• dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
  contained.contained.empty()
• dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
  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-6: A resource should have narrative for robust management
  text.`div`.exists()
• dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
  contained.meta.security.empty()

• rim: Entity. Role, or Act
• v2: PRD (as one example)
• rim: Role
• servd: Provider

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• rim: N/A

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• rim: N/A
• rim: Act.text?

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

• rim: Entity. Role, or Act
• rim: N/A

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.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1: Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim: n/a
• rim: N/A

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.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1: Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim: n/a
• rim: N/A

• rim: n/a

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.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1: Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim: n/a
• rim: N/A

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

https://www.samisaude.com.br/fhir/StructureDefinition/practitioner-birthTime

• rim: N/A

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• rim: N/A

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.

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.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1: Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim: n/a
• rim: N/A

Freqüentemente, identidades específicas são atribuídas ao agente.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
• rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
• servd: Identifier
• w5: FiveWs.identifier
• v2: PRD-7 (or XCN.1)
• rim: ./id
• servd: ./Identifiers

• rim: n/a

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.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1: Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim: n/a
• rim: N/A

Permite que o identificador apropriado para um determinado contexto de uso seja selecionado entre um conjunto de identificadores.

Os aplicativos podem presumir que um identificador é permanente, a menos que diga explicitamente que é temporário.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: N/A
• rim: Role.code or implied by context

Permite que os usuários façam uso de identificadores quando o sistema de identificadores não for conhecido.

Este elemento lida apenas com categorias gerais de identificadores. Ele NÃO DEVE ser usado para códigos que correspondem a 1..1 com o Identifier.system. Alguns identificadores podem se enquadrar em várias categorias devido ao uso comum. Onde o sistema é conhecido, um tipo é desnecessário porque o tipo sempre faz parte da definição do sistema. No entanto, os sistemas geralmente precisam lidar com identificadores onde o sistema não é conhecido. Não há uma relação 1: 1 entre o tipo e o sistema, uma vez que muitos sistemas diferentes têm o mesmo tipo.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: CE/CNE/CWE
• rim: CD
• orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
• v2: CX.5
• rim: Role.code or implied by context

Existem muitos conjuntos de identificadores. Para realizar a correspondência de dois identificadores, precisamos saber com qual conjunto estamos lidando. O sistema identifica um determinado conjunto de identificadores exclusivos.

Identifier.system sempre diferencia maiúsculas de minúsculas.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: CX.4 / EI-2-4
• rim: II.root or Role.id.root
• servd: ./IdentifierType

Se o valor for um URI completo, o sistema DEVE ser urn: ietf: rfc: 3986. O objetivo principal do valor é o mapeamento computacional. Como resultado, pode ser normalizado para fins de comparação (por exemplo, removendo espaços em branco não significativos, travessões, etc.) Um valor formatado para exibição humana pode ser transmitido usando a [extensão Valor renderizado] (extensão-valor renderizado.html). Identifier.value deve ser tratado com distinção entre maiúsculas e minúsculas, a menos que o conhecimento do Identifier.system permita que o processador tenha certeza de que o processamento sem distinção entre maiúsculas e minúsculas é seguro.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: CX.1 / EI.1
• rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
• servd: ./Value

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• per-1: If present, start SHALL have a lower value than end
  start.hasValue().not() or end.hasValue().not() or (start <= end)

• rim: n/a
• v2: DR
• rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
• v2: CX.7 + CX.8
• rim: Role.effectiveTime or implied by context
• servd: ./StartDate and ./EndDate

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ref-1: SHALL have a contained resource if a local reference is provided
  reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

• rim: n/a
• rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
• v2: CX.4 / (CX.4,CX.9,CX.10)
• rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
• servd: ./IdentifierIssuingAuthority

Need to be able to mark a practitioner record as not to be used because it was created in error.

If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• w5: FiveWs.status
• rim: ./statusCode

O(s) nome(s) pelo(s) qual(is) o Praticante é conhecido. Onde houver vários, o nome pelo qual o médico é geralmente conhecido deve ser usado na exibição.

A seleção da propriedade use deve assegurar que haja um único nome usual especificado e outros usem o apelido (alias), old ou outros valores conforme apropriado.

Em geral, selecione o valor a ser usado em ResourceReference.display com base nisto:

1. Há mais de 1 nome
2. Use = usual
3. O período é atual até a data de uso
4. Use = oficial
5. Outra ordem conforme decidido pelas regras comerciais internas.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: XPN
• rim: EN (actually, PN)
• servd: ProviderName
• v2: XCN Components
• rim: ./name
• servd: ./PreferredName (GivenNames, FamilyName, TitleCode)

• rim: n/a

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.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1: Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim: n/a
• rim: N/A

Permite que o nome apropriado para um determinado contexto de uso seja selecionado entre um conjunto de nomes.

Os aplicativos podem assumir que um nome é atual, a menos que diga explicitamente que é temporário ou antigo.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: XPN.7, but often indicated by which field contains the name
• rim: unique(./use)
• servd: ./NamePurpose

Um formulário não codificado e passível de renderização.

Pode fornecer uma representação de texto e partes. Os aplicativos que atualizam um nome DEVEM garantir que, quando o texto e as partes estiverem presentes, nenhum conteúdo seja incluído no texto que não seja encontrado em uma parte.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: implied by XPN.11
• rim: ./formatted

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: XPN.1/FN.1
• rim: ./part[partType = FAM]
• servd: ./FamilyName

If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: XPN.2 + XPN.3
• rim: ./part[partType = GIV]
• servd: ./GivenNames

Note that FHIR strings SHALL NOT exceed 1MB in size

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: XPN.5
• rim: ./part[partType = PFX]
• servd: ./TitleCode

Note that FHIR strings SHALL NOT exceed 1MB in size

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: XPN/4
• rim: ./part[partType = SFX]

Allows names to be placed in historical context.

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• per-1: If present, start SHALL have a lower value than end
  start.hasValue().not() or end.hasValue().not() or (start <= end)

• rim: n/a
• v2: DR
• rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
• v2: XPN.13 + XPN.14
• rim: ./usablePeriod[type="IVL<TS>"]
• servd: ./StartDate and ./EndDate

Precisa saber como chegar a um profissional independente de quaisquer funções que ele possa ter.

A pessoa pode ter várias maneiras de ser contatada com diferentes usos ou períodos aplicáveis. Pode ser necessário ter opções para entrar em contato com a pessoa com urgência e ajudar na identificação. Normalmente, eles terão números de casa ou de celular que não são específicos da função.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• cpt-2: A system is required if a value is provided.
  value.empty() or system.exists()

• rim: n/a
• v2: XTN
• rim: TEL
• servd: ContactPoint
• v2: PRT-15, STF-10, ROL-12
• rim: ./telecom
• servd: ./ContactPoints

• rim: n/a

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.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1: Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim: n/a
• rim: N/A

Observe que as strings FHIR NÃO DEVEM exceder 1 MB de tamanho

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: XTN.3
• rim: ./scheme
• servd: ./ContactPointType

Precisa oferecer suporte a números legados que não estão em um formato rigidamente controlado.

Dados de texto adicionais, como números de ramais de telefone ou notas sobre o uso do contato, às vezes são incluídos no valor.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: XTN.1 (or XTN.12)
• rim: ./url
• servd: ./Value

Precisa rastrear a maneira como uma pessoa usa esse contato, para que o usuário possa escolher qual é apropriado para sua finalidade.

Os aplicativos podem presumir que um contato é atual, a menos que diga explicitamente que é temporário ou antigo.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: XTN.2 - but often indicated by field
• rim: unique(./use)
• servd: ./ContactPointPurpose

Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: n/a

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• per-1: If present, start SHALL have a lower value than end
  start.hasValue().not() or end.hasValue().not() or (start <= end)

• rim: n/a
• v2: DR
• rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
• v2: N/A
• rim: ./usablePeriod[type="IVL<TS>"]
• servd: ./StartDate and ./EndDate

O endereço residencial / postal do médico é frequentemente necessário para fins de administração de funcionários e também para alguns serviços de escala de serviço em que o ponto de partida (casa do médico) pode ser usado nos cálculos.

O PractitionerRole não possui um valor de endereço, pois é esperado que a propriedade location seja usada para esta finalidade (que possui um endereço).

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: XAD
• rim: AD
• servd: Address
• v2: ORC-24, STF-11, ROL-11, PRT-14
• rim: ./addr
• servd: ./Addresses

Necessário para se dirigir à pessoa corretamente.

Observe que as strings FHIR NÃO DEVEM exceder 1 MB de tamanho

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: STF-5
• rim: ./administrativeGender
• servd: ./GenderCode

Needed for identification.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: STF-6
• rim: ./birthTime
• servd: (not represented in ServD)

Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.

When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent".

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• att-1: If the Attachment has data, it SHALL have a contentType
  data.empty() or contentType.exists()

• rim: n/a
• v2: ED/RP
• rim: ED
• rim: ./subjectOf/ObservationEvent[code="photo"]/value
• servd: ./ImageURI (only supports the URI reference)

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: CER?
• rim: .playingEntity.playingRole[classCode=QUAL].code
• servd: ./Qualifications

• rim: n/a

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.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1: Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim: n/a
• rim: N/A

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.

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.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1: Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim: n/a
• rim: N/A

Often, specific identities are assigned for the qualification.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
• rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
• servd: Identifier
• rim: .playingEntity.playingRole[classCode=QUAL].id

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: CE/CNE/CWE
• rim: CD
• orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
• rim: .playingEntity.playingRole[classCode=QUAL].code
• servd: ./Qualifications.Value

Qualifications are often for a limited period of time, and can be revoked.

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• per-1: If present, start SHALL have a lower value than end
  start.hasValue().not() or end.hasValue().not() or (start <= end)

• rim: n/a
• v2: DR
• rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
• rim: .playingEntity.playingRole[classCode=QUAL].effectiveTime
• servd: ./Qualifications.StartDate and ./Qualifications.EndDate

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ref-1: SHALL have a contained resource if a local reference is provided
  reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

• rim: n/a
• rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
• rim: .playingEntity.playingRole[classCode=QUAL].scoper

Knowing which language a practitioner speaks can help in facilitating communication with patients.

The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

• ele-1: All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim: n/a
• v2: CE/CNE/CWE
• rim: CD
• orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
• v2: PID-15, NK1-20, LAN-2
• rim: ./languageCommunication
• servd: ./Languages.LanguageSpokenCode