{ "description": "O recurso Composition corresponde a um conjunto de informações de saúde do utente que são agrupadas e fornecem informação agregada sobre o utente. O Composition define a estrutura e o conteúdo necessários para um documento, não constituindo este, no entanto, no documento em si.", "_filename": "Profile/CompositionPTCore.StructureDefinition.json", "package_name": "package.teste", "date": "2024-05-09T15:25:13.4912463+00:00", "derivation": "constraint", "publisher": "SPMS", "fhirVersion": "4.3.0", "name": "CompositionPTCore", "abstract": false, "type": "Composition", "experimental": null, "resourceType": "StructureDefinition", "title": "Composition PT Core", "package_version": "1.0.2-draft", "status": "draft", "id": "8175e653-13b8-4cd1-8bca-9d7cc4d8152e", "kind": "resource", "url": "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CompositionPTCore", "version": "1.0.0", "differential": { "element": [ { "id": "Composition.id", "min": 1, "path": "Composition.id" }, { "id": "Composition.meta", "path": "Composition.meta", "type": [ { "code": "Meta", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MetaPTCore" ] } ] }, { "id": "Composition.identifier", "path": "Composition.identifier", "type": [ { "code": "Identifier", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ExtensionIdentifierPTCore" ] } ], "definition": "Identificador da composição/documento por parte do negócio" }, { "id": "Composition.identifier.type.coding.id", "path": "Composition.identifier.type.coding.id", "comment": "." }, { "id": "Composition.status", "path": "Composition.status", "definition": "Identifica o status da composição/documento" }, { "id": "Composition.type", "path": "Composition.type", "type": [ { "code": "CodeableConcept", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ] } ], "binding": { "strength": "required", "valueSet": "https://www.ctc.min-saude.pt/catalogos/apoio-ao-registo-clinico" }, "comment": "Value Set Name: Document Type", "definition": "Tipo de composição/documento" }, { "id": "Composition.category", "path": "Composition.category", "type": [ { "code": "CodeableConcept", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ] } ], "definition": "Categoria \r\n\r\nNo caso de referenciação, transferência ou requisição identificar a categoria, de acordo com o catálogo CPARADM, ValueSet Service Request Category, codificado em SNOMED CT (“http://snomed.info/sct”). Esta categoria irá permitir a distinção do pedido efetuado.\r\n\r\nO catálogo pode ser solicitado ao https://www.ctc.min-saude.pt/" }, { "id": "Composition.subject", "path": "Composition.subject", "definition": "Sobre quem ou o que é a composição ou documento" }, { "id": "Composition.encounter", "path": "Composition.encounter", "type": [ { "code": "Reference", "targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/EncounterPTCore" ] } ], "definition": "Episódio" }, { "id": "Composition.date", "path": "Composition.date", "definition": "Data da composição/documento\r\n\r\nO período adota o formato definido pela ISO8601" }, { "id": "Composition.author", "path": "Composition.author", "type": [ { "code": "Reference", "targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerRolePTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/DevicePTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PatientPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/RelatedPersonPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/OrganizationPTCore" ] } ], "definition": "Responsável pela criação do documento" }, { "id": "Composition.title", "path": "Composition.title", "definition": "Título do documento" }, { "id": "Composition.confidentiality", "path": "Composition.confidentiality", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-Confidentiality" }, "definition": "Nível de confidencialidade do documento" }, { "id": "Composition.attester", "path": "Composition.attester", "definition": "Identifica a responsabilidade pela precisão do conteúdo da composição/documento." }, { "id": "Composition.attester.time", "path": "Composition.attester.time", "definition": "Data \r\n\r\nA data adota o formato definido pela ISO8601" }, { "id": "Composition.attester.party", "path": "Composition.attester.party", "type": [ { "code": "Reference", "targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PatientPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/RelatedPersonPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerRolePTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/OrganizationPTCore" ] } ], "definition": "Pessoa ou entidade que autenticou a composição/documento" }, { "id": "Composition.custodian", "path": "Composition.custodian", "type": [ { "code": "Reference", "targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/OrganizationPTCore" ] } ], "definition": "Entidade responsável pela composição/documento" }, { "id": "Composition.relatesTo.code", "path": "Composition.relatesTo.code", "definition": "Indica o tipo de relação que esta composição tem com outra composição ou documento" }, { "id": "Composition.relatesTo.target[x]", "path": "Composition.relatesTo.target[x]", "type": [ { "code": "Identifier", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/IdentifierPTCore" ] }, { "code": "Reference", "targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CompositionPTCore" ] } ], "definition": "Composição/documento de destino desse relacionamento." }, { "id": "Composition.event", "path": "Composition.event", "definition": "Indica o serviço documentado" }, { "id": "Composition.event.code", "path": "Composition.event.code", "type": [ { "code": "CodeableConcept", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ] } ], "definition": "Representa os principais atos clínicos.\r\n\r\nUsar o system http://terminology.hl7.org/CodeSystem/v3-ActCode" }, { "id": "Composition.event.period", "path": "Composition.event.period", "type": [ { "code": "Period", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PeriodPTCore" ] } ], "definition": "Período \r\n\r\nO período adota o formato definido pela ISO8601" }, { "id": "Composition.event.detail", "path": "Composition.event.detail", "definition": "Referência do(s) evento(s) que está(ão) sendo documentado(s)." }, { "id": "Composition.section.title", "path": "Composition.section.title", "definition": "Título da secção" }, { "id": "Composition.section.code", "path": "Composition.section.code", "definition": "Identifica o tipo de conteúdo presente na secção" }, { "id": "Composition.section.author", "path": "Composition.section.author", "type": [ { "code": "Reference", "targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerRolePTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/DevicePTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PatientPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/RelatedPersonPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/OrganizationPTCore" ] } ], "definition": "Indica o responsável pelas informações nesta secção, não necessariamente quem as digitou." }, { "id": "Composition.section.focus", "path": "Composition.section.focus", "definition": "O foco real da secção quando esta não é o mesmo assunto da composição" }, { "id": "Composition.section.text", "path": "Composition.section.text", "definition": "Uma narrativa que contém o conteúdo da secção" }, { "id": "Composition.section.mode", "path": "Composition.section.mode", "definition": "Como a lista foi preparada" }, { "id": "Composition.section.orderedBy", "path": "Composition.section.orderedBy", "type": [ { "code": "CodeableConcept", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ] } ], "definition": "Especifica a ordem aplicada aos itens nas entradas da secção.\r\n\r\nUsar o system http://terminology.hl7.org/CodeSystem/list-order" }, { "id": "Composition.section.entry", "path": "Composition.section.entry", "definition": "Referência aos recursos que suportam esta secção" }, { "id": "Composition.section.emptyReason", "path": "Composition.section.emptyReason", "type": [ { "code": "CodeableConcept", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ] } ], "definition": "Indica o motivo pelo qual a secção está vazia\r\n\r\nUsar o system ttp://terminology.hl7.org/CodeSystem/list-empty-reason" } ] }, "contact": [ { "name": "Interoperabilidade Semântica", "telecom": [ { "value": "https://www.spms.min-saude.pt", "system": "url" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition" }