HL7 PT FHIR Implementation Guide: Noticia de Nascimento
1.0.0 - STU1 Portugal flag

HL7 PT FHIR Implementation Guide: Noticia de Nascimento, publicado por HL7 Portugal. Este guia não é uma publicação autorizada; é a compilação contínua para a versão 1.0.0 construída pela FHIR (HL7® FHIR® Standard) CI Build. Esta versão é baseada no conteúdo atual de https://github.com/hl7-pt/obs-neonat-ig/tree/master e muda regularmente. Veja o Diretório de versões publicadas

Resource Profile: Perfil de Perímetro cefálico ao nascer

Official URL: https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/BirthHeadCircumference Version: 1.0.0
Active as of 2026-10-15 Computable Name: BirthHeadCircumference

Perímetro cefálico do recém-nascido ao nascer, em centímetros. Mantém o código LOINC 9843-4 do perfil de sinais vitais e acrescenta o código específico 8290-9 (Head Occipital-frontal circumference –at birth- by Tape measure).

Usos:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: doco
Observation C 0..* observation-headcircum FHIR Head Circumference Profile
Constraints: obs-6, obs-7, vs-2
Observation.implicitRules Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..1 uri A set of rules under which this content was created
Observation.modifierExtension Este elemento é um elemento modificador. 0..* Extension Extensions that cannot be ignored
Observation.status Este elemento é um elemento modificador. Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 code registered | preliminary | final | amended +
Vínculo: ObservationStatus (required)
Observation.Fatias para category Este elemento deve ser suportado. 1..* CodeableConcept Classification of type of observation
Fatia: Não ordenado, Aberto por value:coding.code, value:coding.system
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Fatias para category.category:VSCat Este elemento deve ser suportado. 1..1 CodeableConcept Classification of type of observation
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Fatias para category.category:VSCat.coding Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..* Coding Code defined by a terminology system
Observation.Fatias para category.category:VSCat.coding.system Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 uri Identity of the terminology system
Valor fixo: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Fatias para category.category:VSCat.coding.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 code Symbol in syntax defined by the system
Valor fixo: vital-signs
Observation.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 CodeableConcept Head Circumference
Vínculo: VitalSigns (extensible): This identifies the vital sign result type.
Observation.code.Fatias para coding Este elemento está incluído nos resumos. 2..* Coding Code defined by a terminology system
Fatia: Não ordenado, Aberto por value:code, value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.code.Fatias para coding.coding:HeadCircumCode Este elemento está incluído nos resumos. 1..1 Coding Code defined by a terminology system
Observation.code.Fatias para coding.coding:HeadCircumCode.system Este elemento está incluído nos resumos. 1..1 uri Identity of the terminology system
Valor fixo: http://loinc.org
Observation.code.Fatias para coding.coding:HeadCircumCode.code Este elemento está incluído nos resumos. 1..1 code Symbol in syntax defined by the system
Valor fixo: 9843-4
Observation.code.Fatias para coding.coding:BirthHeadCircumCode Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 Coding Code defined by a terminology system

Padrão necessário: Pelo menos os seguintes elementos
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.id 0..1 string Unique id for inter-element referencing
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.extension 0..* Extension Additional content defined by implementations
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.system 1..1 uri Identity of the terminology system
Valor fixo: http://loinc.org
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.version 0..1 string Version of the system - if relevant
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.code 1..1 code Symbol in syntax defined by the system
Valor fixo: 8290-9
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.display 1..1 string Representation defined by the system
Valor fixo: Head Occipital-frontal circumference --at birth- by Tape measure
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.subject Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 Reference(Perfil do recém-nascido) Who and/or what the observation is about
Observation.effective[x] Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 1..1 Often just a dateTime for Vital Signs
Constraints: vs-1
Observation.effective[x].effectiveDateTime dateTime
Observation.effective[x].effectivePeriod Period
Observation.Fatias para value[x] Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Fatia: Não ordenado, Fechado por type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Fatias para value[x].value[x]:valueQuantity Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Observation.Fatias para value[x].value[x]:valueQuantity.value Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 decimal Numerical value (with implicit precision)
Observation.Fatias para value[x].value[x]:valueQuantity.comparator Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..1 code < | <= | >= | > - how to understand the value
Vínculo: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Fatias para value[x].value[x]:valueQuantity.unit Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 string Unit representation
Observation.Fatias para value[x].value[x]:valueQuantity.system Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 1..1 uri System that defines coded unit form
Valor fixo: http://unitsofmeasure.org
Observation.Fatias para value[x].value[x]:valueQuantity.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 code Coded responses from the common UCUM units for vital signs value set.
Vínculo: BodyLengthUnits (required): Common UCUM units for body length measures such as Body Height and Head Circumference.
Padrão necessário: cm
Observation.dataAbsentReason Este elemento deve ser suportado. C 0..1 CodeableConcept Why the result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Constraints: vs-3
Observation.component.modifierExtension Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 CodeableConcept Type of component observation (code / type)
Vínculo: VitalSigns (extensible): This identifies the vital sign result type.
Observation.component.value[x] Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..1 Vital Sign Value recorded with UCUM
Vínculo: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason Este elemento deve ser suportado. C 0..1 CodeableConcept Why the component result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Observation.status Base required ObservationStatus 📍4.0.1 a norma FHIR
Observation.category Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.code Base extensible Vital Signs 📍4.0.1 a norma FHIR
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 a norma FHIR
Observation.value[x]:valueQuantity.​code Base required Body Length Units 📍4.0.1 a norma FHIR
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR
Observation.component.​code Base extensible Vital Signs 📍4.0.1 a norma FHIR
Observation.component.​value[x] Base extensible Vital Signs Units 📍4.0.1 a norma FHIR
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1 error Observation.effective[x] if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3 error Observation.component If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

This structure is derived from observation-headcircum

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: doco
Observation 0..* observation-headcircum FHIR Head Circumference Profile
Observation.code
Observation.code.coding 2..* Coding Code defined by a terminology system
Observation.code.Fatias para coding Conteúdo/regras para todas as fatias
Observation.code.Fatias para coding.coding:BirthHeadCircumCode Este elemento deve ser suportado. 1..1 Coding Code defined by a terminology system
Padrão necessário: Pelo menos os seguintes elementos
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.system 1..1 uri Identity of the terminology system
Valor fixo: http://loinc.org
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.code 1..1 code Symbol in syntax defined by the system
Valor fixo: 8290-9
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.display 1..1 string Representation defined by the system
Valor fixo: Head Occipital-frontal circumference --at birth- by Tape measure
Observation.subject 1..1 Reference(Perfil do recém-nascido) Who and/or what the observation is about
Observation.Fatias para value[x] Conteúdo/regras para todas as fatias
Observation.Fatias para value[x].value[x]:valueQuantity 0..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Observation.Fatias para value[x].value[x]:valueQuantity.code 1..1 code Coded responses from the common UCUM units for vital signs value set.
Padrão necessário: cm

doco Documentação para este formato
NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: doco
Observation C 0..* observation-headcircum FHIR Head Circumference Profile
Constraints: obs-6, obs-7, vs-2
Observation.id Este elemento está incluído nos resumos. 0..1 id Logical id of this artifact
Observation.meta Este elemento está incluído nos resumos. 0..1 Meta Metadata about the resource
Observation.implicitRules Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionaisObjetivo
AllLanguages Vínculo máximo
Observation.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension Este elemento é um elemento modificador. 0..* Extension Extensions that cannot be ignored
Observation.identifier Este elemento está incluído nos resumos. 0..* Identifier Business Identifier for observation
Observation.basedOn Este elemento está incluído nos resumos. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf Este elemento está incluído nos resumos. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status Este elemento é um elemento modificador. Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 code registered | preliminary | final | amended +
Vínculo: ObservationStatus (required)
Observation.Fatias para category Este elemento deve ser suportado. 1..* CodeableConcept Classification of type of observation
Fatia: Não ordenado, Aberto por value:coding.code, value:coding.system
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Fatias para category.category:VSCat Este elemento deve ser suportado. 1..1 CodeableConcept Classification of type of observation
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Fatias para category.category:VSCat.id 0..1 string Unique id for inter-element referencing
Observation.Fatias para category.category:VSCat.extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
Observation.Fatias para category.category:VSCat.coding Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..* Coding Code defined by a terminology system
Observation.Fatias para category.category:VSCat.coding.id 0..1 string Unique id for inter-element referencing
Observation.Fatias para category.category:VSCat.coding.extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
Observation.Fatias para category.category:VSCat.coding.system Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 uri Identity of the terminology system
Valor fixo: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Fatias para category.category:VSCat.coding.version Este elemento está incluído nos resumos. 0..1 string Version of the system - if relevant
Observation.Fatias para category.category:VSCat.coding.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 code Symbol in syntax defined by the system
Valor fixo: vital-signs
Observation.Fatias para category.category:VSCat.coding.display Este elemento está incluído nos resumos. 0..1 string Representation defined by the system
Observation.Fatias para category.category:VSCat.coding.userSelected Este elemento está incluído nos resumos. 0..1 boolean If this coding was chosen directly by the user
Observation.Fatias para category.category:VSCat.text Este elemento está incluído nos resumos. 0..1 string Plain text representation of the concept
Observation.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 CodeableConcept Head Circumference
Vínculo: VitalSigns (extensible): This identifies the vital sign result type.
Observation.code.id 0..1 string Unique id for inter-element referencing
Observation.code.extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
Observation.code.Fatias para coding Este elemento está incluído nos resumos. 2..* Coding Code defined by a terminology system
Fatia: Não ordenado, Aberto por value:code, value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.code.Fatias para coding.coding:HeadCircumCode Este elemento está incluído nos resumos. 1..1 Coding Code defined by a terminology system
Observation.code.Fatias para coding.coding:HeadCircumCode.id 0..1 string Unique id for inter-element referencing
Observation.code.Fatias para coding.coding:HeadCircumCode.extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
Observation.code.Fatias para coding.coding:HeadCircumCode.system Este elemento está incluído nos resumos. 1..1 uri Identity of the terminology system
Valor fixo: http://loinc.org
Observation.code.Fatias para coding.coding:HeadCircumCode.version Este elemento está incluído nos resumos. 0..1 string Version of the system - if relevant
Observation.code.Fatias para coding.coding:HeadCircumCode.code Este elemento está incluído nos resumos. 1..1 code Symbol in syntax defined by the system
Valor fixo: 9843-4
Observation.code.Fatias para coding.coding:HeadCircumCode.display Este elemento está incluído nos resumos. 0..1 string Representation defined by the system
Observation.code.Fatias para coding.coding:HeadCircumCode.userSelected Este elemento está incluído nos resumos. 0..1 boolean If this coding was chosen directly by the user
Observation.code.Fatias para coding.coding:BirthHeadCircumCode Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 Coding Code defined by a terminology system

Padrão necessário: Pelo menos os seguintes elementos
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.id 0..1 string Unique id for inter-element referencing
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.extension 0..* Extension Additional content defined by implementations
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.system 1..1 uri Identity of the terminology system
Valor fixo: http://loinc.org
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.version 0..1 string Version of the system - if relevant
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.code 1..1 code Symbol in syntax defined by the system
Valor fixo: 8290-9
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.display 1..1 string Representation defined by the system
Valor fixo: Head Occipital-frontal circumference --at birth- by Tape measure
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.code.text Este elemento está incluído nos resumos. 0..1 string Plain text representation of the concept
Observation.subject Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 Reference(Perfil do recém-nascido) Who and/or what the observation is about
Observation.focus Este elemento está incluído nos resumos. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter Este elemento está incluído nos resumos. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 1..1 Often just a dateTime for Vital Signs
Constraints: vs-1
Observation.effective[x].effectiveDateTime dateTime
Observation.effective[x].effectivePeriod Period
Observation.issued Este elemento está incluído nos resumos. 0..1 instant Date/Time this version was made available
Observation.performer Este elemento está incluído nos resumos. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.Fatias para value[x] Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Fatia: Não ordenado, Fechado por type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Fatias para value[x].value[x]:valueQuantity Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Observation.Fatias para value[x].value[x]:valueQuantity.id 0..1 string Unique id for inter-element referencing
Observation.Fatias para value[x].value[x]:valueQuantity.extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
Observation.Fatias para value[x].value[x]:valueQuantity.value Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 decimal Numerical value (with implicit precision)
Observation.Fatias para value[x].value[x]:valueQuantity.comparator Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..1 code < | <= | >= | > - how to understand the value
Vínculo: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Fatias para value[x].value[x]:valueQuantity.unit Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 string Unit representation
Observation.Fatias para value[x].value[x]:valueQuantity.system Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 1..1 uri System that defines coded unit form
Valor fixo: http://unitsofmeasure.org
Observation.Fatias para value[x].value[x]:valueQuantity.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 code Coded responses from the common UCUM units for vital signs value set.
Vínculo: BodyLengthUnits (required): Common UCUM units for body length measures such as Body Height and Head Circumference.
Padrão necessário: cm
Observation.dataAbsentReason Este elemento deve ser suportado. C 0..1 CodeableConcept Why the result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Vínculo: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Vínculo: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Vínculo: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember Este elemento está incluído nos resumos. 0..* Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) Used when reporting vital signs panel components
Observation.derivedFrom Este elemento está incluído nos resumos. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) Related measurements the observation is made from
Observation.component Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Constraints: vs-3
Observation.component.id 0..1 string Unique id for inter-element referencing
Observation.component.extension 0..* Extension Additional content defined by implementations
Observation.component.modifierExtension Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 CodeableConcept Type of component observation (code / type)
Vínculo: VitalSigns (extensible): This identifies the vital sign result type.
Observation.component.value[x] Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..1 Vital Sign Value recorded with UCUM
Vínculo: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason Este elemento deve ser suportado. C 0..1 CodeableConcept Why the component result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation 0..* CodeableConcept High, low, normal, etc.
Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.referenceRange 0..* Ver referenceRange (Observation) Provides guide for interpretation of component result

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Observation.language Base preferred Common Languages 📍4.0.1 a norma FHIR
Observation.status Base required ObservationStatus 📍4.0.1 a norma FHIR
Observation.category Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.code Base extensible Vital Signs 📍4.0.1 a norma FHIR
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 a norma FHIR
Observation.value[x]:valueQuantity.​code Base required Body Length Units 📍4.0.1 a norma FHIR
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 a norma FHIR
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 a norma FHIR
Observation.method Base example Observation Methods 📍4.0.1 a norma FHIR
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 a norma FHIR
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 a norma FHIR
Observation.component.​code Base extensible Vital Signs 📍4.0.1 a norma FHIR
Observation.component.​value[x] Base extensible Vital Signs Units 📍4.0.1 a norma FHIR
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()
vs-1 error Observation.effective[x] if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3 error Observation.component If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

This structure is derived from observation-headcircum

Resumo

Obrigatório: 1 elemento
Deve ser suportado: 1 elemento

Estruturas

Esta estrutura refere-se a estas outras estruturas:

Key Elements View

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: doco
Observation C 0..* observation-headcircum FHIR Head Circumference Profile
Constraints: obs-6, obs-7, vs-2
Observation.implicitRules Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..1 uri A set of rules under which this content was created
Observation.modifierExtension Este elemento é um elemento modificador. 0..* Extension Extensions that cannot be ignored
Observation.status Este elemento é um elemento modificador. Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 code registered | preliminary | final | amended +
Vínculo: ObservationStatus (required)
Observation.Fatias para category Este elemento deve ser suportado. 1..* CodeableConcept Classification of type of observation
Fatia: Não ordenado, Aberto por value:coding.code, value:coding.system
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Fatias para category.category:VSCat Este elemento deve ser suportado. 1..1 CodeableConcept Classification of type of observation
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Fatias para category.category:VSCat.coding Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..* Coding Code defined by a terminology system
Observation.Fatias para category.category:VSCat.coding.system Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 uri Identity of the terminology system
Valor fixo: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Fatias para category.category:VSCat.coding.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 code Symbol in syntax defined by the system
Valor fixo: vital-signs
Observation.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 CodeableConcept Head Circumference
Vínculo: VitalSigns (extensible): This identifies the vital sign result type.
Observation.code.Fatias para coding Este elemento está incluído nos resumos. 2..* Coding Code defined by a terminology system
Fatia: Não ordenado, Aberto por value:code, value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.code.Fatias para coding.coding:HeadCircumCode Este elemento está incluído nos resumos. 1..1 Coding Code defined by a terminology system
Observation.code.Fatias para coding.coding:HeadCircumCode.system Este elemento está incluído nos resumos. 1..1 uri Identity of the terminology system
Valor fixo: http://loinc.org
Observation.code.Fatias para coding.coding:HeadCircumCode.code Este elemento está incluído nos resumos. 1..1 code Symbol in syntax defined by the system
Valor fixo: 9843-4
Observation.code.Fatias para coding.coding:BirthHeadCircumCode Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 Coding Code defined by a terminology system

Padrão necessário: Pelo menos os seguintes elementos
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.id 0..1 string Unique id for inter-element referencing
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.extension 0..* Extension Additional content defined by implementations
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.system 1..1 uri Identity of the terminology system
Valor fixo: http://loinc.org
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.version 0..1 string Version of the system - if relevant
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.code 1..1 code Symbol in syntax defined by the system
Valor fixo: 8290-9
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.display 1..1 string Representation defined by the system
Valor fixo: Head Occipital-frontal circumference --at birth- by Tape measure
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.subject Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 Reference(Perfil do recém-nascido) Who and/or what the observation is about
Observation.effective[x] Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 1..1 Often just a dateTime for Vital Signs
Constraints: vs-1
Observation.effective[x].effectiveDateTime dateTime
Observation.effective[x].effectivePeriod Period
Observation.Fatias para value[x] Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Fatia: Não ordenado, Fechado por type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Fatias para value[x].value[x]:valueQuantity Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Observation.Fatias para value[x].value[x]:valueQuantity.value Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 decimal Numerical value (with implicit precision)
Observation.Fatias para value[x].value[x]:valueQuantity.comparator Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..1 code < | <= | >= | > - how to understand the value
Vínculo: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Fatias para value[x].value[x]:valueQuantity.unit Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 string Unit representation
Observation.Fatias para value[x].value[x]:valueQuantity.system Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 1..1 uri System that defines coded unit form
Valor fixo: http://unitsofmeasure.org
Observation.Fatias para value[x].value[x]:valueQuantity.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 code Coded responses from the common UCUM units for vital signs value set.
Vínculo: BodyLengthUnits (required): Common UCUM units for body length measures such as Body Height and Head Circumference.
Padrão necessário: cm
Observation.dataAbsentReason Este elemento deve ser suportado. C 0..1 CodeableConcept Why the result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Constraints: vs-3
Observation.component.modifierExtension Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 CodeableConcept Type of component observation (code / type)
Vínculo: VitalSigns (extensible): This identifies the vital sign result type.
Observation.component.value[x] Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..1 Vital Sign Value recorded with UCUM
Vínculo: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason Este elemento deve ser suportado. C 0..1 CodeableConcept Why the component result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Observation.status Base required ObservationStatus 📍4.0.1 a norma FHIR
Observation.category Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.code Base extensible Vital Signs 📍4.0.1 a norma FHIR
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 a norma FHIR
Observation.value[x]:valueQuantity.​code Base required Body Length Units 📍4.0.1 a norma FHIR
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR
Observation.component.​code Base extensible Vital Signs 📍4.0.1 a norma FHIR
Observation.component.​value[x] Base extensible Vital Signs Units 📍4.0.1 a norma FHIR
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1 error Observation.effective[x] if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3 error Observation.component If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

Differential View

This structure is derived from observation-headcircum

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: doco
Observation 0..* observation-headcircum FHIR Head Circumference Profile
Observation.code
Observation.code.coding 2..* Coding Code defined by a terminology system
Observation.code.Fatias para coding Conteúdo/regras para todas as fatias
Observation.code.Fatias para coding.coding:BirthHeadCircumCode Este elemento deve ser suportado. 1..1 Coding Code defined by a terminology system
Padrão necessário: Pelo menos os seguintes elementos
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.system 1..1 uri Identity of the terminology system
Valor fixo: http://loinc.org
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.code 1..1 code Symbol in syntax defined by the system
Valor fixo: 8290-9
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.display 1..1 string Representation defined by the system
Valor fixo: Head Occipital-frontal circumference --at birth- by Tape measure
Observation.subject 1..1 Reference(Perfil do recém-nascido) Who and/or what the observation is about
Observation.Fatias para value[x] Conteúdo/regras para todas as fatias
Observation.Fatias para value[x].value[x]:valueQuantity 0..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Observation.Fatias para value[x].value[x]:valueQuantity.code 1..1 code Coded responses from the common UCUM units for vital signs value set.
Padrão necessário: cm

doco Documentação para este formato

Snapshot View

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: doco
Observation C 0..* observation-headcircum FHIR Head Circumference Profile
Constraints: obs-6, obs-7, vs-2
Observation.id Este elemento está incluído nos resumos. 0..1 id Logical id of this artifact
Observation.meta Este elemento está incluído nos resumos. 0..1 Meta Metadata about the resource
Observation.implicitRules Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionaisObjetivo
AllLanguages Vínculo máximo
Observation.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension Este elemento é um elemento modificador. 0..* Extension Extensions that cannot be ignored
Observation.identifier Este elemento está incluído nos resumos. 0..* Identifier Business Identifier for observation
Observation.basedOn Este elemento está incluído nos resumos. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf Este elemento está incluído nos resumos. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status Este elemento é um elemento modificador. Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 code registered | preliminary | final | amended +
Vínculo: ObservationStatus (required)
Observation.Fatias para category Este elemento deve ser suportado. 1..* CodeableConcept Classification of type of observation
Fatia: Não ordenado, Aberto por value:coding.code, value:coding.system
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Fatias para category.category:VSCat Este elemento deve ser suportado. 1..1 CodeableConcept Classification of type of observation
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Fatias para category.category:VSCat.id 0..1 string Unique id for inter-element referencing
Observation.Fatias para category.category:VSCat.extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
Observation.Fatias para category.category:VSCat.coding Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..* Coding Code defined by a terminology system
Observation.Fatias para category.category:VSCat.coding.id 0..1 string Unique id for inter-element referencing
Observation.Fatias para category.category:VSCat.coding.extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
Observation.Fatias para category.category:VSCat.coding.system Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 uri Identity of the terminology system
Valor fixo: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Fatias para category.category:VSCat.coding.version Este elemento está incluído nos resumos. 0..1 string Version of the system - if relevant
Observation.Fatias para category.category:VSCat.coding.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 code Symbol in syntax defined by the system
Valor fixo: vital-signs
Observation.Fatias para category.category:VSCat.coding.display Este elemento está incluído nos resumos. 0..1 string Representation defined by the system
Observation.Fatias para category.category:VSCat.coding.userSelected Este elemento está incluído nos resumos. 0..1 boolean If this coding was chosen directly by the user
Observation.Fatias para category.category:VSCat.text Este elemento está incluído nos resumos. 0..1 string Plain text representation of the concept
Observation.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 CodeableConcept Head Circumference
Vínculo: VitalSigns (extensible): This identifies the vital sign result type.
Observation.code.id 0..1 string Unique id for inter-element referencing
Observation.code.extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
Observation.code.Fatias para coding Este elemento está incluído nos resumos. 2..* Coding Code defined by a terminology system
Fatia: Não ordenado, Aberto por value:code, value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.code.Fatias para coding.coding:HeadCircumCode Este elemento está incluído nos resumos. 1..1 Coding Code defined by a terminology system
Observation.code.Fatias para coding.coding:HeadCircumCode.id 0..1 string Unique id for inter-element referencing
Observation.code.Fatias para coding.coding:HeadCircumCode.extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
Observation.code.Fatias para coding.coding:HeadCircumCode.system Este elemento está incluído nos resumos. 1..1 uri Identity of the terminology system
Valor fixo: http://loinc.org
Observation.code.Fatias para coding.coding:HeadCircumCode.version Este elemento está incluído nos resumos. 0..1 string Version of the system - if relevant
Observation.code.Fatias para coding.coding:HeadCircumCode.code Este elemento está incluído nos resumos. 1..1 code Symbol in syntax defined by the system
Valor fixo: 9843-4
Observation.code.Fatias para coding.coding:HeadCircumCode.display Este elemento está incluído nos resumos. 0..1 string Representation defined by the system
Observation.code.Fatias para coding.coding:HeadCircumCode.userSelected Este elemento está incluído nos resumos. 0..1 boolean If this coding was chosen directly by the user
Observation.code.Fatias para coding.coding:BirthHeadCircumCode Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 Coding Code defined by a terminology system

Padrão necessário: Pelo menos os seguintes elementos
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.id 0..1 string Unique id for inter-element referencing
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.extension 0..* Extension Additional content defined by implementations
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.system 1..1 uri Identity of the terminology system
Valor fixo: http://loinc.org
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.version 0..1 string Version of the system - if relevant
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.code 1..1 code Symbol in syntax defined by the system
Valor fixo: 8290-9
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.display 1..1 string Representation defined by the system
Valor fixo: Head Occipital-frontal circumference --at birth- by Tape measure
Observation.code.Fatias para coding.coding:BirthHeadCircumCode.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.code.text Este elemento está incluído nos resumos. 0..1 string Plain text representation of the concept
Observation.subject Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 Reference(Perfil do recém-nascido) Who and/or what the observation is about
Observation.focus Este elemento está incluído nos resumos. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter Este elemento está incluído nos resumos. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 1..1 Often just a dateTime for Vital Signs
Constraints: vs-1
Observation.effective[x].effectiveDateTime dateTime
Observation.effective[x].effectivePeriod Period
Observation.issued Este elemento está incluído nos resumos. 0..1 instant Date/Time this version was made available
Observation.performer Este elemento está incluído nos resumos. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.Fatias para value[x] Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Fatia: Não ordenado, Fechado por type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Fatias para value[x].value[x]:valueQuantity Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Observation.Fatias para value[x].value[x]:valueQuantity.id 0..1 string Unique id for inter-element referencing
Observation.Fatias para value[x].value[x]:valueQuantity.extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
Observation.Fatias para value[x].value[x]:valueQuantity.value Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 decimal Numerical value (with implicit precision)
Observation.Fatias para value[x].value[x]:valueQuantity.comparator Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..1 code < | <= | >= | > - how to understand the value
Vínculo: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Fatias para value[x].value[x]:valueQuantity.unit Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 string Unit representation
Observation.Fatias para value[x].value[x]:valueQuantity.system Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 1..1 uri System that defines coded unit form
Valor fixo: http://unitsofmeasure.org
Observation.Fatias para value[x].value[x]:valueQuantity.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 code Coded responses from the common UCUM units for vital signs value set.
Vínculo: BodyLengthUnits (required): Common UCUM units for body length measures such as Body Height and Head Circumference.
Padrão necessário: cm
Observation.dataAbsentReason Este elemento deve ser suportado. C 0..1 CodeableConcept Why the result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Vínculo: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Vínculo: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Vínculo: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember Este elemento está incluído nos resumos. 0..* Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) Used when reporting vital signs panel components
Observation.derivedFrom Este elemento está incluído nos resumos. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) Related measurements the observation is made from
Observation.component Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Constraints: vs-3
Observation.component.id 0..1 string Unique id for inter-element referencing
Observation.component.extension 0..* Extension Additional content defined by implementations
Observation.component.modifierExtension Este elemento é um elemento modificador. Este elemento está incluído nos resumos. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code Este elemento deve ser suportado. Este elemento está incluído nos resumos. 1..1 CodeableConcept Type of component observation (code / type)
Vínculo: VitalSigns (extensible): This identifies the vital sign result type.
Observation.component.value[x] Este elemento deve ser suportado. Este elemento está incluído nos resumos. C 0..1 Vital Sign Value recorded with UCUM
Vínculo: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason Este elemento deve ser suportado. C 0..1 CodeableConcept Why the component result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation 0..* CodeableConcept High, low, normal, etc.
Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.referenceRange 0..* Ver referenceRange (Observation) Provides guide for interpretation of component result

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Observation.language Base preferred Common Languages 📍4.0.1 a norma FHIR
Observation.status Base required ObservationStatus 📍4.0.1 a norma FHIR
Observation.category Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.code Base extensible Vital Signs 📍4.0.1 a norma FHIR
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 a norma FHIR
Observation.value[x]:valueQuantity.​code Base required Body Length Units 📍4.0.1 a norma FHIR
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 a norma FHIR
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 a norma FHIR
Observation.method Base example Observation Methods 📍4.0.1 a norma FHIR
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 a norma FHIR
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 a norma FHIR
Observation.component.​code Base extensible Vital Signs 📍4.0.1 a norma FHIR
Observation.component.​value[x] Base extensible Vital Signs Units 📍4.0.1 a norma FHIR
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()
vs-1 error Observation.effective[x] if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3 error Observation.component If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

This structure is derived from observation-headcircum

Resumo

Obrigatório: 1 elemento
Deve ser suportado: 1 elemento

Estruturas

Esta estrutura refere-se a estas outras estruturas:

 

Other representations of profile: CSV, Excel, Schematron