Guia de implementação do Core do Brasil: Release 1 - BR Realm | STU1
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This page is part of the Core do Brasil (v1.1.0: 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

: Registro de Atendimento Clínico - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Composition/7681618d-399d-4291-b321-32ce6d645088> a fhir:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "7681618d-399d-4291-b321-32ce6d645088"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Narrativa gerada: Composition 7681618d-399d-4291-b321-32ce6d645088</b></p><a name=\"7681618d-399d-4291-b321-32ce6d645088\"> </a><a name=\"hc7681618d-399d-4291-b321-32ce6d645088\"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Códigos:{http://loinc.org 11488-4}\">Nota de consulta</span></p><p><b>category</b>: <span title=\"Códigos:{http://loinc.org 11488-4}\">Nota de consulta</span></p><p><b>encounter</b>: <a href=\"Encounter-c6d553d8-cce0-404b-9d1f-eeffbf7fc6df.html\">Ambulatorial</a></p><p><b>date</b>: 2024-12-19 14:30:00+0000</p><p><b>author</b>: <a href=\"Practitioner-d3b61455-f432-48f0-b83b-ba825922d735.html\">Maria Clara</a></p><p><b>title</b>: Registro de Atendimento Clínico</p></div>"
  ] ;
  fhir:Composition.status [ fhir:value "final"] ;
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:11488-4 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "11488-4" ] ;
       fhir:Coding.display [ fhir:value "Consult note" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Nota de consulta" ]
  ] ;
  fhir:Composition.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:11488-4 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "11488-4" ] ;
       fhir:Coding.display [ fhir:value "Consult note" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Nota de consulta" ]
  ] ;
  fhir:Composition.subject [
     fhir:link <http://hl7.org/fhir/Patient/b2f63a4c-ddaa-4652-8481-ac1ff473104e> ;
     fhir:Reference.reference [ fhir:value "Patient/b2f63a4c-ddaa-4652-8481-ac1ff473104e" ] ;
     fhir:Reference.display [ fhir:value "João Carlos Silva" ]
  ] ;
  fhir:Composition.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/c6d553d8-cce0-404b-9d1f-eeffbf7fc6df> ;
     fhir:Reference.reference [ fhir:value "Encounter/c6d553d8-cce0-404b-9d1f-eeffbf7fc6df" ] ;
     fhir:Reference.display [ fhir:value "Ambulatorial" ]
  ] ;
  fhir:Composition.date [ fhir:value "2024-12-19T14:30:00Z"^^xsd:dateTime] ;
  fhir:Composition.author [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Practitioner/d3b61455-f432-48f0-b83b-ba825922d735> ;
     fhir:Reference.reference [ fhir:value "Practitioner/d3b61455-f432-48f0-b83b-ba825922d735" ] ;
     fhir:Reference.display [ fhir:value "Maria Clara" ]
  ] ;
  fhir:Composition.title [ fhir:value "Registro de Atendimento Clínico"] ;
  fhir:Composition.section [
     fhir:index 0 ;
     fhir:Composition.section.title [ fhir:value "Diagnósticos Avaliados" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:57852-6 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "57852-6" ] ;
         fhir:Coding.display [ fhir:value "Problem list Reported" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Lista de Problemas - Diagnósticos Avaliados" ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/Condition/91d8d24f-a70d-4ebf-8dea-71cf92ce1bd5> ;
       fhir:Reference.reference [ fhir:value "Condition/91d8d24f-a70d-4ebf-8dea-71cf92ce1bd5" ] ;
       fhir:Reference.display [ fhir:value "Dispnéia" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Composition.section.title [ fhir:value "Procedimentos Realizados" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:47519-4 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "47519-4" ] ;
         fhir:Coding.display [ fhir:value "Procedures Hx Doc" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Procedimentos Realizados" ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/Procedure/b0030c23-bd7d-445e-bfe5-020828f7dbaf> ;
       fhir:Reference.reference [ fhir:value "Procedure/b0030c23-bd7d-445e-bfe5-020828f7dbaf" ] ;
       fhir:Reference.display [ fhir:value "Consulta médica em atenção primária" ]
     ]
  ], [
     fhir:index 2 ;
     fhir:Composition.section.title [ fhir:value "Sinais Vitais" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:85354-9 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "85354-9" ] ;
         fhir:Coding.display [ fhir:value "Blood pressure panel with all children optional" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/Observation/07ce5462-f77b-4ad6-af8c-2f67a6500b97> ;
       fhir:Reference.reference [ fhir:value "Observation/07ce5462-f77b-4ad6-af8c-2f67a6500b97" ] ;
       fhir:Reference.display [ fhir:value "Vital Signs" ]
     ]
  ], [
     fhir:index 3 ;
     fhir:Composition.section.title [ fhir:value "Alergias e Intolerâncias" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://terminologia.saude.gov.br/fhir/CodeSystem/BRAlergenosCBARA" ] ;
         fhir:Coding.code [ fhir:value "amendoim" ] ;
         fhir:Coding.display [ fhir:value "Amendoim" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/AllergyIntolerance/42a8e4ee-cc8b-4c07-bee2-da8fe14ada34> ;
       fhir:Reference.reference [ fhir:value "AllergyIntolerance/42a8e4ee-cc8b-4c07-bee2-da8fe14ada34" ] ;
       fhir:Reference.display [ fhir:value "Allergy Intolerance" ]
     ]
  ], [
     fhir:index 4 ;
     fhir:Composition.section.title [ fhir:value "Medicamentos" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://www.whocc.no/atc" ] ;
         fhir:Coding.code [ fhir:value "J01MA12" ] ;
         fhir:Coding.display [ fhir:value "levofloxacino" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/Medication/3a46210c-7eb3-48ec-aa67-db7e7ee18864> ;
       fhir:Reference.reference [ fhir:value "Medication/3a46210c-7eb3-48ec-aa67-db7e7ee18864" ] ;
       fhir:Reference.display [ fhir:value "Medication" ]
     ]
  ], [
     fhir:index 5 ;
     fhir:Composition.section.title [ fhir:value "Plano de Cuidados" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:18776-5 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "18776-5" ] ;
         fhir:Coding.display [ fhir:value "Plan of care note" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/CarePlan/1ed343f2-5231-40d6-a6ea-4428105b7532> ;
       fhir:Reference.reference [ fhir:value "CarePlan/1ed343f2-5231-40d6-a6ea-4428105b7532" ] ;
       fhir:Reference.display [ fhir:value "CarePlan" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/b2f63a4c-ddaa-4652-8481-ac1ff473104e> a fhir:Patient .

<http://hl7.org/fhir/Encounter/c6d553d8-cce0-404b-9d1f-eeffbf7fc6df> a fhir:Encounter .

<http://hl7.org/fhir/Practitioner/d3b61455-f432-48f0-b83b-ba825922d735> a fhir:Practitioner .

<http://hl7.org/fhir/Condition/91d8d24f-a70d-4ebf-8dea-71cf92ce1bd5> a fhir:Condition .

<http://hl7.org/fhir/Procedure/b0030c23-bd7d-445e-bfe5-020828f7dbaf> a fhir:Procedure .

<http://hl7.org/fhir/Observation/07ce5462-f77b-4ad6-af8c-2f67a6500b97> a fhir:Observation .

<http://hl7.org/fhir/AllergyIntolerance/42a8e4ee-cc8b-4c07-bee2-da8fe14ada34> a fhir:AllergyIntolerance .

<http://hl7.org/fhir/Medication/3a46210c-7eb3-48ec-aa67-db7e7ee18864> a fhir:Medication .

<http://hl7.org/fhir/CarePlan/1ed343f2-5231-40d6-a6ea-4428105b7532> a fhir:CarePlan .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Composition/7681618d-399d-4291-b321-32ce6d645088.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Composition/7681618d-399d-4291-b321-32ce6d645088.ttl> .