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 (v1.0.0: 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: <https://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 -------------------------------------------------------------------

 a fhir:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "7681618d-399d-4291-b321-32ce6d645088"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition 7681618d-399d-4291-b321-32ce6d645088</b></p><a name=\"7681618d-399d-4291-b321-32ce6d645088\"> </a><a name=\"hc7681618d-399d-4291-b321-32ce6d645088\"> </a><a name=\"7681618d-399d-4291-b321-32ce6d645088-pt-BR\"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 11488-4}\">Nota de consulta</span></p><p><b>category</b>: <span title=\"Codes:{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:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:11488-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11488-4" ] ;
fhir:display [ fhir:v "Consult note" ]     ] ) ;
fhir:text [ fhir:v "Nota de consulta" ]
  ] ; # 
  fhir:category ( [
    ( fhir:coding [
a loinc:11488-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11488-4" ] ;
fhir:display [ fhir:v "Consult note" ]     ] ) ;
fhir:text [ fhir:v "Nota de consulta" ]
  ] ) ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/b2f63a4c-ddaa-4652-8481-ac1ff473104e" ] ;
fhir:display [ fhir:v "João Carlos Silva" ]
  ] ; # 
  fhir:encounter [
fhir:reference [ fhir:v "Encounter/c6d553d8-cce0-404b-9d1f-eeffbf7fc6df" ] ;
fhir:display [ fhir:v "Ambulatorial" ]
  ] ; # 
  fhir:date [ fhir:v "2024-12-19T14:30:00Z"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:reference [ fhir:v "Practitioner/d3b61455-f432-48f0-b83b-ba825922d735" ] ;
fhir:display [ fhir:v "Maria Clara" ]
  ] ) ; # 
  fhir:title [ fhir:v "Registro de Atendimento Clínico"] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Diagnósticos Avaliados" ] ;
fhir:code [
      ( fhir:coding [
a loinc:57852-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "57852-6" ] ;
fhir:display [ fhir:v "Problem list Reported" ]       ] ) ;
fhir:text [ fhir:v "Lista de Problemas - Diagnósticos Avaliados" ]     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Condition/91d8d24f-a70d-4ebf-8dea-71cf92ce1bd5" ] ;
fhir:display [ fhir:v "Dispnéia" ]     ] )
  ] [
fhir:title [ fhir:v "Procedimentos Realizados" ] ;
fhir:code [
      ( fhir:coding [
a loinc:47519-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "47519-4" ] ;
fhir:display [ fhir:v "Procedures Hx Doc" ]       ] ) ;
fhir:text [ fhir:v "Procedimentos Realizados" ]     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Procedure/b0030c23-bd7d-445e-bfe5-020828f7dbaf" ] ;
fhir:display [ fhir:v "Consulta médica em atenção primária" ]     ] )
  ] [
fhir:title [ fhir:v "Sinais Vitais" ] ;
fhir:code [
      ( fhir:coding [
a loinc:85354-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "85354-9" ] ;
fhir:display [ fhir:v "Blood pressure panel with all children optional" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/07ce5462-f77b-4ad6-af8c-2f67a6500b97" ] ;
fhir:display [ fhir:v "Vital Signs" ]     ] )
  ] [
fhir:title [ fhir:v "Alergias e Intolerâncias" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://terminologia.saude.gov.br/fhir/CodeSystem/BRAlergenosCBARA"^^xsd:anyURI ] ;
fhir:code [ fhir:v "A100" ] ;
fhir:display [ fhir:v "Amendoim" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "AllergyIntolerance/42a8e4ee-cc8b-4c07-bee2-da8fe14ada34" ] ;
fhir:display [ fhir:v "Allergy Intolerance" ]     ] )
  ] [
fhir:title [ fhir:v "Medicamentos" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://www.whocc.no/atc"^^xsd:anyURI ] ;
fhir:code [ fhir:v "J01MA12" ] ;
fhir:display [ fhir:v "levofloxacin" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Medication/3a46210c-7eb3-48ec-aa67-db7e7ee18864" ] ;
fhir:display [ fhir:v "Medication" ]     ] )
  ] [
fhir:title [ fhir:v "Plano de Cuidados" ] ;
fhir:code [
      ( fhir:coding [
a loinc:18776-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "18776-5" ] ;
fhir:display [ fhir:v "Plan of care note" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "CarePlan/1ed343f2-5231-40d6-a6ea-4428105b7532" ] ;
fhir:display [ fhir:v "CarePlan" ]     ] )
  ] ) . #