Perfil do recurso Composition que cria as secções da noticia nascimento - HL7 PT FHIR Implementation Guide: Noticia de Nascimento v0.0.1

Categorization of Composition
Vínculo: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

subject

0..1

Reference(Patient | Practitioner | Group | Device | Location)

Who and/or what the composition is about

encounter

SΣ

1..1

Context of the Composition

date

1..1

Composition editing time

1..*

Who and/or what authored the composition

1..1

Human Readable name/title

confidentiality

0..1

As defined by affinity domain
Vínculo: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

attester

0..*

Attests to accuracy of composition

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

personal | professional | legal | official
Vínculo: CompositionAttestationMode (required): The way in which a person authenticated a composition.

time

0..1

When the composition was attested

party

0..1

Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)

Who attested the composition

custodian

0..1

Organization which maintains the composition

relatesTo

0..*

Relationships to other compositions/documents

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

replaces | transforms | signs | appends
Vínculo: DocumentRelationshipType (required): The type of relationship between documents.

target[x]

1..1

Target of the relationship

targetIdentifier

Identifier

targetReference

Reference(Composition)

event

0..*

The clinical service(s) being documented

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..*

Code(s) that apply to the event being documented
Vínculo: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.

period

0..1

Period

The period covered by the documentation

detail

0..*

The event(s) being documented

Fatias para section

8..*

Sections composing the IPS
Fatia: Não ordenado, Aberto por pattern:code
Constraints: cmp-1, cmp-2

section:Todas as fatias

Conteúdo/regras para todas as fatias

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:mother

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 10160-0

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(Perfil da mãe)

A reference to data that supports this section

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:pregnancy

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 56833-7

1..1

Representation defined by the system
Valor fixo: Pregnancy related history Narrative

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

Reference(Perfil de Informação de gravidez)

0..*

A reference to data that supports this section

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:birth

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 57074-7

1..1

Representation defined by the system
Valor fixo: Labor and delivery process Narrative

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

2..*

Reference(Perfil de Informação do Parto)

A reference to data that supports this section
Fatia: Não ordenado, Aberto por profile:resolve()

entry:birthInfo

1..1

A reference to data that supports this section

entry:episode

1..*

Reference(Encounter | Perfil sobre episódio da notícia de nascimento)

A reference to data that supports this section

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:newborn

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 57075-4

1..1

Representation defined by the system
Valor fixo: Newborn delivery information

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

Reference(Perfil do recém-nascido)

0..*

A reference to data that supports this section

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:exams

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 73738-7

1..1

Representation defined by the system
Valor fixo: Newborn screening test results panel - Point of Care

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

5..*

Reference(Observation Body Height Profile)

A reference to data that supports this section
Fatia: Não ordenado, Aberto por profile:resolve()

entry:length

0..1

Comprimento (cm)

entry:bodyweigth

1..1

Reference(Observation Body Weight Profile)

Peso (gr)

entry:cephalicPerimeter

1..1

Reference(Observation Head Circumference Profile)

Perímetro cefálico (cm)

entry:apgar

1..1

Reference(Perfil de informação clinicas - apgarScore)

Índice(s) apgar

entry:malformation

0..1

Reference(Perfil de informação clinicas - Dados de malformações)

A reference to data that supports this section

entry:Phototherapy

0..1

Reference(Perfil de informação clinicas - Fototerapia)

A reference to data that supports this section

entry:hearingscreen

0..1

Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal)

A reference to data that supports this section

entry:Congenital

1..1

Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas)

A reference to data that supports this section

entry:Metabolic

0..1

Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas)

A reference to data that supports this section

entry:Pupillary

1..1

Reference(Perfil de informação clinicas - Teste Reflexo pupilar)

Teste Reflexo pupilar

entry:newbornriskassessment

0..1

Reference(Perfil de Informação sobre Avaliação de risco e referenciação ao NHACJR)

Avaliação de risco e referenciação ao NHACJR

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:vaccination

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 11369-6

1..1

Representation defined by the system
Valor fixo: History of Immunization Narrative

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

3..*

Reference(Perfil de Informação sobre vacinação - hepb)

A reference to data that supports this section
Fatia: Não ordenado, Aberto por profile:resolve()

entry:vhb

1..1

A reference to data that supports this section

entry:bcg

1..1

Reference(Perfil de Informação sobre vacinação - BCG)

A reference to data that supports this section

entry:immuno

1..1

Reference(Perfil de Informação sobre vacinação - antid)

A reference to data that supports this section

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:followup

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 11544-4

1..1

Representation defined by the system
Valor fixo: Hospital discharge follow-up Narrative

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

Reference(Perfil para registar dados do puerpério até à alta)

A reference to data that supports this section
Fatia: Não ordenado, Aberto por profile:resolve()

entry:puerperium

1..1

A reference to data that supports this section

entry:childhealthsurveilance

0..1

Reference(Perfil da vigilância de saúde infantil)

A reference to data that supports this section

entry:bulletindelivery

0..1

Reference(Perfil de Informação sobre entrega de boletim)

A reference to data that supports this section

entry:letter

0..1

Reference(Perfil sobre Elaboração de carta com informação clínica suplementar)

A reference to data that supports this section

entry:nextappointment

0..1

Reference(Perfil de informação sobre Transportes)

A reference to data that supports this section

entry:transport

0..1

A reference to data that supports this section

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:destination

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://snomed.info/sct

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 45131006

1..1

Representation defined by the system
Valor fixo: Primary care hospital (environment)

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Documentação para este formato

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

Terminologia Ligações

Caminho	Estado	Utilização	Conjunto de valores	Versão	Fonte
Composition.language	Base	preferred	Common Languages	📍4.0.1	a norma FHIR
Composition.status	Base	required	CompositionStatus	📍4.0.1	a norma FHIR
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	a norma FHIR
Composition.category	Base	example	Document Class Value Set	📍4.0.1	a norma FHIR
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	a norma FHIR
Composition.attester.mode	Base	required	CompositionAttestationMode	📍4.0.1	a norma FHIR
Composition.relatesTo.code	Base	required	DocumentRelationshipType	📍4.0.1	a norma FHIR
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.1
Composition.section.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section.mode	Base	required	ListMode	📍4.0.1	a norma FHIR
Composition.section.orderedBy	Base	preferred	List Order Codes	📍4.0.1	a norma FHIR
Composition.section.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	a norma FHIR
Composition.section:mother.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:mother.mode	Base	required	ListMode	📍4.0.1	a norma FHIR
Composition.section:mother.orderedBy	Base	preferred	List Order Codes	📍4.0.1	a norma FHIR
Composition.section:mother.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	a norma FHIR
Composition.section:pregnancy.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:pregnancy.mode	Base	required	ListMode	📍4.0.1	a norma FHIR
Composition.section:pregnancy.orderedBy	Base	preferred	List Order Codes	📍4.0.1	a norma FHIR
Composition.section:pregnancy.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	a norma FHIR
Composition.section:birth.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:birth.mode	Base	required	ListMode	📍4.0.1	a norma FHIR
Composition.section:birth.orderedBy	Base	preferred	List Order Codes	📍4.0.1	a norma FHIR
Composition.section:birth.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	a norma FHIR
Composition.section:newborn.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:newborn.mode	Base	required	ListMode	📍4.0.1	a norma FHIR
Composition.section:newborn.orderedBy	Base	preferred	List Order Codes	📍4.0.1	a norma FHIR
Composition.section:newborn.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	a norma FHIR
Composition.section:exams.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:exams.mode	Base	required	ListMode	📍4.0.1	a norma FHIR
Composition.section:exams.orderedBy	Base	preferred	List Order Codes	📍4.0.1	a norma FHIR
Composition.section:exams.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	a norma FHIR
Composition.section:vaccination.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:vaccination.mode	Base	required	ListMode	📍4.0.1	a norma FHIR
Composition.section:vaccination.orderedBy	Base	preferred	List Order Codes	📍4.0.1	a norma FHIR
Composition.section:vaccination.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	a norma FHIR
Composition.section:followup.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:followup.mode	Base	required	ListMode	📍4.0.1	a norma FHIR
Composition.section:followup.orderedBy	Base	preferred	List Order Codes	📍4.0.1	a norma FHIR
Composition.section:followup.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	a norma FHIR
Composition.section:destination.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:destination.mode	Base	required	ListMode	📍4.0.1	a norma FHIR
Composition.section:destination.orderedBy	Base	preferred	List Order Codes	📍4.0.1	a norma FHIR
Composition.section:destination.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	a norma FHIR

Restrições

Id	Grau	Caminho(s)	Descrição	Expressão
cmp-1	error	Composition.section, Composition.section:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup, Composition.section:destination	A section must contain at least one of text, entries, or sub-sections	`text.exists() or entry.exists() or section.exists()`
cmp-2	error	Composition.section, Composition.section:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup, Composition.section:destination	A section can only have an emptyReason if it is empty	`emptyReason.empty() or entry.empty()`
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Composition	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	Composition	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	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Composition	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()`

This structure is derived from Clinical Document

Resumo

Obrigatório: 22 elementos
Deve ser suportado: 15 elementos
Proibido: 1 elemento

Estruturas

Esta estrutura refere-se a estas outras estruturas:

Fatias

Esta estrutura define os seguintes Slices:

The element 1 is sliced based on the value of Composition.section
The element 1 is sliced based on the value of Composition.section.entry

Key Elements View

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
Composition		0..*	Clinical Document	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Fatias para extension				Conteúdo/regras para todas as fatias
extension:versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	preliminary \| final \| amended \| entered-in-error Vínculo: CompositionStatus (required): The workflow/clinical status of the composition. Padrão necessário: final
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Vínculo: FHIRDocumentTypeCodes (preferred): Type of a composition. Padrão necessário: Pelo menos os seguintes elementos
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org/
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 71230-7
display		1..1	string	Representation defined by the system Valor fixo: Birth certificate
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
encounter	SΣ	1..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
Fatias para section	C	8..*	BackboneElement	Sections composing the IPS Fatia: Não ordenado, Aberto por pattern:code Constraints: cmp-1, cmp-2
section:Todas as fatias				Conteúdo/regras para todas as fatias
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
section:mother	SC	1..1	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 10160-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	SC	0..*	Reference(Perfil da mãe)	A reference to data that supports this section
section:pregnancy	SC	1..1	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 56833-7
display		1..1	string	Representation defined by the system Valor fixo: Pregnancy related history Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	SC	0..*	Reference(Perfil de Informação de gravidez)	A reference to data that supports this section
section:birth	SC	1..1	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 57074-7
display		1..1	string	Representation defined by the system Valor fixo: Labor and delivery process Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Fatias para entry	SC	2..*	Reference(Resource)	A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve()
entry:birthInfo	C	1..1	Reference(Perfil de Informação do Parto)	A reference to data that supports this section
entry:episode	C	1..*	Reference(Encounter \| Perfil sobre episódio da notícia de nascimento)	A reference to data that supports this section
section:newborn	SC	1..1	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 57075-4
display		1..1	string	Representation defined by the system Valor fixo: Newborn delivery information
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	SC	0..*	Reference(Perfil do recém-nascido)	A reference to data that supports this section
section:exams	SC	1..1	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 73738-7
display		1..1	string	Representation defined by the system Valor fixo: Newborn screening test results panel - Point of Care
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Fatias para entry	SC	5..*	Reference(Resource)	A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve()
entry:length	C	0..1	Reference(Observation Body Height Profile)	Comprimento (cm)
entry:bodyweigth	C	1..1	Reference(Observation Body Weight Profile)	Peso (gr)
entry:cephalicPerimeter	C	1..1	Reference(Observation Head Circumference Profile)	Perímetro cefálico (cm)
entry:apgar	C	1..1	Reference(Perfil de informação clinicas - apgarScore)	Índice(s) apgar
entry:malformation	C	0..1	Reference(Perfil de informação clinicas - Dados de malformações)	A reference to data that supports this section
entry:Phototherapy	C	0..1	Reference(Perfil de informação clinicas - Fototerapia)	A reference to data that supports this section
entry:hearingscreen	C	0..1	Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal)	A reference to data that supports this section
entry:Congenital	C	1..1	Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas)	A reference to data that supports this section
entry:Metabolic	C	0..1	Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas)	A reference to data that supports this section
entry:Pupillary	C	1..1	Reference(Perfil de informação clinicas - Teste Reflexo pupilar)	Teste Reflexo pupilar
entry:newbornriskassessment	C	0..1	Reference(Perfil de Informação sobre Avaliação de risco e referenciação ao NHACJR)	Avaliação de risco e referenciação ao NHACJR
section:vaccination	C	1..1	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 11369-6
display		1..1	string	Representation defined by the system Valor fixo: History of Immunization Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Fatias para entry	SC	3..*	Reference(Resource)	A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve()
entry:vhb	C	1..1	Reference(Perfil de Informação sobre vacinação - hepb)	A reference to data that supports this section
entry:bcg	C	1..1	Reference(Perfil de Informação sobre vacinação - BCG)	A reference to data that supports this section
entry:immuno	C	1..1	Reference(Perfil de Informação sobre vacinação - antid)	A reference to data that supports this section
section:followup	C	1..1	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 11544-4
display		1..1	string	Representation defined by the system Valor fixo: Hospital discharge follow-up Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Fatias para entry	SC	1..*	Reference(Resource)	A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve()
entry:puerperium	C	1..1	Reference(Perfil para registar dados do puerpério até à alta)	A reference to data that supports this section
entry:childhealthsurveilance	C	0..1	Reference(Perfil da vigilância de saúde infantil)	A reference to data that supports this section
entry:bulletindelivery	C	0..1	Reference(Perfil de Informação sobre entrega de boletim)	A reference to data that supports this section
entry:letter	C	0..1	Reference(Perfil sobre Elaboração de carta com informação clínica suplementar)	A reference to data that supports this section
entry:nextappointment	C	0..1	Reference(Encounter)	A reference to data that supports this section
entry:transport	C	0..1	Reference(Perfil de informação sobre Transportes)	A reference to data that supports this section
section:destination	C	1..1	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. Padrão necessário: Pelo menos os seguintes elementos
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 45131006
display		1..1	string	Representation defined by the system Valor fixo: Primary care hospital (environment)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
entry	SC	0..*	Reference(Organization)	A reference to data that supports this section
Documentação para este formato

Terminologia Ligações

Caminho	Estado	Utilização	Conjunto de valores	Versão	Fonte
Composition.status	Base	required	CompositionStatus	📍4.0.1	a norma FHIR
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	a norma FHIR
Composition.section.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:mother.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:pregnancy.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:birth.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:newborn.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:exams.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:vaccination.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:followup.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR
Composition.section:destination.code	Base	example	Document Section Codes	📍4.0.1	a norma FHIR

Restrições

Id	Grau	Caminho(s)	Descrição	Expressão
cmp-1	error	Composition.section, Composition.section:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup, Composition.section:destination	A section must contain at least one of text, entries, or sub-sections	`text.exists() or entry.exists() or section.exists()`
cmp-2	error	Composition.section, Composition.section:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup, Composition.section:destination	A section can only have an emptyReason if it is empty	`emptyReason.empty() or entry.empty()`
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Composition	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	Composition	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	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Composition	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()`

Differential View

This structure is derived from Clinical Document

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
Composition		0..*	Clinical Document	A set of resources composed into a single coherent clinical statement with clinical attestation
status		1..1	code	preliminary \| final \| amended \| entered-in-error Padrão necessário: final
type		1..1	CodeableConcept	Kind of composition (LOINC if possible) Padrão necessário: Pelo menos os seguintes elementos
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org/
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 71230-7
display		1..1	string	Representation defined by the system Valor fixo: Birth certificate
encounter	S	1..1	Reference(Encounter)	Context of the Composition
Fatias para section		8..*	BackboneElement	Sections composing the IPS Fatia: Não ordenado, Aberto por pattern:code
section:Todas as fatias				Conteúdo/regras para todas as fatias
code	S	1..1	CodeableConcept	Classification of section (recommended)
section		0..0		Nested Section
section:mother	S	1..1	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 10160-0
entry	S	0..*	Reference(Perfil da mãe)	A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve()
section:pregnancy	S	1..1	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 56833-7
display		1..1	string	Representation defined by the system Valor fixo: Pregnancy related history Narrative
entry	S	0..*	Reference(Perfil de Informação de gravidez)	A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve()
section:birth	S	1..1	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 57074-7
display		1..1	string	Representation defined by the system Valor fixo: Labor and delivery process Narrative
Fatias para entry	S	2..*	Reference(Resource)	A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve()
entry:birthInfo		1..1	Reference(Perfil de Informação do Parto)	A reference to data that supports this section
entry:episode		1..*	Reference(Encounter \| Perfil sobre episódio da notícia de nascimento)	A reference to data that supports this section
section:newborn	S	1..1	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 57075-4
display		1..1	string	Representation defined by the system Valor fixo: Newborn delivery information
entry	S	0..*	Reference(Perfil do recém-nascido)	A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve()
section:exams	S	1..1	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 73738-7
display		1..1	string	Representation defined by the system Valor fixo: Newborn screening test results panel - Point of Care
Fatias para entry	S	5..*	Reference(Resource)	A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve()
entry:length		0..1	Reference(Observation Body Height Profile)	Comprimento (cm)
entry:bodyweigth		1..1	Reference(Observation Body Weight Profile)	Peso (gr)
entry:cephalicPerimeter		1..1	Reference(Observation Head Circumference Profile)	Perímetro cefálico (cm)
entry:apgar		1..1	Reference(Perfil de informação clinicas - apgarScore)	Índice(s) apgar
entry:malformation		0..1	Reference(Perfil de informação clinicas - Dados de malformações)	A reference to data that supports this section
entry:Phototherapy		0..1	Reference(Perfil de informação clinicas - Fototerapia)	A reference to data that supports this section
entry:hearingscreen		0..1	Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal)	A reference to data that supports this section
entry:Congenital		1..1	Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas)	A reference to data that supports this section
entry:Metabolic		0..1	Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas)	A reference to data that supports this section
entry:Pupillary		1..1	Reference(Perfil de informação clinicas - Teste Reflexo pupilar)	Teste Reflexo pupilar
entry:newbornriskassessment		0..1	Reference(Perfil de Informação sobre Avaliação de risco e referenciação ao NHACJR)	Avaliação de risco e referenciação ao NHACJR
section:vaccination		1..1	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 11369-6
display		1..1	string	Representation defined by the system Valor fixo: History of Immunization Narrative
Fatias para entry	S	3..*	Reference(Resource)	A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve()
entry:vhb		1..1	Reference(Perfil de Informação sobre vacinação - hepb)	A reference to data that supports this section
entry:bcg		1..1	Reference(Perfil de Informação sobre vacinação - BCG)	A reference to data that supports this section
entry:immuno		1..1	Reference(Perfil de Informação sobre vacinação - antid)	A reference to data that supports this section
section:followup		1..1	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
system		1..1	uri	Identity of the terminology system Valor fixo: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 11544-4
display		1..1	string	Representation defined by the system Valor fixo: Hospital discharge follow-up Narrative
Fatias para entry	S	1..*	Reference(Resource)	A reference to data that supports this section Fatia: Não ordenado, Aberto por profile:resolve()
entry:puerperium		1..1	Reference(Perfil para registar dados do puerpério até à alta)	A reference to data that supports this section
entry:childhealthsurveilance		0..1	Reference(Perfil da vigilância de saúde infantil)	A reference to data that supports this section
entry:bulletindelivery		0..1	Reference(Perfil de Informação sobre entrega de boletim)	A reference to data that supports this section
entry:letter		0..1	Reference(Perfil sobre Elaboração de carta com informação clínica suplementar)	A reference to data that supports this section
entry:nextappointment		0..1	Reference(Encounter)	A reference to data that supports this section
entry:transport		0..1	Reference(Perfil de informação sobre Transportes)	A reference to data that supports this section
section:destination		1..1	BackboneElement	Composition is broken into sections
code		1..1	CodeableConcept	Classification of section (recommended) Padrão necessário: Pelo menos os seguintes elementos
coding		1..*	Coding	Code defined by a terminology system Valor fixo: (complexo)
system		1..1	uri	Identity of the terminology system Valor fixo: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Valor fixo: 45131006
display		1..1	string	Representation defined by the system Valor fixo: Primary care hospital (environment)
entry	S	0..*	Reference(Organization)	A reference to data that supports this section
Documentação para este formato

Snapshot View

Descrição e condicionalismos Filter: Filters

Composition

0..*

Clinical Document

A set of resources composed into a single coherent clinical statement with clinical attestation

0..1

Logical id of this artifact

category

0..*

Categorization of Composition
Vínculo: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

subject

0..1

Reference(Patient | Practitioner | Group | Device | Location)

Who and/or what the composition is about

encounter

SΣ

1..1

Context of the Composition

date

1..1

Composition editing time

1..*

Who and/or what authored the composition

1..1

Human Readable name/title

confidentiality

0..1

As defined by affinity domain
Vínculo: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

attester

0..*

Attests to accuracy of composition

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

personal | professional | legal | official
Vínculo: CompositionAttestationMode (required): The way in which a person authenticated a composition.

time

0..1

When the composition was attested

party

0..1

Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)

Who attested the composition

custodian

0..1

Organization which maintains the composition

relatesTo

0..*

Relationships to other compositions/documents

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

replaces | transforms | signs | appends
Vínculo: DocumentRelationshipType (required): The type of relationship between documents.

target[x]

1..1

Target of the relationship

targetIdentifier

Identifier

targetReference

Reference(Composition)

event

0..*

The clinical service(s) being documented

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..*

Code(s) that apply to the event being documented
Vínculo: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.

period

0..1

Period

The period covered by the documentation

detail

0..*

The event(s) being documented

Fatias para section

8..*

Sections composing the IPS
Fatia: Não ordenado, Aberto por pattern:code
Constraints: cmp-1, cmp-2

section:Todas as fatias

Conteúdo/regras para todas as fatias

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:mother

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 10160-0

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(Perfil da mãe)

A reference to data that supports this section

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:pregnancy

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 56833-7

1..1

Representation defined by the system
Valor fixo: Pregnancy related history Narrative

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

Reference(Perfil de Informação de gravidez)

0..*

A reference to data that supports this section

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:birth

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 57074-7

1..1

Representation defined by the system
Valor fixo: Labor and delivery process Narrative

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

2..*

Reference(Perfil de Informação do Parto)

A reference to data that supports this section
Fatia: Não ordenado, Aberto por profile:resolve()

entry:birthInfo

1..1

A reference to data that supports this section

entry:episode

1..*

Reference(Encounter | Perfil sobre episódio da notícia de nascimento)

A reference to data that supports this section

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:newborn

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 57075-4

1..1

Representation defined by the system
Valor fixo: Newborn delivery information

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

Reference(Perfil do recém-nascido)

0..*

A reference to data that supports this section

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:exams

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 73738-7

1..1

Representation defined by the system
Valor fixo: Newborn screening test results panel - Point of Care

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

5..*

Reference(Observation Body Height Profile)

A reference to data that supports this section
Fatia: Não ordenado, Aberto por profile:resolve()

entry:length

0..1

Comprimento (cm)

entry:bodyweigth

1..1

Reference(Observation Body Weight Profile)

Peso (gr)

entry:cephalicPerimeter

1..1

Reference(Observation Head Circumference Profile)

Perímetro cefálico (cm)

entry:apgar

1..1

Reference(Perfil de informação clinicas - apgarScore)

Índice(s) apgar

entry:malformation

0..1

Reference(Perfil de informação clinicas - Dados de malformações)

A reference to data that supports this section

entry:Phototherapy

0..1

Reference(Perfil de informação clinicas - Fototerapia)

A reference to data that supports this section

entry:hearingscreen

0..1

Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal)

A reference to data that supports this section

entry:Congenital

1..1

Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas)

A reference to data that supports this section

entry:Metabolic

0..1

Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas)

A reference to data that supports this section

entry:Pupillary

1..1

Reference(Perfil de informação clinicas - Teste Reflexo pupilar)

Teste Reflexo pupilar

entry:newbornriskassessment

0..1

Reference(Perfil de Informação sobre Avaliação de risco e referenciação ao NHACJR)

Avaliação de risco e referenciação ao NHACJR

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:vaccination

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 11369-6

1..1

Representation defined by the system
Valor fixo: History of Immunization Narrative

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

3..*

Reference(Perfil de Informação sobre vacinação - hepb)

A reference to data that supports this section
Fatia: Não ordenado, Aberto por profile:resolve()

entry:vhb

1..1

A reference to data that supports this section

entry:bcg

1..1

Reference(Perfil de Informação sobre vacinação - BCG)

A reference to data that supports this section

entry:immuno

1..1

Reference(Perfil de Informação sobre vacinação - antid)

A reference to data that supports this section

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:followup

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 11544-4

1..1

Representation defined by the system
Valor fixo: Hospital discharge follow-up Narrative

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

Reference(Perfil para registar dados do puerpério até à alta)

A reference to data that supports this section
Fatia: Não ordenado, Aberto por profile:resolve()

entry:puerperium

1..1

A reference to data that supports this section

entry:childhealthsurveilance

0..1

Reference(Perfil da vigilância de saúde infantil)

A reference to data that supports this section

entry:bulletindelivery

0..1

Reference(Perfil de Informação sobre entrega de boletim)

A reference to data that supports this section

entry:letter

0..1

Reference(Perfil sobre Elaboração de carta com informação clínica suplementar)

A reference to data that supports this section

entry:nextappointment

0..1

Reference(Perfil de informação sobre Transportes)

A reference to data that supports this section

entry:transport

0..1

A reference to data that supports this section

0..1

Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:destination

1..1

Composition is broken into sections
Constraints: cmp-1, cmp-2

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
Padrão necessário: Pelo menos os seguintes elementos

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Valor fixo: (complexo)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Valor fixo: http://snomed.info/sct

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Valor fixo: 45131006

1..1

Representation defined by the system
Valor fixo: Primary care hospital (environment)

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

0..1

working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1