<status value="active" /> <date value="2021-05-25" /> <publisher value="Secretaria da Saúde do Estado da Bahia" /> <description value="Diagnóstico emitido por um profissional durante uma Emêrgencia." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="DiagnosticReport" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" /> <derivation value="constraint" /> <differential> <element id="DiagnosticReport"> <path value="DiagnosticReport" /> <short value="Diagnóstico de Internação" /> <definition value="Diagnóstico emitido por um profissional durante uma Internação: seja no momento da Admissão ou ao longo da Internação em si." /> <alias value="Diagnóstico" /> <alias value="Conclusão Médica" /> <alias value="CID" /> </element> <element id="DiagnosticReport.extension:classificacaoDiagnosticoEmergencia"> <path value="DiagnosticReport.extension" /> <sliceName value="classificacaoDiagnosticoEmergencia" /> <definition value="Informações responsáveis pela classificação do Diagnóstico quanto a categoria ('Primário' ou 'Secundário') e origem ('Admissão' ou 'Atendimento')." /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://www.saude.ba.gov.br/fhir/r4/StructureDefinition/BAClassificacaoDiagnostico-1.0" /> </type> </element> <element id="DiagnosticReport.extension:statusDiagnostico"> <path value="DiagnosticReport.extension" /> <sliceName value="statusDiagnostico" /> <short value="Status do Diagnóstico" /> <definition value="Informações responsáveis pelo status do diagnóstico." /> <type> <code value="Extension" /> <profile value="http://www.saude.ba.gov.br/fhir/r4/StructureDefinition/BAStatusDiagnostico-1.0" /> </type> </element> <element id="DiagnosticReport.identifier"> <path value="DiagnosticReport.identifier" /> <min value="1" /> </element> <element id="DiagnosticReport.basedOn"> <path value="DiagnosticReport.basedOn" /> <max value="0" /> </element> <element id="DiagnosticReport.category.coding.system"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="DiagnosticReport.category.coding.system" /> <min value="1" /> </element> <element id="DiagnosticReport.category.coding.code"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="DiagnosticReport.category.coding.code" /> <min value="1" /> </element> <element id="DiagnosticReport.category.text"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="DiagnosticReport.category.text" /> <max value="0" /> </element> <element id="DiagnosticReport.code"> <path value="DiagnosticReport.code" /> <short value="Código do diagnóstico" /> <definition value="Código que descreve qual o diagnóstico encontrado" /> <comment value="No momento ficará com o valor fixo '10210-3' -> 'Physical findings of General status Narrative'" /> </element> <element id="DiagnosticReport.code.coding.system"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="DiagnosticReport.code.coding.system" /> <min value="1" /> </element> <element id="DiagnosticReport.code.coding.code"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="DiagnosticReport.code.coding.code" /> <min value="1" /> </element> <element id="DiagnosticReport.code.coding.userSelected"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="DiagnosticReport.code.coding.userSelected" /> <max value="0" /> </element> <element id="DiagnosticReport.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="DiagnosticReport.code.text" /> <max value="0" /> </element> <element id="DiagnosticReport.subject"> <path value="DiagnosticReport.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.ba.gov.br/fhir/r4/StructureDefinition/BAPaciente-1.0" /> </type> </element> <element id="DiagnosticReport.encounter"> <path value="DiagnosticReport.encounter" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.ba.gov.br/fhir/r4/StructureDefinition/BAEmergencia-1.0" /> </type> </element> <element id="DiagnosticReport.effective[x]"> <path value="DiagnosticReport.effective[x]" /> <short value="Data do diagnóstico" /> <definition value="A partir de que momento o diagnóstico foi emitido e passa a ser válido" /> <max value="0" /> <type> <code value="dateTime" /> </type> </element> <element id="DiagnosticReport.issued"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="DiagnosticReport.issued" /> <short value="Data do diagnóstico" /> <definition value="A partir de que momento o diagnóstico foi emitido e passa a ser válido" /> </element> <element id="DiagnosticReport.performer"> <path value="DiagnosticReport.performer" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> </type> </element> <element id="DiagnosticReport.resultsInterpreter"> <path value="DiagnosticReport.resultsInterpreter" /> <max value="0" /> </element> <element id="DiagnosticReport.specimen"> <path value="DiagnosticReport.specimen" /> <max value="0" /> </element> <element id="DiagnosticReport.imagingStudy"> <path value="DiagnosticReport.imagingStudy" /> <max value="0" /> </element> <element id="DiagnosticReport.media"> <path value="DiagnosticReport.media" /> <comment value="Pode ser usado futuramente, com a adição de imagens e laudos de exames. Por enquanto encontra-se sem uso" /> </element> <element id="DiagnosticReport.conclusionCode"> <path value="DiagnosticReport.conclusionCode" /> <short value="Código de conclusão" /> <definition value="Código que descreve a conclusão alcançada após um ou mais encontros assistenciais" /> <min value="1" /> <binding> <strength value="required" /> <description value="Código CID-10 do diagnóstico" /> <valueSet value="http://www.saude.ba.gov.br/fhir/r4/ValueSet/BACID-10-1.0" /> </binding> </element> <element id="DiagnosticReport.presentedForm"> <path value="DiagnosticReport.presentedForm" /> <max value="0" /> </element> </differential> </StructureDefinition>