Narrativa gerada: StructureDefinition br-core-immunization Nome Bandeiras Card. Tipo Descrição e condicionalismos Immunization Immunization #xD; id 0..1 id Identificador lógico deste artefato #xD; meta 0..1 Meta Metadados sobre o recurso #xD; implicitRules 0..1 uri Um conjunto de regras sob as quais este conteúdo foi criado #xD; language 0..1 code Idioma do recurso #xD; text 0..1 Narrative Resumo do texto do recurso em linguagem natural #xD; contained 0..* Resource Recursos contidos no recurso #xD; extension 0..* Extension Extensões adicionais que não fazem parte do modelo base #xD; modifierExtension 0..* Extension Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas #xD; identifier 0..* Identifier Identificadores externos para este recurso #xD; status 1..1 code O status do evento de administração de imunobiológico #xD; statusReason 0..0 #xD; vaccineCode 1..1 CodeableConcept Imunobiológico administrado Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRImunobiologico (required) #xD; patient 1..1 Reference(BRCorePatient) O paciente que recebeu o imunobiológico #xD; id 0..1 string Identificador único para referência cruzada #xD; extension 0..* Extension Extensões adicionais que não fazem parte do modelo de dados básico #xD; reference 0..1 string Referência literal,relativa, interna ou externa ou URL #xD; type 0..1 uri O tipo de referência utilizada #xD; identifier 0..1 Identifier Referência lógica,quando a referência literal não é conhecida #xD; display 0..1 string Texto alternativo para o recurso #xD; encounter 0..0 #xD; occurrence[x] 1..1 dateTime, string Data em que o imunobiológico foi administrado #xD; recorded 0..0 #xD; primarySource 0..1 boolean Indica se o registro de vacinação foi relatado pelo paciente ou por um profissional de saúde #xD; reportOrigin 0..1 CodeableConcept Indica a fonte do registro de vacinação relatado Vínculo: BRRegistroOrigem (required) #xD; location 0..1 Reference(br-core-location) Local onde o imunobiológico foi administrado #xD; manufacturer 0..1 Reference(BRCoreOrganization) Fabricante do imunobiológico #xD; lotNumber 0..1 string Número do lote do imunobiológico #xD; expirationDate 0..1 date Data de validade do imunobiológico #xD; site 1..1 CodeableConcept Local de administração do imunobiológico Vínculo: BRLocalAplicacao-1.0 (required) #xD; route 1..1 CodeableConcept Via de administração do imunobiológico Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRViaAdministracao (required) #xD; doseQuantity 0..1 SimpleQuantity Quantidade de imunobiológico administrado #xD; performer 1..1 BackboneElement Profissional de saúde que administrou o imunobiológico #xD; id 0..1 string Identificador único para referência cruzada #xD; extension 0..* Extension Extensões adicionais que não fazem parte do modelo de dados básico #xD; modifierExtension 0..* Extension Extensões adicionais que não fazem parte do modelo de dados básico #xD; function 1..1 CodeableConcept Função do profissional de saúde no evento de administração de imunobiológico Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao (required) #xD; actor 1..1 Reference(BRCorePractitioner | BRCorePractitionerRole | BRCoreOrganization) Profissional de saúde que administrou o imunobiológico #xD; note 0..0 #xD; reasonCode 0..1 CodeableConcept Motivo pelo qual o imunobiológico foi administrado Vínculo: BREstrategiaVacinacao-1.0 (required) #xD; reasonReference 0..1 Reference(BRCoreCondition | BRCoreObservation | BRCoreDiagnosticReport) Referência ao motivo pelo qual o imunobiológico foi administrado #xD; isSubpotent 0..0 #xD; subpotentReason 0..0 #xD; education 0..0 #xD; programEligibility 0..0 #xD; fundingSource 0..0 #xD; reaction 0..0 #xD; protocolApplied 1..1 BackboneElement Protocolos aplicados durante a administração do imunobiológico #xD; id 0..1 string Identificador único para referência cruzada #xD; Fatias para extension 0..* Extension Extensões adicionais que não fazem parte do modelo de dados básico Fatia: Não ordenado, Aberto por value:url #xD; extension:pesquisaClinica 0..1 (Complexo) Pesquisa clínica URL: https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-pesquisaclinica #xD; modifierExtension 0..* Extension Extensões adicionais que não fazem parte do modelo de dados básico #xD; series 0..1 string Nome da série do imunobiológico #xD; authority 0..0 #xD; targetDisease 0..* CodeableConcept Doença alvo do imunobiológico Vínculo: BRCID10-1.0 (preferred) #xD; doseNumber[x] 1..1 string Número da dose do imunobiológico Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRDose (required) #xD; seriesDoses[x] 0..1 positiveInt, string Número de doses da série do imunobiológico #xD; Documentação para este formato
Este perfil restringe o recurso [Immunization](https://hl7.org/fhir/R4/immunization.html) que descreve o evento em que um paciente recebe uma vacina ou um registro de uma imunização conforme relatado por um paciente, um médico ou outra parte
Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Um conjunto de regras sob as quais este conteúdo foi criado
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Resumo do texto do recurso em linguagem natural
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Extensões adicionais que não fazem parte do modelo base
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Identificadores externos para este recurso
O status do evento de administração de imunobiológico
Will generally be set to show that the immunization has been completed or not done. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
This element is labeled as a modifier because it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid
A set of codes indicating the current status of an Immunization.
O motivo pelo qual o imunobiológico não foi administrado
This is generally only used for the status of "not-done". The reason for performing the immunization event is captured in reasonCode, not here.
The reason why a vaccine was not administered.
.inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde
Identificador único para referência cruzada
Extensions are always sliced by (at least) url
Extensões adicionais que não fazem parte do modelo de dados básico
Referência literal,relativa, interna ou externa ou URL
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.
This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Aa resource (or, for logical models, the URI of the logical model).
Referência lógica,quando a referência literal não é conhecida
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Referência ao atendimento no qual o imunobiológico foi administrado
Data em que o imunobiológico foi administrado
When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose.
Data em que o primeiro registro de vacinação foi feito
Indica se o registro de vacinação foi relatado pelo paciente ou por um profissional de saúde
Reflects the “reliability” of the content.
immunization.uncertaintycode (if primary source=false, uncertainty=U)
Indica a fonte do registro de vacinação relatado
Should not be populated if primarySource = True, not required even if primarySource = False.
.participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported) .participation[typeCode=INF].role[classCode=LIC] (this syntax for health care professional) .participation[typeCode=INF].role[classCode=PRS] (this syntax for family member)
Local onde o imunobiológico foi administrado
RXA-27 (or RXA-11, deprecated as of v2.7)
Local de administração do imunobiológico
Quantidade de imunobiológico administrado
Profissional de saúde que administrou o imunobiológico
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Função do profissional de saúde no evento de administração de imunobiológico
When the individual practitioner who performed the action is known, it is best to send.
Observações adicionais sobre o evento de administração de imunobiológico
Motivo pelo qual o imunobiológico foi administrado
Referência ao motivo pelo qual o imunobiológico foi administrado
Indica se o imunobiológico foi administrado em uma dose menor que a recomendada
Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event.
By default, a dose should be considered to be potent.
This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose.
Reason why a dose is considered to be subpotent.
The reason why a dose is considered to be subpotent.
Informações sobre a educação do paciente sobre o imunobiológico
One of documentType or reference SHALL be present
documentType.exists() or reference.exists()
exists(f:documentType) or exists(f:reference)
Data de publicação do documento educacional
Data de apresentação do documento educacional
Informações sobre a elegibilidade do paciente para o programa de imunização
Fonte de financiamento do imunobiológico
Reações adversas do paciente ao imunobiológico
A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements.
OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7 v2 VXU message - most likely would appear in OBX segments if at all)
Indica que a reação adversa foi relatada pelo paciente
(HL7 v2 doesn't seem to provide for this)
.participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)
Protocolos aplicados durante a administração do imunobiológico
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
Autoridade que definiu o protocolo de administração do imunobiológico
The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).
Número de doses da série do imunobiológico