Guia de implementação do Core do Brasil: Release 1 - BR Realm | STU1
1.7.1 - STU1
This page is part of the Core do Brasil (v1.7.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Document Details
Perfil: br-core-bundle-documento
Final Documento em 2024-02-06 10:00:00+0000 por Maria Clara para Ana Beatriz no encontro Ambulatorial
Document Subject
Língua: pt-BR
Ana Beatriz Oliveira (official) Female, DoB: 2018-09-25 ( Tax ID number: NamingSystemCPF#34567890123 (use: official, ))
| Other Id: | Health Card Number/765432109876543 (utilização: official, ) | ||
| Detalhes do contacto |
| ||
| mother: |
| ||
| Patient Birth Place | Belo Horizonte MG Brasil | ||
| Raça BR IPS | Preta | ||
| Sexo no nascimento BR IPS | Female | ||
| Gender Identity | Identifies as female gender | ||
Document Content
Entrada 2 - fullUrl = https://br-core.saude.gov.br/fhir/AllergyIntolerance/42a8e4ee-cc8b-4c07-bee2-da8fe14ada34
Recurso AllergyIntolerance:
Língua: pt-BR
clinicalStatus: Active
verificationStatus: Confirmed
type: Allergy
category: Food
criticality: High Risk
code: Alergia a veneno de vespa
patient: João Pereira
Reactions
Manifestation Onset Severity Nenhum ecrã para AllergyIntolerance.reaction.manifestation (concept: angioedema) 2023-05-12 Moderate
Entrada 3 - fullUrl = https://br-core.saude.gov.br/fhir/CarePlan/1ed343f2-5231-40d6-a6ea-4428105b7532
Recurso CarePlan:
status: Active
intent: Plan
title: Plano de Cuidados para Asma Persistente Moderada
description: Plano de cuidado voltado para controle de asma e monitoramento do paciente.
subject: José da Silva
created: 2024-12-19
contributor: Hospital Sírio-Libanês
addresses: Nenhum ecrã para CarePlan.addresses (reference: ->Dispnéia)
activity
Entrada 4 - fullUrl = https://br-core.saude.gov.br/fhir/Condition/91d8d24f-a70d-4ebf-8dea-71cf92ce1bd5
Recurso Condition:
Língua: pt-BR
clinicalStatus: Active
verificationStatus: Confirmed
category: Principal
severity: Moderate severity
code: Infecção por coronavírus de localização não especificada
bodySite: Coração
subject: João Carlos Silva
encounter: Ambulatorial
onset: 2024-03-28
recordedDate: 2024-04-05 10:00:00+0000
evidence
evidence
note:
Paciente apresentou melhora significativa após início do tratamento com antibióticos.
Entrada 5 - fullUrl = https://br-core.saude.gov.br/fhir/Encounter/c6d553d8-cce0-404b-9d1f-eeffbf7fc6df
Recurso Encounter:
Língua: pt-BR
status: completed
class: Ambulatory
priority: Rotina
type: Ambulatorial
subject: João Carlos Silva
serviceProvider: Hospital Sírio-Libanês
Participants
Type Executor Primário Diagnoses
Condition Use Nenhum ecrã para Encounter.diagnosis.condition (reference: ->Dispnéia) Queixa Principal Locations
Location Status HOSPITAL DIA Active
Entrada 6 - fullUrl = https://br-core.saude.gov.br/fhir/Organization/1428c345-c221-411f-880f-6fb163817387
Recurso Organization:
Língua: pt-BR
identifier: Tax ID number/61590410000124 (utilização: official, ), Provider number/2079127 (utilização: official, )
active: true
type: Hospital Geral
name: Hospital Sírio-Libanês
alias: HSL
contact
telecom: +55-11-3394-0200, contato@siriolibanes.com.br, fax: +55-11-3394-0299(Work)
address: Rua Dona Adma Jafet, 91 São Paulo SP 01308-050 BR (work)
contact
purpose: Administrative
name: Departamento Administrativo
telecom: +55-11-3394-0300, administracao@siriolibanes.com.br
Entrada 7 - fullUrl = https://br-core.saude.gov.br/fhir/Patient/b1997888-85fd-41b6-bf94-6242cf3c8265
Recurso Patient:
Língua: pt-BR
Ana Beatriz Oliveira (official) Female, DoB: 2018-09-25 ( Tax ID number: NamingSystemCPF#34567890123 (use: official, ))
Other Id: Health Card Number/765432109876543 (utilização: official, ) Detalhes do contacto
- +55 31 99876-5432
- Rua da Bahia, 300, Centro, Belo Horizonte, MG, 30160-010(home)
- Aldeia Kaa Guy Mirim, Itanhaém, SP(old)
mother:
- Juliana Cristina Oliveira (Official) (Female)
- Rua da Bahia, 300, Centro, Belo Horizonte, MG, 30160-010(home)
- +55 31 99765-4321
- juliana.oliveira@example.com
Patient Birth Place Belo Horizonte MG Brasil Raça BR IPS Preta Sexo no nascimento BR IPS Female Gender Identity Identifies as female gender
Entrada 8 - fullUrl = https://br-core.saude.gov.br/fhir/Practitioner/d3b61455-f432-48f0-b83b-ba825922d735
Recurso Practitioner:
identifier: Cartão nacional de saúde/123456789101112 (utilização: official, )
active: true
name: Maria Clara Oliveira (Official)
telecom: +55 21 98765-4321, maria.oliveira@example.com
address: Av. Central, 456, Bairro Centro, Rio de Janeiro, RJ, 20000-000(work)
Qualifications
Identifier Code Period Issuer NamingSystemCNS/225125789542376 MEDICO CLINICO 2010-01-01 --> (em curso) Hospital Sírio-Libanês
Entrada 9 - fullUrl = https://br-core.saude.gov.br/fhir/ServiceRequest/d70c3a7e-abf0-44ab-ab0b-8c59ffee8f85
Recurso ServiceRequest:
Língua: pt-BR
identifier:
https://hospital.example.org/servicerequest/ServiceRequest12345status: Active
intent: Order
category: Exame
priority: Routine
code: Nenhum ecrã para ServiceRequest.code (concept: Eletrocardiograma)
subject: José da Silva
authoredOn: 2024-12-19
requester: Maria Clara
performer: Clínica Geral
bodySite: Coração
note:
O paciente deve evitar exercícios físicos antes do exame.
Entrada 10 - fullUrl = https://br-core.saude.gov.br/fhir/Patient/b2f63a4c-ddaa-4652-8481-ac1ff473104e
Recurso Patient:
Língua: pt-BR
João Carlos Silva (official) Male, DoB: 1985-03-01 ( Tax ID number: NamingSystemCPF#12345678901 (use: official, ))
Other Id: Health Card Number/987654321098765 (utilização: official, ) Detalhes do contacto
- +55 11 98765-4321
- joao.carlos@example.com
- Rua Exemplo, 123, Bairro Centro, São Paulo, SP, 01000-000(home)
Patient Birth Place São Paulo SP Brasil Raça BR IPS Branca Sexo no nascimento BR IPS Male Gender Identity Identifies as male gender
Entrada 11 - fullUrl = https://br-core.saude.gov.br/fhir/Observation/07ce5462-f77b-4ad6-af8c-2f67a6500b97
Recurso Observation:
status: Final
category: Vital Signs
code: Blood Pressure
subject: José da Silva
encounter: Ambulatorial
effective: 2025-01-13 08:30:00+0000
issued: 2025-01-13 08:35:00+0000
performer: Maria Clara
component
code: Systolic blood pressure
value: 120 mmHg (Detalhes: UCUM códigomm[Hg] = 'mm[Hg]')
component
code: Diastolic blood pressure
value: 80 mmHg (Detalhes: UCUM códigomm[Hg] = 'mm[Hg]')
Entrada 12 - fullUrl = https://br-core.saude.gov.br/fhir/Location/9fea09cf-0529-4f7d-bad0-80cd5fd00cba
Recurso Location:
Língua: pt-BR
status: Active
name: Clínica Geral - Enfermaria Norte
alias: Clínica Geral
description:
Localização destinada à internação de pacientes clínicos gerais.
mode: Instance
type: HOSPITAL DIA
address: Rua Dona Adma Jafet, 91 3º Andar - Ala Norte São Paulo SP 01308-050 BR (work)
managingOrganization: Hospital Sírio-Libanês
Entrada 13 - fullUrl = https://br-core.saude.gov.br/fhir/PractitionerRole/69ba81d5-37fe-471e-99d8-e53649ccdeed
Recurso PractitionerRole:
Língua: pt-BR
identifier: Número de Registro no Conselho Federal de Medicina/123456-SP (utilização: official, )
active: true
period: 2020-01-10 --> (em curso)
practitioner: Maria Clara
organization: Consultório Médico
code: MEDICO CARDIOLOGISTA
specialty: MEDICO CARDIOLOGISTA
location: Clínica Geral
healthcareService: UBS INDIANOPOLIS SIGMUND FREUD
Entrada 14 - fullUrl = https://br-core.saude.gov.br/fhir/HealthcareService/58a7b01f-72e8-411a-b1c0-5f7728ab7c51
Recurso HealthcareService:
Língua: pt-BR
identifier: NamingSystemCNES/2788578
active: true
providedBy: Consultório Dr. José Silva
category: CENTRO DE SAUDE/UNIDADE BASICA
type: CENTRO DE SAUDE/UNIDADE BASICA
name: UBS INDIANOPOLIS SIGMUND FREUD
Entrada 15 - fullUrl = https://br-core.saude.gov.br/fhir/Organization/2b9c99c6-f9c9-42f0-a107-ed5f0d806995
Recurso Organization:
Língua: pt-BR
identifier: Tax ID number/12345678909 (utilização: official, ), Provider number/7654321 (utilização: official, )
active: true
type: Consultório Médico
name: Consultório Dr. José Silva
alias: Consultório José Silva
contact
telecom: +55-11-98765-4321, contato@consultoriojosesilva.com.br
address: Rua das Clínicas, 123 São Paulo SP 01000-000 BR (work)
contact
purpose: Administrative
name: Secretaria Administrativa
telecom: +55-11-98765-4321, administracao@consultoriojosesilva.com.br