{
"description": "Descrições textuais simples sobre um paciente.",
"_filename": "structuredefinition-br-core-observationtext.json",
"package_name": "BRCore",
"date": "2020-06-09T17:52:53.0098607+00:00",
"derivation": "constraint",
"meta": {
"lastUpdated": "2020-06-09T17:52:28.104+00:00"
},
"publisher": "Ministério da Saúde do Brasil",
"fhirVersion": "4.0.0",
"name": "BRObservacaoDescritiva",
"abstract": false,
"type": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Observação Descritiva",
"package_version": "01.00.00-1.0.0",
"status": "active",
"language": "pt-BR",
"id": "edc7d28c-673f-4aed-a33f-0de172fbd11a",
"kind": "resource",
"url": "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRObservacaoDescritiva-1.0",
"version": "1.0",
"differential": {
"element": [ {
"id": "Observation",
"path": "Observation",
"mustSupport": true
}, {
"id": "Observation.identifier",
"max": "0",
"path": "Observation.identifier"
}, {
"id": "Observation.basedOn",
"max": "0",
"path": "Observation.basedOn"
}, {
"id": "Observation.partOf",
"max": "0",
"path": "Observation.partOf"
}, {
"id": "Observation.status",
"path": "Observation.status",
"short": "Estado da Observação",
"binding": {
"strength": "required",
"valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoObservacao-1.0",
"description": "Estado da Observação"
},
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
"valueString": "default: final"
} ],
"definition": "Indica o estado que o contato assistencial se encontra quando é informado para a RNDS.",
"mustSupport": true
}, {
"id": "Observation.category",
"max": "1",
"min": 1,
"path": "Observation.category",
"short": "Categoria da Observação",
"binding": {
"strength": "preferred",
"valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRCategoriaObservacao-1.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ObservationCategory"
} ],
"description": "Categoria da Observação"
},
"definition": "Categoriza a observação que está sendo representada."
}, {
"id": "Observation.category.coding",
"max": "1",
"min": 1,
"path": "Observation.category.coding"
}, {
"id": "Observation.category.coding.system",
"min": 1,
"path": "Observation.category.coding.system"
}, {
"id": "Observation.category.coding.code",
"min": 1,
"path": "Observation.category.coding.code"
}, {
"id": "Observation.category.coding.display",
"max": "0",
"path": "Observation.category.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Observation.category.coding.userSelected",
"max": "0",
"path": "Observation.category.coding.userSelected"
}, {
"id": "Observation.category.text",
"max": "0",
"path": "Observation.category.text",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Observation.code",
"path": "Observation.code",
"short": "Tipo da Observação",
"binding": {
"strength": "required",
"valueSet": "http://www.saude.gov.br/fhir/r4/CodeSystem/BRTipoObservacao-1.0",
"description": "Tipo de Observação"
},
"definition": "Classifica o tipo de observação que está sendo representada.",
"mustSupport": true
}, {
"id": "Observation.code.coding",
"max": "1",
"min": 1,
"path": "Observation.code.coding"
}, {
"id": "Observation.code.coding.system",
"min": 1,
"path": "Observation.code.coding.system"
}, {
"id": "Observation.code.coding.code",
"min": 1,
"path": "Observation.code.coding.code"
}, {
"id": "Observation.code.coding.display",
"max": "0",
"path": "Observation.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Observation.code.coding.userSelected",
"max": "0",
"path": "Observation.code.coding.userSelected"
}, {
"id": "Observation.code.text",
"max": "0",
"path": "Observation.code.text",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Observation.subject",
"min": 1,
"path": "Observation.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0" ]
} ],
"short": "Sujeito da Observação",
"definition": "Quem ou o quê a composição se refere. Pode ser um indivíduo, dispositivo, grupos (de indivíduos, dispositivos etc.).",
"mustSupport": true
}, {
"id": "Observation.subject.reference",
"max": "0",
"path": "Observation.subject.reference"
}, {
"id": "Observation.subject.type",
"max": "0",
"path": "Observation.subject.type",
"fixedUri": "Patient"
}, {
"id": "Observation.subject.identifier",
"min": 1,
"path": "Observation.subject.identifier"
}, {
"id": "Observation.subject.identifier.use",
"max": "0",
"path": "Observation.subject.identifier.use"
}, {
"id": "Observation.subject.identifier.type",
"max": "0",
"path": "Observation.subject.identifier.type"
}, {
"id": "Observation.subject.identifier.system",
"min": 1,
"path": "Observation.subject.identifier.system"
}, {
"id": "Observation.subject.identifier.value",
"min": 1,
"path": "Observation.subject.identifier.value"
}, {
"id": "Observation.subject.identifier.period",
"max": "0",
"path": "Observation.subject.identifier.period"
}, {
"id": "Observation.subject.identifier.assigner",
"max": "0",
"path": "Observation.subject.identifier.assigner"
}, {
"id": "Observation.subject.display",
"max": "0",
"path": "Observation.subject.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Observation.focus",
"max": "0",
"path": "Observation.focus"
}, {
"id": "Observation.encounter",
"max": "0",
"path": "Observation.encounter"
}, {
"id": "Observation.effective[x]",
"max": "0",
"path": "Observation.effective[x]"
}, {
"id": "Observation.issued",
"min": 1,
"path": "Observation.issued",
"short": "Data/hora da Observação",
"definition": "Data ou data e hora que a Observação foi escrita.",
"mustSupport": true
}, {
"id": "Observation.performer",
"max": "0",
"path": "Observation.performer"
}, {
"id": "Observation.value[x]",
"min": 1,
"path": "Observation.value[x]",
"type": [ {
"code": "string"
} ],
"alias": [ "Declaração subjetiva do indivíduo para o atendimento", "Resumo da evolução clínica do indivíduo durante a internação", "Dados do desfecho", "Informações adicionais/complementares" ],
"short": "Resultado da Observação",
"definition": "Descrição textual da observação realizada.",
"mustSupport": true
}, {
"id": "Observation.dataAbsentReason",
"max": "0",
"path": "Observation.dataAbsentReason"
}, {
"id": "Observation.interpretation",
"max": "0",
"path": "Observation.interpretation"
}, {
"id": "Observation.note",
"max": "0",
"path": "Observation.note"
}, {
"id": "Observation.bodySite",
"max": "0",
"path": "Observation.bodySite"
}, {
"id": "Observation.method",
"max": "0",
"path": "Observation.method"
}, {
"id": "Observation.specimen",
"max": "0",
"path": "Observation.specimen"
}, {
"id": "Observation.device",
"max": "0",
"path": "Observation.device"
}, {
"id": "Observation.referenceRange",
"max": "0",
"path": "Observation.referenceRange"
}, {
"id": "Observation.hasMember",
"max": "0",
"path": "Observation.hasMember"
}, {
"id": "Observation.derivedFrom",
"max": "0",
"path": "Observation.derivedFrom"
}, {
"id": "Observation.component",
"max": "0",
"path": "Observation.component"
} ]
},
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}