{
"description": "Documento que apresenta resultados de exames laboratoriais.",
"_filename": "StructureDefinition-BRResultadoExameLaboratorial-3.2.1.json",
"package_name": "br.ufg.cgis.rnds",
"date": "2021-04-12",
"derivation": "constraint",
"meta": {
"lastUpdated": "2022-10-07T20:34:21.9895517+00:00"
},
"publisher": "Ministério da Saúde do Brasil",
"fhirVersion": "4.0.1",
"name": "BRResultadoExameLaboratorial",
"abstract": false,
"type": "Composition",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Resultado de Exame Laboratorial",
"package_version": "lite-0.0.1",
"status": "active",
"language": "pt-BR",
"id": "08d21a40-7b68-402b-bf78-e20e87e29e4b",
"kind": "resource",
"url": "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRResultadoExameLaboratorial-3.2.1",
"version": "3.2.1",
"differential": {
"element": [ {
"id": "Composition",
"path": "Composition",
"short": "Resultado de Exame Laboratorial",
"definition": "Documento que apresenta resultados de exames laboratoriais."
}, {
"id": "Composition.identifier",
"max": "0",
"path": "Composition.identifier"
}, {
"id": "Composition.status",
"path": "Composition.status",
"short": "final | entered-in-error",
"binding": {
"strength": "required",
"valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoDocumento-1.0",
"description": "Estado do Documento"
},
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"mustSupport": true
}, {
"id": "Composition.type",
"path": "Composition.type",
"short": "Tipo de Documento",
"binding": {
"strength": "required",
"valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoDocumento-1.0",
"description": "Tipo de Documento"
},
"definition": "Especifica o tipo de documento que está sendo enviado na composição.",
"mustSupport": true
}, {
"id": "Composition.type.coding",
"max": "1",
"min": 1,
"path": "Composition.type.coding"
}, {
"id": "Composition.type.coding.system",
"min": 1,
"path": "Composition.type.coding.system",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.type.coding.code",
"min": 1,
"path": "Composition.type.coding.code",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.type.coding.display",
"max": "0",
"path": "Composition.type.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.type.coding.userSelected",
"max": "0",
"path": "Composition.type.coding.userSelected",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.type.text",
"max": "0",
"path": "Composition.type.text",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.category",
"max": "0",
"path": "Composition.category"
}, {
"id": "Composition.subject",
"min": 1,
"path": "Composition.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0" ]
} ],
"short": "Sujeito da Composição",
"definition": "Quem ou o quê a composição se refere. Pode ser um indivíduo, dispositivo, grupos (de indivíduos, dispositivos etc.).",
"mustSupport": true
}, {
"id": "Composition.subject.reference",
"max": "0",
"path": "Composition.subject.reference",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.subject.type",
"max": "0",
"path": "Composition.subject.type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.subject.identifier",
"min": 1,
"path": "Composition.subject.identifier"
}, {
"id": "Composition.subject.identifier.use",
"max": "0",
"path": "Composition.subject.identifier.use",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.subject.identifier.type",
"max": "0",
"path": "Composition.subject.identifier.type"
}, {
"id": "Composition.subject.identifier.system",
"min": 1,
"path": "Composition.subject.identifier.system",
"fixedUri": "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.subject.identifier.value",
"min": 1,
"path": "Composition.subject.identifier.value",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.subject.identifier.period",
"max": "0",
"path": "Composition.subject.identifier.period"
}, {
"id": "Composition.subject.identifier.assigner",
"max": "0",
"path": "Composition.subject.identifier.assigner"
}, {
"id": "Composition.subject.display",
"max": "0",
"path": "Composition.subject.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.encounter",
"max": "0",
"path": "Composition.encounter"
}, {
"id": "Composition.date",
"path": "Composition.date",
"short": "Data e hora de Geração do Documento",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"definition": "Data e hora em que o documento foi gerado.",
"mustSupport": true
}, {
"id": "Composition.author",
"max": "1",
"path": "Composition.author",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0", "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0" ]
} ],
"short": "Responsável pelo Laudo",
"definition": "Identifica a Pessoa Jurídica ou Pessoa Física (profissional liberal) responsável por gerar o documento.",
"mustSupport": true
}, {
"id": "Composition.author.reference",
"max": "0",
"path": "Composition.author.reference",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.author.type",
"max": "0",
"path": "Composition.author.type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.author.identifier",
"min": 1,
"path": "Composition.author.identifier"
}, {
"id": "Composition.author.identifier.use",
"max": "0",
"path": "Composition.author.identifier.use",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.author.identifier.type",
"max": "0",
"path": "Composition.author.identifier.type"
}, {
"id": "Composition.author.identifier.system",
"min": 1,
"path": "Composition.author.identifier.system",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"definition": "Utilize http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0 para Cadastro Nacional de Estabelecimentos de Saúde - CENS (preferencial).\r\nUtilize http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0 para Pessoa Jurídica (CNPJ) ou Profissional Liberal (CPF)."
}, {
"id": "Composition.author.identifier.value",
"min": 1,
"path": "Composition.author.identifier.value",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.author.identifier.period",
"max": "0",
"path": "Composition.author.identifier.period"
}, {
"id": "Composition.author.identifier.assigner",
"max": "0",
"path": "Composition.author.identifier.assigner"
}, {
"id": "Composition.author.display",
"max": "0",
"path": "Composition.author.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.title",
"path": "Composition.title",
"short": "Título do Documento",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"definition": "Título do documento em linguagem humana.",
"fixedString": "Resultado de Exame Laboratorial",
"mustSupport": true
}, {
"id": "Composition.confidentiality",
"max": "0",
"path": "Composition.confidentiality",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.attester",
"max": "0",
"path": "Composition.attester"
}, {
"id": "Composition.custodian",
"max": "0",
"path": "Composition.custodian"
}, {
"id": "Composition.relatesTo",
"max": "1",
"path": "Composition.relatesTo",
"short": "Relação a Outros Documentos",
"definition": "Indica uma relação entre esse documento e outro documento (ou composição) existente.",
"requirements": "Este elemento deve ser utilizado exclusivamente para indicar que este documento substitui (replaces) outro documento / composição; ou seja, é utilizado para cancelar o anterior e passar a considerar este no seu lugar. Este documento receberá um ID próprio; o documento anterior continuará disponível na RNDS e poderá ser recuperado integralmente por referência direta ao seu ID, garantindo a rastreabilidade do processo, mas não estará diretamente disponível na timeline do cidadão."
}, {
"id": "Composition.relatesTo.code",
"path": "Composition.relatesTo.code",
"short": "Tipo de Relacionamento",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"fixedCode": "replaces",
"definition": "Indica o tipo de relacionamento que este documento tem com o outro documento (composição).",
"requirements": "O valor é fixado em replaces, pois a substituição de documentos é a única operação permitida na RNDS."
}, {
"id": "Composition.relatesTo.target[x]",
"path": "Composition.relatesTo.target[x]",
"type": [ {
"code": "Reference"
} ],
"short": "Documento a Ser Substituído",
"definition": "Referência ao documento anterior que este documento está substituindo.",
"requirements": "O valor é fixado em replaces, pois a substituição de documentos é a única operação permitida na RNDS."
}, {
"id": "Composition.relatesTo.target[x].id",
"max": "0",
"path": "Composition.relatesTo.target[x].id"
}, {
"id": "Composition.relatesTo.target[x].reference",
"min": 1,
"path": "Composition.relatesTo.target[x].reference",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.relatesTo.target[x].type",
"max": "0",
"path": "Composition.relatesTo.target[x].type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.relatesTo.target[x].identifier",
"max": "0",
"path": "Composition.relatesTo.target[x].identifier"
}, {
"id": "Composition.relatesTo.target[x].display",
"max": "0",
"path": "Composition.relatesTo.target[x].display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.event",
"max": "0",
"path": "Composition.event"
}, {
"id": "Composition.section",
"min": 1,
"path": "Composition.section",
"short": "Seções do Documento",
"definition": "Referencia todas as seções (profiles/resources) contidos neste documento.",
"mustSupport": true
}, {
"id": "Composition.section.title",
"max": "0",
"path": "Composition.section.title",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.section.code",
"max": "0",
"path": "Composition.section.code"
}, {
"id": "Composition.section.author",
"max": "0",
"path": "Composition.section.author"
}, {
"id": "Composition.section.focus",
"max": "0",
"path": "Composition.section.focus"
}, {
"id": "Composition.section.text",
"max": "0",
"path": "Composition.section.text"
}, {
"id": "Composition.section.mode",
"max": "0",
"path": "Composition.section.mode",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.section.orderedBy",
"max": "0",
"path": "Composition.section.orderedBy"
}, {
"id": "Composition.section.entry",
"min": 1,
"path": "Composition.section.entry",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "resolve()",
"type": "profile"
} ]
},
"mustSupport": true
}, {
"id": "Composition.section.entry.reference",
"path": "Composition.section.entry.reference",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.section.entry.type",
"max": "0",
"path": "Composition.section.entry.type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.section.entry.identifier",
"max": "0",
"path": "Composition.section.entry.identifier"
}, {
"id": "Composition.section.entry.display",
"max": "0",
"path": "Composition.section.entry.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.section.entry:condicaoSaude",
"max": "1",
"min": 1,
"path": "Composition.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRCondicaoSaude" ]
} ],
"sliceName": "condicaoSaude"
}, {
"id": "Composition.section.entry:condicaoSaude.reference",
"min": 1,
"path": "Composition.section.entry.reference"
}, {
"id": "Composition.section.entry:diagnosticoLaboratorioClinico",
"min": 1,
"path": "Composition.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRDiagnosticoLaboratorioClinico-3.2.1" ]
} ],
"sliceName": "diagnosticoLaboratorioClinico"
}, {
"id": "Composition.section.entry:diagnosticoLaboratorioClinico.reference",
"min": 1,
"path": "Composition.section.entry.reference"
}, {
"id": "Composition.section.emptyReason",
"max": "0",
"path": "Composition.section.emptyReason"
}, {
"id": "Composition.section.section",
"max": "0",
"path": "Composition.section.section",
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"
}, {
"id": "Composition.section.section.title",
"max": "0",
"path": "Composition.section.section.title",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.section.section.code",
"max": "0",
"path": "Composition.section.section.code"
}, {
"id": "Composition.section.section.author",
"max": "0",
"path": "Composition.section.section.author"
}, {
"id": "Composition.section.section.focus",
"max": "0",
"path": "Composition.section.section.focus"
}, {
"id": "Composition.section.section.text",
"max": "0",
"path": "Composition.section.section.text"
}, {
"id": "Composition.section.section.mode",
"max": "0",
"path": "Composition.section.section.mode",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ]
}, {
"id": "Composition.section.section.orderedBy",
"max": "0",
"path": "Composition.section.section.orderedBy"
}, {
"id": "Composition.section.section.emptyReason",
"max": "0",
"path": "Composition.section.section.emptyReason"
}, {
"id": "Composition.section.section.section",
"path": "Composition.section.section.section",
"contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"
} ]
},
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition"
}