@prefix fhir: . @prefix loinc: . @prefix owl: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:StructureDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "ObservationPregnancyStatusBRIPS"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "extensions" ] ; fhir:Narrative.div "

Narrativa gerada: StructureDefinition ObservationPregnancyStatusBRIPS

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Nome	Card.	Tipo	Descrição e condicionalismos $\"doco\"$
$\".\"$ $\".\"$ Observation		ObservationPregnancyStatusUvIps
$\".\"$ $\".\"$ $\".\"$ id	0..1	id	Identificador lógico deste artefato
$\".\"$ $\".\"$ $\".\"$ meta	0..1	Meta	Metadados sobre o recurso
$\".\"$ $\".\"$ $\".\"$ implicitRules	0..1	uri	URI(s) sob as quais este recurso é conhecido
$\".\"$ $\".\"$ $\".\"$ language	0..1	code	Idioma do recurso
$\".\"$ $\".\"$ $\".\"$ text	0..1	Narrative	Texto com o resumo do recurso
$\".\"$ $\".\"$ $\".\"$ contained	0..*	Resource	Recursos contidos
$\".\"$ $\".\"$ $\".\"$ extension	0..*	Extension	Extensões adicionais
$\".\"$ $\".\"$ $\".\"$ modifierExtension	0..*	Extension	Extensões adicionais que não podem ser ignoradas
$\".\"$ $\".\"$ $\".\"$ identifier	0..*	Identifier	Identificadores externos para este recurso
$\".\"$ $\".\"$ $\".\"$ basedOn	0..*	Reference(CarePlan \| DeviceRequest \| ImmunizationRecommendation \| MedicationRequest \| NutritionOrder \| ServiceRequest)	Referência ao pedido ou ao plano de tratamento que gerou este recurso
$\".\"$ $\".\"$ $\".\"$ partOf	0..*	Reference(MedicationAdministration \| MedicationDispense \| MedicationStatement \| Procedure \| Immunization \| ImagingStudy)	Referência ao evento do qual este recurso faz parte
$\".\"$ $\".\"$ $\".\"$ status	1..1	code	Status atual da observação
$\".\"$ $\".\"$ $\".\"$ category	0..*	CodeableConcept	Categoria de alto nível da observação
$\".\"$ $\".\"$ $\".\"$ code	1..1	CodeableConceptIPS	Código da observação de status gestacional
$\".\"$ $\".\"$ $\".\"$ subject	1..1	Reference(PatientBRIPS)	Paciente cujo status gestacional está sendo registrado
$\".\"$ $\".\"$ $\".\"$ $\".\"$ id	0..1	string	Identificador único para referenciação cruzada
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension	0..*	Extension	Extensões adicionais que não fazem parte do modelo de dados básico
$\".\"$ $\".\"$ $\".\"$ $\".\"$ reference	1..1	string	Referência literal. URL relativa, interna ou externa
$\".\"$ $\".\"$ $\".\"$ $\".\"$ type	0..1	uri	Tipo de recurso ao qual a referência é feita
$\".\"$ $\".\"$ $\".\"$ $\".\"$ identifier	0..1	Identifier	Referência lógica, quando a referência literal não é conhecida
$\".\"$ $\".\"$ $\".\"$ $\".\"$ display	0..1	string	Texto alternativo para o recurso
$\".\"$ $\".\"$ $\".\"$ encounter	0..1	Reference(Encounter)	Atendimento durante o qual a observação foi registrada
$\".\"$ $\".\"$ $\".\"$ effective[x]	1..1	dateTime	Data clinicamente relevante para o status gestacional
$\".\"$ $\".\"$ $\".\"$ $\".\"$ Fatias para extension			Conteúdo/regras para todas as fatias
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:data-absent-reason	0..1	DataAbsentReason(5.3.0)	Por que o valor esperado não está presente
$\".\"$ $\".\"$ $\".\"$ issued	0..1	instant	Data ou hora em que esta versão da observação ficou disponível
$\".\"$ $\".\"$ $\".\"$ performer	0..*	Reference(PractitionerBRIPS \| PractitionerRoleBRIPS \| OrganizationBRIPS \| CareTeam \| PatientBRIPS \| RelatedPerson)	O responsável pela observação
$\".\"$ $\".\"$ $\".\"$ value[x]	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Resultado da observação
$\".\"$ $\".\"$ $\".\"$ Fatias para value[x]			Conteúdo/regras para todas as fatias
$\".\"$ $\".\"$ $\".\"$ $\".\"$ value[x]:valueCodeableConcept	0..1	CodeableConceptIPS	Status gestacional codificado
$\".\"$ $\".\"$ $\".\"$ dataAbsentReason	0..1	CodeableConcept	Por quê o resultado não está disponível
$\".\"$ $\".\"$ $\".\"$ interpretation	0..*	CodeableConcept	Interpretação da observação
$\".\"$ $\".\"$ $\".\"$ note	0..*	Annotation	Comentários sobre a observação
$\".\"$ $\".\"$ $\".\"$ method	0..1	CodeableConcept	Método de determinação do status gestacional
$\".\"$ $\".\"$ $\".\"$ hasMember	0..1	Reference(ObservationPregnancyEDDBRIPS)	Referência à data provável do parto
$\".\"$ $\".\"$ $\".\"$ derivedFrom	0..*	Reference(DocumentReference \| ImagingStudy \| Media \| QuestionnaireResponse \| Observation \| MolecularSequence)	Medições relacionadas a partir das quais a observação é feita
$\"doco\"$ Documentação para este formato

" ] ; fhir:StructureDefinition.url [ fhir:value "https://ips.saude.gov.br/fhir/StructureDefinition/ObservationPregnancyStatusBRIPS"] ; fhir:StructureDefinition.version [ fhir:value "1.2.0"] ; fhir:StructureDefinition.name [ fhir:value "ObservationPregnancyStatusBRIPS"] ; fhir:StructureDefinition.title [ fhir:value "ObservationPregnancyStatusBRIPS"] ; fhir:StructureDefinition.status [ fhir:value "active"] ; fhir:StructureDefinition.date [ fhir:value "2026-08-22T00:48:37-03:00"^^xsd:dateTime] ; fhir:StructureDefinition.publisher [ fhir:value "Ministério do Saúde do Brasil"] ; fhir:StructureDefinition.contact [ fhir:index 0 ; fhir:ContactDetail.name [ fhir:value "Ministério do Saúde do Brasil" ] ; fhir:ContactDetail.telecom [ fhir:index 0 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "https://gov.br/saude" ] ], [ fhir:index 1 ; fhir:ContactPoint.system [ fhir:value "email" ] ; fhir:ContactPoint.value [ fhir:value "contato@gointerop.com" ] ] ], [ fhir:index 1 ; fhir:ContactDetail.name [ fhir:value "Italo Macedo" ] ; fhir:ContactDetail.telecom [ fhir:index 0 ; fhir:ContactPoint.system [ fhir:value "email" ] ; fhir:ContactPoint.value [ fhir:value "italo@gointerop.com" ] ; fhir:ContactPoint.use [ fhir:value "work" ] ] ] ; fhir:StructureDefinition.description [ fhir:value "Este perfil restringe o recurso Observation para representar o status gestacional da paciente na seção de História Obstétrica do Sumário Internacional do Paciente. O status gestacional é derivado da Idade Gestacional (IG) registrada nos documentos clínicos da RNDS: quando a IG informada é maior que zero, a paciente é considerada gestante (SNOMED CT 77386006). A data provável do parto (DPP) não é uma entrada independente da seção, sendo referenciada a partir deste recurso pelo elemento hasMember."] ; fhir:StructureDefinition.jurisdiction [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ; fhir:Coding.code [ fhir:value "BR" ] ; fhir:Coding.display [ fhir:value "Brazil" ] ] ] ; fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.1"] ; fhir:StructureDefinition.mapping [ fhir:index 0 ; fhir:StructureDefinition.mapping.identity [ fhir:value "workflow" ] ; fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/workflow" ] ; fhir:StructureDefinition.mapping.name [ fhir:value "Workflow Pattern" ] ], [ fhir:index 1 ; fhir:StructureDefinition.mapping.identity [ fhir:value "sct-concept" ] ; fhir:StructureDefinition.mapping.uri [ fhir:value "http://snomed.info/conceptdomain" ] ; fhir:StructureDefinition.mapping.name [ fhir:value "SNOMED CT Concept Domain Binding" ] ], [ fhir:index 2 ; fhir:StructureDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v2" ] ; fhir:StructureDefinition.mapping.name [ fhir:value "HL7 v2 Mapping" ] ], [ fhir:index 3 ; fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ] ; fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ] ], [ fhir:index 4 ; fhir:StructureDefinition.mapping.identity [ fhir:value "w5" ] ; fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/fivews" ] ; fhir:StructureDefinition.mapping.name [ fhir:value "FiveWs Pattern Mapping" ] ], [ fhir:index 5 ; fhir:StructureDefinition.mapping.identity [ fhir:value "sct-attr" ] ; fhir:StructureDefinition.mapping.uri [ fhir:value "http://snomed.org/attributebinding" ] ; fhir:StructureDefinition.mapping.name [ fhir:value "SNOMED CT Attribute Binding" ] ] ; fhir:StructureDefinition.kind [ fhir:value "resource"] ; fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean] ; fhir:StructureDefinition.type [ fhir:value "Observation"] ; fhir:StructureDefinition.baseDefinition [ fhir:value "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-status-uv-ips" ; fhir:link ] ; fhir:StructureDefinition.derivation [ fhir:value "constraint"] ; fhir:StructureDefinition.snapshot [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version" ] ; fhir:Extension.valueString [ fhir:value "1.1.0" ] ] ; fhir:StructureDefinition.snapshot.element [ fhir:index 0 ; fhir:Element.id [ fhir:value "Observation" ] ; fhir:ElementDefinition.path [ fhir:value "Observation" ] ; fhir:ElementDefinition.short [ fhir:value "Measurements and simple assertions" ] ; fhir:ElementDefinition.definition [ fhir:value "Measurements and simple assertions made about a patient, device or other subject." ] ; fhir:ElementDefinition.comment [ fhir:value "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc." ] ; fhir:ElementDefinition.alias [ fhir:value "Vital Signs" ; fhir:index 0 ], [ fhir:value "Measurement" ; fhir:index 1 ], [ fhir:value "Results" ; fhir:index 2 ], [ fhir:value "Tests" ; fhir:index 3 ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "dom-2" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "contained.contained.empty()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:contained)" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ; fhir:link ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "dom-3" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "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" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "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()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ; fhir:link ] ], [ fhir:index 2 ; fhir:ElementDefinition.constraint.key [ fhir:value "dom-4" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ; fhir:link ] ], [ fhir:index 3 ; fhir:ElementDefinition.constraint.key [ fhir:value "dom-5" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a security label" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.security.empty()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:security))" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ; fhir:link ] ], [ fhir:index 4 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ] ; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ] ; fhir:Extension.valueMarkdown [ fhir:value "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ] ] ; fhir:ElementDefinition.constraint.key [ fhir:value "dom-6" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "warning" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "A resource should have narrative for robust management" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "text.`div`.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text/h:div)" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ; fhir:link ] ], [ fhir:index 5 ; fhir:ElementDefinition.constraint.key [ fhir:value "obs-6" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "dataAbsentReason SHALL only be present if Observation.value[x] is not present" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "dataAbsentReason.empty() or value.empty()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ; fhir:link ] ], [ fhir:index 6 ; fhir:ElementDefinition.constraint.key [ fhir:value "obs-7" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "Entity. Role, or Act" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "Event" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-concept" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "< 363787002 |Observable entity|" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX" ] ], [ fhir:index 4 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "Observation[classCode=OBS, moodCode=EVN]" ] ] ], [ fhir:index 1 ; fhir:Element.id [ fhir:value "Observation.id" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.id" ] ; fhir:ElementDefinition.short [ fhir:value "Identificador lógico deste artefato" ] ; fhir:ElementDefinition.definition [ fhir:value "Identificador lógico deste artefato" ] ; fhir:ElementDefinition.comment [ fhir:value "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Resource.id" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ; fhir:Extension.valueUrl [ fhir:value "id" ] ] ; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 2 ; fhir:Element.id [ fhir:value "Observation.meta" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.meta" ] ; fhir:ElementDefinition.short [ fhir:value "Metadados sobre o recurso" ] ; fhir:ElementDefinition.definition [ fhir:value "Metadados sobre o recurso" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Resource.meta" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Meta" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 3 ; fhir:Element.id [ fhir:value "Observation.implicitRules" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.implicitRules" ] ; fhir:ElementDefinition.short [ fhir:value "URI(s) sob as quais este recurso é conhecido" ] ; fhir:ElementDefinition.definition [ fhir:value "Um ou mais códigos que servem para identificar o tipo de recurso" ] ; fhir:ElementDefinition.comment [ fhir:value "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Resource.implicitRules" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "uri" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 4 ; fhir:Element.id [ fhir:value "Observation.language" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.language" ] ; fhir:ElementDefinition.short [ fhir:value "Idioma do recurso" ] ; fhir:ElementDefinition.definition [ fhir:value "Idioma do recurso" ] ; fhir:ElementDefinition.comment [ fhir:value "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Resource.language" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "code" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ] ; fhir:Extension.valueCanonical [ fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ; fhir:link ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ; fhir:Extension.valueString [ fhir:value "Language" ] ] ; fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ] ; fhir:ElementDefinition.binding.description [ fhir:value "A human language." ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/languages" ; fhir:link ] ] ], [ fhir:index 5 ; fhir:Element.id [ fhir:value "Observation.text" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.text" ] ; fhir:ElementDefinition.short [ fhir:value "Texto com o resumo do recurso" ] ; fhir:ElementDefinition.definition [ fhir:value "Texto resumindo as informações do recurso" ] ; fhir:ElementDefinition.comment [ fhir:value "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ] ; fhir:ElementDefinition.alias [ fhir:value "narrative" ; fhir:index 0 ], [ fhir:value "html" ; fhir:index 1 ], [ fhir:value "xhtml" ; fhir:index 2 ], [ fhir:value "display" ; fhir:index 3 ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "DomainResource.text" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Narrative" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "Act.text?" ] ] ], [ fhir:index 6 ; fhir:Element.id [ fhir:value "Observation.contained" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.contained" ] ; fhir:ElementDefinition.short [ fhir:value "Recursos contidos" ] ; fhir:ElementDefinition.definition [ fhir:value "Recursos contidos no recurso" ] ; fhir:ElementDefinition.comment [ fhir:value "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." ] ; fhir:ElementDefinition.alias [ fhir:value "inline resources" ; fhir:index 0 ], [ fhir:value "anonymous resources" ; fhir:index 1 ], [ fhir:value "contained resources" ; fhir:index 2 ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "DomainResource.contained" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Resource" ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 7 ; fhir:Element.id [ fhir:value "Observation.extension" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.extension" ] ; fhir:ElementDefinition.short [ fhir:value "Extensões adicionais" ] ; fhir:ElementDefinition.definition [ fhir:value "Extensões adicionais que não fazem parte do modelo base" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 8 ; fhir:Element.id [ fhir:value "Observation.modifierExtension" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.modifierExtension" ] ; fhir:ElementDefinition.short [ fhir:value "Extensões adicionais que não podem ser ignoradas" ] ; fhir:ElementDefinition.definition [ fhir:value "Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "DomainResource.modifierExtension" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 9 ; fhir:Element.id [ fhir:value "Observation.identifier" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.identifier" ] ; fhir:ElementDefinition.short [ fhir:value "Identificadores externos para este recurso" ] ; fhir:ElementDefinition.definition [ fhir:value "Identificadores externos para este recurso" ] ; fhir:ElementDefinition.requirements [ fhir:value "Allows observations to be distinguished and referenced." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.identifier" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "Event.identifier" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.identifier" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4." ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "id" ] ] ], [ fhir:index 10 ; fhir:Element.id [ fhir:value "Observation.basedOn" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.basedOn" ] ; fhir:ElementDefinition.short [ fhir:value "Referência ao pedido ou ao plano de tratamento que gerou este recurso" ] ; fhir:ElementDefinition.definition [ fhir:value "Referência ao pedido ou ao plano de tratamento que gerou este recurso" ] ; fhir:ElementDefinition.requirements [ fhir:value "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon." ] ; fhir:ElementDefinition.alias [ fhir:value "Fulfills" ; fhir:index 0 ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.basedOn" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/CarePlan" ; fhir:index 0 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/DeviceRequest" ; fhir:index 1 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation" ; fhir:index 2 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationRequest" ; fhir:index 3 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/NutritionOrder" ; fhir:index 4 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ; fhir:index 5 ; fhir:link ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "Event.basedOn" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "ORC" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]" ] ] ], [ fhir:index 11 ; fhir:Element.id [ fhir:value "Observation.partOf" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.partOf" ] ; fhir:ElementDefinition.short [ fhir:value "Referência ao evento do qual este recurso faz parte" ] ; fhir:ElementDefinition.definition [ fhir:value "Referência ao evento do qual este recurso faz parte" ] ; fhir:ElementDefinition.comment [ fhir:value "To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation." ] ; fhir:ElementDefinition.alias [ fhir:value "Container" ; fhir:index 0 ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.partOf" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationAdministration" ; fhir:index 0 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationDispense" ; fhir:index 1 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationStatement" ; fhir:index 2 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Procedure" ; fhir:index 3 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ; fhir:index 4 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/ImagingStudy" ; fhir:index 5 ; fhir:link ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "Event.partOf" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "Varies by domain" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=FLFS].target" ] ] ], [ fhir:index 12 ; fhir:Element.id [ fhir:value "Observation.status" ] ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ] ; fhir:Extension.valueString [ fhir:value "default: final" ] ] ; fhir:ElementDefinition.path [ fhir:value "Observation.status" ] ; fhir:ElementDefinition.short [ fhir:value "Status atual da observação" ] ; fhir:ElementDefinition.definition [ fhir:value "registered | preliminary | final | amended | corrected | cancelled | entered-in-error | unknown" ] ; fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." ] ; fhir:ElementDefinition.requirements [ fhir:value "Need to track the status of individual results. Some results are finalized before the whole report is finalized." ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.status" ] ; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "code" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ; fhir:Extension.valueString [ fhir:value "ObservationStatus" ] ] ; fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ; fhir:ElementDefinition.binding.description [ fhir:value "Codes providing the status of an observation." ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/observation-status|4.0.1" ; fhir:link ] ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "Event.status" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.status" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-concept" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "< 445584004 |Report by finality status|" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-11" ] ], [ fhir:index 4 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\"" ] ] ], [ fhir:index 13 ; fhir:Element.id [ fhir:value "Observation.category" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.category" ] ; fhir:ElementDefinition.short [ fhir:value "Categoria de alto nível da observação" ] ; fhir:ElementDefinition.definition [ fhir:value "Categoria de alto nível da observação" ] ; fhir:ElementDefinition.comment [ fhir:value "In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set." ] ; fhir:ElementDefinition.requirements [ fhir:value "Used for filtering what observations are retrieved and displayed." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.category" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ; fhir:Extension.valueString [ fhir:value "ObservationCategory" ] ] ; fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ] ; fhir:ElementDefinition.binding.description [ fhir:value "Codes for high level observation categories." ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/observation-category" ; fhir:link ] ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code" ] ] ], [ fhir:index 14 ; fhir:Element.id [ fhir:value "Observation.code" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.code" ] ; fhir:ElementDefinition.short [ fhir:value "Código da observação de status gestacional" ] ; fhir:ElementDefinition.definition [ fhir:value "Código que identifica a observação de status gestacional. O código local do documento da RNDS é mapeado para o código LOINC correspondente por meio de ConceptMap." ] ; fhir:ElementDefinition.comment [ fhir:value "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." ] ; fhir:ElementDefinition.requirements [ fhir:value "Knowing what kind of observation is being made is essential to understanding the observation." ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.code" ] ; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ; fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ; fhir:index 0 ; fhir:link ] ] ; fhir:ElementDefinition.patternCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:82810-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "82810-3" ] ] ] ; fhir:ElementDefinition.condition [ fhir:value "ele-1" ; fhir:index 0 ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ; fhir:Extension.valueString [ fhir:value "ObservationCode" ] ] ; fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ; fhir:ElementDefinition.binding.description [ fhir:value "Codes identifying names of simple observations." ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/observation-codes" ; fhir:link ] ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "CE/CNE/CWE" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "CD" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:CodeableConcept rdfs:subClassOf dt:CD" ] ] ], [ fhir:index 15 ; fhir:Element.id [ fhir:value "Observation.subject" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.subject" ] ; fhir:ElementDefinition.short [ fhir:value "Paciente cujo status gestacional está sendo registrado" ] ; fhir:ElementDefinition.definition [ fhir:value "Referencia os dados da paciente cujo status gestacional está sendo registrado." ] ; fhir:ElementDefinition.comment [ fhir:value "One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated." ] ; fhir:ElementDefinition.requirements [ fhir:value "Observations have no value if you don't know who or what they're about." ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.subject" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ; fhir:ElementDefinition.type.targetProfile [ fhir:value "https://ips.saude.gov.br/fhir/StructureDefinition/PatientBRIPS" ; fhir:index 0 ; fhir:link ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "Event.subject" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject[x]" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "PID-3" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=RTGT]" ] ], [ fhir:index 4 ; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject" ] ] ], [ fhir:index 16 ; fhir:Element.id [ fhir:value "Observation.subject.id" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.subject.id" ] ; fhir:ElementDefinition.representation [ fhir:value "xmlAttr" ; fhir:index 0 ] ; fhir:ElementDefinition.short [ fhir:value "Identificador único para referenciação cruzada" ] ; fhir:ElementDefinition.definition [ fhir:value "Identificador único para referenciação cruzada" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ; fhir:Extension.valueUrl [ fhir:value "string" ] ] ; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 17 ; fhir:Element.id [ fhir:value "Observation.subject.extension" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.subject.extension" ] ; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:index 0 ; fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ; fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ] ; fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ; fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ] ; fhir:ElementDefinition.short [ fhir:value "Extensões adicionais que não fazem parte do modelo de dados básico" ] ; fhir:ElementDefinition.definition [ fhir:value "Extensões adicionais que não fazem parte do modelo de dados básico" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 18 ; fhir:Element.id [ fhir:value "Observation.subject.reference" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.subject.reference" ] ; fhir:ElementDefinition.short [ fhir:value "Referência literal. URL relativa, interna ou externa" ] ; fhir:ElementDefinition.definition [ fhir:value "Referência literal. URL relativa, interna ou externa" ] ; fhir:ElementDefinition.comment [ fhir:value "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server." ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Reference.reference" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "string" ] ] ; fhir:ElementDefinition.condition [ fhir:value "ref-1" ; fhir:index 0 ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 19 ; fhir:Element.id [ fhir:value "Observation.subject.type" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.subject.type" ] ; fhir:ElementDefinition.short [ fhir:value "Tipo de recurso ao qual a referência é feita" ] ; fhir:ElementDefinition.definition [ fhir:value "Tipo de recurso ao qual a referência é feita" ] ; fhir:ElementDefinition.comment [ fhir:value "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Reference.type" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "uri" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ; fhir:Extension.valueString [ fhir:value "FHIRResourceTypeExt" ] ] ; fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ; fhir:ElementDefinition.binding.description [ fhir:value "Aa resource (or, for logical models, the URI of the logical model)." ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/resource-types" ; fhir:link ] ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 20 ; fhir:Element.id [ fhir:value "Observation.subject.identifier" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.subject.identifier" ] ; fhir:ElementDefinition.short [ fhir:value "Referência lógica, quando a referência literal não é conhecida" ] ; fhir:ElementDefinition.definition [ fhir:value "Referência lógica, quando a referência literal não é conhecida" ] ; fhir:ElementDefinition.comment [ fhir:value "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Reference.identifier" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value ".identifier" ] ] ], [ fhir:index 21 ; fhir:Element.id [ fhir:value "Observation.subject.display" ] ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ] ; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:ElementDefinition.path [ fhir:value "Observation.subject.display" ] ; fhir:ElementDefinition.short [ fhir:value "Texto alternativo para o recurso" ] ; fhir:ElementDefinition.definition [ fhir:value "Texto alternativo para o recurso" ] ; fhir:ElementDefinition.comment [ fhir:value "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Reference.display" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "string" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 22 ; fhir:Element.id [ fhir:value "Observation.focus" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.focus" ] ; fhir:ElementDefinition.short [ fhir:value "What the observation is about, when it is not about the subject of record" ] ; fhir:ElementDefinition.definition [ fhir:value "The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record. The focus of an observation could also be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus." ] ; fhir:ElementDefinition.comment [ fhir:value "Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html)." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.focus" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Resource" ; fhir:index 0 ; fhir:link ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject[x]" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-3" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=SBJ]" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject" ] ] ], [ fhir:index 23 ; fhir:Element.id [ fhir:value "Observation.encounter" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.encounter" ] ; fhir:ElementDefinition.short [ fhir:value "Atendimento durante o qual a observação foi registrada" ] ; fhir:ElementDefinition.definition [ fhir:value "Atendimento durante o qual a observação foi registrada" ] ; fhir:ElementDefinition.comment [ fhir:value "This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests)." ] ; fhir:ElementDefinition.requirements [ fhir:value "For some observations it may be important to know the link between an observation and a particular encounter." ] ; fhir:ElementDefinition.alias [ fhir:value "Context" ; fhir:index 0 ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.encounter" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter" ; fhir:index 0 ; fhir:link ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "Event.context" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.context" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "PV1" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" ] ] ], [ fhir:index 24 ; fhir:Element.id [ fhir:value "Observation.effective[x]" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.effective[x]" ] ; fhir:ElementDefinition.short [ fhir:value "Data clinicamente relevante para o status gestacional" ] ; fhir:ElementDefinition.definition [ fhir:value "Data em que o status gestacional foi observado. Corresponde à data do registro do documento clínico na RNDS quando a data da observação não é informada." ] ; fhir:ElementDefinition.comment [ fhir:value "At least a date should be present unless this observation is a historical report. For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events." ] ; fhir:ElementDefinition.requirements [ fhir:value "Knowing when an observation was deemed true is important to its relevance as well as determining trends." ] ; fhir:ElementDefinition.alias [ fhir:value "Occurrence" ; fhir:index 0 ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.effective[x]" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "Event.occurrence[x]" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.done[x]" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "effectiveTime" ] ] ], [ fhir:index 25 ; fhir:Element.id [ fhir:value "Observation.effective[x].id" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.effective[x].id" ] ; fhir:ElementDefinition.representation [ fhir:value "xmlAttr" ; fhir:index 0 ] ; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ] ; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references)" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ; fhir:Extension.valueUrl [ fhir:value "string" ] ] ; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 26 ; fhir:Element.id [ fhir:value "Observation.effective[x].extension" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.effective[x].extension" ] ; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:index 0 ; fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ; fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ] ; fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ] ; fhir:ElementDefinition.short [ fhir:value "Extension" ] ; fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 27 ; fhir:Element.id [ fhir:value "Observation.effective[x].extension:data-absent-reason" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.effective[x].extension" ] ; fhir:ElementDefinition.sliceName [ fhir:value "data-absent-reason" ] ; fhir:ElementDefinition.short [ fhir:value "Por que o valor esperado não está presente" ] ; fhir:ElementDefinition.definition [ fhir:value "Utilizado para especificar o porquê do valor esperado não estar presente" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ; fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.3.0" ; fhir:index 0 ; fhir:link ] ] ; fhir:ElementDefinition.condition [ fhir:value "ele-1" ; fhir:index 0 ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link ] ] ; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "ANY.nullFlavor" ] ] ], [ fhir:index 28 ; fhir:Element.id [ fhir:value "Observation.effective[x].value" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.effective[x].value" ] ; fhir:ElementDefinition.representation [ fhir:value "xmlAttr" ; fhir:index 0 ] ; fhir:ElementDefinition.short [ fhir:value "Primitive value for dateTime" ] ; fhir:ElementDefinition.definition [ fhir:value "The actual value" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "dateTime.value" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ; fhir:Extension.valueUrl [ fhir:value "dateTime" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/regex" ] ; fhir:Extension.valueString [ fhir:value "([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)(-(0[1-9]|1[0-2])(-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?)?)?" ] ] ; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.DateTime" ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 29 ; fhir:Element.id [ fhir:value "Observation.issued" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.issued" ] ; fhir:ElementDefinition.short [ fhir:value "Data ou hora em que esta versão da observação ficou disponível" ] ; fhir:ElementDefinition.definition [ fhir:value "Data ou hora em que esta versão da observação ficou disponível" ] ; fhir:ElementDefinition.comment [ fhir:value "For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.issued" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "instant" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.recorded" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=AUT].time" ] ] ], [ fhir:index 30 ; fhir:Element.id [ fhir:value "Observation.performer" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.performer" ] ; fhir:ElementDefinition.short [ fhir:value "O responsável pela observação" ] ; fhir:ElementDefinition.definition [ fhir:value "O responsável pela observação" ] ; fhir:ElementDefinition.requirements [ fhir:value "May give a degree of confidence in the observation and also indicates where follow-up questions should be directed." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.performer" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ; fhir:ElementDefinition.type.targetProfile [ fhir:value "https://ips.saude.gov.br/fhir/StructureDefinition/PractitionerBRIPS" ; fhir:index 0 ; fhir:link ], [ fhir:value "https://ips.saude.gov.br/fhir/StructureDefinition/PractitionerRoleBRIPS" ; fhir:index 1 ; fhir:link ], [ fhir:value "https://ips.saude.gov.br/fhir/StructureDefinition/OrganizationBRIPS" ; fhir:index 2 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/CareTeam" ; fhir:index 3 ; fhir:link ], [ fhir:value "https://ips.saude.gov.br/fhir/StructureDefinition/PatientBRIPS" ; fhir:index 4 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ; fhir:index 5 ; fhir:link ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.actor" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.actor" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=PRF]" ] ] ], [ fhir:index 31 ; fhir:Element.id [ fhir:value "Observation.value[x]" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.value[x]" ] ; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:index 0 ; fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "type" ] ; fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "$this" ] ] ; fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.slicing.rules [ fhir:value "closed" ] ] ; fhir:ElementDefinition.short [ fhir:value "Resultado da observação" ] ; fhir:ElementDefinition.definition [ fhir:value "Resultado da observação" ] ; fhir:ElementDefinition.comment [ fhir:value "An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below." ] ; fhir:ElementDefinition.requirements [ fhir:value "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.value[x]" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ], [ fhir:index 1 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 2 ; fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [ fhir:index 3 ; fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ], [ fhir:index 4 ; fhir:ElementDefinition.type.code [ fhir:value "integer" ] ], [ fhir:index 5 ; fhir:ElementDefinition.type.code [ fhir:value "Range" ] ], [ fhir:index 6 ; fhir:ElementDefinition.type.code [ fhir:value "Ratio" ] ], [ fhir:index 7 ; fhir:ElementDefinition.type.code [ fhir:value "SampledData" ] ], [ fhir:index 8 ; fhir:ElementDefinition.type.code [ fhir:value "time" ] ], [ fhir:index 9 ; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ], [ fhir:index 10 ; fhir:ElementDefinition.type.code [ fhir:value "Period" ] ] ; fhir:ElementDefinition.condition [ fhir:value "obs-7" ; fhir:index 0 ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-concept" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "< 441742003 |Evaluation finding|" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX.2, OBX.5, OBX.6" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "value" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-attr" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "363714003 |Interprets|" ] ] ], [ fhir:index 32 ; fhir:Element.id [ fhir:value "Observation.value[x]:valueCodeableConcept" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.value[x]" ] ; fhir:ElementDefinition.sliceName [ fhir:value "valueCodeableConcept" ] ; fhir:ElementDefinition.short [ fhir:value "Status gestacional codificado" ] ; fhir:ElementDefinition.definition [ fhir:value "Status gestacional da paciente. Derivado da Idade Gestacional registrada na RNDS: IG maior que zero corresponde ao conceito SNOMED CT 77386006 (gestante)." ] ; fhir:ElementDefinition.comment [ fhir:value "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." ] ; fhir:ElementDefinition.requirements [ fhir:value "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.value[x]" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ; fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ; fhir:index 0 ; fhir:link ] ] ; fhir:ElementDefinition.condition [ fhir:value "ele-1" ; fhir:index 0 ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/uv/ips/ValueSet/pregnancy-status-uv-ips" ; fhir:link ] ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "CE/CNE/CWE" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "CD" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:CodeableConcept rdfs:subClassOf dt:CD" ] ] ], [ fhir:index 33 ; fhir:Element.id [ fhir:value "Observation.dataAbsentReason" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.dataAbsentReason" ] ; fhir:ElementDefinition.short [ fhir:value "Por quê o resultado não está disponível" ] ; fhir:ElementDefinition.definition [ fhir:value "Utilizado para especificar o porquê do valor esperado não estar presente" ] ; fhir:ElementDefinition.comment [ fhir:value "Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"specimen unsatisfactory\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values." ] ; fhir:ElementDefinition.requirements [ fhir:value "For many results it is necessary to handle exceptional values in measurements." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.dataAbsentReason" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ; fhir:ElementDefinition.condition [ fhir:value "obs-6" ; fhir:index 0 ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ; fhir:Extension.valueString [ fhir:value "ObservationValueAbsentReason" ] ] ; fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ; fhir:ElementDefinition.binding.description [ fhir:value "Codes specifying why the result (`Observation.value[x]`) is missing." ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/data-absent-reason" ; fhir:link ] ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "value.nullFlavor" ] ] ], [ fhir:index 34 ; fhir:Element.id [ fhir:value "Observation.interpretation" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.interpretation" ] ; fhir:ElementDefinition.short [ fhir:value "Interpretação da observação" ] ; fhir:ElementDefinition.definition [ fhir:value "Interpretação da observação" ] ; fhir:ElementDefinition.comment [ fhir:value "Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result." ] ; fhir:ElementDefinition.requirements [ fhir:value "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result." ] ; fhir:ElementDefinition.alias [ fhir:value "Abnormal Flag" ; fhir:index 0 ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.interpretation" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ; fhir:Extension.valueString [ fhir:value "ObservationInterpretation" ] ] ; fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ; fhir:ElementDefinition.binding.description [ fhir:value "Codes identifying interpretations of observations." ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/observation-interpretation" ; fhir:link ] ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-concept" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "< 260245000 |Findings values|" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-8" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "interpretationCode" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-attr" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "363713009 |Has interpretation|" ] ] ], [ fhir:index 35 ; fhir:Element.id [ fhir:value "Observation.note" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.note" ] ; fhir:ElementDefinition.short [ fhir:value "Comentários sobre a observação" ] ; fhir:ElementDefinition.definition [ fhir:value "Comentários sobre a observação" ] ; fhir:ElementDefinition.comment [ fhir:value "May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation." ] ; fhir:ElementDefinition.requirements [ fhir:value "Need to be able to provide free text additional information." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.note" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Annotation" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "subjectOf.observationEvent[code=\"annotation\"].value" ] ] ], [ fhir:index 36 ; fhir:Element.id [ fhir:value "Observation.bodySite" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.bodySite" ] ; fhir:ElementDefinition.short [ fhir:value "Observed body part" ] ; fhir:ElementDefinition.definition [ fhir:value "Indicates the site on the subject's body where the observation was made (i.e. the target site)." ] ; fhir:ElementDefinition.comment [ fhir:value "Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html)." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "0" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.bodySite" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ; fhir:Extension.valueString [ fhir:value "BodySite" ] ] ; fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ; fhir:ElementDefinition.binding.description [ fhir:value "Codes describing anatomical locations. May include laterality." ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/body-site" ; fhir:link ] ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-concept" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "< 123037004 |Body structure|" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-20" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "targetSiteCode" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-attr" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "718497002 |Inherent location|" ] ] ], [ fhir:index 37 ; fhir:Element.id [ fhir:value "Observation.method" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.method" ] ; fhir:ElementDefinition.short [ fhir:value "Método de determinação do status gestacional" ] ; fhir:ElementDefinition.definition [ fhir:value "Método de determinação do status gestacional" ] ; fhir:ElementDefinition.comment [ fhir:value "Only used if not implicit in code for Observation.code." ] ; fhir:ElementDefinition.requirements [ fhir:value "In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.method" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ; fhir:Extension.valueString [ fhir:value "ObservationMethod" ] ] ; fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ; fhir:ElementDefinition.binding.description [ fhir:value "Methods for simple observations." ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/observation-methods" ; fhir:link ] ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-17" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "methodCode" ] ] ], [ fhir:index 38 ; fhir:Element.id [ fhir:value "Observation.specimen" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.specimen" ] ; fhir:ElementDefinition.short [ fhir:value "Specimen used for this observation" ] ; fhir:ElementDefinition.definition [ fhir:value "The specimen that was used when this observation was made." ] ; fhir:ElementDefinition.comment [ fhir:value "Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report)." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "0" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.specimen" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Specimen" ; fhir:index 0 ; fhir:link ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-concept" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "< 123038009 |Specimen|" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "SPM segment" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=SPC].specimen" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-attr" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "704319004 |Inherent in|" ] ] ], [ fhir:index 39 ; fhir:Element.id [ fhir:value "Observation.device" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.device" ] ; fhir:ElementDefinition.short [ fhir:value "(Measurement) Device" ] ; fhir:ElementDefinition.definition [ fhir:value "The device used to generate the observation data." ] ; fhir:ElementDefinition.comment [ fhir:value "Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway. Such devices may be documented using the Provenance resource where relevant." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "0" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.device" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Device" ; fhir:index 0 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/DeviceMetric" ; fhir:index 1 ; fhir:link ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-concept" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "< 49062001 |Device|" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-17 / PRT -10" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=DEV]" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-attr" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "424226004 |Using device|" ] ] ], [ fhir:index 40 ; fhir:Element.id [ fhir:value "Observation.referenceRange" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange" ] ; fhir:ElementDefinition.short [ fhir:value "Provides guide for interpretation" ] ; fhir:ElementDefinition.definition [ fhir:value "Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an \"OR\". In other words, to represent two distinct target populations, two `referenceRange` elements would be used." ] ; fhir:ElementDefinition.comment [ fhir:value "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties." ] ; fhir:ElementDefinition.requirements [ fhir:value "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "0" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "obs-3" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "Must have at least a low or a high or text" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "low.exists() or high.exists() or text.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "(exists(f:low) or exists(f:high)or exists(f:text))" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ; fhir:link ] ] ; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX.7" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]" ] ] ], [ fhir:index 41 ; fhir:Element.id [ fhir:value "Observation.referenceRange.id" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.id" ] ; fhir:ElementDefinition.representation [ fhir:value "xmlAttr" ; fhir:index 0 ] ; fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ; fhir:Extension.valueUrl [ fhir:value "string" ] ] ; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 42 ; fhir:Element.id [ fhir:value "Observation.referenceRange.extension" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.extension" ] ; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:ElementDefinition.alias [ fhir:value "extensions" ; fhir:index 0 ], [ fhir:value "user content" ; fhir:index 1 ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 43 ; fhir:Element.id [ fhir:value "Observation.referenceRange.modifierExtension" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.modifierExtension" ] ; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; fhir:ElementDefinition.alias [ fhir:value "extensions" ; fhir:index 0 ], [ fhir:value "user content" ; fhir:index 1 ], [ fhir:value "modifiers" ; fhir:index 2 ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 44 ; fhir:Element.id [ fhir:value "Observation.referenceRange.low" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.low" ] ; fhir:ElementDefinition.short [ fhir:value "Low Range, if relevant" ] ; fhir:ElementDefinition.definition [ fhir:value "The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3)." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange.low" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ; fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ; fhir:index 0 ; fhir:link ] ] ; fhir:ElementDefinition.condition [ fhir:value "obs-3" ; fhir:index 0 ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-7" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "value:IVL_PQ.low" ] ] ], [ fhir:index 45 ; fhir:Element.id [ fhir:value "Observation.referenceRange.high" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.high" ] ; fhir:ElementDefinition.short [ fhir:value "High Range, if relevant" ] ; fhir:ElementDefinition.definition [ fhir:value "The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3)." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange.high" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ; fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ; fhir:index 0 ; fhir:link ] ] ; fhir:ElementDefinition.condition [ fhir:value "obs-3" ; fhir:index 0 ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-7" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "value:IVL_PQ.high" ] ] ], [ fhir:index 46 ; fhir:Element.id [ fhir:value "Observation.referenceRange.type" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.type" ] ; fhir:ElementDefinition.short [ fhir:value "Reference range qualifier" ] ; fhir:ElementDefinition.definition [ fhir:value "Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range." ] ; fhir:ElementDefinition.comment [ fhir:value "This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed." ] ; fhir:ElementDefinition.requirements [ fhir:value "Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc., - for proper interpretation." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange.type" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ; fhir:Extension.valueString [ fhir:value "ObservationRangeMeaning" ] ] ; fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ] ; fhir:ElementDefinition.binding.description [ fhir:value "Code for the meaning of a reference range." ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/referencerange-meaning" ; fhir:link ] ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-concept" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-10" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "interpretationCode" ] ] ], [ fhir:index 47 ; fhir:Element.id [ fhir:value "Observation.referenceRange.appliesTo" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.appliesTo" ] ; fhir:ElementDefinition.short [ fhir:value "Reference range population" ] ; fhir:ElementDefinition.definition [ fhir:value "Codes to indicate the target population this reference range applies to. For example, a reference range may be based on the normal population or a particular sex or race. Multiple `appliesTo` are interpreted as an \"AND\" of the target populations. For example, to represent a target population of African American females, both a code of female and a code for African American would be used." ] ; fhir:ElementDefinition.comment [ fhir:value "This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed." ] ; fhir:ElementDefinition.requirements [ fhir:value "Need to be able to identify the target population for proper interpretation." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange.appliesTo" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ; fhir:Extension.valueString [ fhir:value "ObservationRangeType" ] ] ; fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ; fhir:ElementDefinition.binding.description [ fhir:value "Codes identifying the population the reference range applies to." ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/referencerange-appliesto" ; fhir:link ] ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-concept" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-10" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "interpretationCode" ] ] ], [ fhir:index 48 ; fhir:Element.id [ fhir:value "Observation.referenceRange.age" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.age" ] ; fhir:ElementDefinition.short [ fhir:value "Applicable age range, if relevant" ] ; fhir:ElementDefinition.definition [ fhir:value "The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so." ] ; fhir:ElementDefinition.requirements [ fhir:value "Some analytes vary greatly over age." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange.age" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Range" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value" ] ] ], [ fhir:index 49 ; fhir:Element.id [ fhir:value "Observation.referenceRange.text" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.text" ] ; fhir:ElementDefinition.short [ fhir:value "Text based reference range in an observation" ] ; fhir:ElementDefinition.definition [ fhir:value "Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of \"Negative\" or a list or table of \"normals\"." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange.text" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "string" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-7" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "value:ST" ] ] ], [ fhir:index 50 ; fhir:Element.id [ fhir:value "Observation.hasMember" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.hasMember" ] ; fhir:ElementDefinition.short [ fhir:value "Referência à data provável do parto" ] ; fhir:ElementDefinition.definition [ fhir:value "Referência ao recurso ObservationPregnancyEDDBRIPS, que registra a data provável do parto (DPP) calculada a partir da Data da Última Menstruação (DUM). A DPP não é uma entrada independente da seção de História Obstétrica, sendo referenciada a partir do status gestacional." ] ; fhir:ElementDefinition.comment [ fhir:value "When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.hasMember" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ; fhir:ElementDefinition.type.targetProfile [ fhir:value "https://ips.saude.gov.br/fhir/StructureDefinition/ObservationPregnancyEDDBRIPS" ; fhir:index 0 ; fhir:link ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "Relationships established by OBX-4 usage" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "outBoundRelationship" ] ] ], [ fhir:index 51 ; fhir:Element.id [ fhir:value "Observation.hasMember.id" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.hasMember.id" ] ; fhir:ElementDefinition.representation [ fhir:value "xmlAttr" ; fhir:index 0 ] ; fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ; fhir:Extension.valueUrl [ fhir:value "string" ] ] ; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 52 ; fhir:Element.id [ fhir:value "Observation.hasMember.extension" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.hasMember.extension" ] ; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:index 0 ; fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ; fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ] ; fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ; fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ] ; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:ElementDefinition.alias [ fhir:value "extensions" ; fhir:index 0 ], [ fhir:value "user content" ; fhir:index 1 ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 53 ; fhir:Element.id [ fhir:value "Observation.hasMember.reference" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.hasMember.reference" ] ; fhir:ElementDefinition.short [ fhir:value "Literal reference, Relative, internal or absolute URL" ] ; fhir:ElementDefinition.definition [ fhir:value "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." ] ; fhir:ElementDefinition.comment [ fhir:value "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server." ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Reference.reference" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "string" ] ] ; fhir:ElementDefinition.condition [ fhir:value "ref-1" ; fhir:index 0 ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 54 ; fhir:Element.id [ fhir:value "Observation.hasMember.type" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.hasMember.type" ] ; fhir:ElementDefinition.short [ fhir:value "Type the reference refers to (e.g. \"Patient\")" ] ; fhir:ElementDefinition.definition [ fhir:value "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." ] ; fhir:ElementDefinition.comment [ fhir:value "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Reference.type" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "uri" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ; fhir:Extension.valueString [ fhir:value "FHIRResourceTypeExt" ] ] ; fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ; fhir:ElementDefinition.binding.description [ fhir:value "Aa resource (or, for logical models, the URI of the logical model)." ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/resource-types" ; fhir:link ] ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 55 ; fhir:Element.id [ fhir:value "Observation.hasMember.identifier" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.hasMember.identifier" ] ; fhir:ElementDefinition.short [ fhir:value "Logical reference, when literal reference is not known" ] ; fhir:ElementDefinition.definition [ fhir:value "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." ] ; fhir:ElementDefinition.comment [ fhir:value "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Reference.identifier" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value ".identifier" ] ] ], [ fhir:index 56 ; fhir:Element.id [ fhir:value "Observation.hasMember.display" ] ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ] ; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:ElementDefinition.path [ fhir:value "Observation.hasMember.display" ] ; fhir:ElementDefinition.short [ fhir:value "Text alternative for the resource" ] ; fhir:ElementDefinition.definition [ fhir:value "Plain text narrative that identifies the resource in addition to the resource reference." ] ; fhir:ElementDefinition.comment [ fhir:value "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Reference.display" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "string" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 57 ; fhir:Element.id [ fhir:value "Observation.derivedFrom" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.derivedFrom" ] ; fhir:ElementDefinition.short [ fhir:value "Medições relacionadas a partir das quais a observação é feita" ] ; fhir:ElementDefinition.definition [ fhir:value "Medições relacionadas a partir das quais a observação é feita" ] ; fhir:ElementDefinition.comment [ fhir:value "All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.derivedFrom" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/DocumentReference" ; fhir:index 0 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/ImagingStudy" ; fhir:index 1 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Media" ; fhir:index 2 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" ; fhir:index 3 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ; fhir:index 4 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/MolecularSequence" ; fhir:index 5 ; fhir:link ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "Relationships established by OBX-4 usage" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value ".targetObservation" ] ] ], [ fhir:index 58 ; fhir:Element.id [ fhir:value "Observation.component" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.component" ] ; fhir:ElementDefinition.short [ fhir:value "Component results" ] ; fhir:ElementDefinition.definition [ fhir:value "Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations." ] ; fhir:ElementDefinition.comment [ fhir:value "For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below." ] ; fhir:ElementDefinition.requirements [ fhir:value "Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "0" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.component" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "containment by OBX-4?" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "outBoundRelationship[typeCode=COMP]" ] ] ], [ fhir:index 59 ; fhir:Element.id [ fhir:value "Observation.component.id" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.component.id" ] ; fhir:ElementDefinition.representation [ fhir:value "xmlAttr" ; fhir:index 0 ] ; fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ; fhir:Extension.valueUrl [ fhir:value "string" ] ] ; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 60 ; fhir:Element.id [ fhir:value "Observation.component.extension" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.component.extension" ] ; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:ElementDefinition.alias [ fhir:value "extensions" ; fhir:index 0 ], [ fhir:value "user content" ; fhir:index 1 ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 61 ; fhir:Element.id [ fhir:value "Observation.component.modifierExtension" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.component.modifierExtension" ] ; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; fhir:ElementDefinition.alias [ fhir:value "extensions" ; fhir:index 0 ], [ fhir:value "user content" ; fhir:index 1 ], [ fhir:value "modifiers" ; fhir:index 2 ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 62 ; fhir:Element.id [ fhir:value "Observation.component.code" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.component.code" ] ; fhir:ElementDefinition.short [ fhir:value "Type of component observation (code / type)" ] ; fhir:ElementDefinition.definition [ fhir:value "Describes what was observed. Sometimes this is called the observation \"code\"." ] ; fhir:ElementDefinition.comment [ fhir:value "*All* code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation." ] ; fhir:ElementDefinition.requirements [ fhir:value "Knowing what kind of observation is being made is essential to understanding the observation." ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.component.code" ] ; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ; fhir:Extension.valueString [ fhir:value "ObservationCode" ] ] ; fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ; fhir:ElementDefinition.binding.description [ fhir:value "Codes identifying names of simple observations." ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/observation-codes" ; fhir:link ] ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.what[x]" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-concept" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-3" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "code" ] ] ], [ fhir:index 63 ; fhir:Element.id [ fhir:value "Observation.component.value[x]" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.component.value[x]" ] ; fhir:ElementDefinition.short [ fhir:value "Actual component result" ] ; fhir:ElementDefinition.definition [ fhir:value "The information determined as a result of making the observation, if the information has a simple value." ] ; fhir:ElementDefinition.comment [ fhir:value "Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below." ] ; fhir:ElementDefinition.requirements [ fhir:value "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.component.value[x]" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ], [ fhir:index 1 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 2 ; fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [ fhir:index 3 ; fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ], [ fhir:index 4 ; fhir:ElementDefinition.type.code [ fhir:value "integer" ] ], [ fhir:index 5 ; fhir:ElementDefinition.type.code [ fhir:value "Range" ] ], [ fhir:index 6 ; fhir:ElementDefinition.type.code [ fhir:value "Ratio" ] ], [ fhir:index 7 ; fhir:ElementDefinition.type.code [ fhir:value "SampledData" ] ], [ fhir:index 8 ; fhir:ElementDefinition.type.code [ fhir:value "time" ] ], [ fhir:index 9 ; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ], [ fhir:index 10 ; fhir:ElementDefinition.type.code [ fhir:value "Period" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-concept" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "363714003 |Interprets| < 441742003 |Evaluation finding|" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX.2, OBX.5, OBX.6" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "value" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-attr" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "363714003 |Interprets|" ] ] ], [ fhir:index 64 ; fhir:Element.id [ fhir:value "Observation.component.dataAbsentReason" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.component.dataAbsentReason" ] ; fhir:ElementDefinition.short [ fhir:value "Why the component result is missing" ] ; fhir:ElementDefinition.definition [ fhir:value "Provides a reason why the expected value in the element Observation.component.value[x] is missing." ] ; fhir:ElementDefinition.comment [ fhir:value "\"Null\" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values." ] ; fhir:ElementDefinition.requirements [ fhir:value "For many results it is necessary to handle exceptional values in measurements." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.component.dataAbsentReason" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ; fhir:ElementDefinition.condition [ fhir:value "obs-6" ; fhir:index 0 ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ; fhir:Extension.valueString [ fhir:value "ObservationValueAbsentReason" ] ] ; fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ; fhir:ElementDefinition.binding.description [ fhir:value "Codes specifying why the result (`Observation.value[x]`) is missing." ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/data-absent-reason" ; fhir:link ] ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "value.nullFlavor" ] ] ], [ fhir:index 65 ; fhir:Element.id [ fhir:value "Observation.component.interpretation" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.component.interpretation" ] ; fhir:ElementDefinition.short [ fhir:value "High, low, normal, etc." ] ; fhir:ElementDefinition.definition [ fhir:value "A categorical assessment of an observation value. For example, high, low, normal." ] ; fhir:ElementDefinition.comment [ fhir:value "Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result." ] ; fhir:ElementDefinition.requirements [ fhir:value "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result." ] ; fhir:ElementDefinition.alias [ fhir:value "Abnormal Flag" ; fhir:index 0 ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.component.interpretation" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ; fhir:Extension.valueString [ fhir:value "ObservationInterpretation" ] ] ; fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ; fhir:ElementDefinition.binding.description [ fhir:value "Codes identifying interpretations of observations." ] ; fhir:ElementDefinition.binding.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/observation-interpretation" ; fhir:link ] ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-concept" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "< 260245000 |Findings values|" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-8" ] ], [ fhir:index 2 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "interpretationCode" ] ], [ fhir:index 3 ; fhir:ElementDefinition.mapping.identity [ fhir:value "sct-attr" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "363713009 |Has interpretation|" ] ] ], [ fhir:index 66 ; fhir:Element.id [ fhir:value "Observation.component.referenceRange" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.component.referenceRange" ] ; fhir:ElementDefinition.short [ fhir:value "Provides guide for interpretation of component result" ] ; fhir:ElementDefinition.definition [ fhir:value "Guidance on how to interpret the value by comparison to a normal or recommended range." ] ; fhir:ElementDefinition.comment [ fhir:value "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties." ] ; fhir:ElementDefinition.requirements [ fhir:value "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.component.referenceRange" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange" ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ; fhir:link ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ; fhir:ElementDefinition.mapping [ fhir:index 0 ; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "OBX.7" ] ], [ fhir:index 1 ; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ; fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]" ] ] ] ] ; fhir:StructureDefinition.differential [ fhir:StructureDefinition.differential.element [ fhir:index 0 ; fhir:Element.id [ fhir:value "Observation.id" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.id" ] ; fhir:ElementDefinition.short [ fhir:value "Identificador lógico deste artefato" ] ; fhir:ElementDefinition.definition [ fhir:value "Identificador lógico deste artefato" ] ], [ fhir:index 1 ; fhir:Element.id [ fhir:value "Observation.meta" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.meta" ] ; fhir:ElementDefinition.short [ fhir:value "Metadados sobre o recurso" ] ; fhir:ElementDefinition.definition [ fhir:value "Metadados sobre o recurso" ] ], [ fhir:index 2 ; fhir:Element.id [ fhir:value "Observation.implicitRules" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.implicitRules" ] ; fhir:ElementDefinition.short [ fhir:value "URI(s) sob as quais este recurso é conhecido" ] ; fhir:ElementDefinition.definition [ fhir:value "Um ou mais códigos que servem para identificar o tipo de recurso" ] ], [ fhir:index 3 ; fhir:Element.id [ fhir:value "Observation.language" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.language" ] ; fhir:ElementDefinition.short [ fhir:value "Idioma do recurso" ] ; fhir:ElementDefinition.definition [ fhir:value "Idioma do recurso" ] ], [ fhir:index 4 ; fhir:Element.id [ fhir:value "Observation.text" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.text" ] ; fhir:ElementDefinition.short [ fhir:value "Texto com o resumo do recurso" ] ; fhir:ElementDefinition.definition [ fhir:value "Texto resumindo as informações do recurso" ] ], [ fhir:index 5 ; fhir:Element.id [ fhir:value "Observation.contained" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.contained" ] ; fhir:ElementDefinition.short [ fhir:value "Recursos contidos" ] ; fhir:ElementDefinition.definition [ fhir:value "Recursos contidos no recurso" ] ], [ fhir:index 6 ; fhir:Element.id [ fhir:value "Observation.extension" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.extension" ] ; fhir:ElementDefinition.short [ fhir:value "Extensões adicionais" ] ; fhir:ElementDefinition.definition [ fhir:value "Extensões adicionais que não fazem parte do modelo base" ] ], [ fhir:index 7 ; fhir:Element.id [ fhir:value "Observation.modifierExtension" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.modifierExtension" ] ; fhir:ElementDefinition.short [ fhir:value "Extensões adicionais que não podem ser ignoradas" ] ; fhir:ElementDefinition.definition [ fhir:value "Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas" ] ], [ fhir:index 8 ; fhir:Element.id [ fhir:value "Observation.identifier" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.identifier" ] ; fhir:ElementDefinition.short [ fhir:value "Identificadores externos para este recurso" ] ; fhir:ElementDefinition.definition [ fhir:value "Identificadores externos para este recurso" ] ], [ fhir:index 9 ; fhir:Element.id [ fhir:value "Observation.basedOn" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.basedOn" ] ; fhir:ElementDefinition.short [ fhir:value "Referência ao pedido ou ao plano de tratamento que gerou este recurso" ] ; fhir:ElementDefinition.definition [ fhir:value "Referência ao pedido ou ao plano de tratamento que gerou este recurso" ] ], [ fhir:index 10 ; fhir:Element.id [ fhir:value "Observation.partOf" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.partOf" ] ; fhir:ElementDefinition.short [ fhir:value "Referência ao evento do qual este recurso faz parte" ] ; fhir:ElementDefinition.definition [ fhir:value "Referência ao evento do qual este recurso faz parte" ] ], [ fhir:index 11 ; fhir:Element.id [ fhir:value "Observation.status" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.status" ] ; fhir:ElementDefinition.short [ fhir:value "Status atual da observação" ] ; fhir:ElementDefinition.definition [ fhir:value "registered | preliminary | final | amended | corrected | cancelled | entered-in-error | unknown" ] ], [ fhir:index 12 ; fhir:Element.id [ fhir:value "Observation.category" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.category" ] ; fhir:ElementDefinition.short [ fhir:value "Categoria de alto nível da observação" ] ; fhir:ElementDefinition.definition [ fhir:value "Categoria de alto nível da observação" ] ], [ fhir:index 13 ; fhir:Element.id [ fhir:value "Observation.code" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.code" ] ; fhir:ElementDefinition.short [ fhir:value "Código da observação de status gestacional" ] ; fhir:ElementDefinition.definition [ fhir:value "Código que identifica a observação de status gestacional. O código local do documento da RNDS é mapeado para o código LOINC correspondente por meio de ConceptMap." ] ], [ fhir:index 14 ; fhir:Element.id [ fhir:value "Observation.subject" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.subject" ] ; fhir:ElementDefinition.short [ fhir:value "Paciente cujo status gestacional está sendo registrado" ] ; fhir:ElementDefinition.definition [ fhir:value "Referencia os dados da paciente cujo status gestacional está sendo registrado." ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ; fhir:ElementDefinition.type.targetProfile [ fhir:value "https://ips.saude.gov.br/fhir/StructureDefinition/PatientBRIPS" ; fhir:index 0 ; fhir:link ] ] ], [ fhir:index 15 ; fhir:Element.id [ fhir:value "Observation.subject.id" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.subject.id" ] ; fhir:ElementDefinition.short [ fhir:value "Identificador único para referenciação cruzada" ] ; fhir:ElementDefinition.definition [ fhir:value "Identificador único para referenciação cruzada" ] ], [ fhir:index 16 ; fhir:Element.id [ fhir:value "Observation.subject.extension" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.subject.extension" ] ; fhir:ElementDefinition.short [ fhir:value "Extensões adicionais que não fazem parte do modelo de dados básico" ] ; fhir:ElementDefinition.definition [ fhir:value "Extensões adicionais que não fazem parte do modelo de dados básico" ] ], [ fhir:index 17 ; fhir:Element.id [ fhir:value "Observation.subject.reference" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.subject.reference" ] ; fhir:ElementDefinition.short [ fhir:value "Referência literal. URL relativa, interna ou externa" ] ; fhir:ElementDefinition.definition [ fhir:value "Referência literal. URL relativa, interna ou externa" ] ], [ fhir:index 18 ; fhir:Element.id [ fhir:value "Observation.subject.type" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.subject.type" ] ; fhir:ElementDefinition.short [ fhir:value "Tipo de recurso ao qual a referência é feita" ] ; fhir:ElementDefinition.definition [ fhir:value "Tipo de recurso ao qual a referência é feita" ] ], [ fhir:index 19 ; fhir:Element.id [ fhir:value "Observation.subject.identifier" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.subject.identifier" ] ; fhir:ElementDefinition.short [ fhir:value "Referência lógica, quando a referência literal não é conhecida" ] ; fhir:ElementDefinition.definition [ fhir:value "Referência lógica, quando a referência literal não é conhecida" ] ], [ fhir:index 20 ; fhir:Element.id [ fhir:value "Observation.subject.display" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.subject.display" ] ; fhir:ElementDefinition.short [ fhir:value "Texto alternativo para o recurso" ] ; fhir:ElementDefinition.definition [ fhir:value "Texto alternativo para o recurso" ] ], [ fhir:index 21 ; fhir:Element.id [ fhir:value "Observation.encounter" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.encounter" ] ; fhir:ElementDefinition.short [ fhir:value "Atendimento durante o qual a observação foi registrada" ] ; fhir:ElementDefinition.definition [ fhir:value "Atendimento durante o qual a observação foi registrada" ] ], [ fhir:index 22 ; fhir:Element.id [ fhir:value "Observation.effective[x]" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.effective[x]" ] ; fhir:ElementDefinition.short [ fhir:value "Data clinicamente relevante para o status gestacional" ] ; fhir:ElementDefinition.definition [ fhir:value "Data em que o status gestacional foi observado. Corresponde à data do registro do documento clínico na RNDS quando a data da observação não é informada." ] ], [ fhir:index 23 ; fhir:Element.id [ fhir:value "Observation.effective[x].extension:data-absent-reason" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.effective[x].extension" ] ; fhir:ElementDefinition.sliceName [ fhir:value "data-absent-reason" ] ; fhir:ElementDefinition.short [ fhir:value "Por que o valor esperado não está presente" ] ; fhir:ElementDefinition.definition [ fhir:value "Utilizado para especificar o porquê do valor esperado não estar presente" ] ], [ fhir:index 24 ; fhir:Element.id [ fhir:value "Observation.issued" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.issued" ] ; fhir:ElementDefinition.short [ fhir:value "Data ou hora em que esta versão da observação ficou disponível" ] ; fhir:ElementDefinition.definition [ fhir:value "Data ou hora em que esta versão da observação ficou disponível" ] ], [ fhir:index 25 ; fhir:Element.id [ fhir:value "Observation.performer" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.performer" ] ; fhir:ElementDefinition.short [ fhir:value "O responsável pela observação" ] ; fhir:ElementDefinition.definition [ fhir:value "O responsável pela observação" ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ; fhir:ElementDefinition.type.targetProfile [ fhir:value "https://ips.saude.gov.br/fhir/StructureDefinition/PractitionerBRIPS" ; fhir:index 0 ; fhir:link ], [ fhir:value "https://ips.saude.gov.br/fhir/StructureDefinition/PractitionerRoleBRIPS" ; fhir:index 1 ; fhir:link ], [ fhir:value "https://ips.saude.gov.br/fhir/StructureDefinition/OrganizationBRIPS" ; fhir:index 2 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/CareTeam" ; fhir:index 3 ; fhir:link ], [ fhir:value "https://ips.saude.gov.br/fhir/StructureDefinition/PatientBRIPS" ; fhir:index 4 ; fhir:link ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ; fhir:index 5 ; fhir:link ] ] ], [ fhir:index 26 ; fhir:Element.id [ fhir:value "Observation.value[x]" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.value[x]" ] ; fhir:ElementDefinition.short [ fhir:value "Resultado da observação" ] ; fhir:ElementDefinition.definition [ fhir:value "Resultado da observação" ] ], [ fhir:index 27 ; fhir:Element.id [ fhir:value "Observation.value[x]:valueCodeableConcept" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.value[x]" ] ; fhir:ElementDefinition.sliceName [ fhir:value "valueCodeableConcept" ] ; fhir:ElementDefinition.short [ fhir:value "Status gestacional codificado" ] ; fhir:ElementDefinition.definition [ fhir:value "Status gestacional da paciente. Derivado da Idade Gestacional registrada na RNDS: IG maior que zero corresponde ao conceito SNOMED CT 77386006 (gestante)." ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ; fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ; fhir:index 0 ; fhir:link ] ] ], [ fhir:index 28 ; fhir:Element.id [ fhir:value "Observation.dataAbsentReason" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.dataAbsentReason" ] ; fhir:ElementDefinition.short [ fhir:value "Por quê o resultado não está disponível" ] ; fhir:ElementDefinition.definition [ fhir:value "Utilizado para especificar o porquê do valor esperado não estar presente" ] ], [ fhir:index 29 ; fhir:Element.id [ fhir:value "Observation.interpretation" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.interpretation" ] ; fhir:ElementDefinition.short [ fhir:value "Interpretação da observação" ] ; fhir:ElementDefinition.definition [ fhir:value "Interpretação da observação" ] ], [ fhir:index 30 ; fhir:Element.id [ fhir:value "Observation.note" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.note" ] ; fhir:ElementDefinition.short [ fhir:value "Comentários sobre a observação" ] ; fhir:ElementDefinition.definition [ fhir:value "Comentários sobre a observação" ] ], [ fhir:index 31 ; fhir:Element.id [ fhir:value "Observation.method" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.method" ] ; fhir:ElementDefinition.short [ fhir:value "Método de determinação do status gestacional" ] ; fhir:ElementDefinition.definition [ fhir:value "Método de determinação do status gestacional" ] ], [ fhir:index 32 ; fhir:Element.id [ fhir:value "Observation.hasMember" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.hasMember" ] ; fhir:ElementDefinition.short [ fhir:value "Referência à data provável do parto" ] ; fhir:ElementDefinition.definition [ fhir:value "Referência ao recurso ObservationPregnancyEDDBRIPS, que registra a data provável do parto (DPP) calculada a partir da Data da Última Menstruação (DUM). A DPP não é uma entrada independente da seção de História Obstétrica, sendo referenciada a partir do status gestacional." ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ; fhir:ElementDefinition.type.targetProfile [ fhir:value "https://ips.saude.gov.br/fhir/StructureDefinition/ObservationPregnancyEDDBRIPS" ; fhir:index 0 ; fhir:link ] ] ], [ fhir:index 33 ; fhir:Element.id [ fhir:value "Observation.derivedFrom" ] ; fhir:ElementDefinition.path [ fhir:value "Observation.derivedFrom" ] ; fhir:ElementDefinition.short [ fhir:value "Medições relacionadas a partir das quais a observação é feita" ] ; fhir:ElementDefinition.definition [ fhir:value "Medições relacionadas a partir das quais a observação é feita" ] ] ] . # - ontology header ------------------------------------------------------------ a owl:Ontology ; owl:imports fhir:fhir.ttl . # -------------------------------------------------------------------------------------