Narrativa gerada: StructureDefinition br-core-specimen Nome Bandeiras Card. Tipo Descrição e condicionalismos Specimen 0..* Specimen Sample for analysis #xD; id 0..1 id Identificador lógico deste artefato #xD; meta 0..1 Meta Metadados sobre o recurso #xD; implicitRules 0..1 uri Um conjunto de regras sob as quais este conteúdo foi criado #xD; language 0..1 code Idioma do recurso #xD; text 0..1 Narrative Resumo do texto do recurso em linguagem natural #xD; contained 0..* Resource Contained, inline Resources #xD; extension 0..* Extension Extension #xD; modifierExtension 0..* Extension Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas #xD; identifier 0..* Identifier Identificadores externos para este recurso #xD; accessionIdentifier 0..1 Identifier Identificador atribuído pelo laboratório #xD; status 0..1 code Status da amostra: disponível | indisponível | insatisfatório | inserido com erro: códigos que fornecem o status/disponibilidade de uma amostra #xD; type 0..1 CodeableConcept Tipo de material que compõem a amostra Vínculo: BR Tipo Amostra (required) #xD; subject 0..1 Reference(BRCorePatient | Group | Device | Substance | br-core-location) Referência de onde veio a amostra. Pode ser de paciente(s), de um local (por exemplo, a fonte de uma amostra ambiental) ou uma amostra de uma substância ou dispositivo #xD; id 0..1 string ID exclusivo para referência entre elementos #xD; extension 0..* Extension Conteúdo adicional definido por implementações #xD; reference 0..1 string Referência literal, URL relativa, interna ou absoluta #xD; type 0..1 uri Tipo ao qual a referência se refere (por exemplo, Paciente) #xD; identifier 0..1 Identifier Referência lógica, quando a referência literal não é conhecida #xD; display 0..1 string Texto alternativo para o recurso #xD; receivedTime 0..1 dateTime Data/hora em que a amostra foi recebida para processamento #xD; parent 0..* Reference(BRCoreSpecimen) Referencia a origem da amostra #xD; request 0..* Reference(BRCoreServiceRequest) Referencia a requisição associada #xD; collection 0..1 BackboneElement Detalhes da coleta #xD; id 0..1 string ID exclusivo para referência entre elementos #xD; extension 0..* Extension Conteúdo adicional definido por implementações #xD; modifierExtension 0..* Extension Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas #xD; collector 0..1 Reference(BRCorePractitioner | BRCorePractitionerRole) Referência ao profissional responsável pela coleta #xD; collected[x] 1..1 dateTime, Period Data/Hora-Período da coleta #xD; duration 0..1 Duration Duração da coleta #xD; quantity 1..1 SimpleQuantity(4.0.1) Quantidade de amostra coletada #xD; method 1..1 CodeableConcept Método de coleta da amostra Vínculo: FHIRSpecimenCollectionMethod (example) #xD; bodySite 0..1 CodeableConcept Local anatômico de coleta da amostra #xD; fastingStatus[x] 0..1 CodeableConcept, Duration Tempo de jejum do paciente, se for o caso #xD; processing 0..* BackboneElement Detalhes da etapa de processamento da amostra e respectivos passos #xD; id 0..1 string ID exclusivo para referência entre elementos #xD; extension 0..* Extension Conteúdo adicional definido por implementações #xD; modifierExtension 0..* Extension Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas #xD; description 0..1 string Texto que descreve o procedimento #xD; procedure 0..1 CodeableConcept Indica a etapa de tratamento aplicada a amostra #xD; additive 0..* Reference(Substance) Referência ao material utilizado na etapa de processamento da amostra #xD; time[x] 0..1 dateTime, Period Data e hora do processamento da amostra #xD; container 0..* BackboneElement Recipiente que contém a amostra (tubo/lâmina, etc.) #xD; id 0..1 string ID exclusivo para referência entre elementos #xD; extension 0..* Extension Conteúdo adicional definido por implementações #xD; modifierExtension 0..* Extension Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas #xD; identifier 0..* Identifier Id do recipiente #xD; description 0..1 string Descrição do recipiente #xD; type 0..1 CodeableConcept Tipo de recipiente associado a amostra #xD; capacity 0..1 SimpleQuantity(4.0.1) Volume ou tamanho do recipiente #xD; specimenQuantity 0..1 SimpleQuantity(4.0.1) Quantidade de amostra no recipiente #xD; additive[x] 0..1 CodeableConcept, Reference(Substance) Aditivo associado ao recipiente #xD; condition 0..* CodeableConcept Condições da amostra Vínculo: hl7VS-specimenCondition (extensible) #xD; note 0..* Annotation Comentários #xD; Documentação para este formato
Este perfil restringe o recurso Specimen para representar as características de amostras biológicas no contexto de resultados laboratoriais integrados a um Sumário do Paciente. O recurso Specimen descreve uma amostra utilizada para análise laboratorial
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
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()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
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()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Um conjunto de regras sob as quais este conteúdo foi criado
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Resumo do texto do recurso em linguagem natural
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Extensões adicionais que não fazem parte do modelo base
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Identificadores externos para este recurso
Identificador atribuído pelo laboratório
.participation[typeCode=SBJ].act[classCode=ACSN, moodCode=EVN].id
Status da amostra: disponível | indisponível | insatisfatório | inserido com erro: códigos que fornecem o status/disponibilidade de uma amostra
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Codes providing the status/availability of a specimen.
The type can change the way that a specimen is handled and drives what kind of analyses can properly be performed on the specimen. It is frequently used in diagnostic work flow decision making systems.
Referência de onde veio a amostra. Pode ser de paciente(s), de um local (por exemplo, a fonte de uma amostra ambiental) ou uma amostra de uma substância ou dispositivo
ID exclusivo para referência entre elementos
Extensions are always sliced by (at least) url
Conteúdo adicional definido por implementações
Referência literal, URL relativa, interna ou absoluta
Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Tipo ao qual a referência se refere (por exemplo, Paciente)
This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Aa resource (or, for logical models, the URI of the logical model).
Referência lógica, quando a referência literal não é conhecida
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Data/hora em que a amostra foi recebida para processamento
.participation[typeCode=SBJ].act[code=SPCREC, moodCode=EVN].effectiveTime
The parent specimen could be the source from which the current specimen is derived by some processing step (e.g. an aliquot or isolate or extracted nucleic acids from clinical samples) or one of many specimens that were combined to create a pooled sample.
.scoper (if parent) .player.scopesRole[classCode=SPEC].player (if child)
The request may be explicit or implied such with a ServiceRequest that requires a blood draw.
.participation[typeCode=SBJ].act[classCode=SPECCOLLECT, moodCode=EVN]
Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Referência ao profissional responsável pela coleta
If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension [bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).
Codes describing anatomical locations. May include laterality.
Tempo de jejum do paciente, se for o caso
Representing fasting status using this element is preferred to representing it with an observation using a 'pre-coordinated code' such as LOINC 2005-7 (Calcium [Moles/​time] in 2 hour Urine --12 hours fasting), or using a component observation ` such as `Observation.component code` = LOINC 49541-6 (Fasting status - Reported).
Many diagnostic tests require fasting to facilitate accurate interpretation.
Codes describing the fasting status of the patient.
Detalhes da etapa de processamento da amostra e respectivos passos
.participation[typeCode=SBJ].act[code=SPCTRT, moodCode=EVN]
Indica a etapa de tratamento aplicada a amostra
Type indicating the technique used to process the specimen.
Referência ao material utilizado na etapa de processamento da amostra
Recipiente que contém a amostra (tubo/lâmina, etc.)
Descrição do recipiente que contém a amostra
one of: SAC 16, SAC17 and SAC 20, or SAC 21 and SAC 20
Specimen condition is an observation made about the specimen. It's a point-in-time assessment. It can be used to assess its quality or appropriateness for a specific test.
The specimen condition can be used to assess its quality or appropriateness for a specific test.
.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value