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Resource Profile: Solicitação de Serviço
| Official URL: https://fhir.ipes.tech/fhir/StructureDefinition/ServiceRequestBRIPES | Version: 0.1.0 | |||
| Draft as of 2025-06-24 | Computable Name: ServiceRequestBRIPES | |||
Solicitação de Serviço - Exames e Procedimentos
Introdução
O recurso ServiceRequest é utilizado para representar uma solicitação de serviço clínico ou administrativo. Este perfil é essencial para a comunicação entre diferentes sistemas de saúde, garantindo que as solicitações sejam compreendidas e processadas corretamente. O Perfil Solicitação de Serviço - Exames e Procedimentos da plataforma iPeS é uma especialização desse recurso, criada para atender casos de uso específicos do cenário brasileiro.
Escopo
O ServiceRequest abrange solicitações de serviços clínicos, como exames laboratoriais, procedimentos de imagem, consultas médicas, mas podeser utilizado para serviços administrativos, como transferências de pacientes e solicitações de documentos. Ele é utilizado tanto em contextos ambulatoriais quanto hospitalares.ServiceRequest representa uma ordem ou proposta ou plano, como distinguido por ServiceRequest.intent para executar um diagnóstico ou outro serviço em ou para um paciente. ServiceRequest representa uma proposta ou plano ou ordem para um serviço a ser executado que resultaria em um Procedure ou DiagnosticReport , que por sua vez pode referenciar uma ou mais Observations , que resumem o desempenho dos procedimentos e documentação associada, como observações, imagens, descobertas que são relevantes para o tratamento/gerenciamento do sujeito. Este recurso pode ser usado para compartilhar informações relevantes necessárias para dar suporte a uma referência ou uma transferência de solicitação de atendimento de um profissional ou organização para outro quando um paciente precisa ser encaminhado a outro provedor para uma consulta/segunda opinião e/ou para gerenciamento de curto ou longo prazo de um ou mais problemas ou questões de saúde.
Casos de Uso do Perfil Solicitações de Exames e Procedimentos
Solicitação de Exames e Procedimentos
Exemplos
- Testes/estudos de diagnóstico
- procedimentos endoscópicos
- aconselhamento
- biópsias
- terapias (por exemplo, fisio-, social-, psicológica-)
- cirurgias ou procedimentos (exploratórios)
- exercícios
- consulta e avaliações especializadas
- serviços comunitários
- serviços de enfermagem
- revisão de medicamentos farmacêuticos e
- outras intervenções clínicas.
Os procedimentos podem ser realizados por um profissional de saúde, um amigo ou parente ou, em alguns casos, pelo próprio paciente.
A principal intenção do
ServiceRequesté dar suporte a procedimentos de pedidos para um paciente (o que inclui pacientes não humanos em medicina veterinária). No entanto, em muitos contextos, os processos relacionados à assistência médica incluem a realização de investigações diagnósticas em grupos de indivíduos, dispositivos envolvidos na prestação de assistência médica e até mesmo locais ambientais, como dutos, corpos d'água, etc. OServiceRequestdá suporte a todos esses usos. A solicitação de serviço pode representar um pedido inserido por um profissional em um sistema de prescrição, bem como uma proposta feita por um sistema de suporte à decisão clínica (CDS) com base no registro clínico de um paciente e no contexto de atendimento. Procedimentos planejados referenciados por umCarePlantambém podem ser representados por este recurso.
O fluxo de trabalho geral que este recurso facilita é que um sistema clínico cria uma solicitação de serviço. A solicitação de serviço é então acessada ou trocada com um sistema, talvez por meio de intermediários, que representa uma organização (por exemplo, serviço de diagnóstico ou imagem, equipe cirúrgica, departamento de fisioterapia) que pode executar o procedimento. A organização que recebe a solicitação de serviço, após aceitar a solicitação, atualizará a solicitação conforme o trabalho for executado e, finalmente, emitirá um relatório que faz referência às solicitações que ela atendeu.
O recurso ServiceRequest permite solicitar apenas um único procedimento. Se um fluxo de trabalho exigir a solicitação de vários procedimentos simultaneamente, isso será feito usando várias instâncias desse recurso. Essas instâncias podem ser vinculadas de diferentes maneiras, dependendo das necessidades do fluxo de trabalho. Para obter orientação, consulte o Padrão de solicitação
Uso Indevido
- Solicitações Não Clínicas: Não deve ser utilizado para solicitações que não estejam relacionadas a serviços de saúde, como pedidos de informações gerais.
- Solicitações Duplicadas: Evitar a criação de solicitações duplicadas para o mesmo serviço, a menos que haja uma justificativa clínica clara.
Limites e Fronteiras com Outros Recursos
ServiceRequest é um registro de uma proposta/plano ou ordem para um serviço a ser executado que resultaria em um Procedimento , Observação , Laudo Diagnóstico , Exame de Imagem ou recurso similar.
Enquanto o ServiceRequest representa a solicitação de um serviço, o recurso Task é utilizado para acompanhar e gerenciar a execução dessa solicitação. Um ServiceRequest pode ser uma autorização de nível superior que acionou a criação de Task ou pode ser o recurso de "solicitação" que Task está buscando atender. Para obter mais informações sobre essa separação de responsabilidades entre ServiceRequest e Task, consulte a seção Fulfillment/Execution do padrão Request.
ServiceRequest e CommunicationRequest estão relacionados. Um CommunicationRequest é uma solicitação para meramente divulgar informações. Enquanto um ServiceRequest seria usado para solicitar informações como parte de treinamento ou aconselhamento - ou seja, quando o processo envolverá a verificação da compreensão do paciente ou uma tentativa de mudar o estado mental do paciente. Em alguns fluxos de trabalho, ambos podem existir. Por exemplo, ao receber um CommunicationRequest, um profissional pode iniciar um ServiceRequest.
O Procedure documenta a realização de um procedimento solicitado por um ServiceRequest.
O DiagnosticReport é utilizado para relatar os resultados de exames solicitados por um ServiceRequest.
O Appointment é utilizado para agendar serviços solicitados por um ServiceRequest.
Usos:
- Usa este Perfil: Perfil ImagingStudyReport and Perfil Laboratório
- Refere a este Perfil: Agendamento de Consulta ou Procedimento and Resultado de Exame - Formatado
- Exemplos para este Perfil: ServiceRequest/ServiceRequestExemplo
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter:   |
|---|---|---|---|---|
  ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1 |
  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:practitionerContained |
0..1 | PractitionerBRIPES | Profissional | |
 contained:organizationContained |
0..1 | EstabelecimentoExecutante | Organização | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| Fatias para identifier |
Σ | 0..1 | Identifier | Identifiers assigned to this order Fatia: Não ordenado, Aberto por pattern:system |
 identifier:localIdentifier |
Σ | 0..1 | Identifier | Identificador do registro no sistema de origem |
  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 |
| status |
?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Vínculo: RequestStatus (required): The status of a service order. |
| intent |
?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Vínculo: RequestIntent (required): The kind of service request. |
 category |
Σ | 1..* | CodeableConcept | Classification of service Vínculo: ServiceRequestCategoryCodes (example): Classification of the requested service. |
 Fatias para coding |
Σ | 0..* | Coding | Code defined by a terminology system Fatia: Não ordenado, Aberto por value:system |
 coding:category |
Σ | 0..1 | Coding | Code defined by a terminology system |
 system |
Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.ipes.tech/fhir/CodeSystem/ServiceRequestCategory |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Valor fixo: SADT |
| display |
Σ | 0..1 | string | Representation defined by the system Valor fixo: Serviço Auxiliar de Diagnóstico ou Terapia |
| coding:snomed |
Σ | 0..1 | Coding | Code defined by a terminology system |
| system |
Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| code |
Σ | 0..1 | CodeableConcept | Código(s) do(s) exame(s) solicitado(s) Vínculo: Procedimento realizado (preferred) |
| orderDetail |
ΣC | 0..* | CodeableConcept | Código dos exames solicitados Vínculo: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. |
| Fatias para coding |
Σ | 1..* | Coding | Code defined by a terminology system Fatia: Não ordenado, Aberto por pattern:$this |
| coding:referenceCode |
Σ | 1..1 | Coding | Código nas terminologias do SUS (Tabela SUS ou TUSS) Vínculo: Procedimento realizado (required) |
 subject |
Σ | 1..1 | Reference(Paciente) | Individual or Entity the service is ordered for |
| encounter |
Σ | 0..1 | Reference(Contato Assistencial) | Encounter in which the request was created |
| requester |
Σ | 0..1 | Reference(Practitioner | Organization) | Who/what is requesting service |
 reasonCode |
Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 (required) |
| Documentação para este formato | ||||
Terminologia Ligações
| Caminho | Conformidade | Conjunto de valores | URI |
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1From a norma FHIR | |
| ServiceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1From a norma FHIR | |
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryFrom a norma FHIR | |
| ServiceRequest.code | preferred | Procedimento realizadohttp://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0 | |
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodeshttp://hl7.org/fhir/ValueSet/servicerequest-orderdetailFrom a norma FHIR | |
| ServiceRequest.orderDetail.coding:referenceCode | required | Procedimento realizadohttp://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0 | |
| ServiceRequest.reasonCode | required | https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 |
Restrições
| Id | Grau | Caminho(s) | Detalhes | Requisitos |
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | ServiceRequest | 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 | ServiceRequest | 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 | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | ServiceRequest | 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() | |
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |
This structure is derived from ServiceRequest
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: |
|---|---|---|---|---|
| ServiceRequest |
ServiceRequest | |||
| Fatias para contained |
0..* | Resource | Contained, inline Resources Fatia: Não ordenado, Aberto por type:$this | |
| contained:practitionerContained |
0..1 | PractitionerBRIPES | Profissional | |
| contained:organizationContained |
0..1 | EstabelecimentoExecutante | Organização | |
| Fatias para identifier |
0..1 | Identifier | Identifiers assigned to this order Fatia: Não ordenado, Aberto por pattern:system | |
| identifier:localIdentifier |
0..1 | Identifier | Identificador do registro no sistema de origem | |
 use |
0..0 | |||
| type |
0..0 | |||
| system |
1..1 | uri | Identificador único do sistema de origem | |
| value |
1..1 | string | Identificador do registro no sistema de origem | |
| period |
0..0 | |||
| assigner |
0..0 | |||
| instantiatesCanonical |
0..0 | |||
| instantiatesUri |
0..0 | |||
| basedOn |
0..0 | |||
| replaces |
0..0 | |||
| category |
1..* | CodeableConcept | Classification of service | |
| Fatias para coding |
0..* | Coding | Code defined by a terminology system Fatia: Não ordenado, Aberto por value:system | |
| coding:category |
0..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.ipes.tech/fhir/CodeSystem/ServiceRequestCategory | |
| version |
0..0 | |||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: SADT | |
| display |
0..1 | string | Representation defined by the system Valor fixo: Serviço Auxiliar de Diagnóstico ou Terapia | |
| userSelected |
0..0 | |||
| coding:snomed |
0..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Padrão necessário: http://snomed.info/sct | |
| version |
0..0 | |||
| code |
1..1 | code | Symbol in syntax defined by the system | |
| userSelected |
0..0 | |||
| doNotPerform |
0..0 | |||
| code |
0..1 | CodeableConcept | Código(s) do(s) exame(s) solicitado(s) Vínculo: Procedimento realizado (preferred) | |
| orderDetail |
0..* | CodeableConcept | Código dos exames solicitados | |
| Fatias para coding |
1..* | Coding | Code defined by a terminology system Fatia: Não ordenado, Aberto por pattern:$this | |
| coding:referenceCode |
1..1 | Coding | Código nas terminologias do SUS (Tabela SUS ou TUSS) Vínculo: Procedimento realizado (required) | |
| userSelected |
0..0 | |||
| quantity[x] |
0..0 | |||
| subject |
1..1 | Reference(Paciente) | Individual or Entity the service is ordered for | |
| 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 | |||
| encounter |
0..1 | Reference(Contato Assistencial) | Encounter in which the request was created | |
| requester |
0..1 | Reference(Practitioner | Organization) | Who/what is requesting service | |
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 (required) | |
| Documentação para este formato | ||||
Terminologia Ligações (Diferencial)
| Caminho | Conformidade | Conjunto de valores | URI |
| ServiceRequest.code | preferred | Procedimento realizadohttp://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0 | |
| ServiceRequest.orderDetail.coding:referenceCode | required | Procedimento realizadohttp://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0 | |
| ServiceRequest.reasonCode | required | https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 |
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1 | ||||
| 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.
| |||||
| 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:practitionerContained |
0..1 | PractitionerBRIPES | Profissional | |||||
| contained:organizationContained |
0..1 | EstabelecimentoExecutante | Organização | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Fatias para identifier |
Σ | 0..1 | Identifier | Identifiers assigned to this order Fatia: Não ordenado, Aberto por pattern:system | ||||
| identifier:localIdentifier |
Σ | 0..1 | Identifier | Identificador do registro no sistema de origem | ||||
| 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 | |||||
| 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 | ||||
| requisition |
Σ | 0..1 | Identifier | Composite Request ID | ||||
| status |
?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Vínculo: RequestStatus (required): The status of a service order. | ||||
| intent |
?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Vínculo: RequestIntent (required): The kind of service request. | ||||
| category |
Σ | 1..* | CodeableConcept | Classification of service Vínculo: ServiceRequestCategoryCodes (example): Classification of the requested 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 | |||||
| Fatias para coding |
Σ | 0..* | Coding | Code defined by a terminology system Fatia: Não ordenado, Aberto por value:system | ||||
| coding:category |
Σ | 0..1 | Coding | Code defined by a terminology system | ||||
| 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 | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.ipes.tech/fhir/CodeSystem/ServiceRequestCategory | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Valor fixo: SADT | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Valor fixo: Serviço Auxiliar de Diagnóstico ou Terapia | ||||
| coding:snomed |
Σ | 0..1 | Coding | Code defined by a terminology system | ||||
| 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 | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: http://snomed.info/sct | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| priority |
Σ | 0..1 | code | routine | urgent | asap | stat Vínculo: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| code |
Σ | 0..1 | CodeableConcept | Código(s) do(s) exame(s) solicitado(s) Vínculo: Procedimento realizado (preferred) | ||||
| orderDetail |
ΣC | 0..* | CodeableConcept | Código dos exames solicitados Vínculo: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
| 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 | |||||
| Fatias para coding |
Σ | 1..* | Coding | Code defined by a terminology system Fatia: Não ordenado, Aberto por pattern:$this | ||||
| coding:referenceCode |
Σ | 1..1 | Coding | Código nas terminologias do SUS (Tabela SUS ou TUSS) Vínculo: Procedimento realizado (required) | ||||
| 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 | |||||
| system |
Σ | 0..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
Σ | 1..1 | Reference(Paciente) | Individual or Entity the service is ordered for | ||||
| 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) | ||||
| encounter |
Σ | 0..1 | Reference(Contato Assistencial) | Encounter in which the request was created | ||||
 occurrence[x] |
Σ | 0..1 | When service should occur | |||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceTiming |
Timing | |||||||
| asNeeded[x] |
Σ | 0..1 | Preconditions for service Vínculo: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | |||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||
| authoredOn |
Σ | 0..1 | dateTime | Date request signed | ||||
| requester |
Σ | 0..1 | Reference(Practitioner | Organization) | Who/what is requesting service | ||||
| performerType |
Σ | 0..1 | CodeableConcept | Performer role Vínculo: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | ||||
| performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | ||||
| locationCode |
Σ | 0..* | CodeableConcept | Requested location Vínculo: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||
| locationReference |
Σ | 0..* | Reference(Location) | Requested location | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 (required) | ||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | ||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo |
0..* | Reference(Resource) | Additional clinical information | |||||
| specimen |
Σ | 0..* | Reference(Specimen) | Procedure Samples | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Location on Body Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| note |
0..* | Annotation | Comments | |||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentação para este formato | ||||||||
Terminologia Ligações
| Caminho | Conformidade | Conjunto de valores | URI | |||
| ServiceRequest.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom a norma FHIR
| ||||
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1From a norma FHIR | ||||
| ServiceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1From a norma FHIR | ||||
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryFrom a norma FHIR | ||||
| ServiceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1From a norma FHIR | ||||
| ServiceRequest.code | preferred | Procedimento realizadohttp://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0 | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodeshttp://hl7.org/fhir/ValueSet/servicerequest-orderdetailFrom a norma FHIR | ||||
| ServiceRequest.orderDetail.coding:referenceCode | required | Procedimento realizadohttp://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0 | ||||
| ServiceRequest.subject.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1From a norma FHIR | ||||
| ServiceRequest.subject.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typeFrom a norma FHIR | ||||
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonFrom a norma FHIR | ||||
| ServiceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-roleFrom a norma FHIR | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType | ||||
| ServiceRequest.reasonCode | required | https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 | ||||
| ServiceRequest.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-siteFrom a norma FHIR |
Restrições
| Id | Grau | Caminho(s) | Detalhes | Requisitos |
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | ServiceRequest | 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 | ServiceRequest | 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 | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | ServiceRequest | 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() | |
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |
This structure is derived from ServiceRequest
Resumo
Obrigatório: 1 elemento(10 aninhado obrigatoriamente elementos)
Fixo: 2 elementos
Proibido: 17 elementos
Estruturas
Esta estrutura refere-se a estas outras estruturas:
- Profissional contained (https://fhir.ipes.tech/fhir/StructureDefinition/PractitionerBRIPES)
- Estabelecimento de Saúde (https://fhir.ipes.tech/fhir/StructureDefinition/EstabelecimentoExecutante)
- 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 ServiceRequest.contained
- The element 1 is sliced based on the value of ServiceRequest.identifier
- The element 1 is sliced based on the value of ServiceRequest.category.coding
- The element 1 is sliced based on the value of ServiceRequest.orderDetail.coding
Key Elements View
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: |
|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1 |
| 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:practitionerContained |
0..1 | PractitionerBRIPES | Profissional | |
| contained:organizationContained |
0..1 | EstabelecimentoExecutante | Organização | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| Fatias para identifier |
Σ | 0..1 | Identifier | Identifiers assigned to this order Fatia: Não ordenado, Aberto por pattern:system |
| identifier:localIdentifier |
Σ | 0..1 | Identifier | Identificador do registro no sistema de origem |
| 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 |
| status |
?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Vínculo: RequestStatus (required): The status of a service order. |
| intent |
?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Vínculo: RequestIntent (required): The kind of service request. |
| category |
Σ | 1..* | CodeableConcept | Classification of service Vínculo: ServiceRequestCategoryCodes (example): Classification of the requested service. |
| Fatias para coding |
Σ | 0..* | Coding | Code defined by a terminology system Fatia: Não ordenado, Aberto por value:system |
| coding:category |
Σ | 0..1 | Coding | Code defined by a terminology system |
| system |
Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.ipes.tech/fhir/CodeSystem/ServiceRequestCategory |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Valor fixo: SADT |
| display |
Σ | 0..1 | string | Representation defined by the system Valor fixo: Serviço Auxiliar de Diagnóstico ou Terapia |
| coding:snomed |
Σ | 0..1 | Coding | Code defined by a terminology system |
| system |
Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| code |
Σ | 0..1 | CodeableConcept | Código(s) do(s) exame(s) solicitado(s) Vínculo: Procedimento realizado (preferred) |
| orderDetail |
ΣC | 0..* | CodeableConcept | Código dos exames solicitados Vínculo: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. |
| Fatias para coding |
Σ | 1..* | Coding | Code defined by a terminology system Fatia: Não ordenado, Aberto por pattern:$this |
| coding:referenceCode |
Σ | 1..1 | Coding | Código nas terminologias do SUS (Tabela SUS ou TUSS) Vínculo: Procedimento realizado (required) |
| subject |
Σ | 1..1 | Reference(Paciente) | Individual or Entity the service is ordered for |
| encounter |
Σ | 0..1 | Reference(Contato Assistencial) | Encounter in which the request was created |
| requester |
Σ | 0..1 | Reference(Practitioner | Organization) | Who/what is requesting service |
| reasonCode |
Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 (required) |
| Documentação para este formato | ||||
Terminologia Ligações
| Caminho | Conformidade | Conjunto de valores | URI |
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1From a norma FHIR | |
| ServiceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1From a norma FHIR | |
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryFrom a norma FHIR | |
| ServiceRequest.code | preferred | Procedimento realizadohttp://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0 | |
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodeshttp://hl7.org/fhir/ValueSet/servicerequest-orderdetailFrom a norma FHIR | |
| ServiceRequest.orderDetail.coding:referenceCode | required | Procedimento realizadohttp://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0 | |
| ServiceRequest.reasonCode | required | https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 |
Restrições
| Id | Grau | Caminho(s) | Detalhes | Requisitos |
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | ServiceRequest | 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 | ServiceRequest | 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 | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | ServiceRequest | 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() | |
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |
Differential View
This structure is derived from ServiceRequest
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: |
|---|---|---|---|---|
| ServiceRequest |
ServiceRequest | |||
| Fatias para contained |
0..* | Resource | Contained, inline Resources Fatia: Não ordenado, Aberto por type:$this | |
| contained:practitionerContained |
0..1 | PractitionerBRIPES | Profissional | |
| contained:organizationContained |
0..1 | EstabelecimentoExecutante | Organização | |
| Fatias para identifier |
0..1 | Identifier | Identifiers assigned to this order Fatia: Não ordenado, Aberto por pattern:system | |
| identifier:localIdentifier |
0..1 | Identifier | Identificador do registro no sistema de origem | |
| use |
0..0 | |||
| type |
0..0 | |||
| system |
1..1 | uri | Identificador único do sistema de origem | |
| value |
1..1 | string | Identificador do registro no sistema de origem | |
| period |
0..0 | |||
| assigner |
0..0 | |||
| instantiatesCanonical |
0..0 | |||
| instantiatesUri |
0..0 | |||
| basedOn |
0..0 | |||
| replaces |
0..0 | |||
| category |
1..* | CodeableConcept | Classification of service | |
| Fatias para coding |
0..* | Coding | Code defined by a terminology system Fatia: Não ordenado, Aberto por value:system | |
| coding:category |
0..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.ipes.tech/fhir/CodeSystem/ServiceRequestCategory | |
| version |
0..0 | |||
| code |
1..1 | code | Symbol in syntax defined by the system Valor fixo: SADT | |
| display |
0..1 | string | Representation defined by the system Valor fixo: Serviço Auxiliar de Diagnóstico ou Terapia | |
| userSelected |
0..0 | |||
| coding:snomed |
0..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Padrão necessário: http://snomed.info/sct | |
| version |
0..0 | |||
| code |
1..1 | code | Symbol in syntax defined by the system | |
| userSelected |
0..0 | |||
| doNotPerform |
0..0 | |||
| code |
0..1 | CodeableConcept | Código(s) do(s) exame(s) solicitado(s) Vínculo: Procedimento realizado (preferred) | |
| orderDetail |
0..* | CodeableConcept | Código dos exames solicitados | |
| Fatias para coding |
1..* | Coding | Code defined by a terminology system Fatia: Não ordenado, Aberto por pattern:$this | |
| coding:referenceCode |
1..1 | Coding | Código nas terminologias do SUS (Tabela SUS ou TUSS) Vínculo: Procedimento realizado (required) | |
| userSelected |
0..0 | |||
| quantity[x] |
0..0 | |||
| subject |
1..1 | Reference(Paciente) | Individual or Entity the service is ordered for | |
| 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 | |||
| encounter |
0..1 | Reference(Contato Assistencial) | Encounter in which the request was created | |
| requester |
0..1 | Reference(Practitioner | Organization) | Who/what is requesting service | |
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 (required) | |
| Documentação para este formato | ||||
Terminologia Ligações (Diferencial)
| Caminho | Conformidade | Conjunto de valores | URI |
| ServiceRequest.code | preferred | Procedimento realizadohttp://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0 | |
| ServiceRequest.orderDetail.coding:referenceCode | required | Procedimento realizadohttp://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0 | |
| ServiceRequest.reasonCode | required | https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 |
Snapshot View
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1 | ||||
| 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.
| |||||
| 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:practitionerContained |
0..1 | PractitionerBRIPES | Profissional | |||||
| contained:organizationContained |
0..1 | EstabelecimentoExecutante | Organização | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Fatias para identifier |
Σ | 0..1 | Identifier | Identifiers assigned to this order Fatia: Não ordenado, Aberto por pattern:system | ||||
| identifier:localIdentifier |
Σ | 0..1 | Identifier | Identificador do registro no sistema de origem | ||||
| 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 | |||||
| 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 | ||||
| requisition |
Σ | 0..1 | Identifier | Composite Request ID | ||||
| status |
?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Vínculo: RequestStatus (required): The status of a service order. | ||||
| intent |
?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Vínculo: RequestIntent (required): The kind of service request. | ||||
| category |
Σ | 1..* | CodeableConcept | Classification of service Vínculo: ServiceRequestCategoryCodes (example): Classification of the requested 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 | |||||
| Fatias para coding |
Σ | 0..* | Coding | Code defined by a terminology system Fatia: Não ordenado, Aberto por value:system | ||||
| coding:category |
Σ | 0..1 | Coding | Code defined by a terminology system | ||||
| 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 | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.ipes.tech/fhir/CodeSystem/ServiceRequestCategory | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Valor fixo: SADT | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Valor fixo: Serviço Auxiliar de Diagnóstico ou Terapia | ||||
| coding:snomed |
Σ | 0..1 | Coding | Code defined by a terminology system | ||||
| 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 | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: http://snomed.info/sct | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| priority |
Σ | 0..1 | code | routine | urgent | asap | stat Vínculo: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| code |
Σ | 0..1 | CodeableConcept | Código(s) do(s) exame(s) solicitado(s) Vínculo: Procedimento realizado (preferred) | ||||
| orderDetail |
ΣC | 0..* | CodeableConcept | Código dos exames solicitados Vínculo: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
| 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 | |||||
| Fatias para coding |
Σ | 1..* | Coding | Code defined by a terminology system Fatia: Não ordenado, Aberto por pattern:$this | ||||
| coding:referenceCode |
Σ | 1..1 | Coding | Código nas terminologias do SUS (Tabela SUS ou TUSS) Vínculo: Procedimento realizado (required) | ||||
| 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 | |||||
| system |
Σ | 0..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
Σ | 1..1 | Reference(Paciente) | Individual or Entity the service is ordered for | ||||
| 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) | ||||
| encounter |
Σ | 0..1 | Reference(Contato Assistencial) | Encounter in which the request was created | ||||
| occurrence[x] |
Σ | 0..1 | When service should occur | |||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceTiming |
Timing | |||||||
| asNeeded[x] |
Σ | 0..1 | Preconditions for service Vínculo: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | |||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||
| authoredOn |
Σ | 0..1 | dateTime | Date request signed | ||||
| requester |
Σ | 0..1 | Reference(Practitioner | Organization) | Who/what is requesting service | ||||
| performerType |
Σ | 0..1 | CodeableConcept | Performer role Vínculo: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | ||||
| performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | ||||
| locationCode |
Σ | 0..* | CodeableConcept | Requested location Vínculo: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||
| locationReference |
Σ | 0..* | Reference(Location) | Requested location | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 (required) | ||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | ||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo |
0..* | Reference(Resource) | Additional clinical information | |||||
| specimen |
Σ | 0..* | Reference(Specimen) | Procedure Samples | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Location on Body Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| note |
0..* | Annotation | Comments | |||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentação para este formato | ||||||||
Terminologia Ligações
| Caminho | Conformidade | Conjunto de valores | URI | |||
| ServiceRequest.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom a norma FHIR
| ||||
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1From a norma FHIR | ||||
| ServiceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1From a norma FHIR | ||||
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryFrom a norma FHIR | ||||
| ServiceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1From a norma FHIR | ||||
| ServiceRequest.code | preferred | Procedimento realizadohttp://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0 | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodeshttp://hl7.org/fhir/ValueSet/servicerequest-orderdetailFrom a norma FHIR | ||||
| ServiceRequest.orderDetail.coding:referenceCode | required | Procedimento realizadohttp://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0 | ||||
| ServiceRequest.subject.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1From a norma FHIR | ||||
| ServiceRequest.subject.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typeFrom a norma FHIR | ||||
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonFrom a norma FHIR | ||||
| ServiceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-roleFrom a norma FHIR | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType | ||||
| ServiceRequest.reasonCode | required | https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 | ||||
| ServiceRequest.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-siteFrom a norma FHIR |
Restrições
| Id | Grau | Caminho(s) | Detalhes | Requisitos |
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | ServiceRequest | 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 | ServiceRequest | 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 | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | ServiceRequest | 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() | |
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |
This structure is derived from ServiceRequest
Resumo
Obrigatório: 1 elemento(10 aninhado obrigatoriamente elementos)
Fixo: 2 elementos
Proibido: 17 elementos
Estruturas
Esta estrutura refere-se a estas outras estruturas:
- Profissional contained (https://fhir.ipes.tech/fhir/StructureDefinition/PractitionerBRIPES)
- Estabelecimento de Saúde (https://fhir.ipes.tech/fhir/StructureDefinition/EstabelecimentoExecutante)
- 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 ServiceRequest.contained
- The element 1 is sliced based on the value of ServiceRequest.identifier
- The element 1 is sliced based on the value of ServiceRequest.category.coding
- The element 1 is sliced based on the value of ServiceRequest.orderDetail.coding
Other representations of profile: CSV, Excel, Schematron