Guia de implementação do Core do Brasil: Release 1 - BR Realm | STU1
1.0.0 - STU1 Brazil flag

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

Resource Profile: BRCoreCapacidadeFuncional

URL Canônica: https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-capacidadefuncional Versão: 1.0.0
Active as of 2025-02-27 Nome computável: BRCoreCapacidadeFuncional

Este perfil herda do recurso br-core-condition

Escopo/Uso

Este perfil é utilizado para registrar informações detalhadas sobre a condição, problema, diagnóstico ou outro evento, situação, problema ou conceito clínico que caracteriza a incapacidade funcional do paciente.

Caso de uso da RNDS

Na RNDS o valueset BRSuspeitaDiagnostica que engloba os conceitos do CID10 e da CIAP2 deve ser utilizado no elemento code para informar o código do diagnóstico da incapacidade funcional do paciente.

Usage:

Visões formais do conteúdo do perfil

Descrição de perfis, diferenciais, instantâneos e como as diferentes apresentações funcionam.

Esta estrutura é derivada de BRCoreCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..* BRCoreCondition Detailed information about conditions, problems or diagnoses
... clinicalStatus 1..1 CodeableConcept O status clínico da condição ou do diagnóstico
.... coding
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Symbol in syntax defined by the system
... code 1..1 CodeableConcept Suspeita Diagnóstica
... subject
.... identifier 1..1 Identifier Referência lógica, quando a referência literal não é conhecida
..... system 1..1 uri The namespace for the identifier value
..... value 1..1 string The value that is unique

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* BRCoreCondition Detailed information about conditions, problems or diagnoses
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri URI(s) sob as quais este recurso é conhecido
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensões adicionais que não podem ser ignoradas
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... clinicalStatus ?!ΣC 1..1 CodeableConcept O status clínico da condição ou do diagnóstico
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.


ele-1: All FHIR elements must have a @value or children
... category 0..1 CodeableConcept Categoria da condição
Binding: Categoria do Diagnóstico (required)
ele-1: All FHIR elements must have a @value or children
... code Σ 1..1 CodeableConcept Suspeita Diagnóstica
Binding: Suspeita Diagnóstica (required)
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(BRCorePatient) Indivíduo com a Condição de Saúde avaliada
ele-1: All FHIR elements must have a @value or children
.... identifier Σ 1..1 Identifier Referência lógica, quando a referência literal não é conhecida
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
..... system Σ 1..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
... stage C 1..* BackboneElement Estágio/grau da condição, geralmente avaliado formalmente
con-1: Stage SHALL have summary or assessment
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryrequiredBRCategoriaDiagnostico
https://terminologia.saude.gov.br/fhir/ValueSet/BRCategoriaDiagnostico
Condition.coderequiredBRTerminologiaSuspeitaDiagnostica
https://terminologia.saude.gov.br/fhir/ValueSet/BRTerminologiaSuspeitaDiagnostica
Condition.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConditionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* BRCoreCondition Detailed information about conditions, problems or diagnoses
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... id Σ 0..1 id Identificador lógico deste artefato
... meta Σ 0..1 Meta Metadados sobre o recurso
... implicitRules ?!Σ 0..1 uri URI(s) sob as quais este recurso é conhecido
... text 0..1 Narrative Texto de 72 caracteres para resumo
... contained 0..* Resource Recursos contidos
... extension 0..* Extension Extensões adicionais
... modifierExtension ?! 0..* Extension Extensões adicionais que não podem ser ignoradas
... identifier Σ 0..* Identifier Identificadores externos para este recurso
... clinicalStatus ?!ΣC 1..1 CodeableConcept O status clínico da condição ou do diagnóstico
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... verificationStatus ?!ΣC 0..1 CodeableConcept O status de verificação para apoiar ou recusar o status clínico da condição ou do diagnóstico
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category 0..1 CodeableConcept Categoria da condição
Binding: Categoria do Diagnóstico (required)
... severity 0..1 CodeableConcept Severidade da condição
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code Σ 1..1 CodeableConcept Suspeita Diagnóstica
Binding: Suspeita Diagnóstica (required)
... bodySite Σ 0..* CodeableConcept Local anatômico da condição, se relevante
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject Σ 1..1 Reference(BRCorePatient) Indivíduo com a Condição de Saúde avaliada
.... id 0..1 string Identificador único para referenciação cruzada
.... extension 0..* Extension Extensões adicionais que não fazem parte do modelo de dados básico
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Referência literal. URL relativa, interna ou externa
.... type Σ 0..1 uri Tipo de recurso ao qual a referência é feita
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 1..1 Identifier Referência lógica, quando a referência literal não é conhecida
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... display Σ 0..1 string Texto alternativo para o recurso
... encounter Σ 0..1 Reference(br-core-encounter) Referência ao atendimento no qual a condição foi diagnosticada
... onset[x] Σ 0..1 Data ou idade estimada ou real do começo dos sintomas
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] C 0..1 Data ou idade estimada ou real em que o diagnóstico foi resolvido ou entrou em remissão
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate Σ 0..1 dateTime Data na qual o registro foi registrado pela primeira vez
... recorder Σ 0..1 Reference(BRCorePatient | BRCorePractitioner | BRCorePractitionerRole | BRCoreRelatedPerson) Quem registrou a condição
... asserter Σ 0..1 Reference(BRCorePatient | BRCorePractitioner | BRCorePractitionerRole | BRCoreRelatedPerson) Pessoa que afirma a condição
... stage C 1..* BackboneElement Estágio/grau da condição, geralmente avaliado formalmente
con-1: Stage SHALL have summary or assessment
.... id 0..1 string Identificador único para referenciação cruzada
.... extension 0..* Extension Extensões adicionais que não fazem parte do modelo de dados básico
.... modifierExtension ?!Σ 0..* Extension Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
.... summary C 0..1 CodeableConcept Sumário simples (específico à condição)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment C 0..* Reference(ClinicalImpression | BRCoreDiagnosticReport | BRCoreObservation) Registro formal da avaliação
.... type 0..1 CodeableConcept Tipo do estadiamento
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

... evidence C 0..* BackboneElement Evidências de apoio ao diagnóstico
con-2: evidence SHALL have code or details
.... id 0..1 string Identificador único para referenciação cruzada
.... extension 0..* Extension Extensões adicionais que não fazem parte do modelo de dados básico
.... modifierExtension ?!Σ 0..* Extension Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
.... code ΣC 0..* CodeableConcept Manifestação/sintoma
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC 0..* Reference(Resource) Referência à informações de apoio
... note 0..* Annotation Informações adicionais sobre a condição

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryrequiredBRCategoriaDiagnostico
https://terminologia.saude.gov.br/fhir/ValueSet/BRCategoriaDiagnostico
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.coderequiredBRTerminologiaSuspeitaDiagnostica
https://terminologia.saude.gov.br/fhir/ValueSet/BRTerminologiaSuspeitaDiagnostica
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Condition.subject.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConditionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Esta estrutura é derivada de BRCoreCondition

Summary

Mandatory: 6 elements(2 nested mandatory elements)

Visão diferencial

Esta estrutura é derivada de BRCoreCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..* BRCoreCondition Detailed information about conditions, problems or diagnoses
... clinicalStatus 1..1 CodeableConcept O status clínico da condição ou do diagnóstico
.... coding
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Symbol in syntax defined by the system
... code 1..1 CodeableConcept Suspeita Diagnóstica
... subject
.... identifier 1..1 Identifier Referência lógica, quando a referência literal não é conhecida
..... system 1..1 uri The namespace for the identifier value
..... value 1..1 string The value that is unique

doco Documentation for this format

Visualização de elementos -chave

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* BRCoreCondition Detailed information about conditions, problems or diagnoses
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri URI(s) sob as quais este recurso é conhecido
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensões adicionais que não podem ser ignoradas
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... clinicalStatus ?!ΣC 1..1 CodeableConcept O status clínico da condição ou do diagnóstico
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.


ele-1: All FHIR elements must have a @value or children
... category 0..1 CodeableConcept Categoria da condição
Binding: Categoria do Diagnóstico (required)
ele-1: All FHIR elements must have a @value or children
... code Σ 1..1 CodeableConcept Suspeita Diagnóstica
Binding: Suspeita Diagnóstica (required)
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(BRCorePatient) Indivíduo com a Condição de Saúde avaliada
ele-1: All FHIR elements must have a @value or children
.... identifier Σ 1..1 Identifier Referência lógica, quando a referência literal não é conhecida
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
..... system Σ 1..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
... stage C 1..* BackboneElement Estágio/grau da condição, geralmente avaliado formalmente
con-1: Stage SHALL have summary or assessment
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryrequiredBRCategoriaDiagnostico
https://terminologia.saude.gov.br/fhir/ValueSet/BRCategoriaDiagnostico
Condition.coderequiredBRTerminologiaSuspeitaDiagnostica
https://terminologia.saude.gov.br/fhir/ValueSet/BRTerminologiaSuspeitaDiagnostica
Condition.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConditionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Visualização instantânea

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* BRCoreCondition Detailed information about conditions, problems or diagnoses
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... id Σ 0..1 id Identificador lógico deste artefato
... meta Σ 0..1 Meta Metadados sobre o recurso
... implicitRules ?!Σ 0..1 uri URI(s) sob as quais este recurso é conhecido
... text 0..1 Narrative Texto de 72 caracteres para resumo
... contained 0..* Resource Recursos contidos
... extension 0..* Extension Extensões adicionais
... modifierExtension ?! 0..* Extension Extensões adicionais que não podem ser ignoradas
... identifier Σ 0..* Identifier Identificadores externos para este recurso
... clinicalStatus ?!ΣC 1..1 CodeableConcept O status clínico da condição ou do diagnóstico
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... verificationStatus ?!ΣC 0..1 CodeableConcept O status de verificação para apoiar ou recusar o status clínico da condição ou do diagnóstico
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category 0..1 CodeableConcept Categoria da condição
Binding: Categoria do Diagnóstico (required)
... severity 0..1 CodeableConcept Severidade da condição
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code Σ 1..1 CodeableConcept Suspeita Diagnóstica
Binding: Suspeita Diagnóstica (required)
... bodySite Σ 0..* CodeableConcept Local anatômico da condição, se relevante
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject Σ 1..1 Reference(BRCorePatient) Indivíduo com a Condição de Saúde avaliada
.... id 0..1 string Identificador único para referenciação cruzada
.... extension 0..* Extension Extensões adicionais que não fazem parte do modelo de dados básico
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Referência literal. URL relativa, interna ou externa
.... type Σ 0..1 uri Tipo de recurso ao qual a referência é feita
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 1..1 Identifier Referência lógica, quando a referência literal não é conhecida
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... display Σ 0..1 string Texto alternativo para o recurso
... encounter Σ 0..1 Reference(br-core-encounter) Referência ao atendimento no qual a condição foi diagnosticada
... onset[x] Σ 0..1 Data ou idade estimada ou real do começo dos sintomas
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] C 0..1 Data ou idade estimada ou real em que o diagnóstico foi resolvido ou entrou em remissão
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate Σ 0..1 dateTime Data na qual o registro foi registrado pela primeira vez
... recorder Σ 0..1 Reference(BRCorePatient | BRCorePractitioner | BRCorePractitionerRole | BRCoreRelatedPerson) Quem registrou a condição
... asserter Σ 0..1 Reference(BRCorePatient | BRCorePractitioner | BRCorePractitionerRole | BRCoreRelatedPerson) Pessoa que afirma a condição
... stage C 1..* BackboneElement Estágio/grau da condição, geralmente avaliado formalmente
con-1: Stage SHALL have summary or assessment
.... id 0..1 string Identificador único para referenciação cruzada
.... extension 0..* Extension Extensões adicionais que não fazem parte do modelo de dados básico
.... modifierExtension ?!Σ 0..* Extension Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
.... summary C 0..1 CodeableConcept Sumário simples (específico à condição)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment C 0..* Reference(ClinicalImpression | BRCoreDiagnosticReport | BRCoreObservation) Registro formal da avaliação
.... type 0..1 CodeableConcept Tipo do estadiamento
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

... evidence C 0..* BackboneElement Evidências de apoio ao diagnóstico
con-2: evidence SHALL have code or details
.... id 0..1 string Identificador único para referenciação cruzada
.... extension 0..* Extension Extensões adicionais que não fazem parte do modelo de dados básico
.... modifierExtension ?!Σ 0..* Extension Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
.... code ΣC 0..* CodeableConcept Manifestação/sintoma
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC 0..* Reference(Resource) Referência à informações de apoio
... note 0..* Annotation Informações adicionais sobre a condição

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryrequiredBRCategoriaDiagnostico
https://terminologia.saude.gov.br/fhir/ValueSet/BRCategoriaDiagnostico
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.coderequiredBRTerminologiaSuspeitaDiagnostica
https://terminologia.saude.gov.br/fhir/ValueSet/BRTerminologiaSuspeitaDiagnostica
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Condition.subject.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConditionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Esta estrutura é derivada de BRCoreCondition

Summary

Mandatory: 6 elements(2 nested mandatory elements)

 

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