{ "description": "Documento que apresenta resultados de exames laboratoriais.", "_filename": "structuredefinition-br-core-composition-resultadoexamelaboratorial11.json", "package_name": "BRCore-01.00.00", "date": "2020-06-09T14:33:42.4495242+00:00", "derivation": "constraint", "meta": { "lastUpdated": "2020-06-09T14:33:17.046+00:00" }, "publisher": "Ministério da Saúde do Brasil", "fhirVersion": "4.0.0", "name": "BRResultadoExameLaboratorial", "abstract": false, "type": "Composition", "experimental": null, "resourceType": "StructureDefinition", "title": "Resultado de Exame Laboratorial", "package_version": "1.0.0", "status": "active", "language": "pt-BR", "id": "975ab907-78bf-44db-957a-65ca0836631b", "kind": "resource", "url": "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRResultadoExameLaboratorial-1.1", "version": "1.1", "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/BRDocumentoEstado-1.0", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "CompositionStatus" } ], "description": "Estado do Documento" }, "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", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "DocumentType" } ], "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" }, { "id": "Composition.type.coding.code", "min": 1, "path": "Composition.type.coding.code" }, { "id": "Composition.type.coding.display", "max": "0", "path": "Composition.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Composition.type.coding.userSelected", "max": "0", "path": "Composition.type.coding.userSelected" }, { "id": "Composition.type.text", "max": "0", "path": "Composition.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "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" }, { "id": "Composition.subject.type", "max": "0", "path": "Composition.subject.type" }, { "id": "Composition.subject.identifier", "min": 1, "path": "Composition.subject.identifier" }, { "id": "Composition.subject.identifier.use", "max": "0", "path": "Composition.subject.identifier.use" }, { "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" }, { "id": "Composition.subject.identifier.value", "min": 1, "path": "Composition.subject.identifier.value" }, { "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/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Composition.encounter", "max": "0", "path": "Composition.encounter" }, { "id": "Composition.date", "path": "Composition.date", "short": "Data e hora de Geração do Documento", "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" }, { "id": "Composition.author.type", "max": "0", "path": "Composition.author.type" }, { "id": "Composition.author.identifier", "min": 1, "path": "Composition.author.identifier" }, { "id": "Composition.author.identifier.use", "max": "0", "path": "Composition.author.identifier.use" }, { "id": "Composition.author.identifier.type", "max": "0", "path": "Composition.author.identifier.type" }, { "id": "Composition.author.identifier.system", "min": 1, "path": "Composition.author.identifier.system", "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" }, { "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/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Composition.title", "path": "Composition.title", "short": "Título do Documento", "definition": "Título do documento em linguagem humana.", "fixedString": "Resultado de Exame Laboratorial", "mustSupport": true }, { "id": "Composition.confidentiality", "max": "0", "path": "Composition.confidentiality" }, { "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", "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" }, { "id": "Composition.relatesTo.target[x].type", "max": "0", "path": "Composition.relatesTo.target[x].type" }, { "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/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Composition.event", "max": "0", "path": "Composition.event" }, { "id": "Composition.section", "max": "1", "min": 1, "path": "Composition.section", "short": "Seções do Documento", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "Section" } ], "definition": "Referencia todas as seções (profiles/resources) contidos neste documento.", "mustSupport": true }, { "id": "Composition.section.title", "max": "0", "path": "Composition.section.title" }, { "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" }, { "id": "Composition.section.orderedBy", "max": "0", "path": "Composition.section.orderedBy" }, { "id": "Composition.section.entry", "min": 1, "path": "Composition.section.entry", "type": [ { "code": "Reference", "targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRDiagnosticoLaboratorioClinico-1.0" ] } ], "mustSupport": true }, { "id": "Composition.section.entry.reference", "min": 1, "path": "Composition.section.entry.reference" }, { "id": "Composition.section.entry.type", "max": "0", "path": "Composition.section.entry.type" }, { "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/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Composition.section.emptyReason", "max": "0", "path": "Composition.section.emptyReason" }, { "id": "Composition.section.section", "max": "0", "path": "Composition.section.section" }, { "id": "Composition.section.section.title", "max": "0", "path": "Composition.section.section.title" }, { "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" }, { "id": "Composition.section.section.orderedBy", "max": "0", "path": "Composition.section.section.orderedBy" }, { "id": "Composition.section.section.emptyReason", "max": "0", "path": "Composition.section.section.emptyReason" } ] }, "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition" }