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

: Exemplo de reporte de diagnóstico. - 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:DiagnosticReport ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "a952a5b4-2bc5-42f8-a3de-af67ec3ea791"] ; # 
  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: DiagnosticReport a952a5b4-2bc5-42f8-a3de-af67ec3ea791</b></p><a name=\"a952a5b4-2bc5-42f8-a3de-af67ec3ea791\"> </a><a name=\"hca952a5b4-2bc5-42f8-a3de-af67ec3ea791\"> </a><a name=\"a952a5b4-2bc5-42f8-a3de-af67ec3ea791-pt-BR\"> </a><h2><span title=\"Codes:{http://loinc.org 24323-8}\">Hemograma Completo</span> (<span title=\"Codes:{https://terminologia.saude.gov.br/fhir/CodeSystem/BRServicoEspecializado 145}\">SERVICO DE DIAGNOSTICO DE LABORATORIO CLINICO</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Ana Beatriz Oliveira (official) Female, DoB: 2018-09-25 ( Health Card Number: NamingSystemCNS#765432109876543 (use: official, ))</td></tr><tr><td>When For</td><td>2024-12-19 14:30:00+0000</td></tr><tr><td>Reported</td><td>2024-12-19 16:00:00+0000</td></tr><tr><td>Performer</td><td> <a href=\"Organization-1428c345-c221-411f-880f-6fb163817387.html\">Hospital Sírio-Libanês</a></td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Note</b></td><td><b>When For</b></td><td><b>Reported</b></td></tr><tr><td><a href=\"Observation-07ce5462-f77b-4ad6-af8c-2f67a6500b97.html\"><span title=\"Codes:{http://loinc.org 85354-9}\">Blood Pressure</span></a></td><td/><td>Final</td><td/><td>2025-01-13 08:30:00+0000</td><td>2025-01-13 08:35:00+0000</td></tr><tr><td><a href=\"Observation-52ba1c80-5d2c-4faf-8c90-f4363e20d7bb.html\"><span title=\"Codes:{http://loinc.org 24331-1}\">Colesterol total e frações</span></a></td><td/><td>Final</td><td>Paciente orientado para seguir com dieta saudável e exercícios para gerenciar colesterol</td><td>2025-01-13 08:00:00+0000</td><td>2025-01-13 08:30:00+0000</td></tr><tr><td><a href=\"Observation-b359a2d8-dfef-4147-b5a1-3a6437263650.html\"><span title=\"Codes:{http://loinc.org 74013-4}\">Número de doses de álcool ingeridos por dia</span></a></td><td>2 bebidas/dia<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/d = '/d')</span></td><td>Final</td><td/><td>2024-12-19</td><td/></tr></table><p>Resultados dentro dos limites normais.</p></div>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "https://terminologia.saude.gov.br/fhir/CodeSystem/BRServicoEspecializado"^^xsd:anyURI ] ;
fhir:code [ fhir:v "145" ] ;
fhir:display [ fhir:v "SERVICO DE DIAGNOSTICO DE LABORATORIO CLINICO" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a loinc:24323-8 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "24323-8" ] ;
fhir:display [ fhir:v "Complete Blood Count" ]     ] ) ;
fhir:text [ fhir:v "Hemograma Completo" ]
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/b1997888-85fd-41b6-bf94-6242cf3c8265" ] ;
fhir:display [ fhir:v "Ana Beatriz" ]
  ] ; # 
  fhir:effective [ fhir:v "2024-12-19T14:30:00Z"^^xsd:dateTime] ; # 
  fhir:issued [ fhir:v "2024-12-19T16:00:00Z"^^xsd:dateTime] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "Organization/1428c345-c221-411f-880f-6fb163817387" ] ;
fhir:display [ fhir:v "Hospital Sírio-Libanês" ]
  ] ) ; # 
  fhir:result ( [
fhir:reference [ fhir:v "Observation/07ce5462-f77b-4ad6-af8c-2f67a6500b97" ] ;
fhir:display [ fhir:v "Blood Pressure" ]
  ] [
fhir:reference [ fhir:v "Observation/52ba1c80-5d2c-4faf-8c90-f4363e20d7bb" ] ;
fhir:display [ fhir:v "Colesterol total e frações" ]
  ] [
fhir:reference [ fhir:v "Observation/b359a2d8-dfef-4147-b5a1-3a6437263650" ] ;
fhir:display [ fhir:v "Número de doses de álcool ingeridos por dia" ]
  ] ) ; # 
  fhir:conclusion [ fhir:v "Resultados dentro dos limites normais."] . #