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

## : Registro de Atendimento Clínico - XML Representation

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    <Composition xmlns="http://hl7.org/fhir">
      <id value="7681618d-399d-4291-b321-32ce6d645088"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Narrativa gerada: Composition 7681618d-399d-4291-b321-32ce6d645088</b></p><a name="7681618d-399d-4291-b321-32ce6d645088"> </a><a name="hc7681618d-399d-4291-b321-32ce6d645088"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title="Códigos:{http://loinc.org 11488-4}">Nota de consulta</span></p><p><b>category</b>: <span title="Códigos:{http://loinc.org 11488-4}">Nota de consulta</span></p><p><b>encounter</b>: <a href="Encounter-c6d553d8-cce0-404b-9d1f-eeffbf7fc6df.html">Ambulatorial</a></p><p><b>date</b>: 2024-12-19 14:30:00+0000</p><p><b>author</b>: <a href="Practitioner-d3b61455-f432-48f0-b83b-ba825922d735.html">Maria Clara</a></p><p><b>title</b>: Registro de Atendimento Clínico</p></div>
      </text>
      <status value="final"/>
      <type>
        <coding>
          <system value="http://loinc.org"/>
          <code value="11488-4"/>
          <display value="Consult note"/>
        </coding>
        <text value="Nota de consulta"/>
      </type>
      <category>
        <coding>
          <system value="http://loinc.org"/>
          <code value="11488-4"/>
          <display value="Consult note"/>
        </coding>
        <text value="Nota de consulta"/>
      </category>
      <subject>🔗
        <reference value="Patient/b2f63a4c-ddaa-4652-8481-ac1ff473104e"/>
        <display value="João Carlos Silva"/>
      </subject>
      <encounter>🔗
        <reference value="Encounter/c6d553d8-cce0-404b-9d1f-eeffbf7fc6df"/>
        <display value="Ambulatorial"/>
      </encounter>
      <date value="2024-12-19T14:30:00Z"/>
      <author>🔗
        <reference value="Practitioner/d3b61455-f432-48f0-b83b-ba825922d735"/>
        <display value="Maria Clara"/>
      </author>
      <title value="Registro de Atendimento Clínico"/>
      <section>
        <title value="Diagnósticos Avaliados"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="57852-6"/>
            <display value="Problem list Reported"/>
          </coding>
          <text value="Lista de Problemas - Diagnósticos Avaliados"/>
        </code>
        <entry>🔗
          <reference value="Condition/91d8d24f-a70d-4ebf-8dea-71cf92ce1bd5"/>
          <display value="Dispnéia"/>
        </entry>
      </section>
      <section>
        <title value="Procedimentos Realizados"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="47519-4"/>
            <display value="Procedures Hx Doc"/>
          </coding>
          <text value="Procedimentos Realizados"/>
        </code>
        <entry>🔗
          <reference value="Procedure/b0030c23-bd7d-445e-bfe5-020828f7dbaf"/>
          <display value="Consulta médica em atenção primária"/>
        </entry>
      </section>
      <section>
        <title value="Sinais Vitais"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="85354-9"/>
            <display value="Blood pressure panel with all children optional"/>
          </coding>
        </code>
        <entry>🔗
          <reference value="Observation/07ce5462-f77b-4ad6-af8c-2f67a6500b97"/>
          <display value="Vital Signs"/>
        </entry>
      </section>
      <section>
        <title value="Alergias e Intolerâncias"/>
        <code>
          <coding>
            <system
                    value="https://terminologia.saude.gov.br/fhir/CodeSystem/BRAlergenosCBARA"/>
            <code value="amendoim"/>
            <display value="Amendoim"/>
          </coding>
        </code>
        <entry>🔗
          <reference
                     value="AllergyIntolerance/42a8e4ee-cc8b-4c07-bee2-da8fe14ada34"/>
          <display value="Allergy Intolerance"/>
        </entry>
      </section>
      <section>
        <title value="Medicamentos"/>
        <code>
          <coding>
            <system value="http://www.whocc.no/atc"/>
            <code value="J01MA12"/>
            <display value="levofloxacino"/>
          </coding>
        </code>
        <entry>🔗
          <reference value="Medication/3a46210c-7eb3-48ec-aa67-db7e7ee18864"/>
          <display value="Medication"/>
        </entry>
      </section>
      <section>
        <title value="Plano de Cuidados"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18776-5"/>
            <display value="Plan of care note"/>
          </coding>
        </code>
        <entry>🔗
          <reference value="CarePlan/1ed343f2-5231-40d6-a6ea-4428105b7532"/>
          <display value="CarePlan"/>
        </entry>
      </section>
    </Composition>