Introdução

Este perfil restringe o recurso DiagnosticReport do modelo nacional BR-Core com o objetivo de representar a entrega estruturada e segura de exames diagnósticos em formato digital, como PDFs assinados ou documentos codificados, no contexto da Plataforma IPeS.

A motivação para a criação desta restrição é permitir que informações clínicas provenientes de exames diagnósticos sejam transmitidas de forma interoperável, incluindo metadados essenciais e anexos formatados que representem o laudo final. Esse modelo é utilizado no IPeS como meio padrão para captura e integração de resultados laboratoriais, exames de imagem e outros documentos clínicos, garantindo compatibilidade com sistemas FHIR e conformidade com o padrão BR-Core.

Escopo e Uso

O perfil DiagnosticReportPresentedForm é utilizado no Sumário do Paciente da plataforma IPeS, sendo responsável pela incorporação de documentos clínicos originados de aplicações legadas e sistemas proprietários. Ele viabiliza a interoperabilidade desses sistemas com o prontuário longitudinal do paciente, permitindo a preservação e o reuso de exames mesmo quando estruturados apenas como documentos em anexo.

São exemplos de uso:

• Laudos de laboratório (hematologia, bioquímica, microbiologia)
• Exames de imagem (raios-X, tomografia, ultrassom)
• Anatomia patológica e histopatologia
• Outros exames especializados (densitometria, eletrocardiograma, etc.)

Espécies cobertas

O perfil é aplicável a exames realizados em:

• Pacientes humanos
• Grupos de pacientes
• Amostras clínicas (sangue, tecido, urina, etc.)
• Dispositivos
• Ambientes e locais de exposição (ex.: exames ocupacionais)

Caso de uso

Exemplos de uso do DiagnosticReportPresentedForm:

• Integração de laudos laboratoriais (PDF) ao prontuário do paciente no IPeS
• Recepção de exames oriundos de aplicações que usam sistemas proprietários, encapsulados como documentos formatados com metadados FHIR
• Upload de exames de imagem estruturados com título, tipo, data e hash
• Repositório clínico interoperável baseado em attachments validados e assinados

Must Support

Os seguintes elementos do perfil devem ser obrigatoriamente suportados quando presentes no sistema de origem:

• status: situação do laudo (ex.: final, registered, amended)
• code: código do tipo de exame (LOINC)
• subject: referência ao paciente
• effective[x]: data do exame
• presentedForm: anexo formatado do exame, com metadados:
  • contentType (ex.: application/pdf)
  • title (ex.: “Laudo de Raio-X de Tórax”)
  • creation (data do documento)
  • hash (integridade)
  • size (tamanho do arquivo)

Relacionamentos

Este perfil pode:

• Referenciar:
  • Observation (resultados atômicos estruturados)
  • ServiceRequest (pedido do exame)
  • Specimen (material analisado)
  • Practitioner / PractitionerRole (profissional responsável)
  • Media ou ImagingStudy (suporte visual)
• Ser referenciado por:
  • CarePlan, Procedure, Condition, ClinicalImpression, Composition, entre outros

Integração com a Plataforma IPeS

Este perfil é adotado pela Plataforma IPeS como modelo de recebimento e exibição de laudos clínicos provenientes de sistemas legados ou proprietários, encapsulados em attachments formatados e integrados ao Sumário do Paciente.

Vantagens da abordagem:

• Interoperabilidade com sistemas não-FHIR através de ponte estruturada
• Registro longitudinal do paciente com preservação documental
• Suporte a auditoria e reuso dos dados clínicos
• Compliance com padrões nacionais (BR-Core) e segurança da informação

Limitações

• Não suporta resultados cumulativos em série temporal
• Não substitui Observation estruturada, mas pode referenciá-la
• O conteúdo do PDF não é interpretável automaticamente — apenas os metadados
• Ainda não implementado na RNDS, mas plenamente compatível com a arquitetura e modelo de dados propostos

Conclusão

O DiagnosticReportPresentedForm viabiliza a interoperabilidade clínica em ambientes heterogêneos, oferecendo uma forma segura, auditável e estruturada de incorporar documentos de exames ao prontuário eletrônico via FHIR. Ele cumpre papel essencial no Sumário do Paciente da IPeS e na integração de fontes de dados externas e proprietárias ao ecossistema de saúde digital do Brasil.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Fatias para contained		0..*	Resource	Contained, inline Resources Fatia: Não ordenado, Aberto por type:$this
contained:laboratoryContained		0..1	EstabelecimentoExecutante	Organização
contained:practitionerContained		0..*	PractitionerBRIPES	Profissional
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Business identifier for report
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Identificador único do sistema de origem Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identificador do registro no sistema de origem Exemplo General: 123456
basedOn		0..*	Reference(Solicitação de Serviço)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | final + Vínculo: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Vínculo: DiagnosticServiceSectionCodes (preferred): Codes for diagnostic service sections.
code	Σ	1..1	CodeableConcept	Código(s) do(s) exame(s) incluído(s) no resultado de exame Vínculo: Procedimento realizado (preferred)
subject	Σ	1..1	Reference(Paciente)	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Contato Assistencial)	Health care event when test ordered
issued	Σ	1..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(Profissional contained | Estabelecimento de Saúde)	Responsible Diagnostic Service
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
DiagnosticReport.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From a norma FHIR
DiagnosticReport.category	preferred	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From a norma FHIR
DiagnosticReport.code	preferred	Procedimento realizado http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Fatias para contained		0..*	Resource	Contained, inline Resources Fatia: Não ordenado, Aberto por type:$this
contained:laboratoryContained		0..1	EstabelecimentoExecutante	Organização
contained:practitionerContained		0..*	PractitionerBRIPES	Profissional
identifier		1..1	Identifier	Business identifier for report
system		1..1	uri	Identificador único do sistema de origem
value		1..1	string	Identificador do registro no sistema de origem
basedOn		0..*	Reference(Solicitação de Serviço)	What was requested
type		0..0
identifier		0..0
display		0..0
category		0..*	CodeableConcept	Service category Vínculo: DiagnosticServiceSectionCodes (preferred): Codes for diagnostic service sections.
code		1..1	CodeableConcept	Código(s) do(s) exame(s) incluído(s) no resultado de exame Vínculo: Procedimento realizado (preferred)
subject		1..1	Reference(Paciente)	The subject of the report - usually, but not always, the patient
type		0..0
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
encounter		0..1	Reference(Contato Assistencial)	Health care event when test ordered
effective[x]		0..0
issued		1..1	instant	DateTime this version was made
performer		0..*	Reference(Profissional contained | Estabelecimento de Saúde)	Responsible Diagnostic Service
type		0..0
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
display		0..0
resultsInterpreter		0..0
specimen		0..0
result		0..0
imagingStudy		0..0
media		0..0
conclusion		0..0
conclusionCode		0..0
presentedForm
contentType		1..1	code	Mime type of the content, with charset etc.
language		0..0
data		0..0
url		1..1	url	Uri where the data can be found
Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho	Conformidade	Conjunto de valores	URI
DiagnosticReport.category	preferred	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From a norma FHIR
DiagnosticReport.code	preferred	Procedimento realizado http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Vínculo: CommonLanguages (preferred): A human language. Vínculos adicionais Objetivo AllLanguages Vínculo máximo
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Fatias para contained		0..*	Resource	Contained, inline Resources Fatia: Não ordenado, Aberto por type:$this
contained:laboratoryContained		0..1	EstabelecimentoExecutante	Organização
contained:practitionerContained		0..*	PractitionerBRIPES	Profissional
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Business identifier for report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Identificador único do sistema de origem Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identificador do registro no sistema de origem Exemplo General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn		0..*	Reference(Solicitação de Serviço)	What was requested
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
status	?!Σ	1..1	code	registered | partial | preliminary | final + Vínculo: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Vínculo: DiagnosticServiceSectionCodes (preferred): Codes for diagnostic service sections.
code	Σ	1..1	CodeableConcept	Código(s) do(s) exame(s) incluído(s) no resultado de exame Vínculo: Procedimento realizado (preferred)
subject	Σ	1..1	Reference(Paciente)	The subject of the report - usually, but not always, the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Contato Assistencial)	Health care event when test ordered
issued	Σ	1..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(Profissional contained | Estabelecimento de Saúde)	Responsible Diagnostic Service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
presentedForm		0..*	Attachment	Entire report as issued
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
contentType	Σ	1..1	code	Mime type of the content, with charset etc. Vínculo: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Exemplo General: text/plain; charset=UTF-8, image/png
url	Σ	1..1	url	Uri where the data can be found Exemplo General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Exemplo General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
DiagnosticReport.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
DiagnosticReport.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From a norma FHIR
DiagnosticReport.category	preferred	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From a norma FHIR
DiagnosticReport.code	preferred	Procedimento realizado http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0
DiagnosticReport.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
DiagnosticReport.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
DiagnosticReport.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
DiagnosticReport.performer.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
DiagnosticReport.presentedForm.contentType	required	Mime Types(a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 From a norma FHIR

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Key Elements View

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Fatias para contained		0..*	Resource	Contained, inline Resources Fatia: Não ordenado, Aberto por type:$this
contained:laboratoryContained		0..1	EstabelecimentoExecutante	Organização
contained:practitionerContained		0..*	PractitionerBRIPES	Profissional
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Business identifier for report
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Identificador único do sistema de origem Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identificador do registro no sistema de origem Exemplo General: 123456
basedOn		0..*	Reference(Solicitação de Serviço)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | final + Vínculo: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Vínculo: DiagnosticServiceSectionCodes (preferred): Codes for diagnostic service sections.
code	Σ	1..1	CodeableConcept	Código(s) do(s) exame(s) incluído(s) no resultado de exame Vínculo: Procedimento realizado (preferred)
subject	Σ	1..1	Reference(Paciente)	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Contato Assistencial)	Health care event when test ordered
issued	Σ	1..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(Profissional contained | Estabelecimento de Saúde)	Responsible Diagnostic Service
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
DiagnosticReport.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From a norma FHIR
DiagnosticReport.category	preferred	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From a norma FHIR
DiagnosticReport.code	preferred	Procedimento realizado http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticReport

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Fatias para contained		0..*	Resource	Contained, inline Resources Fatia: Não ordenado, Aberto por type:$this
contained:laboratoryContained		0..1	EstabelecimentoExecutante	Organização
contained:practitionerContained		0..*	PractitionerBRIPES	Profissional
identifier		1..1	Identifier	Business identifier for report
system		1..1	uri	Identificador único do sistema de origem
value		1..1	string	Identificador do registro no sistema de origem
basedOn		0..*	Reference(Solicitação de Serviço)	What was requested
type		0..0
identifier		0..0
display		0..0
category		0..*	CodeableConcept	Service category Vínculo: DiagnosticServiceSectionCodes (preferred): Codes for diagnostic service sections.
code		1..1	CodeableConcept	Código(s) do(s) exame(s) incluído(s) no resultado de exame Vínculo: Procedimento realizado (preferred)
subject		1..1	Reference(Paciente)	The subject of the report - usually, but not always, the patient
type		0..0
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
encounter		0..1	Reference(Contato Assistencial)	Health care event when test ordered
effective[x]		0..0
issued		1..1	instant	DateTime this version was made
performer		0..*	Reference(Profissional contained | Estabelecimento de Saúde)	Responsible Diagnostic Service
type		0..0
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
display		0..0
resultsInterpreter		0..0
specimen		0..0
result		0..0
imagingStudy		0..0
media		0..0
conclusion		0..0
conclusionCode		0..0
presentedForm
contentType		1..1	code	Mime type of the content, with charset etc.
language		0..0
data		0..0
url		1..1	url	Uri where the data can be found
Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho	Conformidade	Conjunto de valores	URI
DiagnosticReport.category	preferred	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From a norma FHIR
DiagnosticReport.code	preferred	Procedimento realizado http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0

Snapshot View

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Vínculo: CommonLanguages (preferred): A human language. Vínculos adicionais Objetivo AllLanguages Vínculo máximo
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Fatias para contained		0..*	Resource	Contained, inline Resources Fatia: Não ordenado, Aberto por type:$this
contained:laboratoryContained		0..1	EstabelecimentoExecutante	Organização
contained:practitionerContained		0..*	PractitionerBRIPES	Profissional
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Business identifier for report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Identificador único do sistema de origem Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identificador do registro no sistema de origem Exemplo General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn		0..*	Reference(Solicitação de Serviço)	What was requested
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
status	?!Σ	1..1	code	registered | partial | preliminary | final + Vínculo: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Vínculo: DiagnosticServiceSectionCodes (preferred): Codes for diagnostic service sections.
code	Σ	1..1	CodeableConcept	Código(s) do(s) exame(s) incluído(s) no resultado de exame Vínculo: Procedimento realizado (preferred)
subject	Σ	1..1	Reference(Paciente)	The subject of the report - usually, but not always, the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Contato Assistencial)	Health care event when test ordered
issued	Σ	1..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(Profissional contained | Estabelecimento de Saúde)	Responsible Diagnostic Service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
presentedForm		0..*	Attachment	Entire report as issued
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
contentType	Σ	1..1	code	Mime type of the content, with charset etc. Vínculo: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Exemplo General: text/plain; charset=UTF-8, image/png
url	Σ	1..1	url	Uri where the data can be found Exemplo General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Exemplo General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
DiagnosticReport.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
DiagnosticReport.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From a norma FHIR
DiagnosticReport.category	preferred	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From a norma FHIR
DiagnosticReport.code	preferred	Procedimento realizado http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0
DiagnosticReport.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
DiagnosticReport.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
DiagnosticReport.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
DiagnosticReport.performer.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
DiagnosticReport.presentedForm.contentType	required	Mime Types(a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 From a norma FHIR

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Resumo

Obrigatório: 5 elementos(6 aninhado obrigatoriamente elementos)
Proibido: 16 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

• Estabelecimento de Saúde (https://fhir.ipes.tech/fhir/StructureDefinition/EstabelecimentoExecutante)
• Profissional contained (https://fhir.ipes.tech/fhir/StructureDefinition/PractitionerBRIPES)
• Solicitação de Serviço (https://fhir.ipes.tech/fhir/StructureDefinition/ServiceRequestBRIPES)
• Paciente (https://fhir.ipes.tech/fhir/StructureDefinition/PatientBRIPES)
• Contato Assistencial (https://fhir.ipes.tech/fhir/StructureDefinition/EncounterBRIPES)

Fatias

Esta estrutura define os seguintes Slices:

• The element 1 is sliced based on the value of DiagnosticReport.contained