<status value="active" /> <description value="Este perfil representa as restrições aplicadas ao recurso br-core-composition" /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Composition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Composition" /> <derivation value="constraint" /> <snapshot> <element id="Composition"> <path value="Composition" /> <short value="A set of resources composed into a single coherent clinical statement with clinical attestation" /> <definition value="A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.)." /> <comment value="While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical." /> <min value="0" /> <max value="*" /> <base> <path value="Composition" /> <min value="0" /> <max value="*" /> </base> <constraint> <key value="dom-2" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" /> <expression value="contained.contained.empty()" /> <xpath value="not(parent::f:contained and f:contained)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-4" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" /> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-3" /> <severity value="error" /> <human value="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" /> <expression value="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()" /> <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." /> </extension> <key value="dom-6" /> <severity value="warning" /> <human value="A resource should have narrative for robust management" /> <expression value="text.`div`.exists()" /> <xpath value="exists(f:text/h:div)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-5" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a security label" /> <expression value="contained.meta.security.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:security))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <mapping> <identity value="rim" /> <map value="Entity. Role, or Act" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event" /> </mapping> <mapping> <identity value="rim" /> <map value="Document[classCode="DOC" and moodCode="EVN" and isNormalAct()]" /> </mapping> <mapping> <identity value="cda" /> <map value="ClinicalDocument" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="when described by DocumentReference" /> </mapping> </element> <element id="Composition.id"> <path value="Composition.id" /> <short value="ID lógico deste artefato" /> <definition value="ID lógico deste artefato" /> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <isSummary value="true" /> </element> <element id="Composition.meta"> <path value="Composition.meta" /> <short value="ID lógico deste artefato" /> <definition value="ID lógico deste artefato" /> <min value="0" /> <max value="1" /> <base> <path value="Resource.meta" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Meta" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.implicitRules"> <path value="Composition.implicitRules" /> <short value="Conjunto de regras utilizadas para a elaboração deste conteúdo" /> <definition value="Conjunto de regras utilizadas para a elaboração deste conteúdo" /> <comment value="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." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.implicitRules" /> <min value="0" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <condition value="ele-1" /> <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> <isModifier value="true" /> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Composition.language"> <path value="Composition.language" /> <short value="Idioma do conteúdo do recurso" /> <definition value="Idioma do conteúdo do recurso" /> <comment value="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)." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.language" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <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> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language" /> </extension> <strength value="preferred" /> <description value="A human language." /> <valueSet value="http://hl7.org/fhir/ValueSet/languages" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Composition.text"> <path value="Composition.text" /> <short value="Resumo do recurso para interpretação humana" /> <definition value="Resumo do recurso para interpretação humana" /> <comment value="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." /> <alias value="narrative" /> <alias value="html" /> <alias value="xhtml" /> <alias value="display" /> <min value="0" /> <max value="1" /> <base> <path value="DomainResource.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Narrative" /> </type> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="Act.text?" /> </mapping> </element> <element id="Composition.contained"> <path value="Composition.contained" /> <short value="Recursos contidos" /> <definition value="Recursos contidos neste artefato" /> <comment value="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." /> <alias value="inline resources" /> <alias value="anonymous resources" /> <alias value="contained resources" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.contained" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Resource" /> </type> <mapping> <identity value="rim" /> <map value="Entity. Role, or Act" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.extension"> <path value="Composition.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 resource. 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="DomainResource.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.modifierExtension"> <path value="Composition.modifierExtension" /> <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="Extensões que não podem ser ignoradas" /> <definition value="Extensões que não podem ser ignoradas" /> <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](extensibility.html#modifierExtension)." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.modifierExtension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <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 resource that contains them" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.identifier"> <path value="Composition.identifier" /> <short value="Identificador independente da versão da Composition" /> <definition value="Identificador independente da versão da Composition" /> <comment value="Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate." /> <min value="0" /> <max value="1" /> <base> <path value="Composition.identifier" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Identifier" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" /> </mapping> <mapping> <identity value="rim" /> <map value="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]" /> </mapping> <mapping> <identity value="servd" /> <map value="Identifier" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.identifier" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.identifier" /> </mapping> <mapping> <identity value="rim" /> <map value="Document.id / Document.setId" /> </mapping> <mapping> <identity value="cda" /> <map value=".setId" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.masterIdentifier" /> </mapping> </element> <element id="Composition.status"> <path value="Composition.status" /> <short value="Status/Situação da Composition" /> <definition value="Status/Situação da Composition: preliminar, definitivo, alterado, inserido com erro" /> <comment value="If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements. Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required." /> <requirements value="Need to be able to mark interim, amended, or withdrawn compositions or documents." /> <min value="1" /> <max value="1" /> <base> <path value="Composition.status" /> <min value="1" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <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> <isModifier value="true" /> <isModifierReason value="This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" /> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CompositionStatus" /> </extension> <strength value="required" /> <description value="The workflow/clinical status of the composition." /> <valueSet value="http://hl7.org/fhir/ValueSet/composition-status" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.status" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.status" /> </mapping> <mapping> <identity value="rim" /> <map value="interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete"" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.status" /> </mapping> </element> <element id="Composition.type"> <path value="Composition.type" /> <short value="Tipo da Composition" /> <definition value="Tipo da Composition (fixo em 'Sumário Internacional do Paciente)" /> <comment value="For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding." /> <requirements value="Key metadata element describing the composition, used in searching/filtering." /> <min value="1" /> <max value="1" /> <base> <path value="Composition.type" /> <min value="1" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DocumentType" /> </extension> <strength value="preferred" /> <description value="Type of a composition." /> <valueSet value="http://hl7.org/fhir/R4/valueset-doc-typecodes.html" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.code" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.class" /> </mapping> <mapping> <identity value="rim" /> <map value="./code" /> </mapping> <mapping> <identity value="cda" /> <map value=".code" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.type" /> </mapping> </element> <element id="Composition.type.id"> <path value="Composition.type.id" /> <representation value="xmlAttr" /> <short value="ID exclusivo para referência entre elementos" /> <definition value="ID exclusivo para referência entre elementos" /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Composition.type.extension"> <path value="Composition.type.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="Conteúdo adicional definido por implementações" /> <definition value="Conteúdo adicional definido por implementações" /> <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> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.type.coding"> <path value="Composition.type.coding" /> <short value="Código definido por uma terminologia" /> <definition value="Código definido por uma terminologia" /> <comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." /> <requirements value="Allows for alternative encodings within a code system, and translations to other code systems." /> <min value="0" /> <max value="*" /> <base> <path value="CodeableConcept.coding" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Coding" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" /> </mapping> <mapping> <identity value="rim" /> <map value="CV" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.1-8, C*E.10-22" /> </mapping> <mapping> <identity value="rim" /> <map value="union(., ./translation)" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" /> </mapping> </element> <element id="Composition.type.coding.id"> <path value="Composition.type.coding.id" /> <representation value="xmlAttr" /> <short value="ID exclusivo para referência entre elementos" /> <definition value="ID exclusivo para referência entre elementos" /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Composition.type.coding.extension"> <path value="Composition.type.coding.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="Conteúdo adicional definido por implementações" /> <definition value="Conteúdo adicional definido por implementações" /> <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> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.type.coding.system"> <path value="Composition.type.coding.system" /> <short value="Identificador do sistema de terminologia" /> <definition value="Identidficador do sistema de terminologia." /> <comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." /> <requirements value="Need to be unambiguous about the source of the definition of the symbol." /> <min value="0" /> <max value="1" /> <base> <path value="Coding.system" /> <min value="0" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.3" /> </mapping> <mapping> <identity value="rim" /> <map value="./codeSystem" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" /> </mapping> </element> <element id="Composition.type.coding.version"> <path value="Composition.type.coding.version" /> <short value="Versão da terminologia LOINC" /> <definition value="Versão da terminologia LOINC - se relevante" /> <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." /> <min value="0" /> <max value="1" /> <base> <path value="Coding.version" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.7" /> </mapping> <mapping> <identity value="rim" /> <map value="./codeSystemVersion" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" /> </mapping> </element> <element id="Composition.type.coding.code"> <path value="Composition.type.coding.code" /> <short value="Código conforme terminologia" /> <definition value="Código conforme terminologia." /> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" /> <requirements value="Need to refer to a particular code in the system." /> <min value="0" /> <max value="1" /> <base> <path value="Coding.code" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.1" /> </mapping> <mapping> <identity value="rim" /> <map value="./code" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" /> </mapping> </element> <element id="Composition.type.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Composition.type.coding.display" /> <short value="Descrição conforme definição da terminologia LOINC" /> <definition value="Descrição conforme definição da terminologia LOINC" /> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" /> <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." /> <min value="0" /> <max value="1" /> <base> <path value="Coding.display" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.2 - but note this is not well followed" /> </mapping> <mapping> <identity value="rim" /> <map value="CV.displayName" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" /> </mapping> </element> <element id="Composition.type.coding.userSelected"> <path value="Composition.type.coding.userSelected" /> <short value="Se esta codificação foi escolhida diretamente pelo usuário" /> <definition value="Se esta codificação foi escolhida diretamente pelo usuário" /> <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." /> <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." /> <min value="0" /> <max value="1" /> <base> <path value="Coding.userSelected" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="Sometimes implied by being first" /> </mapping> <mapping> <identity value="rim" /> <map value="CD.codingRationale" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]" /> </mapping> </element> <element id="Composition.type.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Composition.type.text" /> <short value="Representação em texto livre do conceito" /> <definition value="Representação em texto livre do conceito" /> <comment value="Very often the text is the same as a displayName of one of the codings." /> <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." /> <min value="0" /> <max value="1" /> <base> <path value="CodeableConcept.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.9. But note many systems use C*E.2 for this" /> </mapping> <mapping> <identity value="rim" /> <map value="./originalText[mediaType/code="text/plain"]/data" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" /> </mapping> </element> <element id="Composition.category"> <path value="Composition.category" /> <short value="Categorização da Composition" /> <definition value="Categorização da Composition" /> <comment value="This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD))." /> <requirements value="Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents." /> <min value="0" /> <max value="*" /> <base> <path value="Composition.category" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DocumentCategory" /> </extension> <strength value="example" /> <description value="High-level kind of a clinical document at a macro level." /> <valueSet value="http://hl7.org/fhir/R4/valueset-document-classcodes.html" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.subject" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.class" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumenttReference.category" /> </mapping> </element> <element id="Composition.subject"> <path value="Composition.subject" /> <short value="Sobre quem e/ou sobre o que é a Composition" /> <definition value="Sobre quem e/ou sobre o que é a Composition" /> <comment value="For clinical documents, this is usually the patient." /> <requirements value="Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about." /> <min value="0" /> <max value="1" /> <base> <path value="Composition.subject" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient" /> </type> <condition value="ele-1" /> <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="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.subject[x]" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode="SBJ"].role[typeCode="PAT"]" /> </mapping> <mapping> <identity value="cda" /> <map value=".recordTarget" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.subject" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.subject" /> </mapping> </element> <element id="Composition.subject.id"> <path value="Composition.subject.id" /> <representation value="xmlAttr" /> <short value="ID exclusivo para referência entre elementos" /> <definition value="ID exclusivo para referência entre elementos" /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Composition.subject.extension"> <path value="Composition.subject.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="Conteúdo adicional definido por implementações" /> <definition value="Conteúdo adicional definido por implementações" /> <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> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.subject.reference"> <path value="Composition.subject.reference" /> <short value="Referência literal, URL relativa, interna ou absoluta" /> <definition value="Referência literal, URL relativa, interna ou absoluta" /> <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server." /> <min value="0" /> <max value="1" /> <base> <path value="Reference.reference" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <condition value="ref-1" /> <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> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.subject.type"> <path value="Composition.subject.type" /> <short value="Tipo ao qual a referência se refere" /> <definition value="Tipo ao qual a referência se refere (por exemplo,'Paciente')" /> <comment value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." /> <min value="0" /> <max value="1" /> <base> <path value="Reference.type" /> <min value="0" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="FHIRResourceTypeExt" /> </extension> <strength value="extensible" /> <description value="Aa resource (or, for logical models, the URI of the logical model)." /> <valueSet value="http://hl7.org/fhir/ValueSet/resource-types" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.subject.identifier"> <path value="Composition.subject.identifier" /> <short value="Referência lógica, quando a referência literal não é conhecida" /> <definition value="Referência lógica, quando a referência literal não é conhecida" /> <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." /> <min value="0" /> <max value="1" /> <base> <path value="Reference.identifier" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Identifier" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" /> </mapping> <mapping> <identity value="rim" /> <map value="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]" /> </mapping> <mapping> <identity value="servd" /> <map value="Identifier" /> </mapping> <mapping> <identity value="rim" /> <map value=".identifier" /> </mapping> </element> <element id="Composition.subject.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Composition.subject.display" /> <short value="Texto alternativo para o recurso" /> <definition value="Texto alternativo para o recurso" /> <comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." /> <min value="0" /> <max value="1" /> <base> <path value="Reference.display" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.encounter"> <path value="Composition.encounter" /> <short value="Contato assistencial descrito nesta Composition" /> <definition value="Contato assistencial descrito nesta Composition" /> <comment value="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." /> <requirements value="Provides context for the composition and supports searching." /> <min value="0" /> <max value="1" /> <base> <path value="Composition.encounter" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-encounter" /> </type> <condition value="ele-1" /> <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="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.context" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.context" /> </mapping> <mapping> <identity value="rim" /> <map value="unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])" /> </mapping> <mapping> <identity value="cda" /> <map value=".componentOf.encompassingEncounter" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.context.encounter" /> </mapping> </element> <element id="Composition.date"> <path value="Composition.date" /> <short value="Data de edição da Composition" /> <definition value="Data de edição da Composition" /> <comment value="The Last Modified Date on the composition may be after the date of the document was attested without being changed." /> <requirements value="dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](bundle-definitions.html#Bundle.timestamp) is the date of packaging." /> <min value="1" /> <max value="1" /> <base> <path value="Composition.date" /> <min value="1" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.occurrence[x]" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.done[x]" /> </mapping> <mapping> <identity value="rim" /> <map value=".effectiveTime[type="TS"]" /> </mapping> <mapping> <identity value="cda" /> <map value=".effectiveTime" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.content.attachment.date, DocumentReference.created" /> </mapping> </element> <element id="Composition.author"> <path value="Composition.author" /> <short value="Quem e/ou o que foi o autor desta Composition" /> <definition value="Quem e/ou o que foi o autor desta Compositon" /> <comment value="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." /> <requirements value="Identifies who is responsible for the content." /> <min value="1" /> <max value="*" /> <base> <path value="Composition.author" /> <min value="1" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitioner" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitionerrole" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-relatedperson" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-organization" /> </type> <condition value="ele-1" /> <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="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.performer" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.author" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode="AUT"].role[classCode="ASSIGNED"]" /> </mapping> <mapping> <identity value="cda" /> <map value=".author.assignedAuthor" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.agent" /> </mapping> </element> <element id="Composition.title"> <path value="Composition.title" /> <short value="Sumário Internacional do Paciente" /> <definition value="Sumário Internacional do Paciente" /> <comment value="For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period." /> <min value="1" /> <max value="1" /> <base> <path value="Composition.title" /> <min value="1" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="./title" /> </mapping> <mapping> <identity value="cda" /> <map value=".title" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.description, DocumentReference.content.attachment.title" /> </mapping> </element> <element id="Composition.confidentiality"> <path value="Composition.confidentiality" /> <short value="Códigos que especificam o nível de confidencialidade da Composition" /> <definition value="Códigos que especificam o nível de confidencialidade da Composition" /> <comment value="The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not." /> <min value="0" /> <max value="1" /> <base> <path value="Composition.confidentiality" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DocumentConfidentiality" /> </extension> <strength value="required" /> <description value="Codes specifying the level of confidentiality of the composition." /> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value=".confidentialityCode" /> </mapping> <mapping> <identity value="cda" /> <map value=".confidentialityCode" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.securityLabel" /> </mapping> </element> <element id="Composition.attester"> <path value="Composition.attester" /> <short value="Responsável por atestar a acurácia da Composition" /> <definition value="Responsável por atestar a acurácia da Composition" /> <comment value="Only list each attester once." /> <requirements value="Identifies responsibility for the accuracy of the composition content." /> <min value="0" /> <max value="*" /> <base> <path value="Composition.attester" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]" /> </mapping> <mapping> <identity value="cda" /> <map value=".authenticator/.legalAuthenticator" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.authenticator" /> </mapping> </element> <element id="Composition.attester.id"> <path value="Composition.attester.id" /> <representation value="xmlAttr" /> <short value="ID exclusivo para referência entre elementos" /> <definition value="ID exclusivo para referência entre elementos" /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Composition.attester.extension"> <path value="Composition.attester.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="Conteúdo adicional definido por implementações" /> <definition value="Conteúdo adicional definido por implementações" /> <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> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.attester.modifierExtension"> <path value="Composition.attester.modifierExtension" /> <short value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> <definition value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> <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](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> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.attester.mode"> <path value="Composition.attester.mode" /> <short value="Métodolo utilizada para autenticar a Composition" /> <definition value="Métodolo utilizada para autenticar a Composition: pessoal, profissional, legal, oficial" /> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" /> <requirements value="Indicates the level of authority of the attestation." /> <min value="1" /> <max value="1" /> <base> <path value="Composition.attester.mode" /> <min value="1" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <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> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CompositionAttestationMode" /> </extension> <strength value="required" /> <description value="The way in which a person authenticated a composition." /> <valueSet value="http://hl7.org/fhir/R4/valueset-composition-attestation-mode.html" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="unique(./modeCode)" /> </mapping> <mapping> <identity value="cda" /> <map value="implied by .authenticator/.legalAuthenticator" /> </mapping> </element> <element id="Composition.attester.time"> <path value="Composition.attester.time" /> <short value="Quando a Composition foi atestada" /> <definition value="Quando a Composition foi atestada" /> <requirements value="Identifies when the information in the composition was deemed accurate. (Things may have changed since then.)." /> <min value="0" /> <max value="1" /> <base> <path value="Composition.attester.time" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="./time[type="TS" and isNormalDatatype()]" /> </mapping> <mapping> <identity value="cda" /> <map value=".authenticator.time" /> </mapping> </element> <element id="Composition.attester.party"> <path value="Composition.attester.party" /> <short value="Quem atestou a Composition" /> <definition value="Quem atestou a Composition" /> <comment value="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." /> <requirements value="Identifies who has taken on the responsibility for accuracy of the composition content." /> <min value="0" /> <max value="1" /> <base> <path value="Composition.attester.party" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-relatedperson" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitioner" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitionerrole" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-organization" /> </type> <condition value="ele-1" /> <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="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.witness" /> </mapping> <mapping> <identity value="rim" /> <map value="./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]" /> </mapping> <mapping> <identity value="cda" /> <map value=".authenticator.assignedEnttty" /> </mapping> </element> <element id="Composition.custodian"> <path value="Composition.custodian" /> <short value="Organização responsável pela custódia da Composition" /> <definition value="Identifica a organização ou grupo responsável pela composição." /> <comment value="This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged." /> <requirements value="Identifies where to go to find the current version, where to report issues, etc." /> <min value="0" /> <max value="1" /> <base> <path value="Composition.custodian" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-organization" /> </type> <condition value="ele-1" /> <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="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]" /> </mapping> <mapping> <identity value="cda" /> <map value=".custodian.assignedCustodian" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.custodian" /> </mapping> </element> <element id="Composition.relatesTo"> <path value="Composition.relatesTo" /> <short value="Relacionamentos com outras Compositions/Documents" /> <definition value="Relações que esta composição tem com outras composições ou recursos." /> <comment value="A document is a version specific composition." /> <min value="0" /> <max value="*" /> <base> <path value="Composition.relatesTo" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship" /> </mapping> <mapping> <identity value="cda" /> <map value=".relatedDocument" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.relatesTo" /> </mapping> </element> <element id="Composition.relatesTo.id"> <path value="Composition.relatesTo.id" /> <representation value="xmlAttr" /> <short value="Relacionamentos com outras composições/Documents" /> <definition value="Relacionamentos com outras composições/Documents" /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Composition.relatesTo.extension"> <path value="Composition.relatesTo.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="Conteúdo adicional definido por implementações" /> <definition value="Conteúdo adicional definido por implementações" /> <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> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.relatesTo.modifierExtension"> <path value="Composition.relatesTo.modifierExtension" /> <short value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> <definition value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> <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](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> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.relatesTo.code"> <path value="Composition.relatesTo.code" /> <short value="Alvo do relacionamento da composição" /> <definition value="Alvo do relacionamento da composição" /> <comment value="If this document appends another document, then the document cannot be fully understood without also accessing the referenced document." /> <min value="1" /> <max value="1" /> <base> <path value="Composition.relatesTo.code" /> <min value="1" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <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> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DocumentRelationshipType" /> </extension> <strength value="required" /> <description value="The type of relationship between documents." /> <valueSet value="http://hl7.org/fhir/R4/valueset-document-relationship-type.html" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship.typeCode" /> </mapping> <mapping> <identity value="cda" /> <map value=".relatedDocument.typeCode" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.relatesTo.code" /> </mapping> </element> <element id="Composition.relatesTo.target[x]"> <path value="Composition.relatesTo.target[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <short value="Relacionamento alvo" /> <definition value="Relacionamento alvo" /> <min value="1" /> <max value="1" /> <base> <path value="Composition.relatesTo.target[x]" /> <min value="1" /> <max value="1" /> </base> <type> <code value="Identifier" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Composition" /> </type> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value=".target[classCode="DOC", moodCode="EVN"].id" /> </mapping> <mapping> <identity value="cda" /> <map value=".relatedDocument.id" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.relatesTo.target" /> </mapping> </element> <element id="Composition.relatesTo.target[x]:targetReference"> <path value="Composition.relatesTo.target[x]" /> <sliceName value="targetReference" /> <short value="Referencia a composition alvo" /> <definition value="Referencia a composition alvo" /> <min value="0" /> <max value="1" /> <base> <path value="Composition.relatesTo.target[x]" /> <min value="1" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-composition" /> </type> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value=".target[classCode="DOC", moodCode="EVN"].id" /> </mapping> <mapping> <identity value="cda" /> <map value=".relatedDocument.id" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.relatesTo.target" /> </mapping> </element> <element id="Composition.event"> <path value="Composition.event" /> <short value="Serviços assistenciais documentados" /> <definition value="O serviço especializado como uma colonoscopia ou uma apendicectomia, sendo documentado." /> <comment value="The event needs to be consistent with the type element, though can provide further information if desired." /> <requirements value="Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event." /> <min value="0" /> <max value="*" /> <base> <path value="Composition.event" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']" /> </mapping> <mapping> <identity value="cda" /> <map value=".documentationOf.serviceEvent" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.event" /> </mapping> </element> <element id="Composition.event.id"> <path value="Composition.event.id" /> <representation value="xmlAttr" /> <short value="ID exclusivo para referência entre elementos" /> <definition value="Identificador único para o elemento dentro de um recurso (para referências internas). Este pode ser qualquer valor de string que não contenha espaços." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Composition.event.extension"> <path value="Composition.event.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="Conteúdo adicional definido por implementações" /> <definition value="Conteúdo adicional definido por implementações" /> <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> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.event.modifierExtension"> <path value="Composition.event.modifierExtension" /> <short value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> <definition value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> <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](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> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.event.code"> <path value="Composition.event.code" /> <short value="Código(s) aplicável(is) aos eventos documentados" /> <definition value="Esta lista de códigos representa os principais atos clínicos, como uma colonoscopia ou uma apendicectomia, sendo documentados. Em alguns casos, o evento é inerente ao typeCode, como um 'Histórico e Relatório Físico', no qual o procedimento documentado é necessariamente um ato de 'Histórico e Físico'." /> <comment value="An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries." /> <min value="0" /> <max value="*" /> <base> <path value="Composition.event.code" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <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> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DocumentEventType" /> </extension> <strength value="required" /> <description value="This list of codes represents the main clinical acts being documented." /> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActCode" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="rim" /> <map value=".code" /> </mapping> <mapping> <identity value="cda" /> <map value=".code" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.event.code" /> </mapping> </element> <element id="Composition.event.period"> <path value="Composition.event.period" /> <short value="O período de tempo coberto pela composition." /> <definition value="O período de tempo coberto pela composition. Não há afirmação de que a documentação seja uma representação completa para este período, apenas que documenta eventos durante esse tempo." /> <comment 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](datatypes.html#Duration)." /> <min value="0" /> <max value="1" /> <base> <path value="Composition.event.period" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Period" /> </type> <condition value="ele-1" /> <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="per-1" /> <severity value="error" /> <human value="If present, start SHALL have a lower value than end" /> <expression value="start.hasValue().not() or end.hasValue().not() or (start <= end)" /> <xpath value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))" /> <source value="http://hl7.org/fhir/StructureDefinition/Period" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="DR" /> </mapping> <mapping> <identity value="rim" /> <map value="IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]" /> </mapping> <mapping> <identity value="rim" /> <map value=".effectiveTime" /> </mapping> <mapping> <identity value="cda" /> <map value=".effectiveTime" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <map value="DocumentReference.event.period" /> </mapping> </element> <element id="Composition.event.detail"> <path value="Composition.event.detail" /> <short value="Referência aos eventos da Composition" /> <definition value="Referência aos eventos da Composition" /> <comment value="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." /> <min value="0" /> <max value="*" /> <base> <path value="Composition.event.detail" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" /> </type> <condition value="ele-1" /> <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="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode="SUBJ"].target" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Composition.section"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"> <valueString value="Section" /> </extension> <path value="Composition.section" /> <short value="A secção inicial da composition a partir da qual as demais seções são definidas" /> <definition value="A secção inicial da composition a partir da qual as demais seções são definidas" /> <min value="0" /> <max value="*" /> <base> <path value="Composition.section" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <condition value="ele-1" /> <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="cmp-1" /> <severity value="error" /> <human value="A section must contain at least one of text, entries, or sub-sections" /> <expression value="text.exists() or entry.exists() or section.exists()" /> <xpath value="exists(f:text) or exists(f:entry) or exists(f:section)" /> <source value="http://hl7.org/fhir/StructureDefinition/Composition" /> </constraint> <constraint> <key value="cmp-2" /> <severity value="error" /> <human value="A section can only have an emptyReason if it is empty" /> <expression value="emptyReason.empty() or entry.empty()" /> <xpath value="not(exists(f:emptyReason) and exists(f:entry))" /> <source value="http://hl7.org/fhir/StructureDefinition/Composition" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" /> </mapping> <mapping> <identity value="cda" /> <map value=".component.structuredBody.component.section" /> </mapping> </element> <element id="Composition.section.id"> <path value="Composition.section.id" /> <representation value="xmlAttr" /> <short value="Identificador exclusivo para referência entre elemento" /> <definition value="Identificador exclusivo para referência entre elementos" /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Composition.section.extension"> <path value="Composition.section.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="Conteúdo adicional definido por implementações" /> <definition value="Conteúdo adicional definido por implementações" /> <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> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.section.modifierExtension"> <path value="Composition.section.modifierExtension" /> <short value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> <definition value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> <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](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> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Composition.section.title"> <path value="Composition.section.title" /> <short value="Título da seção" /> <definition value="Título da seção do Sumário Internacional do Paciente" /> <comment value="The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element." /> <requirements value="Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized." /> <alias value="header" /> <alias value="label" /> <alias value="caption" /> <min value="0" /> <max value="1" /> <base> <path value="Composition.section.title" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="./title" /> </mapping> <mapping> <identity value="cda" /> <map value=".title" /> </mapping> </element> <element id="Composition.section.code"> <path value="Composition.section.code" /> <short value="Um código que identifica o tipo de conteúdo contido dentro da seção." /> <definition value="Um código que identifica o tipo de conteúdo contido dentro da seção. Isso deve ser consistente com o título da seção." /> <comment value="The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." /> <requirements value="Provides computable standardized labels to topics within the document." /> <min value="0" /> <max value="1" /> <base> <path value="Composition.section.code" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <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> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CompositionSectionType" /> </extension> <strength value="required" /> <description value="Classification of a section of a composition/document." /> <valueSet value="http://hl7.org/fhir/R4/valueset-doc-section-codes.html" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="rim" /> <map value="./code" /> </mapping> <mapping> <identity value="cda" /> <map value=".code" /> </mapping> </element> <element id="Composition.section.author"> <path value="Composition.section.author" /> <short value="Quem e/ou o que foi o autor desta seção" /> <definition value="Identifica quem é responsável pelas informações nesta seção, não necessariamente quem a digitou." /> <comment value="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." /> <requirements value="Identifies who is responsible for the content." /> <min value="0" /> <max value="*" /> <base> <path value="Composition.section.author" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitioner" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitionerrole" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-relatedperson" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-organization" /> </type> <condition value="ele-1" /> <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="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.author" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode="AUT"].role[classCode="ASSIGNED"]" /> </mapping> <mapping> <identity value="cda" /> <map value=".author.assignedAuthor" /> </mapping> </element> <element id="Composition.section.focus"> <path value="Composition.section.focus" /> <short value="Quem/o que é a seção" /> <definition value="Quem/o que é a seção" /> <comment value="Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." /> <min value="0" /> <max value="1" /> <base> <path value="Composition.section.focus" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" /> </type> <condition value="ele-1" /> <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="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="cda" /> <map value=".subject? (CDA did not differentiate between subject and focus)" /> </mapping> </element> <element id="Composition.section.text"> <path value="Composition.section.text" /> <short value="Resumo em texto livre da seção" /> <definition value="Resumo em texto livre da seção" /> <comment value="Document profiles may define what content should be represented in the narrative to ensure clinical safety." /> <min value="0" /> <max value="1" /> <base> <path value="Composition.section.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Narrative" /> </type> <condition value="ele-1" /> <condition value="cmp-1" /> <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> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value=".text" /> </mapping> <mapping> <identity value="cda" /> <map value=".text" /> </mapping> </element> <element id="Composition.section.mode"> <path value="Composition.section.mode" /> <short value="Método de processamento da seção" /> <definition value="Método de processamento da seção" /> <comment value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list." /> <requirements value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." /> <min value="0" /> <max value="1" /> <base> <path value="Composition.section.mode" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <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> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionMode" /> </extension> <strength value="required" /> <description value="The processing mode that applies to this section." /> <valueSet value="http://hl7.org/fhir/R4/valueset-list-mode.html" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.class" /> </mapping> <mapping> <identity value="rim" /> <map value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Composition.section.orderedBy"> <path value="Composition.section.orderedBy" /> <short value="Especifica a ordem dos itens nas sections.entry" /> <definition value="Especifica a ordem dos itens nas sections.entry" /> <comment value="Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." /> <requirements value="Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries." /> <min value="0" /> <max value="1" /> <base> <path value="Composition.section.orderedBy" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <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> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionEntryOrder" /> </extension> <strength value="preferred" /> <description value="What order applies to the items in the entry." /> <valueSet value="http://hl7.org/fhir/R4/valueset-list-empty-reason.html" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=COMP].sequenceNumber > 1" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Composition.section.entry"> <path value="Composition.section.entry" /> <short value="Uma referência ao recurso a partir do qual narrativa da seção é derivada." /> <definition value="Uma referência ao recurso a partir do qual narrativa da seção é derivada." /> <comment value="If there are no entries in the list, an emptyReason SHOULD be provided." /> <min value="0" /> <max value="*" /> <base> <path value="Composition.section.entry" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" /> </type> <condition value="ele-1" /> <condition value="cmp-2" /> <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="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" /> </mapping> <mapping> <identity value="cda" /> <map value=".entry" /> </mapping> </element> <element id="Composition.section.emptyReason"> <path value="Composition.section.emptyReason" /> <short value="Explicação porquê a secção está vazia" /> <definition value="Explicação porquê a secção está vazia" /> <comment value="The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." /> <requirements value="Allows capturing things like "none exist" or "not asked" which can be important for most lists." /> <min value="0" /> <max value="1" /> <base> <path value="Composition.section.emptyReason" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <condition value="cmp-2" /> <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> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SectionEmptyReason" /> </extension> <strength value="preferred" /> <description value="If a section is empty, why it is empty." /> <valueSet value="http://hl7.org/fhir/ValueSet/list-empty-reason" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="rim" /> <map value=".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Composition.section.section"> <path value="Composition.section.section" /> <short value="Uma subseção aninhada dentro desta seção" /> <definition value="Uma subseção aninhada dentro desta seção" /> <comment value="Nested sections are primarily used to help human readers navigate to particular portions of the document." /> <min value="0" /> <max value="*" /> <base> <path value="Composition.section.section" /> <min value="0" /> <max value="*" /> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" /> <condition value="cmp-1" /> <mapping> <identity value="rim" /> <map value="./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" /> </mapping> <mapping> <identity value="cda" /> <map value=".component.section" /> </mapping> </element> </snapshot> <differential> <element id="Composition.id"> <path value="Composition.id" /> <short value="ID lógico deste artefato" /> <definition value="ID lógico deste artefato" /> </element> <element id="Composition.meta"> <path value="Composition.meta" /> <short value="ID lógico deste artefato" /> <definition value="ID lógico deste artefato" /> </element> <element id="Composition.implicitRules"> <path value="Composition.implicitRules" /> <short value="Conjunto de regras utilizadas para a elaboração deste conteúdo" /> <definition value="Conjunto de regras utilizadas para a elaboração deste conteúdo" /> </element> <element id="Composition.language"> <path value="Composition.language" /> <short value="Idioma do conteúdo do recurso" /> <definition value="Idioma do conteúdo do recurso" /> </element> <element id="Composition.text"> <path value="Composition.text" /> <short value="Resumo do recurso para interpretação humana" /> <definition value="Resumo do recurso para interpretação humana" /> </element> <element id="Composition.contained"> <path value="Composition.contained" /> <short value="Recursos contidos" /> <definition value="Recursos contidos neste artefato" /> </element> <element id="Composition.modifierExtension"> <path value="Composition.modifierExtension" /> <short value="Extensões que não podem ser ignoradas" /> <definition value="Extensões que não podem ser ignoradas" /> </element> <element id="Composition.identifier"> <path value="Composition.identifier" /> <short value="Identificador independente da versão da Composition" /> <definition value="Identificador independente da versão da Composition" /> </element> <element id="Composition.status"> <path value="Composition.status" /> <short value="Status/Situação da Composition" /> <definition value="Status/Situação da Composition: preliminar, definitivo, alterado, inserido com erro" /> <binding> <strength value="required" /> <valueSet value="http://hl7.org/fhir/ValueSet/composition-status" /> </binding> </element> <element id="Composition.type"> <path value="Composition.type" /> <short value="Tipo da Composition" /> <definition value="Tipo da Composition (fixo em 'Sumário Internacional do Paciente)" /> <binding> <strength value="preferred" /> <valueSet value="http://hl7.org/fhir/R4/valueset-doc-typecodes.html" /> </binding> </element> <element id="Composition.type.id"> <path value="Composition.type.id" /> <short value="ID exclusivo para referência entre elementos" /> <definition value="ID exclusivo para referência entre elementos" /> </element> <element id="Composition.type.extension"> <path value="Composition.type.extension" /> <short value="Conteúdo adicional definido por implementações" /> <definition value="Conteúdo adicional definido por implementações" /> </element> <element id="Composition.type.coding"> <path value="Composition.type.coding" /> <short value="Código definido por uma terminologia" /> <definition value="Código definido por uma terminologia" /> </element> <element id="Composition.type.coding.id"> <path value="Composition.type.coding.id" /> <short value="ID exclusivo para referência entre elementos" /> <definition value="ID exclusivo para referência entre elementos" /> </element> <element id="Composition.type.coding.extension"> <path value="Composition.type.coding.extension" /> <short value="Conteúdo adicional definido por implementações" /> <definition value="Conteúdo adicional definido por implementações" /> </element> <element id="Composition.type.coding.system"> <path value="Composition.type.coding.system" /> <short value="Identificador do sistema de terminologia" /> <definition value="Identidficador do sistema de terminologia." /> </element> <element id="Composition.type.coding.version"> <path value="Composition.type.coding.version" /> <short value="Versão da terminologia LOINC" /> <definition value="Versão da terminologia LOINC - se relevante" /> </element> <element id="Composition.type.coding.code"> <path value="Composition.type.coding.code" /> <short value="Código conforme terminologia" /> <definition value="Código conforme terminologia." /> </element> <element id="Composition.type.coding.display"> <path value="Composition.type.coding.display" /> <short value="Descrição conforme definição da terminologia LOINC" /> <definition value="Descrição conforme definição da terminologia LOINC" /> </element> <element id="Composition.type.coding.userSelected"> <path value="Composition.type.coding.userSelected" /> <short value="Se esta codificação foi escolhida diretamente pelo usuário" /> <definition value="Se esta codificação foi escolhida diretamente pelo usuário" /> </element> <element id="Composition.type.text"> <path value="Composition.type.text" /> <short value="Representação em texto livre do conceito" /> <definition value="Representação em texto livre do conceito" /> </element> <element id="Composition.category"> <path value="Composition.category" /> <short value="Categorização da Composition" /> <definition value="Categorização da Composition" /> <binding> <strength value="example" /> <valueSet value="http://hl7.org/fhir/R4/valueset-document-classcodes.html" /> </binding> </element> <element id="Composition.subject"> <path value="Composition.subject" /> <short value="Sobre quem e/ou sobre o que é a Composition" /> <definition value="Sobre quem e/ou sobre o que é a Composition" /> <type> <code value="Reference" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient" /> </type> </element> <element id="Composition.subject.id"> <path value="Composition.subject.id" /> <short value="ID exclusivo para referência entre elementos" /> <definition value="ID exclusivo para referência entre elementos" /> </element> <element id="Composition.subject.extension"> <path value="Composition.subject.extension" /> <short value="Conteúdo adicional definido por implementações" /> <definition value="Conteúdo adicional definido por implementações" /> </element> <element id="Composition.subject.reference"> <path value="Composition.subject.reference" /> <short value="Referência literal, URL relativa, interna ou absoluta" /> <definition value="Referência literal, URL relativa, interna ou absoluta" /> </element> <element id="Composition.subject.type"> <path value="Composition.subject.type" /> <short value="Tipo ao qual a referência se refere" /> <definition value="Tipo ao qual a referência se refere (por exemplo,'Paciente')" /> </element> <element id="Composition.subject.identifier"> <path value="Composition.subject.identifier" /> <short value="Referência lógica, quando a referência literal não é conhecida" /> <definition value="Referência lógica, quando a referência literal não é conhecida" /> </element> <element id="Composition.subject.display"> <path value="Composition.subject.display" /> <short value="Texto alternativo para o recurso" /> <definition value="Texto alternativo para o recurso" /> </element> <element id="Composition.encounter"> <path value="Composition.encounter" /> <short value="Contato assistencial descrito nesta Composition" /> <definition value="Contato assistencial descrito nesta Composition" /> <type> <code value="Reference" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-encounter" /> </type> </element> <element id="Composition.date"> <path value="Composition.date" /> <short value="Data de edição da Composition" /> <definition value="Data de edição da Composition" /> </element> <element id="Composition.author"> <path value="Composition.author" /> <short value="Quem e/ou o que foi o autor desta Composition" /> <definition value="Quem e/ou o que foi o autor desta Compositon" /> <type> <code value="Reference" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitioner" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitionerrole" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-relatedperson" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-organization" /> </type> </element> <element id="Composition.title"> <path value="Composition.title" /> <short value="Sumário Internacional do Paciente" /> <definition value="Sumário Internacional do Paciente" /> </element> <element id="Composition.confidentiality"> <path value="Composition.confidentiality" /> <short value="Códigos que especificam o nível de confidencialidade da Composition" /> <definition value="Códigos que especificam o nível de confidencialidade da Composition" /> <binding> <strength value="required" /> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification" /> </binding> </element> <element id="Composition.attester"> <path value="Composition.attester" /> <short value="Responsável por atestar a acurácia da Composition" /> <definition value="Responsável por atestar a acurácia da Composition" /> </element> <element id="Composition.attester.id"> <path value="Composition.attester.id" /> <short value="ID exclusivo para referência entre elementos" /> <definition value="ID exclusivo para referência entre elementos" /> </element> <element id="Composition.attester.extension"> <path value="Composition.attester.extension" /> <short value="Conteúdo adicional definido por implementações" /> <definition value="Conteúdo adicional definido por implementações" /> </element> <element id="Composition.attester.modifierExtension"> <path value="Composition.attester.modifierExtension" /> <short value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> <definition value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> </element> <element id="Composition.attester.mode"> <path value="Composition.attester.mode" /> <short value="Métodolo utilizada para autenticar a Composition" /> <definition value="Métodolo utilizada para autenticar a Composition: pessoal, profissional, legal, oficial" /> <binding> <strength value="required" /> <valueSet value="http://hl7.org/fhir/R4/valueset-composition-attestation-mode.html" /> </binding> </element> <element id="Composition.attester.time"> <path value="Composition.attester.time" /> <short value="Quando a Composition foi atestada" /> <definition value="Quando a Composition foi atestada" /> </element> <element id="Composition.attester.party"> <path value="Composition.attester.party" /> <short value="Quem atestou a Composition" /> <definition value="Quem atestou a Composition" /> <type> <code value="Reference" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-relatedperson" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitioner" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitionerrole" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-organization" /> </type> </element> <element id="Composition.custodian"> <path value="Composition.custodian" /> <short value="Organização responsável pela custódia da Composition" /> <definition value="Identifica a organização ou grupo responsável pela composição." /> <type> <code value="Reference" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-organization" /> </type> </element> <element id="Composition.relatesTo"> <path value="Composition.relatesTo" /> <short value="Relacionamentos com outras Compositions/Documents" /> <definition value="Relações que esta composição tem com outras composições ou recursos." /> </element> <element id="Composition.relatesTo.id"> <path value="Composition.relatesTo.id" /> <short value="Relacionamentos com outras composições/Documents" /> <definition value="Relacionamentos com outras composições/Documents" /> </element> <element id="Composition.relatesTo.extension"> <path value="Composition.relatesTo.extension" /> <short value="Conteúdo adicional definido por implementações" /> <definition value="Conteúdo adicional definido por implementações" /> </element> <element id="Composition.relatesTo.modifierExtension"> <path value="Composition.relatesTo.modifierExtension" /> <short value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> <definition value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> </element> <element id="Composition.relatesTo.code"> <path value="Composition.relatesTo.code" /> <short value="Alvo do relacionamento da composição" /> <definition value="Alvo do relacionamento da composição" /> <binding> <strength value="required" /> <valueSet value="http://hl7.org/fhir/R4/valueset-document-relationship-type.html" /> </binding> </element> <element id="Composition.relatesTo.target[x]"> <path value="Composition.relatesTo.target[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <short value="Relacionamento alvo" /> <definition value="Relacionamento alvo" /> </element> <element id="Composition.relatesTo.target[x]:targetReference"> <path value="Composition.relatesTo.target[x]" /> <sliceName value="targetReference" /> <short value="Referencia a composition alvo" /> <definition value="Referencia a composition alvo" /> <type> <code value="Reference" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-composition" /> </type> </element> <element id="Composition.event"> <path value="Composition.event" /> <short value="Serviços assistenciais documentados" /> <definition value="O serviço especializado como uma colonoscopia ou uma apendicectomia, sendo documentado." /> </element> <element id="Composition.event.id"> <path value="Composition.event.id" /> <short value="ID exclusivo para referência entre elementos" /> <definition value="Identificador único para o elemento dentro de um recurso (para referências internas). Este pode ser qualquer valor de string que não contenha espaços." /> </element> <element id="Composition.event.extension"> <path value="Composition.event.extension" /> <short value="Conteúdo adicional definido por implementações" /> <definition value="Conteúdo adicional definido por implementações" /> </element> <element id="Composition.event.modifierExtension"> <path value="Composition.event.modifierExtension" /> <short value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> <definition value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> </element> <element id="Composition.event.code"> <path value="Composition.event.code" /> <short value="Código(s) aplicável(is) aos eventos documentados" /> <definition value="Esta lista de códigos representa os principais atos clínicos, como uma colonoscopia ou uma apendicectomia, sendo documentados. Em alguns casos, o evento é inerente ao typeCode, como um 'Histórico e Relatório Físico', no qual o procedimento documentado é necessariamente um ato de 'Histórico e Físico'." /> <binding> <strength value="required" /> </binding> </element> <element id="Composition.event.period"> <path value="Composition.event.period" /> <short value="O período de tempo coberto pela composition." /> <definition value="O período de tempo coberto pela composition. Não há afirmação de que a documentação seja uma representação completa para este período, apenas que documenta eventos durante esse tempo." /> </element> <element id="Composition.event.detail"> <path value="Composition.event.detail" /> <short value="Referência aos eventos da Composition" /> <definition value="Referência aos eventos da Composition" /> </element> <element id="Composition.section"> <path value="Composition.section" /> <short value="A secção inicial da composition a partir da qual as demais seções são definidas" /> <definition value="A secção inicial da composition a partir da qual as demais seções são definidas" /> </element> <element id="Composition.section.id"> <path value="Composition.section.id" /> <short value="Identificador exclusivo para referência entre elemento" /> <definition value="Identificador exclusivo para referência entre elementos" /> </element> <element id="Composition.section.extension"> <path value="Composition.section.extension" /> <short value="Conteúdo adicional definido por implementações" /> <definition value="Conteúdo adicional definido por implementações" /> </element> <element id="Composition.section.modifierExtension"> <path value="Composition.section.modifierExtension" /> <short value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> <definition value="Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" /> </element> <element id="Composition.section.title"> <path value="Composition.section.title" /> <short value="Título da seção" /> <definition value="Título da seção do Sumário Internacional do Paciente" /> </element> <element id="Composition.section.code"> <path value="Composition.section.code" /> <short value="Um código que identifica o tipo de conteúdo contido dentro da seção." /> <definition value="Um código que identifica o tipo de conteúdo contido dentro da seção. Isso deve ser consistente com o título da seção." /> <binding> <strength value="required" /> <valueSet value="http://hl7.org/fhir/R4/valueset-doc-section-codes.html" /> </binding> </element> <element id="Composition.section.author"> <path value="Composition.section.author" /> <short value="Quem e/ou o que foi o autor desta seção" /> <definition value="Identifica quem é responsável pelas informações nesta seção, não necessariamente quem a digitou." /> <type> <code value="Reference" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitioner" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitionerrole" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-relatedperson" /> <targetProfile value="https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-organization" /> </type> </element> <element id="Composition.section.focus"> <path value="Composition.section.focus" /> <short value="Quem/o que é a seção" /> <definition value="Quem/o que é a seção" /> </element> <element id="Composition.section.text"> <path value="Composition.section.text" /> <short value="Resumo em texto livre da seção" /> <definition value="Resumo em texto livre da seção" /> </element> <element id="Composition.section.mode"> <path value="Composition.section.mode" /> <short value="Método de processamento da seção" /> <definition value="Método de processamento da seção" /> <binding> <strength value="required" /> <valueSet value="http://hl7.org/fhir/R4/valueset-list-mode.html" /> </binding> </element> <element id="Composition.section.orderedBy"> <path value="Composition.section.orderedBy" /> <short value="Especifica a ordem dos itens nas sections.entry" /> <definition value="Especifica a ordem dos itens nas sections.entry" /> <binding> <strength value="preferred" /> <valueSet value="http://hl7.org/fhir/R4/valueset-list-empty-reason.html" /> </binding> </element> <element id="Composition.section.entry"> <path value="Composition.section.entry" /> <short value="Uma referência ao recurso a partir do qual narrativa da seção é derivada." /> <definition value="Uma referência ao recurso a partir do qual narrativa da seção é derivada." /> </element> <element id="Composition.section.emptyReason"> <path value="Composition.section.emptyReason" /> <short value="Explicação porquê a secção está vazia" /> <definition value="Explicação porquê a secção está vazia" /> </element> <element id="Composition.section.section"> <path value="Composition.section.section" /> <short value="Uma subseção aninhada dentro desta seção" /> <definition value="Uma subseção aninhada dentro desta seção" /> </element> </differential> </StructureDefinition>