| Package | package.teste |
| Type | StructureDefinition |
| Id | Id |
| FHIR Version | R4B |
| Source | https://simplifier.net/resolve?scope=package.teste@1.0.7-draft&canonical=https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ObservationPTCore |
| Url | https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ObservationPTCore |
| Version | 1.0.0 |
| Status | draft |
| Date | 2024-03-25T11:39:37.1937952+00:00 |
| Name | ObservationPTCore |
| Title | Observation PT Core |
| Experimental | False |
| Type | Observation |
| Kind | resource |
FHIR
{
"resourceType" : "StructureDefinition",
"id" : "ObservationPTCore",
"url" : "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ObservationPTCore",
"version" : "1.0.0",
"name" : "ObservationPTCore",
"title" : "Observation PT Core",
"status" : "draft",
"date" : "2024-03-25T11:39:37.1937952+00:00",
"publisher" : "SPMS",
"contact" : [
{
"name" : "Interoperabilidade Semântica",
"telecom" : [
{
"system" : "url",
"value" : "https://www.spms.min-saude.pt"
}
]
}
],
"fhirVersion" : "4.3.0",
"kind" : "resource",
"abstract" : false,
"type" : "Observation",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
"derivation" : "constraint",
"differential" : {
"element" : [
{
"id" : "Observation.id",
"path" : "Observation.id",
"min" : 1
},
{
"id" : "Observation.meta",
"path" : "Observation.meta",
"type" : [
{
"code" : "Meta",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MetaPTCore"
]
}
]
},
{
"id" : "Observation.identifier",
"path" : "Observation.identifier",
"type" : [
{
"code" : "Identifier",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ExtensionIdentifierPTCore"
]
}
]
},
{
"id" : "Observation.identifier.type.coding.id",
"path" : "Observation.identifier.type.coding.id",
"comment" : "."
},
{
"id" : "Observation.basedOn",
"path" : "Observation.basedOn",
"definition" : "Indica se a observação atente um plano, pedido ou serviço.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CarePlanPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/DeviceRequestPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ImmunizationRecomendationPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MedicationRequestPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/NutritionOrderPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ServiceRequestPTCore"
]
}
]
},
{
"id" : "Observation.partOf",
"path" : "Observation.partOf",
"definition" : "Referência a um evento no qual o Observation faz parte.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MedicationAdministrationPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MedicationDispensePTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MedicationStatementPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ProcedurePTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ImmunizationPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ImmagingStudyPTCore"
]
}
]
},
{
"id" : "Observation.status",
"path" : "Observation.status",
"definition" : "Identifica o status do que foi observado.\r\n\r\n - “registeredâ€: A existência da observação é registada, mas ainda não há resultado disponÃvel.\r\n\r\n - “preliminaryâ€: É uma observação inicial ou provisória: os dados podem estar incompletos ou não verificados.\r\n\r\n - “finalâ€: A observação está completa e não há mais ações necessárias. Informações adicionais como \"liberado\", \"assinado\", etc. seriam representadas usando [Provenance], que fornece não apenas o ato, mas também os atores, datas e outros dados relacionados. Esses estados seriam associados a um status de observação 'preliminary' até que todos fossem concluÃdos e, então, um status de 'final' seria aplicado.\r\n\r\n - “amendedâ€: Após ser final, a observação foi modificada posteriormente. Isso inclui atualizações/novas informações e correções.\r\n\r\n - “correctedâ€; Após ser final, a observação foi modificada para corrigir um erro no resultado do teste.\r\n\r\n - “cancelledâ€: A observação não está disponÃvel porque a medição não foi iniciada ou não foi concluÃda (à s vezes também chamada de \"abortada\").\r\n\r\n - “ entered-in-errorâ€: A observação foi retirada após a versão final anterior. Esse registo eletrônico nunca deveria ter existido, embora seja possÃvel que as decisões do mundo real tenham sido baseadas nele. (Se ocorreu atividade no mundo real, o status deve ser \"cancelled\" em vez de \"entered-in-error\".).\r\n\r\n - “ unknownâ€: O sistema de autoria/origem não sabe qual dos valores de status se aplica atualmente a esta observação. Nota: Este conceito não deve ser usado para \"outros\" - presume-se que um dos status listados se aplique, mas o sistema de autoria/fonte não sabe qual."
},
{
"id" : "Observation.category",
"path" : "Observation.category",
"comment" : "Value Set Name: Observation Category",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
}
]
},
{
"id" : "Observation.code",
"path" : "Observation.code",
"definition" : "Identifica o que foi observado.",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
}
]
},
{
"id" : "Observation.code.coding",
"path" : "Observation.code.coding",
"min" : 1
},
{
"id" : "Observation.subject",
"path" : "Observation.subject",
"definition" : "Quem ou o que foi observado.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PatientPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/GroupPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/DevicePTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/LocationPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/OrganizationPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ProcedurePTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MedicationPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/SubstancePTCore"
]
}
]
},
{
"id" : "Observation.focus",
"path" : "Observation.focus",
"definition" : "Referência a outros recursos que sejam importantes para a observação."
},
{
"id" : "Observation.encounter",
"path" : "Observation.encounter",
"definition" : "Identifica o episódio durante o qual foi efetuada a observação.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/EncounterPTCore"
]
}
]
},
{
"id" : "Observation.effective[x]",
"path" : "Observation.effective[x]",
"definition" : "Identificar a expressão de tempo clinicamente relevante para observação.",
"type" : [
{
"code" : "dateTime"
},
{
"code" : "Period",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PeriodPTCore"
]
},
{
"code" : "Timing",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/TimingPTCore"
]
},
{
"code" : "instant"
}
]
},
{
"id" : "Observation.issued",
"path" : "Observation.issued",
"definition" : "A data e a hora em que esta versão da observação foi disponibilizada aos provedores, normalmente após os resultados terem sido revistos."
},
{
"id" : "Observation.performer",
"path" : "Observation.performer",
"definition" : "Responsável pela observação.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerRolePTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/OrganizationPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CareTeamPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PatientPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/RelatedPersonPTCore"
]
}
]
},
{
"id" : "Observation.value[x]",
"path" : "Observation.value[x]",
"definition" : "Resultado da observação. É obrigatório enviar pelo menos um dos elementos Observation.value[x] ou Observation.comment, excepto se a observação representar um conjunto de itens observados.\r\n\r\nSe este elemento não for preenchido, caso fosse uma observação que deveria ter valor, deve ser preenchido o elemento Observation.dataAbsentReason.",
"type" : [
{
"code" : "Quantity",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/QuantityPTCore"
]
},
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
},
{
"code" : "string"
},
{
"code" : "boolean"
},
{
"code" : "integer"
},
{
"code" : "Range",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/RangePTCore"
]
},
{
"code" : "Ratio",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/RatioPTCore"
]
},
{
"code" : "SampledData",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/SampledDataPTCore"
]
},
{
"code" : "time"
},
{
"code" : "dateTime"
},
{
"code" : "Period",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PeriodPTCore"
]
}
]
},
{
"id" : "Observation.dataAbsentReason",
"path" : "Observation.dataAbsentReason",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "id"
}
],
"rules" : "open"
},
"definition" : "Indica a razão pela qual o valor esperado no elemento Observation.value[x] está ausente.",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
}
]
},
{
"id" : "Observation.dataAbsentReason:clinicalPathologyOutcome",
"path" : "Observation.dataAbsentReason",
"sliceName" : "clinicalPathologyOutcome",
"comment" : "Value Set Name: Clinical Pathology Outcome",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://www.ctc.min-saude.pt/catalogos/apoio-ao-registo-clinico"
}
},
{
"id" : "Observation.dataAbsentReason:radiologyQualitativeOutcome",
"path" : "Observation.dataAbsentReason",
"sliceName" : "radiologyQualitativeOutcome",
"comment" : "Value Set Name: Radiology Qualitative Outcome",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://www.ctc.min-saude.pt/catalogos/apoio-ao-registo-clinico"
}
},
{
"id" : "Observation.dataAbsentReason:absentUnknown",
"path" : "Observation.dataAbsentReason",
"sliceName" : "absentUnknown",
"comment" : "Value Set Name: Absent Unknown",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://www.ctc.min-saude.pt/catalogos/apoio-ao-registo-clinico"
}
},
{
"id" : "Observation.interpretation",
"path" : "Observation.interpretation",
"definition" : "Indica a interpretação de um valor observado (alto, baixo, normal, etc.).",
"comment" : "Value Set Name: Clinical Pathology Outcome",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "https://www.ctc.min-saude.pt/catalogos/analises-de-laboratorio"
}
},
{
"id" : "Observation.note",
"path" : "Observation.note",
"definition" : "Comentários da observação.",
"type" : [
{
"code" : "Annotation",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/AnnotationPTCore"
]
}
]
},
{
"id" : "Observation.bodySite",
"path" : "Observation.bodySite",
"definition" : "Localização anatómica submetida à observação.",
"comment" : "Value Set Name: Anatomical Structure",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "https://www.ctc.min-saude.pt/catalogos/apoio-ao-registo-clinico"
}
},
{
"id" : "Observation.method",
"path" : "Observation.method",
"definition" : "Método utilizado na observação.",
"comment" : "Value Set Name: Clinical Pathology Method",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "https://www.ctc.min-saude.pt/catalogos/apoio-ao-registo-clinico"
}
},
{
"id" : "Observation.method.coding",
"path" : "Observation.method.coding",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "id"
}
],
"rules" : "open"
}
},
{
"id" : "Observation.method.coding:clinicalPathologyMethod",
"path" : "Observation.method.coding",
"sliceName" : "clinicalPathologyMethod",
"comment" : "Value Set Name: Clinical Pathology Method"
},
{
"id" : "Observation.method.coding:clinicalPathologyMethod.id",
"path" : "Observation.method.coding.id",
"fixedId" : "clinicalPathologyMethod"
},
{
"id" : "Observation.method.coding:anthropometricMethod",
"path" : "Observation.method.coding",
"sliceName" : "anthropometricMethod",
"comment" : "Value Set Name: Anthropometric Method"
},
{
"id" : "Observation.method.coding:anthropometricMethod.id",
"path" : "Observation.method.coding.id",
"fixedId" : "anthropometricMethod"
},
{
"id" : "Observation.specimen",
"path" : "Observation.specimen",
"definition" : "Amostra utilizada na observação.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/SpecimenPTCore"
]
}
]
},
{
"id" : "Observation.device",
"path" : "Observation.device",
"definition" : "Dispositivo associado à observação.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/DevicePTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/DeviceMetricPTCore"
]
}
]
},
{
"id" : "Observation.referenceRange",
"path" : "Observation.referenceRange",
"definition" : "Interpretação do valor em comparação com um intervalo normal ou recomendado."
},
{
"id" : "Observation.referenceRange.low",
"path" : "Observation.referenceRange.low",
"definition" : "Valor do limite inferior do intervalo de referência. A unidade associada ao limite inferior encontra-se disponÃvel no catálogo CPARC, Value Set \"Unit\".",
"type" : [
{
"code" : "Quantity",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/QuantityPTCore"
]
}
]
},
{
"id" : "Observation.referenceRange.high",
"path" : "Observation.referenceRange.high",
"definition" : "Valor do limite superior do intervalo de referência. A unidade associada ao limite superior encontra-se disponÃvel no catálogo CPARC, Value Set \"Unit\".",
"type" : [
{
"code" : "Quantity",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/QuantityPTCore"
]
}
]
},
{
"id" : "Observation.referenceRange.type",
"path" : "Observation.referenceRange.type",
"definition" : "Qualificador do intervalo",
"comment" : "Value Set Name:",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
}
]
},
{
"id" : "Observation.referenceRange.appliesTo",
"path" : "Observation.referenceRange.appliesTo",
"comment" : "Value Set Name:",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
}
]
},
{
"id" : "Observation.referenceRange.age",
"path" : "Observation.referenceRange.age",
"definition" : "Indica a idade em que esta faixa de referência é aplicável.",
"type" : [
{
"code" : "Range",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/RangePTCore"
]
}
]
},
{
"id" : "Observation.referenceRange.text",
"path" : "Observation.referenceRange.text",
"definition" : "Informação textual com base no intervalo de referência."
},
{
"id" : "Observation.hasMember",
"path" : "Observation.hasMember",
"definition" : "Indica que esta observação é uma observação de grupo, se possui outros recursos associados.\r\n\r\nAo usar esse elemento, uma observação normalmente terá um valor ou um conjunto de recursos relacionados, embora ambos possam estar presentes em alguns casos.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/QuestionnaireResponsePTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MolecularSequencePTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ObservationPTCore"
]
}
]
},
{
"id" : "Observation.derivedFrom",
"path" : "Observation.derivedFrom",
"definition" : "Recursos pelo qual deu origem ao valor desta observação.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/DocumentReferencePTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ImagingStudyPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MediaPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/QuestionnaireResponsePTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ObservationPTCore",
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MolecularSequencePTCore"
]
}
]
},
{
"id" : "Observation.component",
"path" : "Observation.component",
"definition" : "Lista componentes da observação principal e que não podem existir em separado, como é o caso de um ECG, ou medição da pressão sanguÃnea."
},
{
"id" : "Observation.component.code",
"path" : "Observation.component.code",
"definition" : "Tipo de componente da observação",
"comment" : "Value Set Name:",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
}
],
"binding" : {
"strength" : "required"
}
},
{
"id" : "Observation.component.value[x]",
"path" : "Observation.component.value[x]",
"definition" : "Resultados do componente da observação",
"type" : [
{
"code" : "Quantity",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/QuantityPTCore"
]
},
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
},
{
"code" : "string"
},
{
"code" : "boolean"
},
{
"code" : "integer"
},
{
"code" : "Range",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/RangePTCore"
]
},
{
"code" : "Ratio",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/RatioPTCore"
]
},
{
"code" : "SampledData",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/SampledDataPTCore"
]
},
{
"code" : "time"
},
{
"code" : "dateTime"
},
{
"code" : "Period",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PeriodPTCore"
]
}
]
},
{
"id" : "Observation.component.dataAbsentReason",
"path" : "Observation.component.dataAbsentReason",
"definition" : "Razão pela qual o valor esperado no elemento.",
"comment" : "Value Set Name: Absent Unknown",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "https://www.ctc.min-saude.pt/catalogos/apoio-ao-registo-clinico"
}
},
{
"id" : "Observation.component.interpretation",
"path" : "Observation.component.interpretation",
"definition" : "Uma avaliação categórica de um valor observado (alto, baixo, normal, etc).",
"comment" : "Value Set Name: Clinical Pathology Outcome",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore"
]
}
]
},
{
"id" : "Observation.component.referenceRange",
"path" : "Observation.component.referenceRange",
"definition" : "Só obrigatório enviar nas observações em que se aplique."
}
]
},
"text" : {
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.