{ "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. \\nNo contexto do Patient Summary, é utilizado para agrupar informação relativamente a cada uma das secções que o compõem.", "_filename": "CompositionPTPS_V2.StructureDefinition.json", "package_name": "package.teste", "date": "2024-05-10T10:53:48.0681303+00:00", "derivation": "constraint", "publisher": "SPMS", "fhirVersion": "4.3.0", "name": "CompositionPTPSV2", "useContext": [ { "code": { "code": "workflow", "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", "display": "Workflow Setting" }, "valueCodeableConcept": { "text": "Pesquisa de Patient Summary (Output)", "coding": [ { "code": "001", "system": "https://spms.min-saude.pt/iop/CodeSystem/r4BTechnicalSpecification", "display": "Pesquisa de Patient Summary" } ] } } ], "abstract": false, "type": "Composition", "experimental": null, "resourceType": "StructureDefinition", "title": "Composition PT PS V2", "package_version": "1.0.1-draft", "status": "draft", "id": "d95c2424-8c5e-4ab0-ba38-17feb53f410b", "kind": "resource", "url": "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CompositionPTPSV2", "version": null, "differential": { "element": [ { "id": "Composition.contained", "max": "0", "path": "Composition.contained" }, { "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", "definition": "Tipo de composição/documento." }, { "id": "Composition.type.coding.system", "path": "Composition.type.coding.system", "fixedUri": "http://loinc.org" }, { "id": "Composition.type.coding.code", "path": "Composition.type.coding.code", "fixedCode": "60591-5" }, { "id": "Composition.type.coding.display", "path": "Composition.type.coding.display", "fixedString": "Patient summary Document" }, { "id": "Composition.type.text", "path": "Composition.type.text", "fixedString": "Resumo de saúde do utente" }, { "id": "Composition.category", "max": "0", "path": "Composition.category" }, { "id": "Composition.subject", "min": 1, "path": "Composition.subject", "type": [ { "code": "Reference", "targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PatientPTPS" ] } ], "definition": "Sobre quem ou o que é a composição ou documento." }, { "id": "Composition.encounter", "max": "0", "path": "Composition.encounter" }, { "id": "Composition.date", "path": "Composition.date", "definition": "Data da composição/documento." }, { "id": "Composition.author", "path": "Composition.author", "type": [ { "code": "Reference", "targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerPTPS", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerRolePTPS", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/OrganizationPTPS" ] } ] }, { "id": "Composition.title", "path": "Composition.title", "definition": "Título do documento.", "fixedString": "Resumo de Saúde do Utente" }, { "id": "Composition.attester", "max": "0", "path": "Composition.attester" }, { "id": "Composition.custodian", "max": "0", "path": "Composition.custodian", "type": [ { "code": "Reference", "targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/OrganizationPTPS" ] } ] }, { "id": "Composition.relatesTo.target[x]", "path": "Composition.relatesTo.target[x]", "type": [ { "code": "Identifier", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ExtensionIdentifierPTCore" ] }, { "code": "Reference", "targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CompositionPTPS" ] } ] }, { "id": "Composition.event.code.coding.system", "path": "Composition.event.code.coding.system", "fixedUri": "http://terminology.hl7.org/CodeSystem/v3-ActClass" }, { "id": "Composition.event.code.coding.code", "path": "Composition.event.code.coding.code", "fixedCode": "PCPR" }, { "id": "Composition.event.code.coding.display", "path": "Composition.event.code.coding.display", "fixedString": "care provision" }, { "id": "Composition.event.code.text", "path": "Composition.event.code.text", "fixedString": "Prestação de Cuidados" }, { "id": "Composition.section", "path": "Composition.section", "slicing": { "rules": "open", "discriminator": [ { "path": "id", "type": "value" } ] } }, { "id": "Composition.section:sectionAllergies", "path": "Composition.section", "sliceName": "sectionAllergies", "definition": "Secção das alergias e intolerâncias" }, { "id": "Composition.section:sectionAllergies.id", "path": "Composition.section.id", "fixedId": "sectionAllergies" }, { "id": "Composition.section:sectionAllergies.title", "path": "Composition.section.title", "fixedString": "Secção de Alergias e Reações Adversas" }, { "id": "Composition.section:sectionAllergies.code", "path": "Composition.section.code", "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: Patient Summary Section" }, { "id": "Composition.section:sectionAllergies.code.coding.system", "path": "Composition.section.code.coding.system", "fixedUri": "http://loinc.org" }, { "id": "Composition.section:sectionAllergies.code.coding.code", "path": "Composition.section.code.coding.code", "fixedCode": "48765-2" }, { "id": "Composition.section:sectionAllergies.code.coding.display", "path": "Composition.section.code.coding.display", "fixedString": "Allergies and adverse reactions document" }, { "id": "Composition.section:sectionAllergies.code.text", "path": "Composition.section.code.text", "fixedString": "Secção alergias e reacções adversas" }, { "id": "Composition.section:sectionAllergies.author", "max": "0", "path": "Composition.section.author" }, { "id": "Composition.section:sectionAllergies.focus", "max": "0", "path": "Composition.section.focus" }, { "id": "Composition.section:sectionAllergies.mode", "max": "0", "path": "Composition.section.mode" }, { "id": "Composition.section:sectionAllergies.orderedBy", "max": "0", "path": "Composition.section.orderedBy" }, { "id": "Composition.section:sectionAllergies.entry", "path": "Composition.section.entry", "type": [ { "code": "Reference", "targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ListPTPS" ] } ] }, { "id": "Composition.section:sectionAllergies.section", "max": "0", "path": "Composition.section.section" }, { "id": "Composition.section:sectionImmunizations", "path": "Composition.section", "sliceName": "sectionImmunizations", "definition": "Secção das inoculações" }, { "id": "Composition.section:sectionImmunizations.id", "path": "Composition.section.id", "fixedId": "sectionImmunizations" }, { "id": "Composition.section:sectionImmunizations.title", "path": "Composition.section.title", "fixedString": "Histórico de vacinação" }, { "id": "Composition.section:sectionImmunizations.code", "path": "Composition.section.code", "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: Patient Summary Section" }, { "id": "Composition.section:sectionImmunizations.code.coding.system", "path": "Composition.section.code.coding.system", "fixedUri": "http://loinc.org" }, { "id": "Composition.section:sectionImmunizations.code.coding.code", "path": "Composition.section.code.coding.code", "fixedCode": "11369-6" }, { "id": "Composition.section:sectionImmunizations.code.coding.display", "path": "Composition.section.code.coding.display", "fixedString": "History of Immunization Narrative" }, { "id": "Composition.section:sectionImmunizations.author", "max": "0", "path": "Composition.section.author" }, { "id": "Composition.section:sectionImmunizations.focus", "max": "0", "path": "Composition.section.focus" }, { "id": "Composition.section:sectionImmunizations.mode", "max": "0", "path": "Composition.section.mode" }, { "id": "Composition.section:sectionImmunizations.orderedBy", "max": "0", "path": "Composition.section.orderedBy" }, { "id": "Composition.section:sectionImmunizations.entry", "path": "Composition.section.entry", "type": [ { "code": "Reference", "targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ListPTPS" ] } ] }, { "id": "Composition.section:sectionImmunizations.emptyReason", "max": "0", "path": "Composition.section.emptyReason" }, { "id": "Composition.section:sectionImmunizations.section", "max": "0", "path": "Composition.section.section" }, { "id": "Composition.section:sectionPregnancy", "path": "Composition.section", "sliceName": "sectionPregnancy", "definition": "Secção do histórico de gravidezes" }, { "id": "Composition.section:sectionPregnancy.id", "path": "Composition.section.id", "fixedId": "sectionPregnancy" }, { "id": "Composition.section:sectionPregnancy.title", "path": "Composition.section.title", "fixedString": "Histórico obstétrico" }, { "id": "Composition.section:sectionPregnancy.code", "path": "Composition.section.code", "binding": { "strength": "required", "valueSet": "https://www.ctc.min-saude.pt/catalogos/apoio-ao-registo-clinico" }, "comment": "Value Set Name: Patient Summary Section" }, { "id": "Composition.section:sectionPregnancy.code.coding.system", "path": "Composition.section.code.coding.system", "fixedUri": "http://loinc.org" }, { "id": "Composition.section:sectionPregnancy.code.coding.code", "path": "Composition.section.code.coding.code", "fixedCode": "10162-6" }, { "id": "Composition.section:sectionPregnancy.code.coding.display", "path": "Composition.section.code.coding.display", "fixedString": "History of pregnancies Narrative" }, { "id": "Composition.section:sectionPregnancy.code.text", "path": "Composition.section.code.text", "fixedString": "Histórico obstétrico" }, { "id": "Composition.section:sectionPregnancy.author", "max": "0", "path": "Composition.section.author" }, { "id": "Composition.section:sectionPregnancy.focus", "max": "0", "path": "Composition.section.focus" }, { "id": "Composition.section:sectionPregnancy.mode", "max": "0", "path": "Composition.section.mode" }, { "id": "Composition.section:sectionPregnancy.orderedBy", "max": "0", "path": "Composition.section.orderedBy" }, { "id": "Composition.section:sectionPregnancy.entry", "path": "Composition.section.entry", "type": [ { "code": "Reference", "targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ListPTPS", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ObservationPregnancyPTPSCSTS" ] } ] }, { "id": "Composition.section:sectionPregnancy.emptyReason", "max": "0", "path": "Composition.section.emptyReason" }, { "id": "Composition.section:sectionPregnancy.section", "max": "0", "path": "Composition.section.section" }, { "id": "Composition.section:sectionSocialHistory", "path": "Composition.section", "sliceName": "sectionSocialHistory", "definition": "Secção dos hábitos sociais" }, { "id": "Composition.section:sectionSocialHistory.id", "path": "Composition.section.id", "fixedId": "sectionSocialHistory" }, { "id": "Composition.section:sectionSocialHistory.title", "path": "Composition.section.title", "fixedString": "Histórico social" }, { "id": "Composition.section:sectionSocialHistory.code.coding.system", "path": "Composition.section.code.coding.system", "fixedUri": "http://loinc.org" }, { "id": "Composition.section:sectionSocialHistory.code.coding.code", "path": "Composition.section.code.coding.code", "fixedCode": "29762-2" }, { "id": "Composition.section:sectionSocialHistory.code.coding.display", "path": "Composition.section.code.coding.display", "fixedString": "Social history Narrative" }, { "id": "Composition.section:sectionSocialHistory.code.text", "path": "Composition.section.code.text", "fixedString": "Histórico social" }, { "id": "Composition.section:sectionSocialHistory.author", "max": "0", "path": "Composition.section.author" }, { "id": "Composition.section:sectionSocialHistory.focus", "max": "0", "path": "Composition.section.focus" }, { "id": "Composition.section:sectionSocialHistory.mode", "max": "0", "path": "Composition.section.mode" }, { "id": "Composition.section:sectionSocialHistory.orderedBy", "max": "0", "path": "Composition.section.orderedBy" }, { "id": "Composition.section:sectionSocialHistory.entry", "path": "Composition.section.entry", "type": [ { "code": "Reference", "targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ObservationSocialHabitsPTPSTBU", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ObservationSocialHabitsPTPSALU", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ObservationSocialHabitsPTPSDG" ] } ] }, { "id": "Composition.section:sectionSocialHistory.emptyReason", "max": "0", "path": "Composition.section.emptyReason" }, { "id": "Composition.section:sectionSocialHistory.section", "max": "0", "path": "Composition.section.section" } ] }, "contact": [ { "name": "Interoperabilidade Semântica", "telecom": [ { "value": "https://www.spms.min-saude.pt", "system": "url" } ] } ], "baseDefinition": "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CompositionPTCore" }