HL7 PT FHIR Implementation Guide: Noticia de Nascimento
1.0.0 - STU1
HL7 PT FHIR Implementation Guide: Noticia de Nascimento
1.0.0 - STU1
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
| Active as of 2026-10-20 |
XML representation of the DestinationLM logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="DestinationLM"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Narrativa gerada: StructureDefinition DestinationLM</b></p><table border="0" cellpadding="0" cellspacing="0" class="xhtTableBorder0"><tr class="xhtRowBorder1"><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="O nome lógico do elemento">Nome</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Informações sobre a utilização do elemento">Bandeiras</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Número mínimo e máximo de vezes que o elemento pode aparecer na instância">Card.</a></th><th scope="col" style="; width: 100px" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Referência ao tipo do elemento">Tipo</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Informações adicionais sobre o elemento">Descrição e condicionalismos</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck1.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Elemento" class="hierarchy"/> <a href="StructureDefinition-DestinationLM-definitions.html#DestinationLM" title="Modelo Lógico - Dados da inscrição nos cuidados de saúde primários">DestinationLM</a><a name="DestinationLM"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://build.fhir.org/types.html#Base">Base</a></td><td style="" class="hierarchy xhtCellBorder0">Dados da inscrição nos cuidados de saúde primários (modelo)<br/><span class="xhtPieceBold">As instâncias deste modelo lógico podem ser objeto de uma referência</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck11.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Tipo de dados" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">DestinationLM.</span><a href="StructureDefinition-DestinationLM-definitions.html#DestinationLM.headquarters" title="Dados da unidade de saúde de inscrição">headquarters</a><a name="DestinationLM.headquarters"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Dados da unidade de saúde de inscrição</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Tipo de dados primitivos" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">DestinationLM.headquarters.</span><a href="StructureDefinition-DestinationLM-definitions.html#DestinationLM.headquarters.id" title="Identificador único da unidade de saúde de inscrição (presente no RNU – Registo Nacional de Utentes)">@id</a><a name="DestinationLM.headquarters.id"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Identificador único da unidade de saúde de inscrição (presente no RNU – Registo Nacional de Utentes)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck100.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Tipo de dados primitivos" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">DestinationLM.headquarters.</span><a href="StructureDefinition-DestinationLM-definitions.html#DestinationLM.headquarters.description" title="Serviço da instituição">description</a><a name="DestinationLM.headquarters.description"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Serviço da instituição</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Tipo de dados primitivos" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">DestinationLM.</span><a href="StructureDefinition-DestinationLM-definitions.html#DestinationLM.aces" title="Agrupamento do centro de saúde">aces</a><a name="DestinationLM.aces"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Agrupamento do centro de saúde</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Tipo de dados primitivos" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">DestinationLM.</span><a href="StructureDefinition-DestinationLM-definitions.html#DestinationLM.healthcardNumber" title="Nº de SNS do recém-nascido">healthcardNumber</a><a name="DestinationLM.healthcardNumber"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#integer">integer</a></td><td style="" class="hierarchy xhtCellBorder0">Nº de SNS do recém-nascido</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Tipo de dados primitivos" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">DestinationLM.</span><a href="StructureDefinition-DestinationLM-definitions.html#DestinationLM.healthExtension" title="Extensão de saúde">healthExtension</a><a name="DestinationLM.healthExtension"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Extensão de saúde</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Tipo de dados primitivos" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">DestinationLM.</span><a href="StructureDefinition-DestinationLM-definitions.html#DestinationLM.familyDoctor" title="Nome clinico do médico de família">familyDoctor</a><a name="DestinationLM.familyDoctor"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Nome clinico do médico de família</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck00.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Tipo de dados primitivos" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">DestinationLM.</span><a href="StructureDefinition-DestinationLM-definitions.html#DestinationLM.familyNurse" title="Nome clinico do enfermeiro de família">familyNurse</a><a name="DestinationLM.familyNurse"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Nome clinico do enfermeiro de família</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legenda para este formato"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentação para este formato</a></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics">
<valueCode value="can-be-target"/>
</extension>
<url
value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/DestinationLM"/>
<version value="1.0.0"/>
<name value="DestinationLM"/>
<title value="Dados da inscrição nos cuidados de saúde primários (modelo)"/>
<status value="active"/>
<date value="2026-10-20T10:47:32+00:00"/>
<publisher value="HL7 Portugal"/>
<contact>
<name value="HL7 Portugal"/>
<telecom>
<system value="url"/>
<value value="http://hl7.pt"/>
</telecom>
<telecom>
<system value="email"/>
<value value="info@hl7.pt"/>
</telecom>
</contact>
<contact>
<name value="HL7 Portugal"/>
<telecom>
<system value="email"/>
<value value="geral@hl7.pt"/>
<use value="work"/>
</telecom>
</contact>
<description
value="Modelo Lógico - Dados da inscrição nos cuidados de saúde primários"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="PT"/>
<display value="Portugal"/>
</coding>
</jurisdiction>
<fhirVersion value="4.0.1"/>
<kind value="logical"/>
<abstract value="false"/>
<type
value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/DestinationLM"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
<derivation value="specialization"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="4.0.1"/>
</extension>
<element id="DestinationLM">
<path value="DestinationLM"/>
<short
value="Dados da inscrição nos cuidados de saúde primários (modelo)"/>
<definition
value="Modelo Lógico - Dados da inscrição nos cuidados de saúde primários"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
</element>
<element id="DestinationLM.headquarters">
<path value="DestinationLM.headquarters"/>
<short value="Dados da unidade de saúde de inscrição"/>
<definition value="Dados da unidade de saúde de inscrição"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DestinationLM.headquarters"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
</element>
<element id="DestinationLM.headquarters.id">
<path value="DestinationLM.headquarters.id"/>
<representation value="xmlAttr"/>
<short
value="Identificador único da unidade de saúde de inscrição (presente no RNU – Registo Nacional de Utentes)"/>
<definition
value="Identificador único da unidade de saúde de inscrição (presente no RNU – Registo Nacional de Utentes)"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DestinationLM.headquarters.extension">
<path value="DestinationLM.headquarters.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DestinationLM.headquarters.modifierExtension">
<path value="DestinationLM.headquarters.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="DestinationLM.headquarters.description">
<path value="DestinationLM.headquarters.description"/>
<short value="Serviço da instituição"/>
<definition value="Serviço da instituição"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DestinationLM.headquarters.description"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="DestinationLM.aces">
<path value="DestinationLM.aces"/>
<short value="Agrupamento do centro de saúde"/>
<definition value="Agrupamento do centro de saúde"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DestinationLM.aces"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="DestinationLM.healthcardNumber">
<path value="DestinationLM.healthcardNumber"/>
<short value="Nº de SNS do recém-nascido"/>
<definition value="Nº de SNS do recém-nascido"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DestinationLM.healthcardNumber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="integer"/>
</type>
</element>
<element id="DestinationLM.healthExtension">
<path value="DestinationLM.healthExtension"/>
<short value="Extensão de saúde"/>
<definition value="Extensão de saúde"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DestinationLM.healthExtension"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="DestinationLM.familyDoctor">
<path value="DestinationLM.familyDoctor"/>
<short value="Nome clinico do médico de família"/>
<definition value="Nome clinico do médico de família"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DestinationLM.familyDoctor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="DestinationLM.familyNurse">
<path value="DestinationLM.familyNurse"/>
<short value="Nome clinico do enfermeiro de família"/>
<definition value="Nome clinico do enfermeiro de família"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DestinationLM.familyNurse"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
</snapshot>
<differential>
<element id="DestinationLM">
<path value="DestinationLM"/>
<short
value="Dados da inscrição nos cuidados de saúde primários (modelo)"/>
<definition
value="Modelo Lógico - Dados da inscrição nos cuidados de saúde primários"/>
</element>
<element id="DestinationLM.headquarters">
<path value="DestinationLM.headquarters"/>
<short value="Dados da unidade de saúde de inscrição"/>
<definition value="Dados da unidade de saúde de inscrição"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
</element>
<element id="DestinationLM.headquarters.id">
<path value="DestinationLM.headquarters.id"/>
<short
value="Identificador único da unidade de saúde de inscrição (presente no RNU – Registo Nacional de Utentes)"/>
<definition
value="Identificador único da unidade de saúde de inscrição (presente no RNU – Registo Nacional de Utentes)"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
</element>
<element id="DestinationLM.headquarters.description">
<path value="DestinationLM.headquarters.description"/>
<short value="Serviço da instituição"/>
<definition value="Serviço da instituição"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
</element>
<element id="DestinationLM.aces">
<path value="DestinationLM.aces"/>
<short value="Agrupamento do centro de saúde"/>
<definition value="Agrupamento do centro de saúde"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
</element>
<element id="DestinationLM.healthcardNumber">
<path value="DestinationLM.healthcardNumber"/>
<short value="Nº de SNS do recém-nascido"/>
<definition value="Nº de SNS do recém-nascido"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="integer"/>
</type>
</element>
<element id="DestinationLM.healthExtension">
<path value="DestinationLM.healthExtension"/>
<short value="Extensão de saúde"/>
<definition value="Extensão de saúde"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
</element>
<element id="DestinationLM.familyDoctor">
<path value="DestinationLM.familyDoctor"/>
<short value="Nome clinico do médico de família"/>
<definition value="Nome clinico do médico de família"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
</element>
<element id="DestinationLM.familyNurse">
<path value="DestinationLM.familyNurse"/>
<short value="Nome clinico do enfermeiro de família"/>
<definition value="Nome clinico do enfermeiro de família"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
</element>
</differential>
</StructureDefinition>