Guia de implementação do Core do Brasil: Release 1 - BR Realm | STU1
1.0.0 - STU1
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
{
"resourceType" : "Condition",
"id" : "91d8d24f-a70d-4ebf-8dea-71cf92ce1bd5",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Condition 91d8d24f-a70d-4ebf-8dea-71cf92ce1bd5</b></p><a name=\"91d8d24f-a70d-4ebf-8dea-71cf92ce1bd5\"> </a><a name=\"hc91d8d24f-a70d-4ebf-8dea-71cf92ce1bd5\"> </a><a name=\"91d8d24f-a70d-4ebf-8dea-71cf92ce1bd5-pt-BR\"> </a><p><b>identifier</b>: <code>http://hospital.org/conditions</code>/12345</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{https://terminologia.saude.gov.br/fhir/CodeSystem/BRCategoriaDiagnostico 01}\">Principal</span></p><p><b>severity</b>: <span title=\"Codes:{http://snomed.info/sct 6736007}\">Moderate (severity modifier) (qualifier value)</span></p><p><b>code</b>: <span title=\"Codes:{https://terminologia.saude.gov.br/fhir/CodeSystem/BRCID10 I15.9}\">Hipertensão secundária, não especificada</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 80891009}\">Coração</span></p><p><b>subject</b>: <a href=\"Patient-b2f63a4c-ddaa-4652-8481-ac1ff473104e.html\">João Carlos Silva</a></p><p><b>encounter</b>: <a href=\"Encounter-c6d553d8-cce0-404b-9d1f-eeffbf7fc6df.html\">Ambulatorial</a></p><p><b>onset</b>: 2024-03-28</p><p><b>recordedDate</b>: 2024-04-05 10:00:00+0000</p><p><b>recorder</b>: <a href=\"Practitioner-d3b61455-f432-48f0-b83b-ba825922d735.html\">Maria Clara</a></p><p><b>asserter</b>: <a href=\"Practitioner-d3b61455-f432-48f0-b83b-ba825922d735.html\">Maria Clara</a></p><h3>Evidences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://terminologia.saude.gov.br/fhir/CodeSystem/BRCID10 R50.9}, {https://terminologia.saude.gov.br/fhir/CodeSystem/BRCID10 R05}\">Febre não especificada</span></td><td><a href=\"Observation-07ce5462-f77b-4ad6-af8c-2f67a6500b97.html\">Vital Signs</a></td></tr></table><p><b>note</b>: Paciente apresentou melhora significativa após início do tratamento com antibióticos.</p></div>"
},
"identifier" : [
{
"system" : "http://hospital.org/conditions",
"value" : "12345"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "https://terminologia.saude.gov.br/fhir/CodeSystem/BRCategoriaDiagnostico",
"code" : "01",
"display" : "Principal"
}
]
}
],
"severity" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "6736007",
"display" : "Moderate (severity modifier) (qualifier value)"
}
]
},
"code" : {
"coding" : [
{
"system" : "https://terminologia.saude.gov.br/fhir/CodeSystem/BRCID10",
"code" : "I15.9",
"display" : "Hipertensão secundária, não especificada"
}
]
},
"bodySite" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "80891009",
"display" : "Heart structure (body structure)"
}
],
"text" : "Coração"
}
],
"subject" : {
🔗 "reference" : "Patient/b2f63a4c-ddaa-4652-8481-ac1ff473104e",
"type" : "Patient",
"display" : "João Carlos Silva"
},
"encounter" : {
🔗 "reference" : "Encounter/c6d553d8-cce0-404b-9d1f-eeffbf7fc6df",
"display" : "Ambulatorial"
},
"onsetDateTime" : "2024-03-28",
"recordedDate" : "2024-04-05T10:00:00Z",
"recorder" : {
🔗 "reference" : "Practitioner/d3b61455-f432-48f0-b83b-ba825922d735",
"display" : "Maria Clara"
},
"asserter" : {
🔗 "reference" : "Practitioner/d3b61455-f432-48f0-b83b-ba825922d735",
"display" : "Maria Clara"
},
"evidence" : [
{
"code" : [
{
"coding" : [
{
"system" : "https://terminologia.saude.gov.br/fhir/CodeSystem/BRCID10",
"code" : "R50.9",
"display" : "Febre não especificada"
},
{
"system" : "https://terminologia.saude.gov.br/fhir/CodeSystem/BRCID10",
"code" : "R05",
"display" : "Tosse"
}
]
}
],
"detail" : [
{
🔗 "reference" : "Observation/07ce5462-f77b-4ad6-af8c-2f67a6500b97",
"display" : "Vital Signs"
}
]
}
],
"note" : [
{
"text" : "Paciente apresentou melhora significativa após início do tratamento com antibióticos."
}
]
}