Guia de implementação do Core do Brasil: Release 1 - BR Realm | STU1
1.0.0 - STU1

Guia de implementação do Core do Brasil: Release 1 - BR Realm | STU1 - Downloaded Version 1.0.0 See the Directory of published versions

## Resource Profile: BRCoreAllergyIntolerance - Descrições detalhadas

Active as of 2026-07-25

Definitions for the br-core-allergyintolerance resource profile.

- Tabela de elementos diferenciais
- Tabela de elementos -chave
- Tabela de elementos de instantâneo

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. AllergyIntolerance
2. AllergyIntolerance.id
Definição | Identificador lógico deste artefato
Curto | Identificador lógico deste artefato
4. AllergyIntolerance.meta
Definição | Metadados sobre o recurso
Curto | Metadados sobre o recurso
6. AllergyIntolerance.implicitRules
Definição | Um conjunto de regras sob as quais este conteúdo foi criado
Curto | Um conjunto de regras sob as quais este conteúdo foi criado
8. AllergyIntolerance.language
Definição | Idioma do recurso
Curto | Idioma do recurso
10. AllergyIntolerance.text
Definição | Resumo do texto do recurso em linguagem natural
Curto | Resumo do texto do recurso em linguagem natural
12. AllergyIntolerance.contained
Definição | Recursos contidos no recurso
Curto | Recursos contidos no recurso
14. AllergyIntolerance.extension
Definição | Extensões adicionais que não fazem parte do modelo base
Curto | Extensões adicionais que não fazem parte do modelo base
16. AllergyIntolerance.modifierExtension
Definição | Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
Curto | Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
18. AllergyIntolerance.identifier
Definição | Identificadores externos para este recurso
Curto | Identificadores externos para este recurso
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
20. AllergyIntolerance.clinicalStatus
Definição | O estado clínico da alergia ou intolerância
Curto | O estado clínico da alergia ou intolerância
22. AllergyIntolerance.verificationStatus
Definição | Declaração sobre a certeza associada a uma propensão, ou risco potencial, de uma reação à substância identificada
Curto | Declaração sobre a certeza associada a uma propensão, ou risco potencial, de uma reação à substância identificada
24. AllergyIntolerance.type
Definição | Identificação do mecanismo fisiológico subjacente a um Risco de Reação
Curto | Identificação do mecanismo fisiológico subjacente a um Risco de Reação
26. AllergyIntolerance.category
Definição | Categoria de uma substância identificada associada a alergias ou intolerâncias: comida | medicamento | ambiente | biológico
Curto | Categoria de uma substância identificada associada a alergias ou intolerâncias: comida | medicamento | ambiente | biológico
28. AllergyIntolerance.criticality
Definição | Criticalidade da reação: baixo | alto | incapaz de avaliar
Curto | Criticalidade da reação: baixo | alto | incapaz de avaliar
30. AllergyIntolerance.code
Definição | Tipo de substância/produto, condição de alergia ou intolerância ou ou código para alergia ausente/desconhecida
Curto | Tipo de substância/produto, condição de alergia ou intolerância ou ou código para alergia ausente/desconhecida
Vínculo | Os códigos DEVERÃO ser retirados de BR Alergenos (required to `https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos` )
32. AllergyIntolerance.patient
Definição | Referência do paciente
Curto | Referência do paciente
Tipo | Reference(BRCorePatient)
34. AllergyIntolerance.patient.id
Definição | Identificador exclusivo para referência entre elementos
Curto | Identificador exclusivo para referência entre elementos
36. AllergyIntolerance.patient.extension
Definição | Conteúdo adicional definido por implementações
Curto | Conteúdo adicional definido por implementações
38. AllergyIntolerance.patient.reference
Definição | Referência literal, URL relativa, interna ou absoluta
Curto | Referência literal, URL relativa, interna ou absoluta
40. AllergyIntolerance.patient.type
Definição | Tipo ao qual a referência se refere (por exemplo: Paciente)
Curto | Tipo ao qual a referência se refere (por exemplo: Paciente)
42. AllergyIntolerance.patient.identifier
Definição | Referência lógica, quando a referência literal não é conhecida
Curto | Referência lógica, quando a referência literal não é conhecida
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
44. AllergyIntolerance.patient.display
Definição | Texto alternativo para o recurso
Curto | Texto alternativo para o recurso
46. AllergyIntolerance.encounter
Definição | Quando a alergia ou intolerância foi afirmada
Curto | Quando a alergia ou intolerância foi afirmada
Tipo | Reference(br-core-encounter)
48. AllergyIntolerance.onset[x]
Definição | Quando a alergia ou a intolerância foi identificada
Curto | Quando a alergia ou a intolerância foi identificada
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
50. AllergyIntolerance.recordedDate
Definição | Data em que a primeira versão da instância do recurso foi registrada
Curto | Data em que a primeira versão da instância do recurso foi registrada
52. AllergyIntolerance.recorder
Definição | Quem registrou a alergia/reação adversa
Curto | Quem registrou a alergia/reação adversa
Tipo | Reference(BRCorePatient, BRCorePractitioner, BRCorePractitionerRole, BRCoreRelatedPerson)
54. AllergyIntolerance.asserter
Definição | Fonte da informação sobre a alergia/reação adversa
Curto | Fonte da informação sobre a alergia/reação adversa
Tipo | Reference(BRCorePatient, BRCorePractitioner, BRCorePractitionerRole, BRCoreRelatedPerson)
56. AllergyIntolerance.lastOccurrence
Definição | Data (/hora) da última ocorrência conhecida de uma reação
Curto | Data (/hora) da última ocorrência conhecida de uma reação
58. AllergyIntolerance.note
Definição | Texto adicional não capturado em outros campos.
Curto | Texto adicional não capturado em outros campos
60. AllergyIntolerance.reaction
Definição | Eventos de reação adversa relacionados à exposição da substância
Curto | Eventos de reação adversa relacionados à exposição da substância
62. AllergyIntolerance.reaction.id
Definição | ID exclusivo para referência entre elementos
Curto | ID exclusivo para referência entre elementos
64. AllergyIntolerance.reaction.extension
Definição | Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas
Curto | Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas
66. AllergyIntolerance.reaction.modifierExtension
Definição | Conteúdo adicional definido por implementações
Curto | Conteúdo adicional definido por implementações
68. AllergyIntolerance.reaction.substance
Definição | Substância específica ou produto farmacêutico considerado responsável pelo evento
Curto | Substância específica ou produto farmacêutico considerado responsável pelo evento
Vínculo | Os códigos DEVERÃO ser retirados de BR Alergenos (required to `https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos` )
70. AllergyIntolerance.reaction.manifestation
Definição | Código para a manifestação de reação de alergia ou intolerância do subconjunto SNOMED IPS do SNOMED CT (IPS Free Set)
Curto | Código para a manifestação de reação de alergia ou intolerância do subconjunto SNOMED International Patient Set (IPS) do SNOMED CT (IPS Free Set)
Vínculo | Para exemplos de códigos, ver BR Reacoes Adversas Med DRA (example to `https://terminologia.saude.gov.br/fhir/ValueSet/BRReacoesAdversasMedDRA` )
72. AllergyIntolerance.reaction.description
Definição | Descrição do evento como um todo
Curto | Descrição do evento como um todo
74. AllergyIntolerance.reaction.onset
Definição | Data (/hora) em que as manifestações apareceram
Curto | Data (/hora) em que as manifestações apareceram
76. AllergyIntolerance.reaction.severity
Definição | Avaliação clínica da gravidade de um evento de reação: leve | moderado | grave (do evento como um todo)
Curto | Avaliação clínica da gravidade de um evento de reação: leve | moderado | grave (do evento como um todo)
78. AllergyIntolerance.reaction.exposureRoute
Definição | Como o sujeito foi exposto à substância
Curto | Como o sujeito foi exposto à substância
Vínculo | Para exemplos de códigos, ver Medicine Route of Administration - IPS (example to `http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration` )
80. AllergyIntolerance.reaction.note
Definição | Texto sobre evento não capturado em outros campos
Curto | Texto sobre evento não capturado em outros campos

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. AllergyIntolerance
Definição | Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.
Curto | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Comentários | Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.
Controlo | 0..*
É modificador | false
Resumo | false
Nomes alternativos | Allergy, Intolerance, Adverse Reaction
Invariantes | ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. (`verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()`) ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (`verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()`) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. (verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()) ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty())
2. AllergyIntolerance.id
Definição | Identificador lógico deste artefato The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Curto | Identificador lógico deste artefatoLogical id of this artifact
Comentários | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Controlo | 0..1
Tipo | id string
É modificador | false
Resumo | true
4. AllergyIntolerance.meta
Definição | Metadados sobre o recurso The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Curto | Metadados sobre o recursoMetadata about the resource
Controlo | 0..1
Tipo | Meta
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. AllergyIntolerance.implicitRules
Definição | Um conjunto de regras sob as quais este conteúdo foi criado A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Curto | Um conjunto de regras sob as quais este conteúdo foi criadoA set of rules under which this content was created
Comentários | 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.
Controlo | 0..1
Tipo | uri
É modificador | true porque 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
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. AllergyIntolerance.language
Definição | Idioma do recurso The base language in which the resource is written.
Curto | Idioma do recursoLanguage of the resource content
Comentários | 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).
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. AllergyIntolerance.text
Definição | Resumo do texto do recurso em linguagem natural A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Curto | Resumo do texto do recurso em linguagem naturalText summary of the resource, for human interpretation
Comentários | 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.
Controlo | 0..1
Tipo | Narrative
É modificador | false
Resumo | false
Nomes alternativos | narrative, html, xhtml, display
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. AllergyIntolerance.contained
Definição | Recursos contidos no recurso These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Curto | Recursos contidos no recursoContained, inline Resources
Comentários | 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.
Controlo | 0..*
Tipo | Resource
É modificador | false
Resumo | false
Nomes alternativos | inline resources, anonymous resources, contained resources
14. AllergyIntolerance.extension
Definição | Extensões adicionais que não fazem parte do modelo base May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Extensões adicionais que não fazem parte do modelo baseAdditional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. AllergyIntolerance.modifierExtension
Definição | Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidasExtensions that cannot be ignored
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumo | false
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. AllergyIntolerance.identifier
Definição | Identificadores externos para este recurso Business identifiers assigned to this AllergyIntolerance by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
Curto | Identificadores externos para este recursoExternal ids for this item
Comentários | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..*
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Allows identification of the AllergyIntolerance as it is known by various participating systems and in a way that remains consistent across servers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. AllergyIntolerance.clinicalStatus
Definição | O estado clínico da alergia ou intolerância The clinical status of the allergy or intolerance.
Curto | O estado clínico da alergia ou intolerânciaactive | inactive | resolved
Comentários | Refer to discussion if clincalStatus is missing data. The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ait-1, ait-2
Vínculo | Os códigos DEVERÃO ser retirados de AllergyIntoleranceClinicalStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 (required to `http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1` ) The clinical status of the allergy or intolerance.
Tipo | CodeableConcept
É modificador | true porque This element is labeled as a modifier because the status contains the codes inactive and resolved that mark the AllergyIntolerance as no longer active.
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. AllergyIntolerance.verificationStatus
Definição | Declaração sobre a certeza associada a uma propensão, ou risco potencial, de uma reação à substância identificada Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).
Curto | Declaração sobre a certeza associada a uma propensão, ou risco potencial, de uma reação à substância identificadaunconfirmed | confirmed | refuted | entered-in-error
Comentários | The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ait-1, ait-2
Vínculo | Os códigos DEVERÃO ser retirados de AllergyIntoleranceVerificationStatusCodes http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 (required to `http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1` ) Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
Tipo | CodeableConcept
É modificador | true porque This element is labeled as a modifier because the status contains the codes refuted and entered-in-error that mark the AllergyIntolerance as not currently valid.
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. AllergyIntolerance.type
Definição | Identificação do mecanismo fisiológico subjacente a um Risco de Reação Identification of the underlying physiological mechanism for the reaction risk.
Curto | Identificação do mecanismo fisiológico subjacente a um Risco de Reaçãoallergy | intolerance - Underlying mechanism (if known)
Comentários | Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term "allergy" is used rather generically and may overlap with the use of "intolerance" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AllergyIntoleranceType http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 (required to `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1` ) Identification of the underlying physiological mechanism for a Reaction Risk.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Nomes alternativos | Category, Class
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. AllergyIntolerance.category
Definição | Categoria de uma substância identificada associada a alergias ou intolerâncias: comida | medicamento | ambiente | biológico Category of the identified substance.
Curto | Categoria de uma substância identificada associada a alergias ou intolerâncias: comida | medicamento | ambiente | biológicofood | medication | environment | biologic
Comentários | This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation. When searching on category, consider the implications of AllergyIntolerance resources without a category. For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned. Refer to search for more information on how to search category with a :missing modifier to get allergies that don't have a category. Additionally, category should be used with caution because category can be subjective based on the sender.
Controlo | 0..*
Vínculo | Os códigos DEVERÃO ser retirados de AllergyIntoleranceCategory http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 (required to `http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1` ) Category of an identified substance associated with allergies or intolerances.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Nomes alternativos | Category, Type, Reaction Type, Class
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. AllergyIntolerance.criticality
Definição | Criticalidade da reação: baixo | alto | incapaz de avaliar Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.
Curto | Criticalidade da reação: baixo | alto | incapaz de avaliarlow | high | unable-to-assess
Comentários | The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere). Systems that capture a severity at the condition level are actually representing the concept of criticality whereas the severity documented at the reaction level is representing the true reaction severity. Existing systems that are capturing both condition criticality and reaction severity may use the term "severity" to represent both. Criticality is the worst it could be in the future (i.e. situation-agnostic) whereas severity is situation-dependent.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AllergyIntoleranceCriticality http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 (required to `http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1` ) Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Nomes alternativos | Severity, Seriousness, Contra-indication, Risk
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. AllergyIntolerance.code
Definição | Tipo de substância/produto, condição de alergia ou intolerância ou ou código para alergia ausente/desconhecida Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., "Latex"), an allergy or intolerance condition (e.g., "Latex allergy"), or a negated/excluded code for a specific substance or class (e.g., "No latex allergy") or a general or categorical negated statement (e.g., "No known allergy", "No known drug allergies"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.
Curto | Tipo de substância/produto, condição de alergia ou intolerância ou ou código para alergia ausente/desconhecidaCode that identifies the allergy or intolerance
Comentários | It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, ICD-9, IDC-10, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text. When a substance or product code is specified for the 'code' element, the "default" semantic context is that this is a positive statement of an allergy or intolerance (depending on the value of the 'type' element, if present) condition to the specified substance/product. In the corresponding SNOMED CT allergy model, the specified substance/product is the target (destination) of the "Causative agent" relationship. The 'substanceExposureRisk' extension is available as a structured and more flexible alternative to the 'code' element for making positive or negative allergy or intolerance statements. This extension provides the capability to make "no known allergy" (or "no risk of adverse reaction") statements regarding any coded substance/product (including cases when a pre-coordinated "no allergy to x" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de Para exemplos de códigos, ver BR Alergenos http://hl7.org/fhir/ValueSet/allergyintolerance-code|4.0.1 (required to `https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos` )
Tipo | CodeableConcept
É modificador | false
Resumo | true
Nomes alternativos | Code
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. AllergyIntolerance.patient
Definição | Referência do paciente The patient who has the allergy or intolerance.
Curto | Referência do pacienteWho the sensitivity is for
Controlo | 1..1
Tipo | Reference(BRCorePatient, Patient)
É modificador | false
Resumo | true
Nomes alternativos | Patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. AllergyIntolerance.patient.id
Definição | Identificador exclusivo para referência entre elementos Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Identificador exclusivo para referência entre elementosUnique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
36. AllergyIntolerance.patient.extension
Definição | Conteúdo adicional definido por implementações May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Conteúdo adicional definido por implementaçõesAdditional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Este elemento introduz um conjunto de fatias em `AllergyIntolerance.patient.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
38. AllergyIntolerance.patient.reference
Definição | Referência literal, URL relativa, interna ou absoluta A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Curto | Referência literal, URL relativa, interna ou absolutaLiteral reference, Relative, internal or absolute URL
Comentários | 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.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ref-1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. AllergyIntolerance.patient.type
Definição | Tipo ao qual a referência se refere (por exemplo: Paciente) The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Curto | Tipo ao qual a referência se refere (por exemplo: Paciente)Type the reference refers to (e.g. "Patient")
Comentários | 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.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` ) Aa resource (or, for logical models, the URI of the logical model).
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. AllergyIntolerance.patient.identifier
Definição | Referência lógica, quando a referência literal não é conhecida An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Referência lógica, quando a referência literal não é conhecidaLogical reference, when literal reference is not known
Comentários | 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).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. AllergyIntolerance.patient.display
Definição | Texto alternativo para o recurso Plain text narrative that identifies the resource in addition to the resource reference.
Curto | Texto alternativo para o recursoText alternative for the resource
Comentários | 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.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. AllergyIntolerance.encounter
Definição | Quando a alergia ou intolerância foi afirmada The encounter when the allergy or intolerance was asserted.
Curto | Quando a alergia ou intolerância foi afirmadaEncounter when the allergy or intolerance was asserted
Controlo | 0..1
Tipo | Reference(br-core-encounter, Encounter)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. AllergyIntolerance.onset[x]
Definição | Quando a alergia ou a intolerância foi identificada Estimated or actual date, date-time, or age when allergy or intolerance was identified.
Curto | Quando a alergia ou a intolerância foi identificadaWhen allergy or intolerance was identified
Controlo | 0..1
Tipo | Escolha de: dateTime, Age, Period, Range, string
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. AllergyIntolerance.recordedDate
Definição | Data em que a primeira versão da instância do recurso foi registrada The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date.
Curto | Data em que a primeira versão da instância do recurso foi registradaDate first version of the resource instance was recorded
Controlo | 0..1
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. AllergyIntolerance.recorder
Definição | Quem registrou a alergia/reação adversa Individual who recorded the record and takes responsibility for its content.
Curto | Quem registrou a alergia/reação adversaWho recorded the sensitivity
Controlo | 0..1
Tipo | Reference(BRCorePatient, BRCorePractitioner, BRCorePractitionerRole, BRCoreRelatedPerson, Practitioner, PractitionerRole, Patient, RelatedPerson)
É modificador | false
Resumo | false
Nomes alternativos | Author
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. AllergyIntolerance.asserter
Definição | Fonte da informação sobre a alergia/reação adversa The source of the information about the allergy that is recorded.
Curto | Fonte da informação sobre a alergia/reação adversaSource of the information about the allergy
Comentários | The recorder takes responsibility for the content, but can reference the source from where they got it.
Controlo | 0..1
Tipo | Reference(BRCorePatient, BRCorePractitioner, BRCorePractitionerRole, BRCoreRelatedPerson, Patient, RelatedPerson, Practitioner, PractitionerRole)
É modificador | false
Resumo | true
Nomes alternativos | Source, Informant
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. AllergyIntolerance.lastOccurrence
Definição | Data (/hora) da última ocorrência conhecida de uma reação Represents the date and/or time of the last known occurrence of a reaction event.
Curto | Data (/hora) da última ocorrência conhecida de uma reaçãoDate(/time) of last known occurrence of a reaction
Comentários | This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the Comment element should be used.
Controlo | 0..1
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. AllergyIntolerance.note
Definição | Texto adicional não capturado em outros campos. Additional narrative about the propensity for the Adverse Reaction, not captured in other fields.
Curto | Texto adicional não capturado em outros camposAdditional text not captured in other fields
Comentários | For example: including reason for flagging a seriousness of 'High Risk'; and instructions related to future exposure or administration of the substance, such as administration within an Intensive Care Unit or under corticosteroid cover. The notes should be related to an allergy or intolerance as a condition in general and not related to any particular episode of it. For episode notes and descriptions, use AllergyIntolerance.event.description and AllergyIntolerance.event.notes.
Controlo | 0..*
Tipo | Annotation
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. AllergyIntolerance.reaction
Definição | Eventos de reação adversa relacionados à exposição da substância Details about each adverse reaction event linked to exposure to the identified substance.
Curto | Eventos de reação adversa relacionados à exposição da substânciaAdverse Reaction Events linked to exposure to substance
Controlo | 0..*
Tipo | BackboneElement
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. AllergyIntolerance.reaction.id
Definição | ID exclusivo para referência entre elementos Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | ID exclusivo para referência entre elementosUnique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
64. AllergyIntolerance.reaction.extension
Definição | Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Extensões que não podem ser ignoradas mesmo que não sejam reconhecidasAdditional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
66. AllergyIntolerance.reaction.modifierExtension
Definição | Conteúdo adicional definido por implementações May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Conteúdo adicional definido por implementaçõesExtensions that cannot be ignored even if unrecognized
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
68. AllergyIntolerance.reaction.substance
Definição | Substância específica ou produto farmacêutico considerado responsável pelo evento Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.
Curto | Substância específica ou produto farmacêutico considerado responsável pelo eventoSpecific substance or pharmaceutical product considered to be responsible for event
Comentários | Coding of the specific substance (or pharmaceutical product) with a terminology capable of triggering decision support should be used wherever possible. The 'code' element allows for the use of a specific substance or pharmaceutical product, or a group or class of substances. In the case of an allergy or intolerance to a class of substances, (for example, "penicillins"), the 'reaction.substance' element could be used to code the specific substance that was identified as having caused the reaction (for example, "amoxycillin"). Duplication of the value in the 'code' and 'reaction.substance' elements is acceptable when a specific substance has been recorded in 'code'.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de Para exemplos de códigos, ver BR Alergenos http://hl7.org/fhir/ValueSet/substance-code|4.0.1 (required to `https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos` )
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. AllergyIntolerance.reaction.manifestation
Definição | Código para a manifestação de reação de alergia ou intolerância do subconjunto SNOMED IPS do SNOMED CT (IPS Free Set) Clinical symptoms and/or signs that are observed or associated with the adverse reaction event.
Curto | Código para a manifestação de reação de alergia ou intolerância do subconjunto SNOMED International Patient Set (IPS) do SNOMED CT (IPS Free Set)Clinical symptoms/signs associated with the Event
Comentários | Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash or no reaction. It is preferable that manifestation should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions, as recommended in the UK NHS CUI guidelines. Terminologies commonly used include, but are not limited to, SNOMED CT or ICD10.
Controlo | 1..*
Vínculo | Para exemplos de códigos, ver BR Reacoes Adversas Med DRA http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1 (example to `https://terminologia.saude.gov.br/fhir/ValueSet/BRReacoesAdversasMedDRA` )
Tipo | CodeableConcept
É modificador | false
Resumo | false
Nomes alternativos | Symptoms, Signs
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. AllergyIntolerance.reaction.description
Definição | Descrição do evento como um todo Text description about the reaction as a whole, including details of the manifestation if required.
Curto | Descrição do evento como um todoDescription of the event as a whole
Comentários | Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the comment field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Nomes alternativos | Narrative, Text
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. AllergyIntolerance.reaction.onset
Definição | Data (/hora) em que as manifestações apareceram Record of the date and/or time of the onset of the Reaction.
Curto | Data (/hora) em que as manifestações apareceramDate(/time) when manifestations showed
Controlo | 0..1
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. AllergyIntolerance.reaction.severity
Definição | Avaliação clínica da gravidade de um evento de reação: leve | moderado | grave (do evento como um todo) Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.
Curto | Avaliação clínica da gravidade de um evento de reação: leve | moderado | grave (do evento como um todo)mild | moderate | severe (of event as a whole)
Comentários | It is acknowledged that this assessment is very subjective. There may be some specific practice domains where objective scales have been applied. Objective scales can be included in this model as extensions.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AllergyIntoleranceSeverity http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 (required to `http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1` ) Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. AllergyIntolerance.reaction.exposureRoute
Definição | Como o sujeito foi exposto à substância Identification of the route by which the subject was exposed to the substance.
Curto | Como o sujeito foi exposto à substânciaHow the subject was exposed to the substance
Comentários | Coding of the route of exposure with a terminology should be used wherever possible.
Controlo | 0..1
Vínculo | Para exemplos de códigos, ver Medicine Route of Administration - IPS http://hl7.org/fhir/ValueSet/route-codes|4.0.1 (example to `http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration` )
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. AllergyIntolerance.reaction.note
Definição | Texto sobre evento não capturado em outros campos Additional text about the adverse reaction event not captured in other fields.
Curto | Texto sobre evento não capturado em outros camposText about event not captured in other fields
Comentários | Use this field to record information indirectly related to a particular event and not captured in the description. For example: Clinical records are no longer available, recorded based on information provided to the patient by her mother and her mother is deceased.
Controlo | 0..*
Tipo | Annotation
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. AllergyIntolerance
Definição | Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.
Curto | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
Comentários | Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.
Controlo | 0..*
É modificador | false
Resumo | false
Nomes alternativos | Allergy, Intolerance, Adverse Reaction
Invariantes | ait-1: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. (`verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()`) ait-2: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (`verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()`) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. AllergyIntolerance.id
Definição | Identificador lógico deste artefato
Curto | Identificador lógico deste artefato
Comentários | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Controlo | 0..1
Tipo | id
É modificador | false
Resumo | true
4. AllergyIntolerance.meta
Definição | Metadados sobre o recurso
Curto | Metadados sobre o recurso
Controlo | 0..1
Tipo | Meta
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. AllergyIntolerance.implicitRules
Definição | Um conjunto de regras sob as quais este conteúdo foi criado
Curto | Um conjunto de regras sob as quais este conteúdo foi criado
Comentários | 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.
Controlo | 0..1
Tipo | uri
É modificador | true porque 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
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. AllergyIntolerance.language
Definição | Idioma do recurso
Curto | Idioma do recurso
Comentários | 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).
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. AllergyIntolerance.text
Definição | Resumo do texto do recurso em linguagem natural
Curto | Resumo do texto do recurso em linguagem natural
Comentários | 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.
Controlo | 0..1
Tipo | Narrative
É modificador | false
Resumo | false
Nomes alternativos | narrative, html, xhtml, display
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. AllergyIntolerance.contained
Definição | Recursos contidos no recurso
Curto | Recursos contidos no recurso
Comentários | 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.
Controlo | 0..*
Tipo | Resource
É modificador | false
Resumo | false
Nomes alternativos | inline resources, anonymous resources, contained resources
14. AllergyIntolerance.extension
Definição | Extensões adicionais que não fazem parte do modelo base
Curto | Extensões adicionais que não fazem parte do modelo base
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
16. AllergyIntolerance.modifierExtension
Definição | Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
Curto | Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. AllergyIntolerance.identifier
Definição | Identificadores externos para este recurso
Curto | Identificadores externos para este recurso
Comentários | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..*
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Allows identification of the AllergyIntolerance as it is known by various participating systems and in a way that remains consistent across servers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. AllergyIntolerance.clinicalStatus
Definição | O estado clínico da alergia ou intolerância
Curto | O estado clínico da alergia ou intolerância
Comentários | Refer to discussion if clincalStatus is missing data. The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ait-1, ait-2
Vínculo | Os códigos DEVERÃO ser retirados de AllergyIntoleranceClinicalStatusCodes (required to `http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1` ) The clinical status of the allergy or intolerance.
Tipo | CodeableConcept
É modificador | true porque This element is labeled as a modifier because the status contains the codes inactive and resolved that mark the AllergyIntolerance as no longer active.
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. AllergyIntolerance.verificationStatus
Definição | Declaração sobre a certeza associada a uma propensão, ou risco potencial, de uma reação à substância identificada
Curto | Declaração sobre a certeza associada a uma propensão, ou risco potencial, de uma reação à substância identificada
Comentários | The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ait-1, ait-2
Vínculo | Os códigos DEVERÃO ser retirados de AllergyIntoleranceVerificationStatusCodes (required to `http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1` ) Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
Tipo | CodeableConcept
É modificador | true porque This element is labeled as a modifier because the status contains the codes refuted and entered-in-error that mark the AllergyIntolerance as not currently valid.
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. AllergyIntolerance.type
Definição | Identificação do mecanismo fisiológico subjacente a um Risco de Reação
Curto | Identificação do mecanismo fisiológico subjacente a um Risco de Reação
Comentários | Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term "allergy" is used rather generically and may overlap with the use of "intolerance" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AllergyIntoleranceType (required to `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1` ) Identification of the underlying physiological mechanism for a Reaction Risk.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Nomes alternativos | Category, Class
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. AllergyIntolerance.category
Definição | Categoria de uma substância identificada associada a alergias ou intolerâncias: comida | medicamento | ambiente | biológico
Curto | Categoria de uma substância identificada associada a alergias ou intolerâncias: comida | medicamento | ambiente | biológico
Comentários | This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation. When searching on category, consider the implications of AllergyIntolerance resources without a category. For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned. Refer to search for more information on how to search category with a :missing modifier to get allergies that don't have a category. Additionally, category should be used with caution because category can be subjective based on the sender.
Controlo | 0..*
Vínculo | Os códigos DEVERÃO ser retirados de AllergyIntoleranceCategory (required to `http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1` ) Category of an identified substance associated with allergies or intolerances.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Nomes alternativos | Category, Type, Reaction Type, Class
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. AllergyIntolerance.criticality
Definição | Criticalidade da reação: baixo | alto | incapaz de avaliar
Curto | Criticalidade da reação: baixo | alto | incapaz de avaliar
Comentários | The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere). Systems that capture a severity at the condition level are actually representing the concept of criticality whereas the severity documented at the reaction level is representing the true reaction severity. Existing systems that are capturing both condition criticality and reaction severity may use the term "severity" to represent both. Criticality is the worst it could be in the future (i.e. situation-agnostic) whereas severity is situation-dependent.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AllergyIntoleranceCriticality (required to `http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1` ) Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Nomes alternativos | Severity, Seriousness, Contra-indication, Risk
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. AllergyIntolerance.code
Definição | Tipo de substância/produto, condição de alergia ou intolerância ou ou código para alergia ausente/desconhecida
Curto | Tipo de substância/produto, condição de alergia ou intolerância ou ou código para alergia ausente/desconhecida
Comentários | It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, ICD-9, IDC-10, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text. When a substance or product code is specified for the 'code' element, the "default" semantic context is that this is a positive statement of an allergy or intolerance (depending on the value of the 'type' element, if present) condition to the specified substance/product. In the corresponding SNOMED CT allergy model, the specified substance/product is the target (destination) of the "Causative agent" relationship. The 'substanceExposureRisk' extension is available as a structured and more flexible alternative to the 'code' element for making positive or negative allergy or intolerance statements. This extension provides the capability to make "no known allergy" (or "no risk of adverse reaction") statements regarding any coded substance/product (including cases when a pre-coordinated "no allergy to x" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de BR Alergenos (required to `https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos` )
Tipo | CodeableConcept
É modificador | false
Resumo | true
Nomes alternativos | Code
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. AllergyIntolerance.patient
Definição | Referência do paciente
Curto | Referência do paciente
Controlo | 1..1
Tipo | Reference(BRCorePatient)
É modificador | false
Resumo | true
Nomes alternativos | Patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. AllergyIntolerance.patient.id
Definição | Identificador exclusivo para referência entre elementos
Curto | Identificador exclusivo para referência entre elementos
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
36. AllergyIntolerance.patient.extension
Definição | Conteúdo adicional definido por implementações
Curto | Conteúdo adicional definido por implementações
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `AllergyIntolerance.patient.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
38. AllergyIntolerance.patient.reference
Definição | Referência literal, URL relativa, interna ou absoluta
Curto | Referência literal, URL relativa, interna ou absoluta
Comentários | 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.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ref-1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. AllergyIntolerance.patient.type
Definição | Tipo ao qual a referência se refere (por exemplo: Paciente)
Curto | Tipo ao qual a referência se refere (por exemplo: Paciente)
Comentários | 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.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType (extensible to `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` ) Aa resource (or, for logical models, the URI of the logical model).
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. AllergyIntolerance.patient.identifier
Definição | Referência lógica, quando a referência literal não é conhecida
Curto | Referência lógica, quando a referência literal não é conhecida
Comentários | 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).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. AllergyIntolerance.patient.display
Definição | Texto alternativo para o recurso
Curto | Texto alternativo para o recurso
Comentários | 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.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. AllergyIntolerance.encounter
Definição | Quando a alergia ou intolerância foi afirmada
Curto | Quando a alergia ou intolerância foi afirmada
Controlo | 0..1
Tipo | Reference(br-core-encounter)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. AllergyIntolerance.onset[x]
Definição | Quando a alergia ou a intolerância foi identificada
Curto | Quando a alergia ou a intolerância foi identificada
Controlo | 0..1
Tipo | Escolha de: dateTime, Age, Period, Range, string
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. AllergyIntolerance.recordedDate
Definição | Data em que a primeira versão da instância do recurso foi registrada
Curto | Data em que a primeira versão da instância do recurso foi registrada
Controlo | 0..1
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. AllergyIntolerance.recorder
Definição | Quem registrou a alergia/reação adversa
Curto | Quem registrou a alergia/reação adversa
Controlo | 0..1
Tipo | Reference(BRCorePatient, BRCorePractitioner, BRCorePractitionerRole, BRCoreRelatedPerson)
É modificador | false
Resumo | false
Nomes alternativos | Author
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. AllergyIntolerance.asserter
Definição | Fonte da informação sobre a alergia/reação adversa
Curto | Fonte da informação sobre a alergia/reação adversa
Comentários | The recorder takes responsibility for the content, but can reference the source from where they got it.
Controlo | 0..1
Tipo | Reference(BRCorePatient, BRCorePractitioner, BRCorePractitionerRole, BRCoreRelatedPerson)
É modificador | false
Resumo | true
Nomes alternativos | Source, Informant
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. AllergyIntolerance.lastOccurrence
Definição | Data (/hora) da última ocorrência conhecida de uma reação
Curto | Data (/hora) da última ocorrência conhecida de uma reação
Comentários | This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the Comment element should be used.
Controlo | 0..1
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. AllergyIntolerance.note
Definição | Texto adicional não capturado em outros campos.
Curto | Texto adicional não capturado em outros campos
Comentários | For example: including reason for flagging a seriousness of 'High Risk'; and instructions related to future exposure or administration of the substance, such as administration within an Intensive Care Unit or under corticosteroid cover. The notes should be related to an allergy or intolerance as a condition in general and not related to any particular episode of it. For episode notes and descriptions, use AllergyIntolerance.event.description and AllergyIntolerance.event.notes.
Controlo | 0..*
Tipo | Annotation
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. AllergyIntolerance.reaction
Definição | Eventos de reação adversa relacionados à exposição da substância
Curto | Eventos de reação adversa relacionados à exposição da substância
Controlo | 0..*
Tipo | BackboneElement
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. AllergyIntolerance.reaction.id
Definição | ID exclusivo para referência entre elementos
Curto | ID exclusivo para referência entre elementos
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
64. AllergyIntolerance.reaction.extension
Definição | Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas
Curto | Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
66. AllergyIntolerance.reaction.modifierExtension
Definição | Conteúdo adicional definido por implementações
Curto | Conteúdo adicional definido por implementações
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
68. AllergyIntolerance.reaction.substance
Definição | Substância específica ou produto farmacêutico considerado responsável pelo evento
Curto | Substância específica ou produto farmacêutico considerado responsável pelo evento
Comentários | Coding of the specific substance (or pharmaceutical product) with a terminology capable of triggering decision support should be used wherever possible. The 'code' element allows for the use of a specific substance or pharmaceutical product, or a group or class of substances. In the case of an allergy or intolerance to a class of substances, (for example, "penicillins"), the 'reaction.substance' element could be used to code the specific substance that was identified as having caused the reaction (for example, "amoxycillin"). Duplication of the value in the 'code' and 'reaction.substance' elements is acceptable when a specific substance has been recorded in 'code'.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de BR Alergenos (required to `https://terminologia.saude.gov.br/fhir/ValueSet/BRAlergenos` )
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. AllergyIntolerance.reaction.manifestation
Definição | Código para a manifestação de reação de alergia ou intolerância do subconjunto SNOMED IPS do SNOMED CT (IPS Free Set)
Curto | Código para a manifestação de reação de alergia ou intolerância do subconjunto SNOMED International Patient Set (IPS) do SNOMED CT (IPS Free Set)
Comentários | Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash or no reaction. It is preferable that manifestation should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions, as recommended in the UK NHS CUI guidelines. Terminologies commonly used include, but are not limited to, SNOMED CT or ICD10.
Controlo | 1..*
Vínculo | Para exemplos de códigos, ver BR Reacoes Adversas Med DRA (example to `https://terminologia.saude.gov.br/fhir/ValueSet/BRReacoesAdversasMedDRA` )
Tipo | CodeableConcept
É modificador | false
Resumo | false
Nomes alternativos | Symptoms, Signs
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. AllergyIntolerance.reaction.description
Definição | Descrição do evento como um todo
Curto | Descrição do evento como um todo
Comentários | Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the comment field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Nomes alternativos | Narrative, Text
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. AllergyIntolerance.reaction.onset
Definição | Data (/hora) em que as manifestações apareceram
Curto | Data (/hora) em que as manifestações apareceram
Controlo | 0..1
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. AllergyIntolerance.reaction.severity
Definição | Avaliação clínica da gravidade de um evento de reação: leve | moderado | grave (do evento como um todo)
Curto | Avaliação clínica da gravidade de um evento de reação: leve | moderado | grave (do evento como um todo)
Comentários | It is acknowledged that this assessment is very subjective. There may be some specific practice domains where objective scales have been applied. Objective scales can be included in this model as extensions.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AllergyIntoleranceSeverity (required to `http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1` ) Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
78. AllergyIntolerance.reaction.exposureRoute
Definição | Como o sujeito foi exposto à substância
Curto | Como o sujeito foi exposto à substância
Comentários | Coding of the route of exposure with a terminology should be used wherever possible.
Controlo | 0..1
Vínculo | Para exemplos de códigos, ver Medicine Route of Administration - IPS (example to `http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration` )
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. AllergyIntolerance.reaction.note
Definição | Texto sobre evento não capturado em outros campos
Curto | Texto sobre evento não capturado em outros campos
Comentários | Use this field to record information indirectly related to a particular event and not captured in the description. For example: Clinical records are no longer available, recorded based on information provided to the patient by her mother and her mother is deceased.
Controlo | 0..*
Tipo | Annotation
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)