Guia de Implementação do Projeto de Padronização e Qualificação dos Dados Assistenciais da Saúde Suplementar (PQDAS)
202309 - CI Build
A caixa de publicação vai aqui
Active as of 2022-12-05 |
Definitions for the contato-assistencial resource profile.
Guidance on how to interpret the contents of this table can be found here
0. Encounter | |
Definition | Contato assistencial ininterrupto dispensado a um indivíduo em uma mesma modalidade assistencial e em um mesmo estabelecimento de saúde |
Short | Contato Assistencial |
2. Encounter.id | |
Short | Identificador lógico ou físico do contato assistencial |
4. Encounter.meta | |
Short | Elemento de metadados para identificações adicionais do Recurso |
6. Encounter.implicitRules | |
Short | Regras implícitas deste perfil |
8. Encounter.language | |
Short | Conceito codificável que classifica o idioma deste contato assistencial |
10. Encounter.text | |
Short | Texto livre que descreve a história deste contato assistencial de forma legível para seres humanos |
12. Encounter.contained | |
Short | Outras informações que não existem por si só e só existem por dependência da existência desse contato assistencial |
14. Encounter.extension | |
Short | Conjunto de campos adicionais que são extensões ao modelo de informação |
16. Encounter.modifierExtension | |
Short | Conjuntos de campos adicionais que são extensões ao modelo de informação e não podem ser ignorados |
18. Encounter.identifier | |
Short | Identificador do contato assistencial |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 1..? |
Slicing | This element introduces a set of slices on Encounter.identifier . The slices are unordered and Open, and can be differentiated using the following discriminators: |
20. Encounter.identifier:guiaPrestador | |
Slice Name | guiaPrestador |
Definition | número da guia no prestador atribuído pela operadora para identificar a remessa do arquivo de monitoramento. RN 001: O número da guia no prestador deve ser único por arquivo e competência e diferente de brancos ou nulo |
Short | Número da guia no prestador |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..? |
22. Encounter.identifier:guiaPrestador.use | |
Short | Conceito codificável que classifica o uso do número da guia no prestador |
24. Encounter.identifier:guiaPrestador.type | |
Short | Conceito codificável que classifica o tipo de identificador que é o número da guia no prestador |
Control | 0..? |
26. Encounter.identifier:guiaPrestador.system | |
Short | URI ou URL que identifica o sistema de nomenclatura de Número da guia no prestador |
Control | 1..? |
Fixed Value | https://fhir.ans.gov.br/sid/numero-guia-prestador |
28. Encounter.identifier:guiaPrestador.value | |
Short | número da guia no prestador |
Control | 1..? |
30. Encounter.identifier:guiaOperadora | |
Slice Name | guiaOperadora |
Definition | número da guia da operadora para identificar a remessa do arquivo de monitoramento. |
Short | Número da guia da operadora |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..? |
32. Encounter.identifier:guiaOperadora.use | |
Short | Conceito codificável que classifica o uso do número da guia da operadora |
34. Encounter.identifier:guiaOperadora.type | |
Short | Conceito codificável que classifica o tipo de identificador que é o número da guia da operadora |
Control | 0..? |
36. Encounter.identifier:guiaOperadora.system | |
Short | URI ou URL que identifica o sistema de nomenclatura de Número da guia da operadora |
Control | 1..? |
Fixed Value | https://fhir.ans.gov.br/sid/numero-guia-operadora |
38. Encounter.identifier:guiaOperadora.value | |
Short | número da guia da operadora |
Control | 1..? |
40. Encounter.identifier:identificacaoReembolso | |
Slice Name | identificacaoReembolso |
Definition | número de reembolso para identificar a remessa do arquivo de monitoramento. |
Short | Número de reembolso |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..? |
42. Encounter.identifier:identificacaoReembolso.use | |
Short | Conceito codificável que classifica o uso do número da guia da operadora |
44. Encounter.identifier:identificacaoReembolso.type | |
Short | Conceito codificável que classifica o tipo de identificador que é o número da guia da operadora |
Control | 0..? |
46. Encounter.identifier:identificacaoReembolso.system | |
Short | URI ou URL que identifica o sistema de nomenclatura de Número da guia da operadora |
Control | 1..? |
Fixed Value | https://fhir.ans.gov.br/sid/numero-identificacao-reembolso |
48. Encounter.identifier:identificacaoReembolso.value | |
Short | número da guia da operadora |
Control | 1..? |
50. Encounter.status | |
Definition | Indica o estado que o contato assistencial se encontra quando é informado para a RNDS. |
Short | Status do contato assistencial |
Comments | Na RNDS os contatos assistenciais somente são informados após terem sido finalizados, portanto somente a opção finished pode ser utilizada, ou entered-in-error, quando o contato assistencial foi enviado com erro. |
52. Encounter.statusHistory | |
Definition | Histórico de status do contato assistencial. |
Short | Histórico de status do contato assistencial |
54. Encounter.class | |
Definition | Classe de contato assistencial (ou simplesmente Regime de contato assistencial) indica se o contato assistencial é Ambulatorial, Domiciliar, Pronto-Socorro, Home-care, etc. |
Short | Classe de contato assistencial |
56. Encounter.classHistory | |
Definition | Histórico de caráter do contato assistencial |
Short | Histórico de caráter do contato assistencial |
58. Encounter.type | |
Definition | Tipo de contato assistencial. |
Short | Tipo de contato assistencial |
Binding | The codes SHALL be taken from tipo de contato assistencial Tipo de contato assistencial. |
60. Encounter.serviceType | |
Definition | Tipo de serviço. |
Short | Tipo de serviço |
62. Encounter.priority | |
Definition | Caráter do contato assistencial. |
Short | Caráter do contato assistencial |
Binding | The codes SHALL be taken from caráter de contato assistencial Caráter do contato assistencial. |
64. Encounter.subject | |
Definition | Paciente do contato assistencial. |
Short | Paciente do contato assistencial |
Type | Reference(Paciente) |
66. Encounter.episodeOfCare | |
Definition | História episódica de vários contato assistencials vinculados a uma condição ou problema |
Short | Episódio de cuidado |
68. Encounter.basedOn | |
Definition | Pedido de contato assistencial. |
Short | Pedido de contato assistencial |
Type | Reference(Requisição de Serviço) |
70. Encounter.participant | |
Definition | Identifica o(s) profissional(is) ou indivíduo(s) que teve(tiveram) algum tipo de participação no Contato Assistencial |
Short | Participantes do contato assistencial |
72. Encounter.participant.type | |
Definition | Tipo de participante do contato assistencial. |
Short | Tipo de participante do contato assistencial |
Binding | Unless not suitable, these codes SHALL be taken from BRResponsabilidadeParticipante-1.0 Tipo de participante do contato assistencial. |
74. Encounter.participant.period | |
Definition | Período de participação do contato assistencial. |
Short | Período de participação do contato assistencial |
76. Encounter.participant.individual | |
Definition | Identifica o profissional ou indivíduo teve alguma participação no Contato Assistencial. |
Short | Participante do contato assistencial |
Control | 1..? |
Type | Reference(Profissional prestador do serviço, PractitionerRole, RelatedPerson) |
78. Encounter.appointment | |
Definition | Agendamento do contato assistencial. |
Short | Agendamento do contato assistencial |
80. Encounter.period | |
Definition | Período do contato assistencial. |
Short | Período do contato assistencial |
82. Encounter.length | |
Definition | Duração do contato assistencial. |
Short | Duração do contato assistencial |
84. Encounter.reasonCode | |
Definition | Motivo do contato assistencial. |
Short | Motivo do contato assistencial |
86. Encounter.reasonReference | |
Definition | Motivo do contato assistencial. |
Short | Motivo do contato assistencial |
88. Encounter.diagnosis | |
Definition | Diagnóstico do contato assistencial. |
Short | Diagnóstico do contato assistencial |
90. Encounter.diagnosis.condition | |
Definition | Condição do contato assistencial. |
Short | Condição do contato assistencial |
Type | Reference(Condição) |
92. Encounter.diagnosis.use | |
Definition | Uso do diagnóstico. |
Short | Uso do diagnóstico |
94. Encounter.diagnosis.rank | |
Definition | Ranking do diagnóstico. |
Short | Ranking do diagnóstico |
96. Encounter.account | |
Definition | Conta do contato assistencial. |
Short | Conta do contato assistencial |
98. Encounter.hospitalization | |
Definition | Dados de internação do contato assistencial. |
Short | Dados de internação do contato assistencial |
100. Encounter.hospitalization.preAdmissionIdentifier | |
Definition | Identificador de pré-admissão. |
Short | Identificador de pré-admissão |
102. Encounter.hospitalization.origin | |
Definition | Origem da internação. |
Short | Origem da internação |
104. Encounter.hospitalization.admitSource | |
Definition | Identifica o tipo de serviço ou demanda que encaminhou o indivíduo ou a sua iniciativa/de seu responsável na busca pelo acesso ao serviço de saúde. |
Short | Procedência da internação |
Binding | Unless not suitable, these codes SHALL be taken from BRProcedencia-1.0 Procedência da internação. |
106. Encounter.hospitalization.reAdmission | |
Definition | Reinternação. |
Short | Reinternação |
108. Encounter.hospitalization.dietPreference | |
Definition | Preferência de dieta. |
Short | Preferência de dieta |
110. Encounter.hospitalization.specialCourtesy | |
Definition | Cortesia especial. |
Short | Cortesia especial |
112. Encounter.hospitalization.specialArrangement | |
Definition | Condição especial na internação. |
Short | Condição especial na internação |
114. Encounter.hospitalization.destination | |
Definition | Destino da internação. |
Short | Destino da internação |
116. Encounter.hospitalization.dischargeDisposition | |
Definition | Caracteriza o motivo de conclusão total ou parcial do Contato Assistencial de Internação |
Short | Motivo de desfecho da internação |
Binding | The codes SHALL be taken from motivo de encerramento |
118. Encounter.location | |
Definition | Local do contato assistencial. |
Short | Local do contato assistencial |
120. Encounter.location.location | |
Definition | Local onde o contato assistencial ocorreu |
Short | Local do contato assistencial |
122. Encounter.location.status | |
Definition | Status do local do contato assistencial. |
Short | Status do local do contato assistencial |
124. Encounter.location.physicalType | |
Definition | Tipo físico do local do contato assistencial. |
Short | Tipo físico do local do contato assistencial |
126. Encounter.location.period | |
Definition | Período mantido no local do contato assistencial. |
Short | Período mantido no local do contato assistencial |
128. Encounter.serviceProvider | |
Definition | Estabelecimento de Saúde que realizou o Contato Assistencial. |
Short | Estabelecimento de Saúde do Contato Assistencial |
Type | Reference(Estabelecimento de Saúde) |
130. Encounter.partOf | |
Definition | Contato Assistencial principal (pai) |
Short | Contato Assistencial principal (pai) |
Type | Reference(Contato Assistencial) |
Guidance on how to interpret the contents of this table can be found here
0. Encounter | |||||
Definition | Contato assistencial ininterrupto dispensado a um indivíduo em uma mesma modalidade assistencial e em um mesmo estabelecimento de saúde An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient. | ||||
Short | Contato AssistencialAn interaction during which services are provided to the patient | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | Visit | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) | ||||
2. Encounter.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Identificador lógico ou físico do contato assistencialLogical id of this artifact | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | idstring | ||||
Is Modifier | false | ||||
Summary | true | ||||
4. Encounter.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Short | Elemento de metadados para identificações adicionais do RecursoMetadata about the resource | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
6. Encounter.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Short | Regras implícitas deste perfilA set of rules under which this content was created | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
8. Encounter.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Conceito codificável que classifica o idioma deste contato assistencialLanguage of the resource content | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
10. Encounter.text | |||||
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | Texto livre que descreve a história deste contato assistencial de forma legível para seres humanosText summary of the resource, for human interpretation | ||||
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
12. Encounter.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Outras informações que não existem por si só e só existem por dependência da existência desse contato assistencialContained, inline Resources | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
14. Encounter.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Conjunto de campos adicionais que são extensões ao modelo de informaçãoAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
16. Encounter.modifierExtension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Conjuntos de campos adicionais que são extensões ao modelo de informação e não podem ser ignoradosExtensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
18. Encounter.identifier | |||||
Definition | Identifier(s) by which this encounter is known. | ||||
Short | Identificador do contato assistencialIdentifier(s) by which this encounter is known | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 10..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on Encounter.identifier . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
20. Encounter.identifier:guiaPrestador | |||||
Slice Name | guiaPrestador | ||||
Definition | número da guia no prestador atribuído pela operadora para identificar a remessa do arquivo de monitoramento. RN 001: O número da guia no prestador deve ser único por arquivo e competência e diferente de brancos ou nulo Identifier(s) by which this encounter is known. | ||||
Short | Número da guia no prestadorIdentifier(s) by which this encounter is known | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
22. Encounter.identifier:guiaPrestador.use | |||||
Definition | The purpose of this identifier. | ||||
Short | Conceito codificável que classifica o uso do número da guia no prestadorusual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
24. Encounter.identifier:guiaPrestador.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Conceito codificável que classifica o tipo de identificador que é o número da guia no prestadorDescription of identifier | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
26. Encounter.identifier:guiaPrestador.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | URI ou URL que identifica o sistema de nomenclatura de Número da guia no prestadorThe namespace for the identifier value | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Fixed Value | https://fhir.ans.gov.br/sid/numero-guia-prestador | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
28. Encounter.identifier:guiaPrestador.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | número da guia no prestadorThe value that is unique | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
30. Encounter.identifier:guiaOperadora | |||||
Slice Name | guiaOperadora | ||||
Definition | número da guia da operadora para identificar a remessa do arquivo de monitoramento. Identifier(s) by which this encounter is known. | ||||
Short | Número da guia da operadoraIdentifier(s) by which this encounter is known | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
32. Encounter.identifier:guiaOperadora.use | |||||
Definition | The purpose of this identifier. | ||||
Short | Conceito codificável que classifica o uso do número da guia da operadorausual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
34. Encounter.identifier:guiaOperadora.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Conceito codificável que classifica o tipo de identificador que é o número da guia da operadoraDescription of identifier | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
36. Encounter.identifier:guiaOperadora.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | URI ou URL que identifica o sistema de nomenclatura de Número da guia da operadoraThe namespace for the identifier value | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Fixed Value | https://fhir.ans.gov.br/sid/numero-guia-operadora | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
38. Encounter.identifier:guiaOperadora.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | número da guia da operadoraThe value that is unique | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
40. Encounter.identifier:identificacaoReembolso | |||||
Slice Name | identificacaoReembolso | ||||
Definition | número de reembolso para identificar a remessa do arquivo de monitoramento. Identifier(s) by which this encounter is known. | ||||
Short | Número de reembolsoIdentifier(s) by which this encounter is known | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
42. Encounter.identifier:identificacaoReembolso.use | |||||
Definition | The purpose of this identifier. | ||||
Short | Conceito codificável que classifica o uso do número da guia da operadorausual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
44. Encounter.identifier:identificacaoReembolso.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Conceito codificável que classifica o tipo de identificador que é o número da guia da operadoraDescription of identifier | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
46. Encounter.identifier:identificacaoReembolso.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | URI ou URL que identifica o sistema de nomenclatura de Número da guia da operadoraThe namespace for the identifier value | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Fixed Value | https://fhir.ans.gov.br/sid/numero-identificacao-reembolso | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
48. Encounter.identifier:identificacaoReembolso.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | número da guia da operadoraThe value that is unique | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
50. Encounter.status | |||||
Definition | Indica o estado que o contato assistencial se encontra quando é informado para a RNDS. planned | arrived | triaged | in-progress | onleave | finished | cancelled +. | ||||
Short | Status do contato assistencialplanned | arrived | triaged | in-progress | onleave | finished | cancelled + | ||||
Comments | Na RNDS os contatos assistenciais somente são informados após terem sido finalizados, portanto somente a opção finished pode ser utilizada, ou entered-in-error, quando o contato assistencial foi enviado com erro. Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes). | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 Current state of the encounter. | ||||
Type | code | ||||
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
52. Encounter.statusHistory | |||||
Definition | Histórico de status do contato assistencial. The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them. | ||||
Short | Histórico de status do contato assistencialList of past encounter statuses | ||||
Comments | The current status is always found in the current version of the resource, not the status history. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
54. Encounter.statusHistory.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
56. Encounter.statusHistory.status | |||||
Definition | planned | arrived | triaged | in-progress | onleave | finished | cancelled +. | ||||
Short | planned | arrived | triaged | in-progress | onleave | finished | cancelled + | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 Current state of the encounter. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
58. Encounter.statusHistory.period | |||||
Definition | The time that the episode was in the specified status. | ||||
Short | The time that the episode was in the specified status | ||||
Control | 1..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
60. Encounter.class | |||||
Definition | Classe de contato assistencial (ou simplesmente Regime de contato assistencial) indica se o contato assistencial é Ambulatorial, Domiciliar, Pronto-Socorro, Home-care, etc. Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations. | ||||
Short | Classe de contato assistencialClassification of patient encounter | ||||
Control | 1..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode Classification of the encounter. | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
62. Encounter.classHistory | |||||
Definition | Histórico de caráter do contato assistencial The class history permits the tracking of the encounters transitions without needing to go through the resource history. This would be used for a case where an admission starts of as an emergency encounter, then transitions into an inpatient scenario. Doing this and not restarting a new encounter ensures that any lab/diagnostic results can more easily follow the patient and not require re-processing and not get lost or cancelled during a kind of discharge from emergency to inpatient. | ||||
Short | Histórico de caráter do contato assistencialList of past encounter classes | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
64. Encounter.classHistory.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
66. Encounter.classHistory.class | |||||
Definition | inpatient | outpatient | ambulatory | emergency +. | ||||
Short | inpatient | outpatient | ambulatory | emergency + | ||||
Control | 1..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode Classification of the encounter. | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
68. Encounter.classHistory.period | |||||
Definition | The time that the episode was in the specified class. | ||||
Short | The time that the episode was in the specified class | ||||
Control | 1..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
70. Encounter.type | |||||
Definition | Tipo de contato assistencial. Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation). | ||||
Short | Tipo de contato assistencialSpecific type of encounter | ||||
Comments | Since there are many ways to further classify encounters, this element is 0..*. | ||||
Control | 0..* | ||||
Binding | The codes SHALL be taken from For example codes, see tipo de contato assistencialhttp://hl7.org/fhir/ValueSet/encounter-type Tipo de contato assistencial. The type of encounter. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
72. Encounter.serviceType | |||||
Definition | Tipo de serviço. Broad categorization of the service that is to be provided (e.g. cardiology). | ||||
Short | Tipo de serviçoSpecific type of service | ||||
Control | 0..1 | ||||
Binding | For example codes, see ServiceTypehttp://hl7.org/fhir/ValueSet/service-type Broad categorization of the service that is to be provided. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
74. Encounter.priority | |||||
Definition | Caráter do contato assistencial. Indicates the urgency of the encounter. | ||||
Short | Caráter do contato assistencialIndicates the urgency of the encounter | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from For example codes, see caráter de contato assistencialhttp://terminology.hl7.org/ValueSet/v3-ActPriority Caráter do contato assistencial. Indicates the urgency of the encounter. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
76. Encounter.subject | |||||
Definition | Paciente do contato assistencial. The patient or group present at the encounter. | ||||
Short | Paciente do contato assistencialThe patient or group present at the encounter | ||||
Comments | While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked). | ||||
Control | 0..1 | ||||
Type | Reference(Paciente, Patient, Group) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
78. Encounter.episodeOfCare | |||||
Definition | História episódica de vários contato assistencials vinculados a uma condição ou problema Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem. The association is recorded on the encounter as these are typically created after the episode of care and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years). | ||||
Short | Episódio de cuidadoEpisode(s) of care that this encounter should be recorded against | ||||
Control | 0..* | ||||
Type | Reference(EpisodeOfCare) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
80. Encounter.basedOn | |||||
Definition | Pedido de contato assistencial. The request this encounter satisfies (e.g. incoming referral or procedure request). | ||||
Short | Pedido de contato assistencialThe ServiceRequest that initiated this encounter | ||||
Control | 0..* | ||||
Type | Reference(Requisição de Serviço, ServiceRequest) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | incomingReferral | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
82. Encounter.participant | |||||
Definition | Identifica o(s) profissional(is) ou indivíduo(s) que teve(tiveram) algum tipo de participação no Contato Assistencial The list of people responsible for providing the service. | ||||
Short | Participantes do contato assistencialList of participants involved in the encounter | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
84. Encounter.participant.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
86. Encounter.participant.type | |||||
Definition | Tipo de participante do contato assistencial. Role of participant in encounter. | ||||
Short | Tipo de participante do contato assistencialRole of participant in encounter | ||||
Comments | The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc. | ||||
Control | 0..* | ||||
Binding | Unless not suitable, these codes SHALL be taken from BRResponsabilidadeParticipante-1.0http://hl7.org/fhir/ValueSet/encounter-participant-type Tipo de participante do contato assistencial. Role of participant in encounter. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
88. Encounter.participant.period | |||||
Definition | Período de participação do contato assistencial. The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period. | ||||
Short | Período de participação do contato assistencialPeriod of time during the encounter that the participant participated | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
90. Encounter.participant.individual | |||||
Definition | Identifica o profissional ou indivíduo teve alguma participação no Contato Assistencial. Persons involved in the encounter other than the patient. | ||||
Short | Participante do contato assistencialPersons involved in the encounter other than the patient | ||||
Control | 10..1 | ||||
Type | Reference(Profissional prestador do serviço, PractitionerRole, RelatedPerson, Practitioner) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
92. Encounter.appointment | |||||
Definition | Agendamento do contato assistencial. The appointment that scheduled this encounter. | ||||
Short | Agendamento do contato assistencialThe appointment that scheduled this encounter | ||||
Control | 0..* | ||||
Type | Reference(Appointment) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
94. Encounter.period | |||||
Definition | Período do contato assistencial. The start and end time of the encounter. | ||||
Short | Período do contato assistencialThe start and end time of the encounter | ||||
Comments | If not (yet) known, the end of the Period may be omitted. | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
96. Encounter.length | |||||
Definition | Duração do contato assistencial. Quantity of time the encounter lasted. This excludes the time during leaves of absence. | ||||
Short | Duração do contato assistencialQuantity of time the encounter lasted (less time absent) | ||||
Comments | May differ from the time the Encounter.period lasted because of leave of absence. | ||||
Control | 0..1 | ||||
Type | Duration | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
98. Encounter.reasonCode | |||||
Definition | Motivo do contato assistencial. Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis. | ||||
Short | Motivo do contato assistencialCoded reason the encounter takes place | ||||
Comments | For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis). | ||||
Control | 0..* | ||||
Binding | The codes SHOULD be taken from EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason Reason why the encounter takes place. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | Indication, Admission diagnosis | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
100. Encounter.reasonReference | |||||
Definition | Motivo do contato assistencial. Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis. | ||||
Short | Motivo do contato assistencialReason the encounter takes place (reference) | ||||
Comments | For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis). | ||||
Control | 0..* | ||||
Type | Reference(Condition, Procedure, Observation, ImmunizationRecommendation) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | Indication, Admission diagnosis | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
102. Encounter.diagnosis | |||||
Definition | Diagnóstico do contato assistencial. The list of diagnosis relevant to this encounter. | ||||
Short | Diagnóstico do contato assistencialThe list of diagnosis relevant to this encounter | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
104. Encounter.diagnosis.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
106. Encounter.diagnosis.condition | |||||
Definition | Condição do contato assistencial. Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure. | ||||
Short | Condição do contato assistencialThe diagnosis or procedure relevant to the encounter | ||||
Comments | For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis). | ||||
Control | 1..1 | ||||
Type | Reference(Condição, Condition, Procedure) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | Admission diagnosis, discharge diagnosis, indication | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
108. Encounter.diagnosis.use | |||||
Definition | Uso do diagnóstico. Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …). | ||||
Short | Uso do diagnósticoRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …) | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role The type of diagnosis this condition represents. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
110. Encounter.diagnosis.rank | |||||
Definition | Ranking do diagnóstico. Ranking of the diagnosis (for each role type). | ||||
Short | Ranking do diagnósticoRanking of the diagnosis (for each role type) | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
112. Encounter.account | |||||
Definition | Conta do contato assistencial. The set of accounts that may be used for billing for this Encounter. | ||||
Short | Conta do contato assistencialThe set of accounts that may be used for billing for this Encounter | ||||
Comments | The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules. | ||||
Control | 0..* | ||||
Type | Reference(Account) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
114. Encounter.hospitalization | |||||
Definition | Dados de internação do contato assistencial. Details about the admission to a healthcare service. | ||||
Short | Dados de internação do contato assistencialDetails about the admission to a healthcare service | ||||
Comments | An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included. The duration recorded in the period of this encounter covers the entire scope of this hospitalization record. | ||||
Control | 0..1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
116. Encounter.hospitalization.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
118. Encounter.hospitalization.preAdmissionIdentifier | |||||
Definition | Identificador de pré-admissão. Pre-admission identifier. | ||||
Short | Identificador de pré-admissãoPre-admission identifier | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
120. Encounter.hospitalization.origin | |||||
Definition | Origem da internação. The location/organization from which the patient came before admission. | ||||
Short | Origem da internaçãoThe location/organization from which the patient came before admission | ||||
Control | 0..1 | ||||
Type | Reference(Location, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
122. Encounter.hospitalization.admitSource | |||||
Definition | Identifica o tipo de serviço ou demanda que encaminhou o indivíduo ou a sua iniciativa/de seu responsável na busca pelo acesso ao serviço de saúde. From where patient was admitted (physician referral, transfer). | ||||
Short | Procedência da internaçãoFrom where patient was admitted (physician referral, transfer) | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from The codes SHOULD be taken from BRProcedencia-1.0http://hl7.org/fhir/ValueSet/encounter-admit-source Procedência da internação. From where the patient was admitted. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
124. Encounter.hospitalization.reAdmission | |||||
Definition | Reinternação. Whether this hospitalization is a readmission and why if known. | ||||
Short | ReinternaçãoThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission | ||||
Control | 0..1 | ||||
Binding | For example codes, see hl7VS-re-admissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 The reason for re-admission of this hospitalization encounter. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
126. Encounter.hospitalization.dietPreference | |||||
Definition | Preferência de dieta. Diet preferences reported by the patient. | ||||
Short | Preferência de dietaDiet preferences reported by the patient | ||||
Comments | For example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive). | ||||
Control | 0..* | ||||
Binding | For example codes, see Diethttp://hl7.org/fhir/ValueSet/encounter-diet Medical, cultural or ethical food preferences to help with catering requirements. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
128. Encounter.hospitalization.specialCourtesy | |||||
Definition | Cortesia especial. Special courtesies (VIP, board member). | ||||
Short | Cortesia especialSpecial courtesies (VIP, board member) | ||||
Control | 0..* | ||||
Binding | The codes SHOULD be taken from SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy Special courtesies. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
130. Encounter.hospitalization.specialArrangement | |||||
Definition | Condição especial na internação. Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things. | ||||
Short | Condição especial na internaçãoWheelchair, translator, stretcher, etc. | ||||
Control | 0..* | ||||
Binding | The codes SHOULD be taken from SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements Special arrangements. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
132. Encounter.hospitalization.destination | |||||
Definition | Destino da internação. Location/organization to which the patient is discharged. | ||||
Short | Destino da internaçãoLocation/organization to which the patient is discharged | ||||
Control | 0..1 | ||||
Type | Reference(Location, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
134. Encounter.hospitalization.dischargeDisposition | |||||
Definition | Caracteriza o motivo de conclusão total ou parcial do Contato Assistencial de Internação Category or kind of location after discharge. | ||||
Short | Motivo de desfecho da internaçãoCategory or kind of location after discharge | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from For example codes, see motivo de encerramentohttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
136. Encounter.location | |||||
Definition | Local do contato assistencial. List of locations where the patient has been during this encounter. | ||||
Short | Local do contato assistencialList of locations where the patient has been | ||||
Comments | Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual". | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
138. Encounter.location.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
140. Encounter.location.location | |||||
Definition | Local onde o contato assistencial ocorreu The location where the encounter takes place. | ||||
Short | Local do contato assistencialLocation the encounter takes place | ||||
Control | 1..1 | ||||
Type | Reference(Location) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
142. Encounter.location.status | |||||
Definition | Status do local do contato assistencial. The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time. | ||||
Short | Status do local do contato assistencialplanned | active | reserved | completed | ||||
Comments | When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 The status of the location. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
144. Encounter.location.physicalType | |||||
Definition | Tipo físico do local do contato assistencial. This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query. | ||||
Short | Tipo físico do local do contato assistencialThe physical type of the location (usually the level in the location hierachy - bed room ward etc.) | ||||
Comments | This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query. There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario. | ||||
Control | 0..1 | ||||
Binding | For example codes, see LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type Physical form of the location. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
146. Encounter.location.period | |||||
Definition | Período mantido no local do contato assistencial. Time period during which the patient was present at the location. | ||||
Short | Período mantido no local do contato assistencialTime period during which the patient was present at the location | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
148. Encounter.serviceProvider | |||||
Definition | Estabelecimento de Saúde que realizou o Contato Assistencial. The organization that is primarily responsible for this Encounter's services. This MAY be the same as the organization on the Patient record, however it could be different, such as if the actor performing the services was from an external organization (which may be billed seperately) for an external consultation. Refer to the example bundle showing an abbreviated set of Encounters for a colonoscopy. | ||||
Short | Estabelecimento de Saúde do Contato AssistencialThe organization (facility) responsible for this encounter | ||||
Control | 0..1 | ||||
Type | Reference(Estabelecimento de Saúde, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
150. Encounter.partOf | |||||
Definition | Contato Assistencial principal (pai) Another Encounter of which this encounter is a part of (administratively or in time). | ||||
Short | Contato Assistencial principal (pai)Another Encounter this encounter is part of | ||||
Comments | This is also used for associating a child's encounter back to the mother's encounter. Refer to the Notes section in the Patient resource for further details. | ||||
Control | 0..1 | ||||
Type | Reference(Contato Assistencial, Encounter) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. Encounter | |||||
Definition | Contato assistencial ininterrupto dispensado a um indivíduo em uma mesma modalidade assistencial e em um mesmo estabelecimento de saúde | ||||
Short | Contato Assistencial | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | Visit | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() )dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() )dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() ) | ||||
2. Encounter.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Identificador lógico ou físico do contato assistencial | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Summary | true | ||||
4. Encounter.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Short | Elemento de metadados para identificações adicionais do Recurso | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. Encounter.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Short | Regras implícitas deste perfil | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
8. Encounter.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Conceito codificável que classifica o idioma deste contato assistencial | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
10. Encounter.text | |||||
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | Texto livre que descreve a história deste contato assistencial de forma legível para seres humanos | ||||
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. Encounter.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Outras informações que não existem por si só e só existem por dependência da existência desse contato assistencial | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
14. Encounter.extension | |||||
Definition | An Extension | ||||
Short | Conjunto de campos adicionais que são extensões ao modelo de informação | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
16. Encounter.modifierExtension | |||||
Definition | An Extension | ||||
Short | Conjuntos de campos adicionais que são extensões ao modelo de informação e não podem ser ignorados | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
18. Encounter.identifier | |||||
Definition | Identifier(s) by which this encounter is known. | ||||
Short | Identificador do contato assistencial | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 1..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Encounter.identifier . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
20. Encounter.identifier:guiaPrestador | |||||
Slice Name | guiaPrestador | ||||
Definition | número da guia no prestador atribuído pela operadora para identificar a remessa do arquivo de monitoramento. RN 001: O número da guia no prestador deve ser único por arquivo e competência e diferente de brancos ou nulo | ||||
Short | Número da guia no prestador | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
22. Encounter.identifier:guiaPrestador.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
24. Encounter.identifier:guiaPrestador.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Encounter.identifier.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
26. Encounter.identifier:guiaPrestador.use | |||||
Definition | The purpose of this identifier. | ||||
Short | Conceito codificável que classifica o uso do número da guia no prestador | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUse Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
28. Encounter.identifier:guiaPrestador.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Conceito codificável que classifica o tipo de identificador que é o número da guia no prestador | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
30. Encounter.identifier:guiaPrestador.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | URI ou URL que identifica o sistema de nomenclatura de Número da guia no prestador | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Fixed Value | https://fhir.ans.gov.br/sid/numero-guia-prestador | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
32. Encounter.identifier:guiaPrestador.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | número da guia no prestador | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
34. Encounter.identifier:guiaPrestador.period | |||||
Definition | Time period during which identifier is/was valid for use. | ||||
Short | Time period when id is/was valid for use | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
36. Encounter.identifier:guiaPrestador.assigner | |||||
Definition | Organization that issued/manages the identifier. | ||||
Short | Organization that issued id (may be just text) | ||||
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. | ||||
Control | 0..1 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
38. Encounter.identifier:guiaOperadora | |||||
Slice Name | guiaOperadora | ||||
Definition | número da guia da operadora para identificar a remessa do arquivo de monitoramento. | ||||
Short | Número da guia da operadora | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
40. Encounter.identifier:guiaOperadora.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
42. Encounter.identifier:guiaOperadora.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Encounter.identifier.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
44. Encounter.identifier:guiaOperadora.use | |||||
Definition | The purpose of this identifier. | ||||
Short | Conceito codificável que classifica o uso do número da guia da operadora | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUse Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
46. Encounter.identifier:guiaOperadora.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Conceito codificável que classifica o tipo de identificador que é o número da guia da operadora | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
48. Encounter.identifier:guiaOperadora.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | URI ou URL que identifica o sistema de nomenclatura de Número da guia da operadora | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Fixed Value | https://fhir.ans.gov.br/sid/numero-guia-operadora | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
50. Encounter.identifier:guiaOperadora.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | número da guia da operadora | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
52. Encounter.identifier:guiaOperadora.period | |||||
Definition | Time period during which identifier is/was valid for use. | ||||
Short | Time period when id is/was valid for use | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
54. Encounter.identifier:guiaOperadora.assigner | |||||
Definition | Organization that issued/manages the identifier. | ||||
Short | Organization that issued id (may be just text) | ||||
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. | ||||
Control | 0..1 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
56. Encounter.identifier:identificacaoReembolso | |||||
Slice Name | identificacaoReembolso | ||||
Definition | número de reembolso para identificar a remessa do arquivo de monitoramento. | ||||
Short | Número de reembolso | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
58. Encounter.identifier:identificacaoReembolso.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
60. Encounter.identifier:identificacaoReembolso.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Encounter.identifier.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
62. Encounter.identifier:identificacaoReembolso.use | |||||
Definition | The purpose of this identifier. | ||||
Short | Conceito codificável que classifica o uso do número da guia da operadora | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUse Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
64. Encounter.identifier:identificacaoReembolso.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Conceito codificável que classifica o tipo de identificador que é o número da guia da operadora | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
66. Encounter.identifier:identificacaoReembolso.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | URI ou URL que identifica o sistema de nomenclatura de Número da guia da operadora | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Fixed Value | https://fhir.ans.gov.br/sid/numero-identificacao-reembolso | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
68. Encounter.identifier:identificacaoReembolso.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | número da guia da operadora | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
70. Encounter.identifier:identificacaoReembolso.period | |||||
Definition | Time period during which identifier is/was valid for use. | ||||
Short | Time period when id is/was valid for use | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
72. Encounter.identifier:identificacaoReembolso.assigner | |||||
Definition | Organization that issued/manages the identifier. | ||||
Short | Organization that issued id (may be just text) | ||||
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. | ||||
Control | 0..1 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
74. Encounter.status | |||||
Definition | Indica o estado que o contato assistencial se encontra quando é informado para a RNDS. | ||||
Short | Status do contato assistencial | ||||
Comments | Na RNDS os contatos assistenciais somente são informados após terem sido finalizados, portanto somente a opção finished pode ser utilizada, ou entered-in-error, quando o contato assistencial foi enviado com erro. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from EncounterStatus Current state of the encounter. | ||||
Type | code | ||||
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
76. Encounter.statusHistory | |||||
Definition | Histórico de status do contato assistencial. | ||||
Short | Histórico de status do contato assistencial | ||||
Comments | The current status is always found in the current version of the resource, not the status history. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
78. Encounter.statusHistory.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
80. Encounter.statusHistory.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
82. Encounter.statusHistory.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
84. Encounter.statusHistory.status | |||||
Definition | planned | arrived | triaged | in-progress | onleave | finished | cancelled +. | ||||
Short | planned | arrived | triaged | in-progress | onleave | finished | cancelled + | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from EncounterStatus Current state of the encounter. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
86. Encounter.statusHistory.period | |||||
Definition | The time that the episode was in the specified status. | ||||
Short | The time that the episode was in the specified status | ||||
Control | 1..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
88. Encounter.class | |||||
Definition | Classe de contato assistencial (ou simplesmente Regime de contato assistencial) indica se o contato assistencial é Ambulatorial, Domiciliar, Pronto-Socorro, Home-care, etc. | ||||
Short | Classe de contato assistencial | ||||
Control | 1..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ActEncounterCode Classification of the encounter. | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
90. Encounter.classHistory | |||||
Definition | Histórico de caráter do contato assistencial | ||||
Short | Histórico de caráter do contato assistencial | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
92. Encounter.classHistory.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
94. Encounter.classHistory.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
96. Encounter.classHistory.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
98. Encounter.classHistory.class | |||||
Definition | inpatient | outpatient | ambulatory | emergency +. | ||||
Short | inpatient | outpatient | ambulatory | emergency + | ||||
Control | 1..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ActEncounterCode Classification of the encounter. | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
100. Encounter.classHistory.period | |||||
Definition | The time that the episode was in the specified class. | ||||
Short | The time that the episode was in the specified class | ||||
Control | 1..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
102. Encounter.type | |||||
Definition | Tipo de contato assistencial. | ||||
Short | Tipo de contato assistencial | ||||
Comments | Since there are many ways to further classify encounters, this element is 0..*. | ||||
Control | 0..* | ||||
Binding | The codes SHALL be taken from tipo de contato assistencial Tipo de contato assistencial. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
104. Encounter.serviceType | |||||
Definition | Tipo de serviço. | ||||
Short | Tipo de serviço | ||||
Control | 0..1 | ||||
Binding | For example codes, see ServiceType Broad categorization of the service that is to be provided. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
106. Encounter.priority | |||||
Definition | Caráter do contato assistencial. | ||||
Short | Caráter do contato assistencial | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from caráter de contato assistencial Caráter do contato assistencial. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
108. Encounter.subject | |||||
Definition | Paciente do contato assistencial. | ||||
Short | Paciente do contato assistencial | ||||
Comments | While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked). | ||||
Control | 0..1 | ||||
Type | Reference(Paciente) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
110. Encounter.episodeOfCare | |||||
Definition | História episódica de vários contato assistencials vinculados a uma condição ou problema | ||||
Short | Episódio de cuidado | ||||
Control | 0..* | ||||
Type | Reference(EpisodeOfCare) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
112. Encounter.basedOn | |||||
Definition | Pedido de contato assistencial. | ||||
Short | Pedido de contato assistencial | ||||
Control | 0..* | ||||
Type | Reference(Requisição de Serviço) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | incomingReferral | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
114. Encounter.participant | |||||
Definition | Identifica o(s) profissional(is) ou indivíduo(s) que teve(tiveram) algum tipo de participação no Contato Assistencial | ||||
Short | Participantes do contato assistencial | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
116. Encounter.participant.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
118. Encounter.participant.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
120. Encounter.participant.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
122. Encounter.participant.type | |||||
Definition | Tipo de participante do contato assistencial. | ||||
Short | Tipo de participante do contato assistencial | ||||
Comments | The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc. | ||||
Control | 0..* | ||||
Binding | Unless not suitable, these codes SHALL be taken from BRResponsabilidadeParticipante-1.0 Tipo de participante do contato assistencial. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
124. Encounter.participant.period | |||||
Definition | Período de participação do contato assistencial. | ||||
Short | Período de participação do contato assistencial | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
126. Encounter.participant.individual | |||||
Definition | Identifica o profissional ou indivíduo teve alguma participação no Contato Assistencial. | ||||
Short | Participante do contato assistencial | ||||
Control | 1..1 | ||||
Type | Reference(Profissional prestador do serviço, PractitionerRole, RelatedPerson) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
128. Encounter.appointment | |||||
Definition | Agendamento do contato assistencial. | ||||
Short | Agendamento do contato assistencial | ||||
Control | 0..* | ||||
Type | Reference(Appointment) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
130. Encounter.period | |||||
Definition | Período do contato assistencial. | ||||
Short | Período do contato assistencial | ||||
Comments | If not (yet) known, the end of the Period may be omitted. | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
132. Encounter.length | |||||
Definition | Duração do contato assistencial. | ||||
Short | Duração do contato assistencial | ||||
Comments | May differ from the time the Encounter.period lasted because of leave of absence. | ||||
Control | 0..1 | ||||
Type | Duration | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
134. Encounter.reasonCode | |||||
Definition | Motivo do contato assistencial. | ||||
Short | Motivo do contato assistencial | ||||
Comments | For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis). | ||||
Control | 0..* | ||||
Binding | The codes SHOULD be taken from EncounterReasonCodes Reason why the encounter takes place. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | Indication, Admission diagnosis | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
136. Encounter.reasonReference | |||||
Definition | Motivo do contato assistencial. | ||||
Short | Motivo do contato assistencial | ||||
Comments | For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis). | ||||
Control | 0..* | ||||
Type | Reference(Condition, Procedure, Observation, ImmunizationRecommendation) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | Indication, Admission diagnosis | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
138. Encounter.diagnosis | |||||
Definition | Diagnóstico do contato assistencial. | ||||
Short | Diagnóstico do contato assistencial | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
140. Encounter.diagnosis.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
142. Encounter.diagnosis.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
144. Encounter.diagnosis.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
146. Encounter.diagnosis.condition | |||||
Definition | Condição do contato assistencial. | ||||
Short | Condição do contato assistencial | ||||
Comments | For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis). | ||||
Control | 1..1 | ||||
Type | Reference(Condição) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | Admission diagnosis, discharge diagnosis, indication | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
148. Encounter.diagnosis.use | |||||
Definition | Uso do diagnóstico. | ||||
Short | Uso do diagnóstico | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from DiagnosisRole The type of diagnosis this condition represents. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
150. Encounter.diagnosis.rank | |||||
Definition | Ranking do diagnóstico. | ||||
Short | Ranking do diagnóstico | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
152. Encounter.account | |||||
Definition | Conta do contato assistencial. | ||||
Short | Conta do contato assistencial | ||||
Comments | The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules. | ||||
Control | 0..* | ||||
Type | Reference(Account) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
154. Encounter.hospitalization | |||||
Definition | Dados de internação do contato assistencial. | ||||
Short | Dados de internação do contato assistencial | ||||
Comments | An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included. The duration recorded in the period of this encounter covers the entire scope of this hospitalization record. | ||||
Control | 0..1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
156. Encounter.hospitalization.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
158. Encounter.hospitalization.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
160. Encounter.hospitalization.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
162. Encounter.hospitalization.preAdmissionIdentifier | |||||
Definition | Identificador de pré-admissão. | ||||
Short | Identificador de pré-admissão | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
164. Encounter.hospitalization.origin | |||||
Definition | Origem da internação. | ||||
Short | Origem da internação | ||||
Control | 0..1 | ||||
Type | Reference(Location, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
166. Encounter.hospitalization.admitSource | |||||
Definition | Identifica o tipo de serviço ou demanda que encaminhou o indivíduo ou a sua iniciativa/de seu responsável na busca pelo acesso ao serviço de saúde. | ||||
Short | Procedência da internação | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from BRProcedencia-1.0 Procedência da internação. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
168. Encounter.hospitalization.reAdmission | |||||
Definition | Reinternação. | ||||
Short | Reinternação | ||||
Control | 0..1 | ||||
Binding | For example codes, see hl7VS-re-admissionIndicator The reason for re-admission of this hospitalization encounter. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
170. Encounter.hospitalization.dietPreference | |||||
Definition | Preferência de dieta. | ||||
Short | Preferência de dieta | ||||
Comments | For example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive). | ||||
Control | 0..* | ||||
Binding | For example codes, see Diet Medical, cultural or ethical food preferences to help with catering requirements. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
172. Encounter.hospitalization.specialCourtesy | |||||
Definition | Cortesia especial. | ||||
Short | Cortesia especial | ||||
Control | 0..* | ||||
Binding | The codes SHOULD be taken from SpecialCourtesy Special courtesies. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
174. Encounter.hospitalization.specialArrangement | |||||
Definition | Condição especial na internação. | ||||
Short | Condição especial na internação | ||||
Control | 0..* | ||||
Binding | The codes SHOULD be taken from SpecialArrangements Special arrangements. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
176. Encounter.hospitalization.destination | |||||
Definition | Destino da internação. | ||||
Short | Destino da internação | ||||
Control | 0..1 | ||||
Type | Reference(Location, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
178. Encounter.hospitalization.dischargeDisposition | |||||
Definition | Caracteriza o motivo de conclusão total ou parcial do Contato Assistencial de Internação | ||||
Short | Motivo de desfecho da internação | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from motivo de encerramento | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
180. Encounter.location | |||||
Definition | Local do contato assistencial. | ||||
Short | Local do contato assistencial | ||||
Comments | Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual". | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
182. Encounter.location.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
184. Encounter.location.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
186. Encounter.location.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
188. Encounter.location.location | |||||
Definition | Local onde o contato assistencial ocorreu | ||||
Short | Local do contato assistencial | ||||
Control | 1..1 | ||||
Type | Reference(Location) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
190. Encounter.location.status | |||||
Definition | Status do local do contato assistencial. | ||||
Short | Status do local do contato assistencial | ||||
Comments | When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from EncounterLocationStatus The status of the location. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
192. Encounter.location.physicalType | |||||
Definition | Tipo físico do local do contato assistencial. | ||||
Short | Tipo físico do local do contato assistencial | ||||
Comments | This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query. There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario. | ||||
Control | 0..1 | ||||
Binding | For example codes, see LocationType Physical form of the location. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
194. Encounter.location.period | |||||
Definition | Período mantido no local do contato assistencial. | ||||
Short | Período mantido no local do contato assistencial | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
196. Encounter.serviceProvider | |||||
Definition | Estabelecimento de Saúde que realizou o Contato Assistencial. | ||||
Short | Estabelecimento de Saúde do Contato Assistencial | ||||
Control | 0..1 | ||||
Type | Reference(Estabelecimento de Saúde) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
198. Encounter.partOf | |||||
Definition | Contato Assistencial principal (pai) | ||||
Short | Contato Assistencial principal (pai) | ||||
Comments | This is also used for associating a child's encounter back to the mother's encounter. Refer to the Notes section in the Patient resource for further details. | ||||
Control | 0..1 | ||||
Type | Reference(Contato Assistencial) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |