

Indica se a codificação do tipo do identificador do paciente foi selecionada 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 Seleção do usuário da codificação do tipo do identificador do pacienteIf 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()))

102. Patient.identifier:cpf.type.text

Definition

Texto que representa o tipo do identificador do paciente

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 Texto do tipo do identificador do pacientePlain 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()))

104. Patient.identifier:cpf.system

Definition

Sistema que identifica o tipo do identificador do paciente

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short Sistema do identificador do pacienteThe namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

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

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Fixed Value https://saude.gov.br/fhir/sid/cpf

Example General:http://www.acme.com/identifiers/patient

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

106. Patient.identifier:cpf.value

Definition

Valor do identificador do paciente

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short Valor do identificador do pacienteThe value that is unique

Comments

Control 10..1

Is Modifier false

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

Summary true

Example General:123456

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

108. Patient.identifier:cpf.period

Definition

Período de tempo durante o qual o identificador do paciente foi utilizado

Time period during which identifier is/was valid for use.

Short Período de uso do identificador do pacienteTime period when id is/was valid for use

Control 0..1

Is Modifier false

Summary true

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

110. Patient.identifier:cpf.assigner

Definition

Entidade que atribuiu o identificador do paciente

Organization that issued/manages the identifier.

Short Entidade que atribuiu o identificador do pacienteOrganization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..1

Type Reference(OrganizationBRIPS, Organization)

Is Modifier false

Summary true

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

112. Patient.identifier:cpf.assigner.display

Definition

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

Short Nome da entidade que atribuiu o identificador do pacienteText 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()))

114. Patient.identifier:registroEstrangeiro

Slice Name registroEstrangeiro

Definition

Identificador do paciente

An identifier for this patient.

Short Identificador do pacienteAn identifier for this patient

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

Control 0..1*

Is Modifier false

Must Support true

Summary true

Requirements

Patients are almost always assigned specific numerical identifiers.

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

116. Patient.identifier:registroEstrangeiro.id

Definition

Id lógico do identificador do paciente

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

Short Id lógico do identificador do pacienteUnique 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

118. Patient.identifier:registroEstrangeiro.extension

Definition

Extensões incluídas no identificador do paciente

Short Extensões do identificador do pacienteAdditional 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 Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

120. Patient.identifier:registroEstrangeiro.use

Definition

usual: identificador usual do paciente. official: identificador oficial do paciente. temp: identificador temporário do paciente. secondary: identificador secundário do paciente.

The purpose of this identifier.

Short Uso do identificador do pacienteusual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..1

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

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

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Fixed Value official

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

122. Patient.identifier:registroEstrangeiro.type

Definition

Código que representa o tipo do identificador do paciente

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Tipo do identificador do pacienteDescription of identifier

Comments

Control 0..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

Tipo do identificador do paciente

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

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

124. Patient.identifier:registroEstrangeiro.type.id

Definition

Id lógico do tipo do identificador do paciente

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

Short Id lógico do tipo do identificador do pacienteUnique 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

126. Patient.identifier:registroEstrangeiro.type.extension

Definition

Extensões incluídas no tipo do identificador do paciente

Short Extensões do tipo do identificador do pacienteAdditional 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 Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

128. Patient.identifier:registroEstrangeiro.type.coding

Definition

Codificação que representa o tipo do identificador do paciente

A reference to a code defined by a terminology system.

Short Codificação do tipo do identificador do pacienteCode defined by a terminology system

Comments

Control 10..1*

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()))

130. Patient.identifier:registroEstrangeiro.type.coding.id

Definition

Id lógico da codificação do tipo do identificador do paciente

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

Short Id lógico da codificação do tipo do identificador do pacienteUnique 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

132. Patient.identifier:registroEstrangeiro.type.coding.extension

Definition

Extensões incluídas na codificação do tipo do identificador do paciente

Short Extensões da codificação do tipo do identificador do pacienteAdditional 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 Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

134. Patient.identifier:registroEstrangeiro.type.coding.system

Definition

Sistema que identifica a codificação do tipo do identificador do paciente

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

Short Sistema da codificação do tipo do identificador do pacienteIdentity of the terminology system

Comments

Control 10..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.

Fixed Value http://terminology.hl7.org/CodeSystem/v2-0203

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

136. Patient.identifier:registroEstrangeiro.type.coding.version

Definition

Versão da codificação do tipo do identificador do paciente

Short Versão da codificação do tipo do identificador do pacienteVersion 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()))

138. Patient.identifier:registroEstrangeiro.type.coding.code

Definition

Código que representa a codificação do tipo do identificador do paciente

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 da codificação do tipo do identificador do pacienteSymbol in syntax defined by the system

Control 10..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.

Fixed Value RNE

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

140. Patient.identifier:registroEstrangeiro.type.coding.display

Definition

Texto que representa a codificação do tipo do identificador do paciente

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

Short Texto da codificação do tipo do identificador do pacienteRepresentation 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()))

142. Patient.identifier:registroEstrangeiro.type.coding.userSelected

Definition

Indica se a codificação do tipo do identificador do paciente foi selecionada 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 Seleção do usuário da codificação do tipo do identificador do pacienteIf 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()))

144. Patient.identifier:registroEstrangeiro.type.text

Definition

Texto que representa o tipo do identificador do paciente

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 Texto do tipo do identificador do pacientePlain 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()))

146. Patient.identifier:registroEstrangeiro.system

Definition

Sistema que identifica o tipo do identificador do paciente

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short Sistema do identificador do pacienteThe namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

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

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Fixed Value https://saude.gov.br/fhir/sid/rne

Example General:http://www.acme.com/identifiers/patient

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

148. Patient.identifier:registroEstrangeiro.value

Definition

Valor do identificador do paciente

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short Valor do identificador do pacienteThe value that is unique

Comments

Control 10..1

Is Modifier false

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

Summary true

Example General:123456

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

150. Patient.identifier:registroEstrangeiro.period

Definition

Período de tempo durante o qual o identificador do paciente foi utilizado

Time period during which identifier is/was valid for use.

Short Período de uso do identificador do pacienteTime period when id is/was valid for use

Control 0..1

Is Modifier false

Summary true

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

152. Patient.identifier:registroEstrangeiro.assigner

Definition

Entidade que atribuiu o identificador do paciente

Organization that issued/manages the identifier.

Short Entidade que atribuiu o identificador do pacienteOrganization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..1

Type Reference(OrganizationBRIPS, Organization)

Is Modifier false

Summary true

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

154. Patient.identifier:registroEstrangeiro.assigner.display

Definition

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

Short Nome da entidade que atribuiu o identificador do pacienteText 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()))

156. Patient.identifier:passaporte

Slice Name passaporte

Definition

Identificador do paciente

An identifier for this patient.

Short Identificador do pacienteAn identifier for this patient

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

Control 0..1*

Is Modifier false

Must Support true

Summary true

Requirements

Patients are almost always assigned specific numerical identifiers.

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

158. Patient.identifier:passaporte.id

Definition

Id lógico do identificador do paciente

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

Short Id lógico do identificador do pacienteUnique 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

160. Patient.identifier:passaporte.extension

Definition

Extensões incluídas no identificador do paciente

Short Extensões do identificador do pacienteAdditional 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 Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

162. Patient.identifier:passaporte.use

Definition

usual: identificador usual do paciente. official: identificador oficial do paciente. temp: identificador temporário do paciente. secondary: identificador secundário do paciente.

The purpose of this identifier.

Short Uso do identificador do pacienteusual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..1

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

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

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Fixed Value official

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

164. Patient.identifier:passaporte.type

Definition

Código que representa o tipo do identificador do paciente

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Tipo do identificador do pacienteDescription of identifier

Comments

Control 0..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

Tipo do identificador do paciente

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

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

166. Patient.identifier:passaporte.type.id

Definition

Id lógico do tipo do identificador do paciente

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

Short Id lógico do tipo do identificador do pacienteUnique 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

168. Patient.identifier:passaporte.type.extension

Definition

Extensões incluídas no tipo do identificador do paciente

Short Extensões do tipo do identificador do pacienteAdditional 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 Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

170. Patient.identifier:passaporte.type.coding

Definition

Codificação que representa o tipo do identificador do paciente

A reference to a code defined by a terminology system.

Short Codificação do tipo do identificador do pacienteCode defined by a terminology system

Comments

Control 10..1*

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()))

172. Patient.identifier:passaporte.type.coding.id

Definition

Id lógico da codificação do tipo do identificador do paciente

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

Short Id lógico da codificação do tipo do identificador do pacienteUnique 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

174. Patient.identifier:passaporte.type.coding.extension

Definition

Extensões incluídas na codificação do tipo do identificador do paciente

Short Extensões da codificação do tipo do identificador do pacienteAdditional 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 Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

176. Patient.identifier:passaporte.type.coding.system

Definition

Sistema que identifica a codificação do tipo do identificador do paciente

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

Short Sistema da codificação do tipo do identificador do pacienteIdentity of the terminology system

Comments

Control 10..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.

Fixed Value http://terminology.hl7.org/CodeSystem/v2-0203

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

178. Patient.identifier:passaporte.type.coding.version

Definition

Versão da codificação do tipo do identificador do paciente

Short Versão da codificação do tipo do identificador do pacienteVersion 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()))

180. Patient.identifier:passaporte.type.coding.code

Definition

Código que representa a codificação do tipo do identificador do paciente

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 da codificação do tipo do identificador do pacienteSymbol in syntax defined by the system

Control 10..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.

Fixed Value PPN

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

182. Patient.identifier:passaporte.type.coding.display

Definition

Texto que representa a codificação do tipo do identificador do paciente

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

Short Texto da codificação do tipo do identificador do pacienteRepresentation 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()))

184. Patient.identifier:passaporte.type.coding.userSelected

Definition

Indica se a codificação do tipo do identificador do paciente foi selecionada 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 Seleção do usuário da codificação do tipo do identificador do pacienteIf 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()))

186. Patient.identifier:passaporte.type.text

Definition

Texto que representa o tipo do identificador do paciente

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 Texto do tipo do identificador do pacientePlain 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()))

188. Patient.identifier:passaporte.system

Definition

Sistema que identifica o tipo do identificador do paciente

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short Sistema do identificador do pacienteThe namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

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

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Fixed Value http://hl7.org/fhir/sid/passport-BRA

Example General:http://www.acme.com/identifiers/patient

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

190. Patient.identifier:passaporte.value

Definition

Valor do identificador do paciente

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short Valor do identificador do pacienteThe value that is unique

Comments

Control 10..1

Is Modifier false

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

Summary true

Example General:123456

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

192. Patient.identifier:passaporte.period

Definition

Período de tempo durante o qual o identificador do paciente foi utilizado

Time period during which identifier is/was valid for use.

Short Período de uso do identificador do pacienteTime period when id is/was valid for use

Control 0..1

Is Modifier false

Summary true

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

194. Patient.identifier:passaporte.assigner

Definition

Entidade que atribuiu o identificador do paciente

Organization that issued/manages the identifier.

Short Entidade que atribuiu o identificador do pacienteOrganization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..1

Type Reference(OrganizationBRIPS, Organization)

Is Modifier false

Summary true

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

196. Patient.identifier:passaporte.assigner.display

Definition

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

Short Nome da entidade que atribuiu o identificador do pacienteText 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()))

198. Patient.active

Definition

Indica se o paciente está ativo

Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

It is often used to filter patient lists to exclude inactive patients

Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

Short Indica se o paciente está ativoWhether this patient's record is in active use

Comments

If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

Control 0..1

Is Modifier true because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid

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

Summary true

Requirements

Need to be able to mark a patient record as not to be used because it was created in error.

Meaning if Missing This resource is generally assumed to be active if no value is provided for the active element

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

200. Patient.name

Definition

Nome do paciente

A name associated with the individual.

Short Nome do pacienteA name associated with the patient

Comments

A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Control 10..*

Is Modifier false

Must Support true

Summary true

Requirements

Need to be able to track the patient by multiple names. Examples are your official name and a partner name. The Alphabetic representation of the name SHALL be always provided

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ips-pat-1: Patient.name.given, Patient.name.family or Patient.name.text SHALL be present (family.exists() or given.exists() or text.exists())
ips-br-pat-1: Patient.name.given, Patient.name.family, Patient.name.text or Patient.name.extension SHALL be present ((family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists())

202. Patient.name.id

Definition

Identificação unívoca para o recurso em um sistema

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

Short Identificador primário deste recursoUnique 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

204. Patient.name.extension

Definition

Extensões adicionais que não fazem parte do modelo base

Short Extensões adicionaisAdditional 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 Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

206. Patient.name.use

Definition

O uso do nome

Identifies the purpose for this name.

Comments

Applications can assume that a name is current unless it explicitly says that it is temporary or old.

Control 0..1

The codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

The use of a human name.

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one

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

Summary true

Requirements

Allows the appropriate name for a particular context of use to be selected from among a set of names.

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

208. Patient.name.text

Definition

Representação textual do nome completo do paciente

Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

Short Representação textual do nome completo do pacienteText representation of the full name

Comments

Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

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

A renderable, unencoded form.

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

210. Patient.name.family

Definition

Sobrenome do paciente

The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

Short SobrenomeFamily name (often called 'Surname')

Comments

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

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

Alternate Names surname

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

212. Patient.name.given

Definition

Nome completo do paciente

Given name.

Short Nome completo do pacienteGiven names (not always 'first'). Includes middle names

Comments

If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Control 0..*

Is Modifier false

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

Must Support true

Summary true

Alternate Names first name, middle name

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

214. Patient.name.prefix

Definition

Prefixo do nome do paciente

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

Short Prefixo do nomeParts that come before the name

Control 0..*

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()))

216. Patient.name.suffix

Definition

Sufixo do nome do paciente

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

Short Sufixo do nomeParts that come after the name

Control 0..*

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()))

218. Patient.name.period

Definition

Período de tempo em que o nome foi usado

Indicates the period of time when this name was valid for the named person.

Short Período de tempo em que o nome foi usadoTime period when name was/is in use

Control 0..1

Is Modifier false

Summary true

Requirements

Allows names to be placed in historical context.

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

220. Patient.telecom

Definition

Contatos de telecomunicação do paciente

A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

Short Contatos de telecomunicação do pacienteA contact detail for the individual

Comments

A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

Control 0..*

Is Modifier false

Must Support true

Summary true

Requirements

People have (primary) ways to contact them in some way such as phone, email.

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

222. Patient.telecom.id

Definition

Identificação unívoca para o recurso em um sistema

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

Short Identificador primário deste recursoUnique 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

224. Patient.telecom.extension

Definition

Extensões adicionais que não fazem parte do modelo base

Short Extensões adicionaisAdditional 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 Patient.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

226. Patient.telecom.system

Definition

O sistema de telecomunicação usado para o contato

Telecommunications form for contact point - what communications system is required to make use of the contact.

Short Sistema de telecomunicação usado para o contatophone | fax | email | pager | url | sms | other

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

The codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
(required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

Telecommunications form for contact point.

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()))

228. Patient.telecom.value

Definition

O número de telefone ou fax usado para o contato

The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

Short Número do contatoThe actual contact point details

Comments

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

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 support legacy numbers that are not in a tightly controlled format.

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

230. Patient.telecom.use

Definition

home | work | temp | old | mobile - propósito do contato

Identifies the purpose for the contact point.

Short Uso do contatohome | work | temp | old | mobile - purpose of this contact point

Comments

Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

Control 0..1

The codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

Use of contact point.

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one

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

Summary true

Requirements

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

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

232. Patient.telecom.rank

Definition

Indica a ordem de preferência do contato

Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

Short Indica a ordem de preferência do contatoSpecify preferred order of use (1 = highest)

Comments

Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

Control 0..1

positiveInt

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()))

234. Patient.telecom.period

Definition

Período em que o meio de contato foi utilizado pelo paciente

Time period when the contact point was/is in use.

Short Período de tempo em que o contato foi usadoTime period when the contact point was/is in use

Control 0..1

Is Modifier false

Summary true

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

236. Patient.gender

Definition

male | female | other | unknown

Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.

Short Sexomale | female | other | unknown

Comments

The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

Control 0..1

The codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
(required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

The gender of a person used for administrative purposes.

Is Modifier false

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

Must Support true

Summary true

Requirements

Needed for identification of the individual, in combination with (at least) name and birth date.

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

238. Patient.birthDate

Definition

Data de nascimento do paciente

The date of birth for the individual.

Short Data de nascimento do pacienteThe date of birth for the individual

Comments

At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

Control 10..1

date

Is Modifier false

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

Must Support true

Summary true

Requirements

Age of the individual drives many clinical processes.

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

LOINC Code 21112-8

240. Patient.deceased[x]

Definition

Indica se o paciente é falecido

Indicates if the individual is deceased or not.

Short Indica se o paciente é falecidoIndicates if the individual is deceased or not

Comments

If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

Control 0..1

Type Choice of: boolean, dateTime

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

Is Modifier true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.

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

Summary true

Requirements

The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

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 Patient.deceased[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:

type @ $this

242. Patient.deceased[x]:deceasedBoolean

Slice Name deceasedBoolean

Definition

Indicates if the individual is deceased or not.

Short Indicates if the individual is deceased or not

Comments

Control 0..1

Type boolean, dateTime

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

Is Modifier true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.

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

Summary true

Requirements

The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

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

244. Patient.deceased[x]:deceasedDateTime

Slice Name deceasedDateTime

Definition

Data e hora do falecimento do paciente

Indicates if the individual is deceased or not.

Short Data e hora do falecimento do pacienteIndicates if the individual is deceased or not

Comments

Control 0..1

Type dateTime, boolean

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

Is Modifier true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.

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

Summary true

Requirements

The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

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

246. Patient.address

Definition

Endereço do paciente

An address for the individual.

Short Endereço do pacienteAn address for the individual

Comments

Patient may have multiple addresses with different uses or applicable periods.

Control 0..*

Is Modifier false

Must Support true

Summary true

Requirements

May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
pat-cnt-2or3-char: The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. (country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3')))

248. Patient.address.id

Definition

Identificação unívoca para o recurso em um sistema

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

Short Identificador primário deste recursoUnique 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. Patient.address.extension

Definition

Extensões adicionais que não fazem parte do modelo base

Short Extensões adicionaisAdditional 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 Patient.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

252. Patient.address.use

Definition

home | work | temp | old - propósito do endereço

The purpose of this address.

Short Uso do endereçohome | work | temp | old | billing - purpose of this address

Comments

Applications can assume that an address is current unless it explicitly says that it is temporary or old.

Control 0..1

The codes SHALL be taken from AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

The use of an address.

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one

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

Summary true

Requirements

Allows an appropriate address to be chosen from a list of many.

Example General:home

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

254. Patient.address.type

Definition

postal | physical | both

Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

Short Tipo de endereçopostal | physical | both

Comments

The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

Control 0..1

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

The type of an address (physical / postal).

Is Modifier false

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

Summary true

Example General:both

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

256. Patient.address.text

Definition

Representação textual do endereço

Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

Short Representação textual do endereçoText representation of the address

Comments

Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

Control 0..1

Is Modifier false

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

Summary true

Requirements

A renderable, unencoded form.

Example General:137 Nowhere Street, Erewhon 9132

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

258. Patient.address.line

Definition

Endereço do paciente

This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

Short Endereço do pacienteStreet name, number, direction & P.O. Box etc.

Control 0..*

Is Modifier false

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

Summary true

Example General:137 Nowhere Street

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

260. Patient.address.city

Definition

Cidade do endereço

The name of the city, town, suburb, village or other community or delivery center.

Short Cidade do endereçoName of city, town etc.

Control 0..1

Is Modifier false

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

Summary true

Alternate Names Municpality

Example General:Erewhon

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

262. Patient.address.district

Definition

Distrito do endereço

The name of the administrative area (county).

Short Distrito do endereçoDistrict name (aka county)

Comments

District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

Control 0..1

Is Modifier false

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

Summary true

Alternate Names County

Example General:Madison

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

264. Patient.address.state

Definition

Unidade Federativa

Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).

Short Unidade FederativaSub-unit of country (abbreviations ok)

Control 0..1

Is Modifier false

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

Summary true

Alternate Names Province, Territory

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

266. Patient.address.postalCode

Definition

CEP do endereço

A postal code designating a region defined by the postal service.

Short CEP do endereçoPostal code for area

Control 0..1

Is Modifier false

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

Summary true

Alternate Names Zip

Example General:9132

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

268. Patient.address.country

Definition

País do endereço

Country - a nation as commonly understood or generally accepted.

Short País do endereçoCountry (e.g. can be ISO 3166 2 or 3 letter code)

Comments

ISO 3166 3 letter codes can be used in place of a human readable country name.

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()))

270. Patient.address.period

Definition

Período de tempo em que o endereço foi usado

Time period when address was/is in use.

Short Período de tempo em que o endereço foi usadoTime period when address was/is in use

Control 0..1

Is Modifier false

Summary true

Requirements

Allows addresses to be placed in historical context.

Example General:{ "start" : "2010-03-23", "end" : "2010-07-01" }

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

272. Patient.maritalStatus

Definition

Estado civil do paciente

This field contains a patient's most recent marital (civil) status.

Short Estado civil do pacienteMarital (civil) status of a patient

Control 0..1

Unless not suitable, these codes SHALL be taken from Marital Status Codeshttp://hl7.org/fhir/ValueSet/marital-status
(extensible to http://hl7.org/fhir/ValueSet/marital-status)

The domestic partnership status of a person.

Is Modifier false

Summary false

Requirements

Most, if not all systems capture it.

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

274. Patient.multipleBirth[x]

Definition

Indica se o paciente é de parto gemelar

Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

Short Indica se o paciente é de parto gemelarWhether patient is part of a multiple birth

Comments

Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).

Control 0..1

Type Choice of: boolean, integer

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

Is Modifier false

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

Summary false

Requirements

For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

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 Patient.multipleBirth[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:

type @ $this

276. Patient.multipleBirth[x]:multipleBirthBoolean

Slice Name multipleBirthBoolean

Definition

Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

Short Whether patient is part of a multiple birth

Comments

Control 0..1

Type boolean, integer

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

Is Modifier false

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

Summary false

Requirements

For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

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

278. Patient.multipleBirth[x]:multipleBirthInteger

Slice Name multipleBirthInteger

Definition

Gemelaridade do paciente

Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

Short Gemelaridade do pacienteWhether patient is part of a multiple birth

Comments

Control 0..1

Type integer, boolean

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

Is Modifier false

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

Summary false

Requirements

For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

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

280. Patient.photo

Definition

Fotografia do paciente

Image of the patient.

Short Fotografia do pacienteImage of the patient

Comments

Guidelines:

Use id photos, not clinical photos.
Limit dimensions to thumbnail.
Keep byte count low to ease resource updates.

Control 0..*

Attachment

Is Modifier false

Summary false

Requirements

Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.

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

282. Patient.contact

Definition

Uma pessoa para contato (guardião, companheiro, amigo) em caso de emergência

A contact party (e.g. guardian, partner, friend) for the patient.

Short Uma pessoa para contato (guardião, companheiro, amigo) em caso de emergênciaA contact party (e.g. guardian, partner, friend) for the patient

Comments

Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

Control 0..*

Is Modifier false

Summary false

Requirements

Need to track people you can contact about the patient.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())
pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())

284. Patient.contact.id

Definition

Identificação unívoca da pessoa de contato

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

Short Identificação unívoca da pessoa de contatoUnique 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

286. Patient.contact.extension

Definition

Extensões adicionais que não fazem parte do modelo base

Short Extensões adicionaisAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

288. Patient.contact.modifierExtension

Definition

Extensões adicionais que não fazem parte do modelo base

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 adicionaisExtensions 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

290. Patient.contact.relationship

Definition

Relação com o paciente

The nature of the relationship between the patient and the contact person.

Short Relação com o pacienteThe kind of relationship

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.

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

Unless not suitable, these codes SHALL be taken from PatientContactRelationshiphttp://hl7.org/fhir/ValueSet/patient-contactrelationship
(extensible to http://hl7.org/fhir/ValueSet/patient-contactrelationship)

The nature of the relationship between a patient and a contact person for that patient.

Type CodeableConcept(Codeable Concept (IPS))

Is Modifier false

Requirements

Used to determine which contact person is the most relevant to approach, depending on circumstances.

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

292. Patient.contact.name

Definition

Nome da pessoa de contato

A name associated with the contact person.

Short Nome da pessoa de contatoA name associated with the contact person

Control 0..1

Is Modifier false

Summary false

Requirements

Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.

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

294. Patient.contact.telecom

Definition

Contatos de telecomunicação da pessoa de contato

A contact detail for the person, e.g. a telephone number or an email address.

Short Contatos de telecomunicação da pessoa de contatoA contact detail for the person

Comments

Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.

Control 0..*

Is Modifier false

Summary false

Requirements

People have (primary) ways to contact them in some way such as phone, email.

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

296. Patient.contact.address

Definition

Endereço da pessoa de contato

Address for the contact person.

Short Endereço da pessoa de contatoAddress for the contact person

Control 0..1

Is Modifier false

Summary false

Requirements

Need to keep track where the contact person can be contacted per postal mail or visited.

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

298. Patient.contact.gender

Definition

Sexo do contato do paciente

Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.

Short Sexo do contato do pacientemale | female | other | unknown

Control 0..1

The codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
(required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

The gender of a person used for administrative purposes.

Is Modifier false

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

Summary false

Requirements

Needed to address the person correctly.

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

300. Patient.contact.organization

Definition

Organização do contato do paciente

Organization on behalf of which the contact is acting or for which the contact is working.

Short Organização do contato do pacienteOrganization that is associated with the contact

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

Type Reference(OrganizationBRIPS, Organization)

Is Modifier false

Summary false

Requirements

For guardians or business related contacts, the organization is relevant.

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

302. Patient.contact.period

Definition

Período de tempo em que o contato foi usado

The period during which this contact person or organization is valid to be contacted relating to this patient.

Short Período de tempo em que o contato foi usadoThe period during which this contact person or organization is valid to be contacted relating to this patient

Control 0..1

Is Modifier false

Summary false

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

304. Patient.communication

Definition

A language which may be used to communicate with the patient about his or her health.

Short Idiomas falados pelo pacienteA language which may be used to communicate with the patient about his or her health

Comments

If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

Control 0..*

Is Modifier false

Summary false

Requirements

If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.

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

306. Patient.communication.id

Definition

Identificação unívoca para o recurso em um sistema

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

Short Identificador primário deste recursoUnique 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. Patient.communication.extension

Definition

Extensões adicionais que não fazem parte do modelo base

Short Extensões adicionaisAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

310. Patient.communication.modifierExtension

Definition

Extensões adicionais que não fazem parte do modelo base

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

Short Extensões adicionaisExtensions 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

312. Patient.communication.language

Definition

Idioma falado pelo paciente

The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.

Short Idioma falado pelo pacienteThe language which can be used to communicate with the patient about his or her health

Comments

The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

Control 1..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

Summary false

Requirements

Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

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

314. Patient.communication.preferred

Definition

Indica se o idioma é preferido

Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).

Short Indica se o idioma é preferidoLanguage preference indicator

Comments

This language is specifically identified for communicating healthcare information.

Control 0..1

Is Modifier false

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

Summary false

Requirements

People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.

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

316. Patient.generalPractitioner

Definition

Médico de atenção primária do paciente

Patient's nominated care provider.

Short Médico de atenção primária do pacientePatient's nominated primary care provider

Comments

This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.

Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.

Control 0..*

Type Reference(OrganizationBRIPS, PractitionerBRIPS, PractitionerRoleBRIPS, Organization, Practitioner, PractitionerRole)

Is Modifier false

Must Support true

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

Summary false

Alternate Names careProvider

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

318. Patient.managingOrganization

Definition

Organização responsável pelo paciente

Organization that is the custodian of the patient record.

Short Organização responsável pelo pacienteOrganization that is the custodian of the patient record

Comments

There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).

Control 0..1

Type Reference(OrganizationBRIPS, Organization)

Is Modifier false

Summary true

Requirements

Need to know who recognizes this patient record, manages and updates it.

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

320. Patient.link

Definition

Links para outros recursos que se relacionam com este recurso

Link to another patient resource that concerns the same actual patient.

Short Links para outros recursos que se relacionam com este recursoLink to another patient resource that concerns the same actual person

Comments

There is no assumption that linked patient records have mutual links.

Control 0..*

Is Modifier true because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'

Summary true

Requirements

There are multiple use cases:

Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
Distribution of patient information across multiple servers.

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

322. Patient.link.id

Definition

Identificação unívoca para o recurso em um sistema

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

Short Identificador primário deste recursoUnique 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

324. Patient.link.extension

Definition

Extensões adicionais que não fazem parte do modelo base

Short Extensões adicionaisAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

326. Patient.link.modifierExtension

Definition

Extensões adicionais que não fazem parte do modelo base

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

Short Extensões adicionaisExtensions 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

328. Patient.link.other

Definition

Outro recurso que se relaciona com este recurso

The other patient resource that the link refers to.

Short Outro recurso que se relaciona com este recursoThe other patient or related person resource that the link refers to

Comments

Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.

Control 1..1

Type Reference(PatientBRIPS, RelatedPerson, Patient)

Is Modifier false

Summary true

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

330. Patient.link.type

Definition

Tipo de relação entre os recursos

The type of link between this patient resource and another patient resource.

Short Tipo de relação entre os recursosreplaced-by | replaces | refer | seealso

Control 1..1

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

The type of link between this patient resource and another patient resource.

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()))

Guidance on how to interpret the contents of this table can be found here

0. Patient

Definition

Demographics and other administrative information about an individual or animal receiving care or other health-related services.

Short Information about an individual or animal receiving health care services

Control 0..*

Is Modifier false

Summary false

Alternate Names SubjectOfCare Client Resident

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. Patient.id

Definition

Identificação unívoca para o recurso em um sistema

Short Identificador literal deste recurso

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. Patient.meta

Definition

Metadados adicionais sobre o recurso

Short Metadados sobre o recurso

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. Patient.implicitRules

Definition

Um ou mais códigos que servem para identificar o tipo de recurso

Short URI(s) sob as quais este recurso é conhecido

Comments

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. Patient.language

Definition

A linguagem humana natural do recurso

Short Linguagem do recurso

Comments

Control 0..1

The codes SHOULD be taken from CommonLanguages
(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. Patient.text

Definition

Um texto narrativo resumindo as informações do recurso

Short Texto narrativo, 72 caracteres para resumo

Comments

Control 0..1

Narrative

Is Modifier false

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. Patient.contained

Definition

Recursos contidos no recurso

Short Recursos contidos

Comments

Control 0..*

Resource

Is Modifier false

Summary false

Alternate Names inline resources, anonymous resources, contained resources

14. Patient.extension

Definition

Extensões adicionais que não fazem parte do modelo base

Short Extensões adicionais

Control 0..*

Is Modifier false

Summary false

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

value @ url

16. Patient.extension:localNascimento

Slice Name localNascimento

Definition

Local de nascimento do paciente

Short Local de nascimento do paciente

Control 0..1

Type Extension(Patient Birth Place) (Extension Type: Address)

Is Modifier false

18. Patient.extension:raca

Slice Name raca

Definition

Raça do paciente

Short Raça do paciente

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

Type Extension(Raça BR IPS) (Extension Type: CodeableConcept)

Is Modifier false

20. Patient.extension:povoIndigena

Slice Name povoIndigena

Definition

Afiliação do paciente

Short Afiliação do paciente

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

Type Extension(Extensão de povo indígena BR IPS) (Extension Type: CodeableConcept)

Is Modifier false

22. Patient.extension:sexoNascimento

Slice Name sexoNascimento

Definition

Sexo do nascimento do paciente

Short Sexo do nascimento do paciente

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

Type Extension(Sexo no nascimento BR IPS) (Extension Type: CodeableConcept)

Is Modifier false

24. Patient.extension:identidadeGenero

Slice Name identidadeGenero

Definition

Identidade de gênero do paciente

Short Identidade de gênero do paciente

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

Type Extension(Identidade de gênero BR IPS) (Extension Type: CodeableConcept)

Is Modifier false

26. Patient.modifierExtension

Definition

Extensões adicionais que não fazem parte do modelo base

Short Extensões adicionais

Control 0..*

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

Summary false

28. Patient.identifier

Definition

Identificadores nacionais do paciente

Short Identificadores nacionais do paciente

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

Control 0..*

Is Modifier false

Must Support true

Summary true

Requirements

Patients are almost always assigned specific numerical identifiers.

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 Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ system

30. Patient.identifier:cns

Slice Name cns

Definition

Identificador do paciente

Short Identificador do paciente

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

Control 0..1

Is Modifier false

Must Support true

Summary true

Requirements

Patients are almost always assigned specific numerical identifiers.

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

32. Patient.identifier:cns.id

Definition

Id lógico do identificador do paciente

Short Id lógico do identificador do paciente

Control 0..1

Is Modifier false

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

Summary false

34. Patient.identifier:cns.extension

Definition

Extensões incluídas no identificador do paciente

Short Extensões do identificador do paciente

Control 0..*

Is Modifier false

Summary false

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

value @ url

36. Patient.identifier:cns.use

Definition

usual: identificador usual do paciente. official: identificador oficial do paciente. temp: identificador temporário do paciente. secondary: identificador secundário do paciente.

Short Uso do identificador do paciente

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..1

The codes SHALL be taken from IdentifierUse
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

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

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Fixed Value official

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

38. Patient.identifier:cns.type

Definition

Código que representa o tipo do identificador do paciente

Short Tipo do identificador do paciente

Comments

Control 0..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codes
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

Tipo do identificador do paciente

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

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

40. Patient.identifier:cns.type.id

Definition

Id lógico do tipo do identificador do paciente

Short Id lógico do tipo do identificador do paciente

Control 0..1

Is Modifier false

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

Summary false

42. Patient.identifier:cns.type.extension

Definition

Extensões incluídas no tipo do identificador do paciente

Short Extensões do tipo do identificador do paciente

Control 0..*

Is Modifier false

Summary false

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

value @ url

44. Patient.identifier:cns.type.coding

Definition

Codificação que representa o tipo do identificador do paciente

Short Codificação do tipo do identificador do paciente

Comments

Control 1..1

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()))

46. Patient.identifier:cns.type.coding.id

Definition

Id lógico da codificação do tipo do identificador do paciente

Short Id lógico da codificação do tipo do identificador do paciente

Control 0..1

Is Modifier false

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

Summary false

48. Patient.identifier:cns.type.coding.extension

Definition

Extensões incluídas na codificação do tipo do identificador do paciente

Short Extensões da codificação do tipo do identificador do paciente

Control 0..*

Is Modifier false

Summary false

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

value @ url

50. Patient.identifier:cns.type.coding.system

Definition

Sistema que identifica a codificação do tipo do identificador do paciente

Short Sistema da codificação do tipo do identificador do paciente

Comments

Control 1..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.

Fixed Value http://terminology.hl7.org/CodeSystem/v2-0203

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

52. Patient.identifier:cns.type.coding.version

Definition

Versão da codificação do tipo do identificador do paciente

Short Versão da codificação do tipo do identificador do paciente

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()))

54. Patient.identifier:cns.type.coding.code

Definition

Código que representa a codificação do tipo do identificador do paciente

Short Código da codificação do tipo do identificador do paciente

Control 1..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.

Fixed Value HC

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

56. Patient.identifier:cns.type.coding.display

Definition

Texto que representa a codificação do tipo do identificador do paciente

Short Texto da codificação do tipo do identificador do paciente

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()))

58. Patient.identifier:cns.type.coding.userSelected

Definition

Indica se a codificação do tipo do identificador do paciente foi selecionada pelo usuário

Short Seleção do usuário da codificação do tipo do identificador do paciente

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()))

60. Patient.identifier:cns.type.text

Definition

Texto que representa o tipo do identificador do paciente

Short Texto do tipo do identificador do paciente

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()))

62. Patient.identifier:cns.system

Definition

Sistema que identifica o tipo do identificador do paciente

Short Sistema do identificador do paciente

Comments

Identifier.system is always case sensitive.

Control 1..1

Is Modifier false

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

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Fixed Value https://saude.gov.br/fhir/sid/cns

Example General:http://www.acme.com/identifiers/patient

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

64. Patient.identifier:cns.value

Definition

Valor do identificador do paciente

Short Valor do identificador do paciente

Comments

Control 1..1

Is Modifier false

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

Summary true

Example General:123456

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

66. Patient.identifier:cns.period

Definition

Período de tempo durante o qual o identificador do paciente foi utilizado

Short Período de uso do identificador do paciente

Control 0..1

Is Modifier false

Summary true

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

68. Patient.identifier:cns.assigner

Definition

Entidade que atribuiu o identificador do paciente

Short Entidade que atribuiu o identificador do paciente

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..1

Type Reference(OrganizationBRIPS)

Is Modifier false

Summary true

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

70. Patient.identifier:cns.assigner.id

Definition

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

Short Unique 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

72. Patient.identifier:cns.assigner.extension

Definition

Short Additional 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 Patient.identifier.assigner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

74. Patient.identifier:cns.assigner.reference

Definition

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 Literal 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 0..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

Summary true

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

76. Patient.identifier:cns.assigner.type

Definition

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 Type 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 ResourceType
(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()))

78. Patient.identifier:cns.assigner.identifier

Definition

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 Logical 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

Is Modifier false

Summary true

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

80. Patient.identifier:cns.assigner.display

Definition

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

Short Nome da entidade que atribuiu o identificador do paciente

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()))

82. Patient.identifier:cpf

Slice Name cpf

Definition

Identificador do paciente

Short Identificador do paciente

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

Control 0..1

Is Modifier false

Must Support true

Summary true

Requirements

Patients are almost always assigned specific numerical identifiers.

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

84. Patient.identifier:cpf.id

Definition

Id lógico do identificador do paciente

Short Id lógico do identificador do paciente

Control 0..1

Is Modifier false

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

Summary false

86. Patient.identifier:cpf.extension

Definition

Extensões incluídas no identificador do paciente

Short Extensões do identificador do paciente

Control 0..*

Is Modifier false

Summary false

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

value @ url

88. Patient.identifier:cpf.use

Definition

usual: identificador usual do paciente. official: identificador oficial do paciente. temp: identificador temporário do paciente. secondary: identificador secundário do paciente.

Short Uso do identificador do paciente

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..1

The codes SHALL be taken from IdentifierUse
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

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

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Fixed Value official

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

90. Patient.identifier:cpf.type

Definition

Código que representa o tipo do identificador do paciente

Short Tipo do identificador do paciente

Comments

Control 0..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codes
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

Tipo do identificador do paciente

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

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

92. Patient.identifier:cpf.type.id

Definition

Id lógico do tipo do identificador do paciente

Short Id lógico do tipo do identificador do paciente

Control 0..1

Is Modifier false

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

Summary false

94. Patient.identifier:cpf.type.extension

Definition

Extensões incluídas no tipo do identificador do paciente

Short Extensões do tipo do identificador do paciente

Control 0..*

Is Modifier false

Summary false

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

value @ url

96. Patient.identifier:cpf.type.coding

Definition

Codificação que representa o tipo do identificador do paciente

Short Codificação do tipo do identificador do paciente

Comments

Control 1..1

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()))

98. Patient.identifier:cpf.type.coding.id

Definition

Id lógico da codificação do tipo do identificador do paciente

Short Id lógico da codificação do tipo do identificador do paciente

Control 0..1

Is Modifier false

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

Summary false

100. Patient.identifier:cpf.type.coding.extension

Definition

Extensões incluídas na codificação do tipo do identificador do paciente

Short Extensões da codificação do tipo do identificador do paciente

Control 0..*

Is Modifier false

Summary false

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

value @ url

102. Patient.identifier:cpf.type.coding.system

Definition

Sistema que identifica a codificação do tipo do identificador do paciente

Short Sistema da codificação do tipo do identificador do paciente

Comments

Control 1..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.

Fixed Value http://terminology.hl7.org/CodeSystem/v2-0203

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

104. Patient.identifier:cpf.type.coding.version

Definition

Versão da codificação do tipo do identificador do paciente

Short Versão da codificação do tipo do identificador do paciente

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()))

106. Patient.identifier:cpf.type.coding.code

Definition

Código que representa a codificação do tipo do identificador do paciente

Short Código da codificação do tipo do identificador do paciente

Control 1..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.

Fixed Value TAX

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

108. Patient.identifier:cpf.type.coding.display

Definition

Texto que representa a codificação do tipo do identificador do paciente

Short Texto da codificação do tipo do identificador do paciente

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()))

110. Patient.identifier:cpf.type.coding.userSelected

Definition

Indica se a codificação do tipo do identificador do paciente foi selecionada pelo usuário

Short Seleção do usuário da codificação do tipo do identificador do paciente

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()))

112. Patient.identifier:cpf.type.text

Definition

Texto que representa o tipo do identificador do paciente

Short Texto do tipo do identificador do paciente

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()))

114. Patient.identifier:cpf.system

Definition

Sistema que identifica o tipo do identificador do paciente

Short Sistema do identificador do paciente

Comments

Identifier.system is always case sensitive.

Control 1..1

Is Modifier false

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

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Fixed Value https://saude.gov.br/fhir/sid/cpf

Example General:http://www.acme.com/identifiers/patient

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

116. Patient.identifier:cpf.value

Definition

Valor do identificador do paciente

Short Valor do identificador do paciente

Comments

Control 1..1

Is Modifier false

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

Summary true

Example General:123456

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

118. Patient.identifier:cpf.period

Definition

Período de tempo durante o qual o identificador do paciente foi utilizado

Short Período de uso do identificador do paciente

Control 0..1

Is Modifier false

Summary true

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

120. Patient.identifier:cpf.assigner

Definition

Entidade que atribuiu o identificador do paciente

Short Entidade que atribuiu o identificador do paciente

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..1

Type Reference(OrganizationBRIPS)

Is Modifier false

Summary true

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

122. Patient.identifier:cpf.assigner.id

Definition

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

Short Unique 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

124. Patient.identifier:cpf.assigner.extension

Definition

Short Additional 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 Patient.identifier.assigner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

126. Patient.identifier:cpf.assigner.reference

Definition

Short Literal reference, Relative, internal or absolute URL

Comments

Control 0..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

Summary true

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

128. Patient.identifier:cpf.assigner.type

Definition

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.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..1

Unless not suitable, these codes SHALL be taken from ResourceType
(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()))

130. Patient.identifier:cpf.assigner.identifier

Definition

Short Logical reference, when literal reference is not known

Comments

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

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

Control 0..1

Is Modifier false

Summary true

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

132. Patient.identifier:cpf.assigner.display

Definition

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

Short Nome da entidade que atribuiu o identificador do paciente

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()))

134. Patient.identifier:registroEstrangeiro

Slice Name registroEstrangeiro

Definition

Identificador do paciente

Short Identificador do paciente

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

Control 0..1

Is Modifier false

Must Support true

Summary true

Requirements

Patients are almost always assigned specific numerical identifiers.

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

136. Patient.identifier:registroEstrangeiro.id

Definition

Id lógico do identificador do paciente

Short Id lógico do identificador do paciente

Control 0..1

Is Modifier false

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

Summary false

138. Patient.identifier:registroEstrangeiro.extension

Definition

Extensões incluídas no identificador do paciente

Short Extensões do identificador do paciente

Control 0..*

Is Modifier false

Summary false

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

value @ url

140. Patient.identifier:registroEstrangeiro.use

Definition

usual: identificador usual do paciente. official: identificador oficial do paciente. temp: identificador temporário do paciente. secondary: identificador secundário do paciente.

Short Uso do identificador do paciente

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..1

The codes SHALL be taken from IdentifierUse
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

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

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Fixed Value official

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

142. Patient.identifier:registroEstrangeiro.type

Definition

Código que representa o tipo do identificador do paciente

Short Tipo do identificador do paciente

Comments

Control 0..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codes
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

Tipo do identificador do paciente

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

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

144. Patient.identifier:registroEstrangeiro.type.id

Definition

Id lógico do tipo do identificador do paciente

Short Id lógico do tipo do identificador do paciente

Control 0..1

Is Modifier false

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

Summary false

146. Patient.identifier:registroEstrangeiro.type.extension

Definition

Extensões incluídas no tipo do identificador do paciente

Short Extensões do tipo do identificador do paciente

Control 0..*

Is Modifier false

Summary false

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

value @ url

148. Patient.identifier:registroEstrangeiro.type.coding

Definition

Codificação que representa o tipo do identificador do paciente

Short Codificação do tipo do identificador do paciente

Comments

Control 1..1

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()))

150. Patient.identifier:registroEstrangeiro.type.coding.id

Definition

Id lógico da codificação do tipo do identificador do paciente

Short Id lógico da codificação do tipo do identificador do paciente

Control 0..1

Is Modifier false

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

Summary false

152. Patient.identifier:registroEstrangeiro.type.coding.extension

Definition

Extensões incluídas na codificação do tipo do identificador do paciente

Short Extensões da codificação do tipo do identificador do paciente

Control 0..*

Is Modifier false

Summary false

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

value @ url

154. Patient.identifier:registroEstrangeiro.type.coding.system

Definition

Sistema que identifica a codificação do tipo do identificador do paciente

Short Sistema da codificação do tipo do identificador do paciente

Comments

Control 1..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.

Fixed Value http://terminology.hl7.org/CodeSystem/v2-0203

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

156. Patient.identifier:registroEstrangeiro.type.coding.version

Definition

Versão da codificação do tipo do identificador do paciente

Short Versão da codificação do tipo do identificador do paciente

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()))

158. Patient.identifier:registroEstrangeiro.type.coding.code

Definition

Código que representa a codificação do tipo do identificador do paciente

Short Código da codificação do tipo do identificador do paciente

Control 1..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.

Fixed Value RNE

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

160. Patient.identifier:registroEstrangeiro.type.coding.display

Definition

Texto que representa a codificação do tipo do identificador do paciente

Short Texto da codificação do tipo do identificador do paciente

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()))

162. Patient.identifier:registroEstrangeiro.type.coding.userSelected

Definition

Indica se a codificação do tipo do identificador do paciente foi selecionada pelo usuário

Short Seleção do usuário da codificação do tipo do identificador do paciente

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()))

164. Patient.identifier:registroEstrangeiro.type.text

Definition

Texto que representa o tipo do identificador do paciente

Short Texto do tipo do identificador do paciente

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()))

166. Patient.identifier:registroEstrangeiro.system

Definition

Sistema que identifica o tipo do identificador do paciente

Short Sistema do identificador do paciente

Comments

Identifier.system is always case sensitive.

Control 1..1

Is Modifier false

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

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Fixed Value https://saude.gov.br/fhir/sid/rne

Example General:http://www.acme.com/identifiers/patient

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

168. Patient.identifier:registroEstrangeiro.value

Definition

Valor do identificador do paciente

Short Valor do identificador do paciente

Comments

Control 1..1

Is Modifier false

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

Summary true

Example General:123456

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

170. Patient.identifier:registroEstrangeiro.period

Definition

Período de tempo durante o qual o identificador do paciente foi utilizado

Short Período de uso do identificador do paciente

Control 0..1

Is Modifier false

Summary true

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

172. Patient.identifier:registroEstrangeiro.assigner

Definition

Entidade que atribuiu o identificador do paciente

Short Entidade que atribuiu o identificador do paciente

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..1

Type Reference(OrganizationBRIPS)

Is Modifier false

Summary true

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

174. Patient.identifier:registroEstrangeiro.assigner.id

Definition

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

Short Unique 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

176. Patient.identifier:registroEstrangeiro.assigner.extension

Definition

Short Additional 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 Patient.identifier.assigner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

178. Patient.identifier:registroEstrangeiro.assigner.reference

Definition

Short Literal reference, Relative, internal or absolute URL

Comments

Control 0..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

Summary true

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

180. Patient.identifier:registroEstrangeiro.assigner.type

Definition

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.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..1

Unless not suitable, these codes SHALL be taken from ResourceType
(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()))

182. Patient.identifier:registroEstrangeiro.assigner.identifier

Definition

Short Logical reference, when literal reference is not known

Comments

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

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

Control 0..1

Is Modifier false

Summary true

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

184. Patient.identifier:registroEstrangeiro.assigner.display

Definition

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

Short Nome da entidade que atribuiu o identificador do paciente

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()))

186. Patient.identifier:passaporte

Slice Name passaporte

Definition

Identificador do paciente

Short Identificador do paciente

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

Control 0..1

Is Modifier false

Must Support true

Summary true

Requirements

Patients are almost always assigned specific numerical identifiers.

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

188. Patient.identifier:passaporte.id

Definition

Id lógico do identificador do paciente

Short Id lógico do identificador do paciente

Control 0..1

Is Modifier false

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

Summary false

190. Patient.identifier:passaporte.extension

Definition

Extensões incluídas no identificador do paciente

Short Extensões do identificador do paciente

Control 0..*

Is Modifier false

Summary false

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

value @ url

192. Patient.identifier:passaporte.use

Definition

usual: identificador usual do paciente. official: identificador oficial do paciente. temp: identificador temporário do paciente. secondary: identificador secundário do paciente.

Short Uso do identificador do paciente

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..1

The codes SHALL be taken from IdentifierUse
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

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

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Fixed Value official

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

194. Patient.identifier:passaporte.type

Definition

Código que representa o tipo do identificador do paciente

Short Tipo do identificador do paciente

Comments

Control 0..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codes
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

Tipo do identificador do paciente

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

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

196. Patient.identifier:passaporte.type.id

Definition

Id lógico do tipo do identificador do paciente

Short Id lógico do tipo do identificador do paciente

Control 0..1

Is Modifier false

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

Summary false

198. Patient.identifier:passaporte.type.extension

Definition

Extensões incluídas no tipo do identificador do paciente

Short Extensões do tipo do identificador do paciente

Control 0..*

Is Modifier false

Summary false

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

value @ url

200. Patient.identifier:passaporte.type.coding

Definition

Codificação que representa o tipo do identificador do paciente

Short Codificação do tipo do identificador do paciente

Comments

Control 1..1

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()))

202. Patient.identifier:passaporte.type.coding.id

Definition

Id lógico da codificação do tipo do identificador do paciente

Short Id lógico da codificação do tipo do identificador do paciente

Control 0..1

Is Modifier false

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

Summary false

204. Patient.identifier:passaporte.type.coding.extension

Definition

Extensões incluídas na codificação do tipo do identificador do paciente

Short Extensões da codificação do tipo do identificador do paciente

Control 0..*

Is Modifier false

Summary false

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

value @ url

206. Patient.identifier:passaporte.type.coding.system

Definition

Sistema que identifica a codificação do tipo do identificador do paciente

Short Sistema da codificação do tipo do identificador do paciente

Comments

Control 1..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.

Fixed Value http://terminology.hl7.org/CodeSystem/v2-0203

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

208. Patient.identifier:passaporte.type.coding.version

Definition

Versão da codificação do tipo do identificador do paciente

Short Versão da codificação do tipo do identificador do paciente

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()))

210. Patient.identifier:passaporte.type.coding.code

Definition

Código que representa a codificação do tipo do identificador do paciente

Short Código da codificação do tipo do identificador do paciente

Control 1..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.

Fixed Value PPN

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

212. Patient.identifier:passaporte.type.coding.display

Definition

Texto que representa a codificação do tipo do identificador do paciente

Short Texto da codificação do tipo do identificador do paciente

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()))

214. Patient.identifier:passaporte.type.coding.userSelected

Definition

Indica se a codificação do tipo do identificador do paciente foi selecionada pelo usuário

Short Seleção do usuário da codificação do tipo do identificador do paciente

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()))

216. Patient.identifier:passaporte.type.text

Definition

Texto que representa o tipo do identificador do paciente

Short Texto do tipo do identificador do paciente

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()))

218. Patient.identifier:passaporte.system

Definition

Sistema que identifica o tipo do identificador do paciente

Short Sistema do identificador do paciente

Comments

Identifier.system is always case sensitive.

Control 1..1

Is Modifier false

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

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Fixed Value http://hl7.org/fhir/sid/passport-BRA

Example General:http://www.acme.com/identifiers/patient

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

220. Patient.identifier:passaporte.value

Definition

Valor do identificador do paciente

Short Valor do identificador do paciente

Comments

Control 1..1

Is Modifier false

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

Summary true

Example General:123456

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

222. Patient.identifier:passaporte.period

Definition

Período de tempo durante o qual o identificador do paciente foi utilizado

Short Período de uso do identificador do paciente

Control 0..1

Is Modifier false

Summary true

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

224. Patient.identifier:passaporte.assigner

Definition

Entidade que atribuiu o identificador do paciente

Short Entidade que atribuiu o identificador do paciente

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..1

Type Reference(OrganizationBRIPS)

Is Modifier false

Summary true

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

226. Patient.identifier:passaporte.assigner.id

Definition

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

Short Unique 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

228. Patient.identifier:passaporte.assigner.extension

Definition

Short Additional 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 Patient.identifier.assigner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

230. Patient.identifier:passaporte.assigner.reference

Definition

Short Literal reference, Relative, internal or absolute URL

Comments

Control 0..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

Summary true

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

232. Patient.identifier:passaporte.assigner.type

Definition

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.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..1

Unless not suitable, these codes SHALL be taken from ResourceType
(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()))

234. Patient.identifier:passaporte.assigner.identifier

Definition

Short Logical reference, when literal reference is not known

Comments

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

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

Control 0..1

Is Modifier false

Summary true

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

236. Patient.identifier:passaporte.assigner.display

Definition

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

Short Nome da entidade que atribuiu o identificador do paciente

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()))

238. Patient.active

Definition

Indica se o paciente está ativo

Short Indica se o paciente está ativo

Comments

If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

Control 0..1

Is Modifier true because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid

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

Summary true

Requirements

Need to be able to mark a patient record as not to be used because it was created in error.

Meaning if Missing This resource is generally assumed to be active if no value is provided for the active element

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

240. Patient.name

Definition

Nome do paciente

Short Nome do paciente

Comments

A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Control 1..*

Is Modifier false

Must Support true

Summary true

Requirements

Need to be able to track the patient by multiple names. Examples are your official name and a partner name. The Alphabetic representation of the name SHALL be always provided

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ips-pat-1: Patient.name.given, Patient.name.family or Patient.name.text SHALL be present (family.exists() or given.exists() or text.exists())
ips-br-pat-1: Patient.name.given, Patient.name.family, Patient.name.text or Patient.name.extension SHALL be present ((family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists())

242. Patient.name.id

Definition

Identificação unívoca para o recurso em um sistema

Short Identificador primário deste recurso

Control 0..1

Is Modifier false

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

Summary false

244. Patient.name.extension

Definition

Extensões adicionais que não fazem parte do modelo base

Short Extensões adicionais

Control 0..*

Is Modifier false

Summary false

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

value @ url

246. Patient.name.use

Definition

O uso do nome

Short Uso do nome

Comments

Applications can assume that a name is current unless it explicitly says that it is temporary or old.

Control 0..1

The codes SHALL be taken from NameUse
(required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

The use of a human name.

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one

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

Summary true

Requirements

Allows the appropriate name for a particular context of use to be selected from among a set of names.

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

248. Patient.name.text

Definition

Representação textual do nome completo do paciente

Short Representação textual do nome completo do paciente

Comments

Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

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

A renderable, unencoded form.

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

250. Patient.name.family

Definition

Sobrenome do paciente

Short Sobrenome

Comments

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

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

Alternate Names surname

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

252. Patient.name.given

Definition

Nome completo do paciente

Short Nome completo do paciente

Comments

Control 0..*

Is Modifier false

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

Must Support true

Summary true

Alternate Names first name, middle name

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

254. Patient.name.prefix

Definition

Prefixo do nome do paciente

Short Prefixo do nome

Control 0..*

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()))

256. Patient.name.suffix

Definition

Sufixo do nome do paciente

Short Sufixo do nome

Control 0..*

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()))

258. Patient.name.period

Definition

Período de tempo em que o nome foi usado

Short Período de tempo em que o nome foi usado

Control 0..1

Is Modifier false

Summary true

Requirements

Allows names to be placed in historical context.

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

260. Patient.telecom

Definition

Contatos de telecomunicação do paciente

Short Contatos de telecomunicação do paciente

Comments

Control 0..*

Is Modifier false

Must Support true

Summary true

Requirements

People have (primary) ways to contact them in some way such as phone, email.

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

262. Patient.telecom.id

Definition

Identificação unívoca para o recurso em um sistema

Short Identificador primário deste recurso

Control 0..1

Is Modifier false

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

Summary false

264. Patient.telecom.extension

Definition

Extensões adicionais que não fazem parte do modelo base

Short Extensões adicionais

Control 0..*

Is Modifier false

Summary false

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

value @ url

266. Patient.telecom.system

Definition

O sistema de telecomunicação usado para o contato

Short Sistema de telecomunicação usado para o contato

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

The codes SHALL be taken from ContactPointSystem
(required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

Telecommunications form for contact point.

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()))

268. Patient.telecom.value

Definition

O número de telefone ou fax usado para o contato

Short Número do contato

Comments

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

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 support legacy numbers that are not in a tightly controlled format.

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

270. Patient.telecom.use

Definition

home | work | temp | old | mobile - propósito do contato

Short Uso do contato

Comments

Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

Control 0..1

The codes SHALL be taken from ContactPointUse
(required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

Use of contact point.

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one

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

Summary true

Requirements

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

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

272. Patient.telecom.rank

Definition

Indica a ordem de preferência do contato

Short Indica a ordem de preferência do contato

Comments

Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

Control 0..1

positiveInt

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()))

274. Patient.telecom.period

Definition

Período em que o meio de contato foi utilizado pelo paciente

Short Período de tempo em que o contato foi usado

Control 0..1

Is Modifier false

Summary true

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

276. Patient.gender

Definition

male | female | other | unknown

Short Sexo

Comments

Control 0..1

The codes SHALL be taken from AdministrativeGender
(required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

The gender of a person used for administrative purposes.

Is Modifier false

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

Must Support true

Summary true

Requirements

Needed for identification of the individual, in combination with (at least) name and birth date.

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

278. Patient.birthDate

Definition

Data de nascimento do paciente

Short Data de nascimento do paciente

Comments

Control 1..1

date

Is Modifier false

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

Must Support true

Summary true

Requirements

Age of the individual drives many clinical processes.

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

LOINC Code 21112-8

280. Patient.deceased[x]

Definition

Indica se o paciente é falecido

Short Indica se o paciente é falecido

Comments

Control 0..1

Type Choice of: boolean, dateTime

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

Is Modifier true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.

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

Summary true

Requirements

The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

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 Patient.deceased[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:

type @ $this

282. Patient.deceased[x]:deceasedBoolean

Slice Name deceasedBoolean

Definition

Indicates if the individual is deceased or not.

Short Indicates if the individual is deceased or not

Comments

Control 0..1

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

Is Modifier true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.

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

Summary true

Requirements

The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

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

284. Patient.deceased[x]:deceasedDateTime

Slice Name deceasedDateTime

Definition

Data e hora do falecimento do paciente

Short Data e hora do falecimento do paciente

Comments

Control 0..1

dateTime

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

Is Modifier true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.

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

Summary true

Requirements

The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

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

286. Patient.address

Definition

Endereço do paciente

Short Endereço do paciente

Comments

Patient may have multiple addresses with different uses or applicable periods.

Control 0..*

Is Modifier false

Must Support true

Summary true

Requirements

May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
pat-cnt-2or3-char: The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. (country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3')))

288. Patient.address.id

Definition

Identificação unívoca para o recurso em um sistema

Short Identificador primário deste recurso

Control 0..1

Is Modifier false

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

Summary false

290. Patient.address.extension

Definition

Extensões adicionais que não fazem parte do modelo base

Short Extensões adicionais

Control 0..*

Is Modifier false

Summary false

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

value @ url

292. Patient.address.use

Definition

home | work | temp | old - propósito do endereço

Short Uso do endereço

Comments

Applications can assume that an address is current unless it explicitly says that it is temporary or old.

Control 0..1

The codes SHALL be taken from AddressUse
(required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

The use of an address.

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one

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

Summary true

Requirements

Allows an appropriate address to be chosen from a list of many.

Example General:home

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

294. Patient.address.type

Definition

postal | physical | both

Short Tipo de endereço

Comments

Control 0..1

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

The type of an address (physical / postal).

Is Modifier false

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

Summary true

Example General:both

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

296. Patient.address.text

Definition

Representação textual do endereço

Short Representação textual do endereço

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

A renderable, unencoded form.

Example General:137 Nowhere Street, Erewhon 9132

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

298. Patient.address.line

Definition

Endereço do paciente

Short Endereço do paciente

Control 0..*

Is Modifier false

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

Summary true

Example General:137 Nowhere Street

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

300. Patient.address.city

Definition

Cidade do endereço

Short Cidade do endereço

Control 0..1

Is Modifier false

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

Summary true

Alternate Names Municpality

Example General:Erewhon

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

302. Patient.address.district

Definition

Distrito do endereço

Short Distrito do endereço

Comments

District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

Control 0..1

Is Modifier false

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

Summary true

Alternate Names County

Example General:Madison

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

304. Patient.address.state

Definition

Unidade Federativa

Short Unidade Federativa

Control 0..1

Is Modifier false

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

Summary true

Alternate Names Province, Territory

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

306. Patient.address.postalCode

Definition

CEP do endereço

Short CEP do endereço

Control 0..1

Is Modifier false

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

Summary true

Alternate Names Zip

Example General:9132

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

308. Patient.address.country

Definition

País do endereço

Short País do endereço

Comments

ISO 3166 3 letter codes can be used in place of a human readable country name.

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()))

310. Patient.address.period

Definition

Período de tempo em que o endereço foi usado

Short Período de tempo em que o endereço foi usado

Control 0..1

Is Modifier false

Summary true

Requirements

Allows addresses to be placed in historical context.

Example General:{ "start" : "2010-03-23", "end" : "2010-07-01" }

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

312. Patient.maritalStatus

Definition

Estado civil do paciente

Short Estado civil do paciente

Control 0..1

Unless not suitable, these codes SHALL be taken from Marital Status Codes
(extensible to http://hl7.org/fhir/ValueSet/marital-status)

The domestic partnership status of a person.

Is Modifier false

Summary false

Requirements

Most, if not all systems capture it.

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

314. Patient.multipleBirth[x]

Definition

Indica se o paciente é de parto gemelar

Short Indica se o paciente é de parto gemelar

Comments

Control 0..1

Type Choice of: boolean, integer

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

Is Modifier false

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

Summary false

Requirements

For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

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 Patient.multipleBirth[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:

type @ $this

316. Patient.multipleBirth[x]:multipleBirthBoolean

Slice Name multipleBirthBoolean

Definition

Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

Short Whether patient is part of a multiple birth

Comments

Control 0..1

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

Is Modifier false

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

Summary false

Requirements

For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

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

318. Patient.multipleBirth[x]:multipleBirthInteger

Slice Name multipleBirthInteger

Definition

Gemelaridade do paciente

Short Gemelaridade do paciente

Comments

Control 0..1

integer

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

Is Modifier false

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

Summary false

Requirements

For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

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

320. Patient.photo

Definition

Fotografia do paciente

Short Fotografia do paciente

Comments

Guidelines:

Use id photos, not clinical photos.
Limit dimensions to thumbnail.
Keep byte count low to ease resource updates.

Control 0..*

Attachment

Is Modifier false

Summary false

Requirements

Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.

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

322. Patient.contact

Definition

Uma pessoa para contato (guardião, companheiro, amigo) em caso de emergência

Short Uma pessoa para contato (guardião, companheiro, amigo) em caso de emergência

Comments

Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

Control 0..*

Is Modifier false

Summary false

Requirements

Need to track people you can contact about the patient.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())

324. Patient.contact.id

Definition

Identificação unívoca da pessoa de contato

Short Identificação unívoca da pessoa de contato

Control 0..1

Is Modifier false

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

Summary false

326. Patient.contact.extension

Definition

Extensões adicionais que não fazem parte do modelo base

Short Extensões adicionais

Control 0..*

Is Modifier false

Summary false

328. Patient.contact.modifierExtension

Definition

Extensões adicionais que não fazem parte do modelo base

Short Extensões adicionais

Control 0..*

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

Summary true

330. Patient.contact.relationship

Definition

Relação com o paciente

Short Relação com o paciente

Comments

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

Unless not suitable, these codes SHALL be taken from PatientContactRelationship
(extensible to http://hl7.org/fhir/ValueSet/patient-contactrelationship)

The nature of the relationship between a patient and a contact person for that patient.

Type CodeableConcept(Codeable Concept (IPS))

Is Modifier false

Requirements

Used to determine which contact person is the most relevant to approach, depending on circumstances.

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

332. Patient.contact.name

Definition

Nome da pessoa de contato

Short Nome da pessoa de contato

Control 0..1

Is Modifier false

Summary false

Requirements

Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.

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

334. Patient.contact.telecom

Definition

Contatos de telecomunicação da pessoa de contato

Short Contatos de telecomunicação da pessoa de contato

Comments

Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.

Control 0..*

Is Modifier false

Summary false

Requirements

People have (primary) ways to contact them in some way such as phone, email.

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

336. Patient.contact.address

Definition

Endereço da pessoa de contato

Short Endereço da pessoa de contato

Control 0..1

Is Modifier false

Summary false

Requirements

Need to keep track where the contact person can be contacted per postal mail or visited.

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

338. Patient.contact.gender

Definition

Sexo do contato do paciente

Short Sexo do contato do paciente

Control 0..1

The codes SHALL be taken from AdministrativeGender
(required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

The gender of a person used for administrative purposes.

Is Modifier false

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

Summary false

Requirements

Needed to address the person correctly.

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

340. Patient.contact.organization

Definition

Organização do contato do paciente

Short Organização do contato do paciente

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

Type Reference(OrganizationBRIPS)

Is Modifier false

Summary false

Requirements

For guardians or business related contacts, the organization is relevant.

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

342. Patient.contact.period

Definition

Período de tempo em que o contato foi usado

Short Período de tempo em que o contato foi usado

Control 0..1

Is Modifier false

Summary false

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

344. Patient.communication

Definition

A language which may be used to communicate with the patient about his or her health.

Short Idiomas falados pelo paciente

Comments

Control 0..*

Is Modifier false

Summary false

Requirements

If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.

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

346. Patient.communication.id

Definition

Identificação unívoca para o recurso em um sistema

Short Identificador primário deste recurso

Control 0..1

Is Modifier false

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

Summary false

348. Patient.communication.extension

Definition

Extensões adicionais que não fazem parte do modelo base

Short Extensões adicionais

Control 0..*

Is Modifier false

Summary false

350. Patient.communication.modifierExtension

Definition

Extensões adicionais que não fazem parte do modelo base

Short Extensões adicionais

Control 0..*

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

Summary true

352. Patient.communication.language

Definition

Idioma falado pelo paciente

Short Idioma falado pelo paciente

Comments

Control 1..1

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

A human language.

Additional Bindings

Purpose

Is Modifier false

Summary false

Requirements

Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

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

354. Patient.communication.preferred

Definition

Indica se o idioma é preferido

Short Indica se o idioma é preferido

Comments

This language is specifically identified for communicating healthcare information.

Control 0..1

Is Modifier false

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

Summary false

Requirements

People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.

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

356. Patient.generalPractitioner

Definition

Médico de atenção primária do paciente

Short Médico de atenção primária do paciente

Comments

Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.

Control 0..*

Type Reference(OrganizationBRIPS, PractitionerBRIPS, PractitionerRoleBRIPS)

Is Modifier false

Must Support true

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

Summary false

Alternate Names careProvider

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

358. Patient.managingOrganization

Definition

Organização responsável pelo paciente

Short Organização responsável pelo paciente

Comments

Control 0..1

Type Reference(OrganizationBRIPS)

Is Modifier false

Summary true

Requirements

Need to know who recognizes this patient record, manages and updates it.

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

360. Patient.link

Definition

Links para outros recursos que se relacionam com este recurso

Short Links para outros recursos que se relacionam com este recurso

Comments

There is no assumption that linked patient records have mutual links.

Control 0..*

Summary true

Requirements

There are multiple use cases:

Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
Distribution of patient information across multiple servers.

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

362. Patient.link.id

Definition

Identificação unívoca para o recurso em um sistema

Short Identificador primário deste recurso

Control 0..1