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

!!Guia de implementação do Core do Brasil: Release 1 - BR Realm | STU1 - Compilação de desenvolvimento local (v1.0.0) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas

## Resource Profile: BRCoreObservationAlcoholUse - TTL Profile

Active as of 2025-07-21

TTL representation of the br-core-observationalcoholuse resource profile.

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:StructureDefinition ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "br-core-observationalcoholuse"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Narrativa gerada: StructureDefinition br-core-observationalcoholuse</b></p><a name=\"br-core-observationalcoholuse\"> </a><a name=\"hcbr-core-observationalcoholuse\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"O nome lógico do elemento\">Nome</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Informações sobre a utilização do elemento\">Bandeiras</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Número mínimo e máximo de vezes que o elemento pode aparecer na instância\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Referência ao tipo do elemento\">Tipo</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Informações adicionais sobre o elemento\">Descrição e condicionalismos</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Recursos\" class=\"hierarchy\"/> <a href=\"StructureDefinition-br-core-observationalcoholuse-definitions.html#Observation\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-br-core-observation.html\">BRCoreObservation</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Measurements and simple assertions</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Elemento\" class=\"hierarchy\"/> <a href=\"StructureDefinition-br-core-observationalcoholuse-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Elemento\" class=\"hierarchy\"/> <a href=\"StructureDefinition-br-core-observationalcoholuse-definitions.html#Observation.code.coding\" title=\"Código definido por uma terminologia\">coding</a><a name=\"Observation.code.coding\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Código definido por uma terminologia</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Elemento\" class=\"hierarchy\"/> <a href=\"StructureDefinition-br-core-observationalcoholuse-definitions.html#Observation.code.coding.system\" title=\"Identidade da terminologia\">system</a><a name=\"Observation.code.coding.system\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identificador da terminologia<br/><span style=\"font-weight:bold\">Padrão necessário: </span><span style=\"color: darkgreen\">http://loinc.org</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Elemento\" class=\"hierarchy\"/> <a href=\"StructureDefinition-br-core-observationalcoholuse-definitions.html#Observation.code.coding.code\" title=\"Código do conceito na sintaxe definida pela terminologia - fixo em loinc#74013-4 'Alcoholic drinks per day'\">code</a><a name=\"Observation.code.coding.code\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Código do conceito na sintaxe definida pela terminologia<br/><span style=\"font-weight:bold\">Valor fixo: </span><span style=\"color: darkgreen\">74013-4</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Elemento\" class=\"hierarchy\"/> <a href=\"StructureDefinition-br-core-observationalcoholuse-definitions.html#Observation.code.coding.display\" title=\"Representação definida pela terminologia\">display</a><a name=\"Observation.code.coding.display\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Descrição conforme definido pela terminologia<br/><span style=\"font-weight:bold\">Padrão necessário: </span><span style=\"color: darkgreen\">Alcoholic drinks per day</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Elemento\" class=\"hierarchy\"/> <a href=\"StructureDefinition-br-core-observationalcoholuse-definitions.html#Observation.code.coding.userSelected\" title=\"Se esse código foi selecionado diretamente pelo usuário\">userSelected</a><a name=\"Observation.code.coding.userSelected\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Se esse código foi selecionado diretamente pelo usuário</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Elemento\" class=\"hierarchy\"/> <a href=\"StructureDefinition-br-core-observationalcoholuse-definitions.html#Observation.code.text\">text</a><a name=\"Observation.code.text\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Plain text representation of the concept</span><br/><span style=\"font-weight:bold\">Padrão necessário: </span><span style=\"color: darkgreen\">Representação do texto livre do conceito</span></td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legenda para este formato\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentação para este formato</a></td></tr></table></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:url [ fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-observationalcoholuse"^^xsd:anyURI] ; #
      fhir:version [ fhir:v "1.0.0"] ; #
      fhir:name [ fhir:v "BRCoreObservationAlcoholUse"] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:date [ fhir:v "2025-07-21T19:43:10+00:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "Ministério do Saúde do Brasil"] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "Ministério do Saúde do Brasil" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://gov.br/saude" ]     ] [
    fhir:system [ fhir:v "email" ] ;
    fhir:value [ fhir:v "contato@gointerop.com" ]     ] )
      ] [
    fhir:name [ fhir:v "Italo Macedo" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "email" ] ;
    fhir:value [ fhir:v "italo@gointerop.com" ] ;
    fhir:use [ fhir:v "work" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "O perfil [br-core-observationalcohooluse](StructureDefinition-br-core-observationalcoholuse.html) herda do recurso FHIR [Observation](https://hl7.org/fhir/R4/observation.html), projetado para documentar a avaliação do uso de álcool em um resumo de paciente"] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "BR" ] ;
    fhir:display [ fhir:v "Brazil" ]     ] )
      ] ) ; #
      fhir:fhirVersion [ fhir:v "4.0.1"] ; #
      fhir:mapping ( [
    fhir:identity [ fhir:v "workflow" ] ;
    fhir:uri [ fhir:v "http://hl7.org/fhir/workflow"^^xsd:anyURI ] ;
    fhir:name [ fhir:v "Workflow Pattern" ]
      ] [
    fhir:identity [ fhir:v "sct-concept" ] ;
    fhir:uri [ fhir:v "http://snomed.info/conceptdomain"^^xsd:anyURI ] ;
    fhir:name [ fhir:v "SNOMED CT Concept Domain Binding" ]
      ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:uri [ fhir:v "http://hl7.org/v2"^^xsd:anyURI ] ;
    fhir:name [ fhir:v "HL7 v2 Mapping" ]
      ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:uri [ fhir:v "http://hl7.org/v3"^^xsd:anyURI ] ;
    fhir:name [ fhir:v "RIM Mapping" ]
      ] [
    fhir:identity [ fhir:v "w5" ] ;
    fhir:uri [ fhir:v "http://hl7.org/fhir/fivews"^^xsd:anyURI ] ;
    fhir:name [ fhir:v "FiveWs Pattern Mapping" ]
      ] [
    fhir:identity [ fhir:v "sct-attr" ] ;
    fhir:uri [ fhir:v "http://snomed.org/attributebinding"^^xsd:anyURI ] ;
    fhir:name [ fhir:v "SNOMED CT Attribute Binding" ]
      ] ) ; #
      fhir:kind [ fhir:v "resource"] ; #
      fhir:abstract [ fhir:v false] ; #
      fhir:type [ fhir:v "Observation"^^xsd:anyURI] ; #
      fhir:baseDefinition [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-observation"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-observation>
      ] ; #
      fhir:derivation [ fhir:v "constraint"] ; #
      fhir:snapshot [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "1.0.0"       ]     ] ) ;
        ( fhir:element [
    fhir:id [ fhir:v "Observation" ] ;
    fhir:path [ fhir:v "Observation" ] ;
    fhir:short [ fhir:v "Measurements and simple assertions" ] ;
    fhir:definition [ fhir:v "Measurements and simple assertions made about a patient, device or other subject." ] ;
    fhir:comment [ fhir:v "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." ] ;
          ( fhir:alias [ fhir:v "Vital Signs" ] [ fhir:v "Measurement" ] [ fhir:v "Results" ] [ fhir:v "Tests" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:constraint [
    fhir:key [ fhir:v "dom-2" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ] ;
    fhir:expression [ fhir:v "contained.contained.empty()" ] ;
    fhir:xpath [ fhir:v "not(parent::f:contained and f:contained)" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>         ]       ] [
    fhir:key [ fhir:v "dom-3" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "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" ] ;
    fhir:expression [ fhir:v "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()" ] ;
    fhir:xpath [ fhir:v "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='#'])]))" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>         ]       ] [
    fhir:key [ fhir:v "dom-4" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ] ;
    fhir:expression [ fhir:v "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ] ;
    fhir:xpath [ fhir:v "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>         ]       ] [
    fhir:key [ fhir:v "dom-5" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a security label" ] ;
    fhir:expression [ fhir:v "contained.meta.security.empty()" ] ;
    fhir:xpath [ fhir:v "not(exists(f:contained/*/f:meta/f:security))" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>         ]       ] [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v true           ]         ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:markdown ;
    fhir:v "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."           ]         ] ) ;
    fhir:key [ fhir:v "dom-6" ] ;
    fhir:severity [ fhir:v "warning" ] ;
    fhir:human [ fhir:v "A resource should have narrative for robust management" ] ;
    fhir:expression [ fhir:v "text.`div`.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:text/h:div)" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>         ]       ] [
    fhir:key [ fhir:v "obs-6" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "dataAbsentReason SHALL only be present if Observation.value[x] is not present" ] ;
    fhir:expression [ fhir:v "dataAbsentReason.empty() or value.empty()" ] ;
    fhir:xpath [ fhir:v "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>         ]       ] [
    fhir:key [ fhir:v "obs-7" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" ] ;
    fhir:expression [ fhir:v "value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" ] ;
    fhir:xpath [ fhir:v "not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "Entity. Role, or Act" ]       ] [
    fhir:identity [ fhir:v "workflow" ] ;
    fhir:map [ fhir:v "Event" ]       ] [
    fhir:identity [ fhir:v "sct-concept" ] ;
    fhir:map [ fhir:v "< 363787002 |Observable entity|" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "Observation[classCode=OBS, moodCode=EVN]" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.id" ] ;
    fhir:path [ fhir:v "Observation.id" ] ;
    fhir:short [ fhir:v "Identificador lógico deste artefato" ] ;
    fhir:definition [ fhir:v "Identificador lógico deste artefato" ] ;
    fhir:comment [ fhir:v "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Resource.id" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:url ;
    fhir:v "id"^^xsd:anyURI           ]         ] ) ;
    fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ]     ] [
    fhir:id [ fhir:v "Observation.meta" ] ;
    fhir:path [ fhir:v "Observation.meta" ] ;
    fhir:short [ fhir:v "Metadados sobre o recurso" ] ;
    fhir:definition [ fhir:v "Metadados sobre o recurso" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Resource.meta" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Meta"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ]     ] [
    fhir:id [ fhir:v "Observation.implicitRules" ] ;
    fhir:path [ fhir:v "Observation.implicitRules" ] ;
    fhir:short [ fhir:v "Um conjunto de regras sob as quais este conteúdo foi criado" ] ;
    fhir:definition [ fhir:v "Um conjunto de regras sob as quais este conteúdo foi criado" ] ;
    fhir:comment [ fhir:v "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." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Resource.implicitRules" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "uri"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v true ] ;
    fhir:isModifierReason [ fhir:v "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" ] ;
    fhir:isSummary [ fhir:v true ]     ] [
    fhir:id [ fhir:v "Observation.language" ] ;
    fhir:path [ fhir:v "Observation.language" ] ;
    fhir:short [ fhir:v "Idioma do recurso" ] ;
    fhir:definition [ fhir:v "Idioma do recurso" ] ;
    fhir:comment [ fhir:v "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)." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Resource.language" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "code"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
    fhir:binding [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:canonical ;
    fhir:v "http://hl7.org/fhir/ValueSet/all-languages"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/ValueSet/all-languages>           ]         ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "Language"           ]         ] ) ;
    fhir:strength [ fhir:v "preferred" ] ;
    fhir:description [ fhir:v "A human language." ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/ValueSet/languages"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/ValueSet/languages>         ]       ]     ] [
    fhir:id [ fhir:v "Observation.text" ] ;
    fhir:path [ fhir:v "Observation.text" ] ;
    fhir:short [ fhir:v "Resumo do texto do recurso em linguagem natural" ] ;
    fhir:definition [ fhir:v "Resumo do texto do recurso em linguagem natural" ] ;
    fhir:comment [ fhir:v "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." ] ;
          ( fhir:alias [ fhir:v "narrative" ] [ fhir:v "html" ] [ fhir:v "xhtml" ] [ fhir:v "display" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "DomainResource.text" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Narrative"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "Act.text?" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.contained" ] ;
    fhir:path [ fhir:v "Observation.contained" ] ;
    fhir:short [ fhir:v "Contained, inline Resources" ] ;
    fhir:definition [ fhir:v "Recursos contidos no recurso" ] ;
    fhir:comment [ fhir:v "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." ] ;
          ( fhir:alias [ fhir:v "inline resources" ] [ fhir:v "anonymous resources" ] [ fhir:v "contained resources" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "DomainResource.contained" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Resource"^^xsd:anyURI ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "N/A" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.extension" ] ;
    fhir:path [ fhir:v "Observation.extension" ] ;
    fhir:short [ fhir:v "Extension" ] ;
    fhir:definition [ fhir:v "Extensões adicionais que não fazem parte do modelo base" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "DomainResource.extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Extension"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ]     ] [
    fhir:id [ fhir:v "Observation.modifierExtension" ] ;
    fhir:path [ fhir:v "Observation.modifierExtension" ] ;
    fhir:short [ fhir:v "Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas" ] ;
    fhir:definition [ fhir:v "Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "DomainResource.modifierExtension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Extension"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v true ] ;
    fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ] ;
    fhir:isSummary [ fhir:v false ]     ] [
    fhir:id [ fhir:v "Observation.identifier" ] ;
    fhir:path [ fhir:v "Observation.identifier" ] ;
    fhir:short [ fhir:v "Identificadores externos para este recurso" ] ;
    fhir:definition [ fhir:v "Identificadores externos para este recurso" ] ;
    fhir:requirements [ fhir:v "Allows observations to be distinguished and referenced." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.identifier" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Identifier"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "workflow" ] ;
    fhir:map [ fhir:v "Event.identifier" ]       ] [
    fhir:identity [ fhir:v "w5" ] ;
    fhir:map [ fhir:v "FiveWs.identifier" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX.21  For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4." ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "id" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.basedOn" ] ;
    fhir:path [ fhir:v "Observation.basedOn" ] ;
    fhir:short [ fhir:v "Referência ao pedido ou ao plano de tratamento que gerou este recurso" ] ;
    fhir:definition [ fhir:v "Referência ao pedido ou ao plano de tratamento que gerou este recurso" ] ;
    fhir:requirements [ fhir:v "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon." ] ;
          ( fhir:alias [ fhir:v "Fulfills" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.basedOn" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-careplan"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-careplan>         ] [
    fhir:v "http://hl7.org/fhir/StructureDefinition/DeviceRequest"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/DeviceRequest>         ] [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation>         ] [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-medicationrequest"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-medicationrequest>         ] [
    fhir:v "http://hl7.org/fhir/StructureDefinition/NutritionOrder"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/NutritionOrder>         ] [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-servicerequest"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-servicerequest>         ] )       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "workflow" ] ;
    fhir:map [ fhir:v "Event.basedOn" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "ORC" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.partOf" ] ;
    fhir:path [ fhir:v "Observation.partOf" ] ;
    fhir:short [ fhir:v "Referência ao evento do qual este recurso faz parte" ] ;
    fhir:definition [ fhir:v "Referência ao evento do qual este recurso faz parte" ] ;
    fhir:comment [ fhir:v "To link an Observation to an Encounter use `encounter`.  See the  [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation." ] ;
          ( fhir:alias [ fhir:v "Container" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.partOf" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-medicationadministration"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-medicationadministration>         ] [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-medicationdispense"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-medicationdispense>         ] [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-medicationstatement"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-medicationstatement>         ] [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-procedure"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-procedure>         ] [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-immunization"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-immunization>         ] [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ImagingStudy"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/ImagingStudy>         ] )       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "workflow" ] ;
    fhir:map [ fhir:v "Event.partOf" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "Varies by domain" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v ".outboundRelationship[typeCode=FLFS].target" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.status" ] ;
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "default: final"         ]       ] ) ;
    fhir:path [ fhir:v "Observation.status" ] ;
    fhir:short [ fhir:v "Status atual da observação" ] ;
    fhir:definition [ fhir:v "active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken" ] ;
    fhir:comment [ fhir:v "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." ] ;
    fhir:requirements [ fhir:v "Need to track the status of individual results. Some results are finalized before the whole report is finalized." ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.status" ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "code"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v true ] ;
    fhir:isModifierReason [ fhir:v "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ] ;
    fhir:isSummary [ fhir:v true ] ;
    fhir:binding [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "ObservationStatus"           ]         ] ) ;
    fhir:strength [ fhir:v "required" ] ;
    fhir:description [ fhir:v "Codes providing the status of an observation." ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/ValueSet/observation-status|4.0.1"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/ValueSet/observation-status|4.0.1>         ]       ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "workflow" ] ;
    fhir:map [ fhir:v "Event.status" ]       ] [
    fhir:identity [ fhir:v "w5" ] ;
    fhir:map [ fhir:v "FiveWs.status" ]       ] [
    fhir:identity [ fhir:v "sct-concept" ] ;
    fhir:map [ fhir:v "< 445584004 |Report by finality status|" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX-11" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "status  Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\"" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.category" ] ;
    fhir:path [ fhir:v "Observation.category" ] ;
    fhir:short [ fhir:v "Categoria da observação" ] ;
    fhir:definition [ fhir:v "Categoria da observação" ] ;
    fhir:comment [ fhir:v "In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set." ] ;
    fhir:requirements [ fhir:v "Used for filtering what observations are retrieved and displayed." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.category" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
    fhir:binding [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "ObservationCategory"           ]         ] ) ;
    fhir:strength [ fhir:v "preferred" ] ;
    fhir:description [ fhir:v "Codes for high level observation categories." ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/ValueSet/observation-category"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/ValueSet/observation-category>         ]       ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "w5" ] ;
    fhir:map [ fhir:v "FiveWs.class" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.code" ] ;
    fhir:path [ fhir:v "Observation.code" ] ;
    fhir:short [ fhir:v "Código da observação" ] ;
    fhir:definition [ fhir:v "Código da observação" ] ;
    fhir:comment [ fhir:v "*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation." ] ;
    fhir:requirements [ fhir:v "Knowing what kind of observation is being made is essential to understanding the observation." ] ;
          ( fhir:alias [ fhir:v "Name" ] ) ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.code" ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
    fhir:binding [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "ObservationCode"           ]         ] ) ;
    fhir:strength [ fhir:v "example" ] ;
    fhir:description [ fhir:v "Codes identifying names of simple observations." ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/ValueSet/observation-codes"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/ValueSet/observation-codes>         ]       ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "workflow" ] ;
    fhir:map [ fhir:v "Event.code" ]       ] [
    fhir:identity [ fhir:v "w5" ] ;
    fhir:map [ fhir:v "FiveWs.what[x]" ]       ] [
    fhir:identity [ fhir:v "sct-concept" ] ;
    fhir:map [ fhir:v "< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX-3" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "code" ]       ] [
    fhir:identity [ fhir:v "sct-attr" ] ;
    fhir:map [ fhir:v "116680003 |Is a|" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.code.id" ] ;
    fhir:path [ fhir:v "Observation.code.id" ] ;
          ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
    fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
    fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.id" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:url ;
    fhir:v "string"^^xsd:anyURI           ]         ] ) ;
    fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.code.extension" ] ;
    fhir:path [ fhir:v "Observation.code.extension" ] ;
    fhir:slicing [
            ( fhir:discriminator [
    fhir:type [ fhir:v "value" ] ;
    fhir:path [ fhir:v "url" ]         ] ) ;
    fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
    fhir:rules [ fhir:v "open" ]       ] ;
    fhir:short [ fhir:v "Additional content defined by implementations" ] ;
    fhir:definition [ fhir:v "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." ] ;
    fhir:comment [ fhir:v "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." ] ;
          ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Extension"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.code.coding" ] ;
    fhir:path [ fhir:v "Observation.code.coding" ] ;
    fhir:short [ fhir:v "Código definido por uma terminologia" ] ;
    fhir:definition [ fhir:v "Código definido por uma terminologia" ] ;
    fhir:comment [ fhir:v "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." ] ;
    fhir:requirements [ fhir:v "Allows for alternative encodings within a code system, and translations to other code systems." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "CodeableConcept.coding" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Coding"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "C*E.1-8, C*E.10-22" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "union(., ./translation)" ]       ] [
    fhir:identity [ fhir:v "orim" ] ;
    fhir:map [ fhir:v "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.code.coding.id" ] ;
    fhir:path [ fhir:v "Observation.code.coding.id" ] ;
          ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
    fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
    fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.id" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:url ;
    fhir:v "string"^^xsd:anyURI           ]         ] ) ;
    fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.code.coding.extension" ] ;
    fhir:path [ fhir:v "Observation.code.coding.extension" ] ;
    fhir:slicing [
            ( fhir:discriminator [
    fhir:type [ fhir:v "value" ] ;
    fhir:path [ fhir:v "url" ]         ] ) ;
    fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
    fhir:rules [ fhir:v "open" ]       ] ;
    fhir:short [ fhir:v "Additional content defined by implementations" ] ;
    fhir:definition [ fhir:v "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." ] ;
    fhir:comment [ fhir:v "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." ] ;
          ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Extension"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.code.coding.system" ] ;
    fhir:path [ fhir:v "Observation.code.coding.system" ] ;
    fhir:short [ fhir:v "Identificador da terminologia" ] ;
    fhir:definition [ fhir:v "Identidade da terminologia" ] ;
    fhir:comment [ fhir:v "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." ] ;
    fhir:requirements [ fhir:v "Need to be unambiguous about the source of the definition of the symbol." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Coding.system" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "uri"^^xsd:anyURI ]       ] ) ;
    fhir:pattern [
    a fhir:uri ;
    fhir:v "http://loinc.org"^^xsd:anyURI       ] ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "C*E.3" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "./codeSystem" ]       ] [
    fhir:identity [ fhir:v "orim" ] ;
    fhir:map [ fhir:v "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.code.coding.version" ] ;
    fhir:path [ fhir:v "Observation.code.coding.version" ] ;
    fhir:short [ fhir:v "Version of the system - if relevant" ] ;
    fhir:definition [ fhir:v "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ] ;
    fhir:comment [ fhir:v "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Coding.version" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "string"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "C*E.7" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "./codeSystemVersion" ]       ] [
    fhir:identity [ fhir:v "orim" ] ;
    fhir:map [ fhir:v "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.code.coding.code" ] ;
    fhir:path [ fhir:v "Observation.code.coding.code" ] ;
    fhir:short [ fhir:v "Código do conceito na sintaxe definida pela terminologia" ] ;
    fhir:definition [ fhir:v "Código do conceito na sintaxe definida pela terminologia - fixo em loinc#74013-4 'Alcoholic drinks per day'" ] ;
    fhir:requirements [ fhir:v "Need to refer to a particular code in the system." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Coding.code" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "code"^^xsd:anyURI ]       ] ) ;
    fhir:fixed [
    a fhir:code ;
    fhir:v "74013-4"       ] ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "C*E.1" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "./code" ]       ] [
    fhir:identity [ fhir:v "orim" ] ;
    fhir:map [ fhir:v "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.code.coding.display" ] ;
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v true         ]       ] ) ;
    fhir:path [ fhir:v "Observation.code.coding.display" ] ;
    fhir:short [ fhir:v "Descrição conforme definido pela terminologia" ] ;
    fhir:definition [ fhir:v "Representação definida pela terminologia" ] ;
    fhir:requirements [ fhir:v "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Coding.display" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "string"^^xsd:anyURI ]       ] ) ;
    fhir:pattern [
    a fhir:string ;
    fhir:v "Alcoholic drinks per day"       ] ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "C*E.2 - but note this is not well followed" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "CV.displayName" ]       ] [
    fhir:identity [ fhir:v "orim" ] ;
    fhir:map [ fhir:v "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.code.coding.userSelected" ] ;
    fhir:path [ fhir:v "Observation.code.coding.userSelected" ] ;
    fhir:short [ fhir:v "Se esse código foi selecionado diretamente pelo usuário" ] ;
    fhir:definition [ fhir:v "Se esse código foi selecionado diretamente pelo usuário" ] ;
    fhir:comment [ fhir:v "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ] ;
    fhir:requirements [ fhir:v "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Coding.userSelected" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "boolean"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "Sometimes implied by being first" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "CD.codingRationale" ]       ] [
    fhir:identity [ fhir:v "orim" ] ;
    fhir:map [ fhir:v "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.code.text" ] ;
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v true         ]       ] ) ;
    fhir:path [ fhir:v "Observation.code.text" ] ;
    fhir:short [ fhir:v "Plain text representation of the concept" ] ;
    fhir:definition [ fhir:v "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user." ] ;
    fhir:comment [ fhir:v "Very often the text is the same as a displayName of one of the codings." ] ;
    fhir:requirements [ fhir:v "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "CodeableConcept.text" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "string"^^xsd:anyURI ]       ] ) ;
    fhir:pattern [
    a fhir:string ;
    fhir:v "Representação do texto livre do conceito"       ] ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "C*E.9. But note many systems use C*E.2 for this" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "./originalText[mediaType/code=\"text/plain\"]/data" ]       ] [
    fhir:identity [ fhir:v "orim" ] ;
    fhir:map [ fhir:v "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.subject" ] ;
    fhir:path [ fhir:v "Observation.subject" ] ;
    fhir:short [ fhir:v "Referência ao paciente ou local ou dispositivo ou grupo desta bservação" ] ;
    fhir:definition [ fhir:v "Referência ao paciente ou local ou dispositivo ou grupo desta bservação" ] ;
    fhir:comment [ fhir:v "One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated." ] ;
    fhir:requirements [ fhir:v "Observations have no value if you don't know who or what they're about." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.subject" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient>         ] [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-location"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-location>         ] [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Device"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ] [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Group"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Group>         ] )       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "workflow" ] ;
    fhir:map [ fhir:v "Event.subject" ]       ] [
    fhir:identity [ fhir:v "w5" ] ;
    fhir:map [ fhir:v "FiveWs.subject[x]" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "PID-3" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "participation[typeCode=RTGT]" ]       ] [
    fhir:identity [ fhir:v "w5" ] ;
    fhir:map [ fhir:v "FiveWs.subject" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.subject.id" ] ;
    fhir:path [ fhir:v "Observation.subject.id" ] ;
          ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
    fhir:short [ fhir:v "ID exclusivo para referência entre elementos" ] ;
    fhir:definition [ fhir:v "ID exclusivo para referência entre elementos" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.id" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:url ;
    fhir:v "string"^^xsd:anyURI           ]         ] ) ;
    fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.subject.extension" ] ;
    fhir:path [ fhir:v "Observation.subject.extension" ] ;
    fhir:slicing [
            ( fhir:discriminator [
    fhir:type [ fhir:v "value" ] ;
    fhir:path [ fhir:v "url" ]         ] ) ;
    fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
    fhir:rules [ fhir:v "open" ]       ] ;
    fhir:short [ fhir:v "Conteúdo adicional definido por implementações" ] ;
    fhir:definition [ fhir:v "Conteúdo adicional definido por implementações" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Extension"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ]     ] [
    fhir:id [ fhir:v "Observation.subject.reference" ] ;
    fhir:path [ fhir:v "Observation.subject.reference" ] ;
    fhir:short [ fhir:v "Referência literal, URL relativa, interna ou absoluta" ] ;
    fhir:definition [ fhir:v "Referência literal, URL relativa, interna ou absoluta" ] ;
    fhir:comment [ fhir:v "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." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Reference.reference" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "string"^^xsd:anyURI ]       ] ) ;
          ( fhir:condition [ fhir:v "ref-1" ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "N/A" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.subject.type" ] ;
    fhir:path [ fhir:v "Observation.subject.type" ] ;
    fhir:short [ fhir:v "Tipo de referência (por exemplo, Paciente)" ] ;
    fhir:definition [ fhir:v "Tipo de referência (por exemplo, Paciente)" ] ;
    fhir:comment [ fhir:v "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." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Reference.type" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "uri"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
    fhir:binding [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "FHIRResourceTypeExt"           ]         ] ) ;
    fhir:strength [ fhir:v "extensible" ] ;
    fhir:description [ fhir:v "Aa resource (or, for logical models, the URI of the logical model)." ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/ValueSet/resource-types"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/ValueSet/resource-types>         ]       ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "N/A" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.subject.identifier" ] ;
    fhir:path [ fhir:v "Observation.subject.identifier" ] ;
    fhir:short [ fhir:v "Referência lógica, quando a referência literal não é conhecida" ] ;
    fhir:definition [ fhir:v "Referência lógica, quando a referência literal não é conhecida" ] ;
    fhir:comment [ fhir:v "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. \n\nWhen 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\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference 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)." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Reference.identifier" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Identifier"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v ".identifier" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.subject.display" ] ;
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v true         ]       ] ) ;
    fhir:path [ fhir:v "Observation.subject.display" ] ;
    fhir:short [ fhir:v "Texto alternativo para este rescurso" ] ;
    fhir:definition [ fhir:v "Texto alternativo para este recurso" ] ;
    fhir:comment [ fhir:v "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." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Reference.display" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "string"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "N/A" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.focus" ] ;
    fhir:path [ fhir:v "Observation.focus" ] ;
    fhir:short [ fhir:v "Referência à outro recurso desta observação" ] ;
    fhir:definition [ fhir:v "Referência à outro recurso desta observação" ] ;
    fhir:comment [ fhir:v "Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element.  Use `specimen` if a reference to a specimen is required.  If a code is required instead of a resource use either  `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html)." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.focus" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Resource"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ] )       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "w5" ] ;
    fhir:map [ fhir:v "FiveWs.subject[x]" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX-3" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "participation[typeCode=SBJ]" ]       ] [
    fhir:identity [ fhir:v "w5" ] ;
    fhir:map [ fhir:v "FiveWs.subject" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.encounter" ] ;
    fhir:path [ fhir:v "Observation.encounter" ] ;
    fhir:short [ fhir:v "Referência ao atendimento durante o qual esta observação foi registrada" ] ;
    fhir:definition [ fhir:v "Referência ao atendimento durante o qual esta observação foi registrada" ] ;
    fhir:comment [ fhir:v "This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests)." ] ;
    fhir:requirements [ fhir:v "For some observations it may be important to know the link between an observation and a particular encounter." ] ;
          ( fhir:alias [ fhir:v "Context" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.encounter" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-encounter"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-encounter>         ] )       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "workflow" ] ;
    fhir:map [ fhir:v "Event.context" ]       ] [
    fhir:identity [ fhir:v "w5" ] ;
    fhir:map [ fhir:v "FiveWs.context" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "PV1" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.effective[x]" ] ;
    fhir:path [ fhir:v "Observation.effective[x]" ] ;
    fhir:short [ fhir:v "Tempo ou período de tempo clinicamente relevante para a observação" ] ;
    fhir:definition [ fhir:v "Tempo ou período de tempo clinicamente relevante para a observação" ] ;
    fhir:comment [ fhir:v "At least a date should be present unless this observation is a historical report.  For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events." ] ;
    fhir:requirements [ fhir:v "Knowing when an observation was deemed true is important to its relevance as well as determining trends." ] ;
          ( fhir:alias [ fhir:v "Occurrence" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.effective[x]" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "dateTime"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "Period"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "Timing"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "instant"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "workflow" ] ;
    fhir:map [ fhir:v "Event.occurrence[x]" ]       ] [
    fhir:identity [ fhir:v "w5" ] ;
    fhir:map [ fhir:v "FiveWs.done[x]" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX-14, and/or OBX-19 after v2.4  (depends on who observation made)" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "effectiveTime" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.issued" ] ;
    fhir:path [ fhir:v "Observation.issued" ] ;
    fhir:short [ fhir:v "Data/hora em que esta versão foi disponibilizada" ] ;
    fhir:definition [ fhir:v "Data/hora em que esta versão foi disponibilizada" ] ;
    fhir:comment [ fhir:v "For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself.  For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.issued" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "instant"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "w5" ] ;
    fhir:map [ fhir:v "FiveWs.recorded" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "participation[typeCode=AUT].time" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.performer" ] ;
    fhir:path [ fhir:v "Observation.performer" ] ;
    fhir:short [ fhir:v "Referência ao responsável pela observação" ] ;
    fhir:definition [ fhir:v "Quem é o responsável pela observação" ] ;
    fhir:requirements [ fhir:v "May give a degree of confidence in the observation and also indicates where follow-up questions should be directed." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.performer" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitioner"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitioner>         ] [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitionerrole"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-practitionerrole>         ] [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-organization"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-organization>         ] [
    fhir:v "http://hl7.org/fhir/StructureDefinition/CareTeam"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/CareTeam>         ] [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient>         ] [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-relatedperson"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-relatedperson>         ] )       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "workflow" ] ;
    fhir:map [ fhir:v "Event.performer.actor" ]       ] [
    fhir:identity [ fhir:v "w5" ] ;
    fhir:map [ fhir:v "FiveWs.actor" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX.15 / (Practitioner)  OBX-16,  PRT-5:PRT-4='RO' /  (Device)  OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization)  OBX-23,  PRT-8:PRT-4='PO'" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "participation[typeCode=PRF]" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.value[x]" ] ;
    fhir:path [ fhir:v "Observation.value[x]" ] ;
    fhir:short [ fhir:v "Resultado da observação" ] ;
    fhir:definition [ fhir:v "Resultado da observação" ] ;
    fhir:comment [ fhir:v "An observation may have; 1)  a single value here, 2)  both a value and a set of related or component values,  or 3)  only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code.  A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below." ] ;
    fhir:requirements [ fhir:v "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.value[x]" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Quantity"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "string"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "boolean"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "integer"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "Range"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "Ratio"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "SampledData"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "time"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "dateTime"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "Period"^^xsd:anyURI ]       ] ) ;
          ( fhir:condition [ fhir:v "obs-7" ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "sct-concept" ] ;
    fhir:map [ fhir:v "< 441742003 |Evaluation finding|" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX.2, OBX.5, OBX.6" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "value" ]       ] [
    fhir:identity [ fhir:v "sct-attr" ] ;
    fhir:map [ fhir:v "363714003 |Interprets|" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.dataAbsentReason" ] ;
    fhir:path [ fhir:v "Observation.dataAbsentReason" ] ;
    fhir:short [ fhir:v "Por quê o resultado está faltando" ] ;
    fhir:definition [ fhir:v "Utilizado para especificar o porquê o valor esperado não está presente" ] ;
    fhir:comment [ fhir:v "Null or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"specimen unsatisfactory\".   \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0.  Because of these options, use-case agreements are required to interpret general observations for null or exceptional values." ] ;
    fhir:requirements [ fhir:v "For many results it is necessary to handle exceptional values in measurements." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.dataAbsentReason" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] ) ;
          ( fhir:condition [ fhir:v "obs-6" ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
    fhir:binding [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "ObservationValueAbsentReason"           ]         ] ) ;
    fhir:strength [ fhir:v "extensible" ] ;
    fhir:description [ fhir:v "Codes specifying why the result (`Observation.value[x]`) is missing." ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/ValueSet/data-absent-reason"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/ValueSet/data-absent-reason>         ]       ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "N/A" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "value.nullFlavor" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.interpretation" ] ;
    fhir:path [ fhir:v "Observation.interpretation" ] ;
    fhir:short [ fhir:v "Interpretação do resultado" ] ;
    fhir:definition [ fhir:v "Interpretação da observação. Por exemplo: valor alto, baixo, normal" ] ;
    fhir:comment [ fhir:v "Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result." ] ;
    fhir:requirements [ fhir:v "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result." ] ;
          ( fhir:alias [ fhir:v "Abnormal Flag" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.interpretation" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
    fhir:binding [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "ObservationInterpretation"           ]         ] ) ;
    fhir:strength [ fhir:v "extensible" ] ;
    fhir:description [ fhir:v "Codes identifying interpretations of observations." ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/ValueSet/observation-interpretation"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/ValueSet/observation-interpretation>         ]       ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "sct-concept" ] ;
    fhir:map [ fhir:v "< 260245000 |Findings values|" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX-8" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "interpretationCode" ]       ] [
    fhir:identity [ fhir:v "sct-attr" ] ;
    fhir:map [ fhir:v "363713009 |Has interpretation|" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.note" ] ;
    fhir:path [ fhir:v "Observation.note" ] ;
    fhir:short [ fhir:v "Comentários sobre a observação" ] ;
    fhir:definition [ fhir:v "Comentários sobre a observação" ] ;
    fhir:comment [ fhir:v "May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation." ] ;
    fhir:requirements [ fhir:v "Need to be able to provide free text additional information." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.note" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Annotation"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "subjectOf.observationEvent[code=\"annotation\"].value" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.bodySite" ] ;
    fhir:path [ fhir:v "Observation.bodySite" ] ;
    fhir:short [ fhir:v "Parte anatômica alvo da observação" ] ;
    fhir:definition [ fhir:v "Parte anatômica alvo da observação" ] ;
    fhir:comment [ fhir:v "Only used if not implicit in code found in Observation.code.  In many systems, this may be represented as a related observation instead of an inline component.   \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html)." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.bodySite" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
    fhir:binding [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "BodySite"           ]         ] ) ;
    fhir:strength [ fhir:v "example" ] ;
    fhir:description [ fhir:v "Codes describing anatomical locations. May include laterality." ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/ValueSet/body-site"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/ValueSet/body-site>         ]       ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "sct-concept" ] ;
    fhir:map [ fhir:v "< 123037004 |Body structure|" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX-20" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "targetSiteCode" ]       ] [
    fhir:identity [ fhir:v "sct-attr" ] ;
    fhir:map [ fhir:v "718497002 |Inherent location|" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.method" ] ;
    fhir:path [ fhir:v "Observation.method" ] ;
    fhir:short [ fhir:v "Método de medida da observação" ] ;
    fhir:definition [ fhir:v "Método de medida da observação" ] ;
    fhir:comment [ fhir:v "Only used if not implicit in code for Observation.code." ] ;
    fhir:requirements [ fhir:v "In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.method" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
    fhir:binding [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "ObservationMethod"           ]         ] ) ;
    fhir:strength [ fhir:v "example" ] ;
    fhir:description [ fhir:v "Methods for simple observations." ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/ValueSet/observation-methods"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/ValueSet/observation-methods>         ]       ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX-17" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "methodCode" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.specimen" ] ;
    fhir:path [ fhir:v "Observation.specimen" ] ;
    fhir:short [ fhir:v "Amostra utilizada para esta observação" ] ;
    fhir:definition [ fhir:v "Amostra utilizada para esta observação" ] ;
    fhir:comment [ fhir:v "Should only be used if not implicit in code found in `Observation.code`.  Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report)." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.specimen" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-specimen"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-specimen>         ] )       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "sct-concept" ] ;
    fhir:map [ fhir:v "< 123038009 |Specimen|" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "SPM segment" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "participation[typeCode=SPC].specimen" ]       ] [
    fhir:identity [ fhir:v "sct-attr" ] ;
    fhir:map [ fhir:v "704319004 |Inherent in|" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.device" ] ;
    fhir:path [ fhir:v "Observation.device" ] ;
    fhir:short [ fhir:v "Dispositivo de medida da observação" ] ;
    fhir:definition [ fhir:v "Dispositivo utilizado para registrar esta observação" ] ;
    fhir:comment [ fhir:v "Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway.  Such devices may be documented using the Provenance resource where relevant." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.device" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Device"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ] [
    fhir:v "http://hl7.org/fhir/StructureDefinition/DeviceMetric"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/DeviceMetric>         ] )       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "sct-concept" ] ;
    fhir:map [ fhir:v "< 49062001 |Device|" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX-17 / PRT -10" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "participation[typeCode=DEV]" ]       ] [
    fhir:identity [ fhir:v "sct-attr" ] ;
    fhir:map [ fhir:v "424226004 |Using device|" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.referenceRange" ] ;
    fhir:path [ fhir:v "Observation.referenceRange" ] ;
    fhir:short [ fhir:v "Fornece um guia para interpretação" ] ;
    fhir:definition [ fhir:v "Fornece um guia para interpretação" ] ;
    fhir:comment [ fhir:v "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties." ] ;
    fhir:requirements [ fhir:v "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.referenceRange" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "obs-3" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have at least a low or a high or text" ] ;
    fhir:expression [ fhir:v "low.exists() or high.exists() or text.exists()" ] ;
    fhir:xpath [ fhir:v "(exists(f:low) or exists(f:high)or exists(f:text))" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX.7" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.referenceRange.id" ] ;
    fhir:path [ fhir:v "Observation.referenceRange.id" ] ;
          ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
    fhir:short [ fhir:v "Identificador único para referência cruzada" ] ;
    fhir:definition [ fhir:v "Identificador único para referência cruzada" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.id" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:url ;
    fhir:v "string"^^xsd:anyURI           ]         ] ) ;
    fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.referenceRange.extension" ] ;
    fhir:path [ fhir:v "Observation.referenceRange.extension" ] ;
    fhir:short [ fhir:v "Extensões adicionais que não fazem parte do modelo de dados básico" ] ;
    fhir:definition [ fhir:v "Extensões adicionais que não fazem parte do modelo de dados básico" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Extension"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ]     ] [
    fhir:id [ fhir:v "Observation.referenceRange.modifierExtension" ] ;
    fhir:path [ fhir:v "Observation.referenceRange.modifierExtension" ] ;
    fhir:short [ fhir:v "Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas" ] ;
    fhir:definition [ fhir:v "Extensões adicionais que não podem ser ignoradas, mesmo que não reconhecidas" ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Extension"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v true ] ;
    fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
    fhir:isSummary [ fhir:v true ]     ] [
    fhir:id [ fhir:v "Observation.referenceRange.low" ] ;
    fhir:path [ fhir:v "Observation.referenceRange.low" ] ;
    fhir:short [ fhir:v "Limite inferior do intervalo" ] ;
    fhir:definition [ fhir:v "Limite inferior do intervalo de valores de referência" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.referenceRange.low" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Quantity"^^xsd:anyURI ] ;
            ( fhir:profile [
    fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity>         ] )       ] ) ;
          ( fhir:condition [ fhir:v "obs-3" ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX-7" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "value:IVL_PQ.low" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.referenceRange.high" ] ;
    fhir:path [ fhir:v "Observation.referenceRange.high" ] ;
    fhir:short [ fhir:v "Limite superior do intervalo" ] ;
    fhir:definition [ fhir:v "Limite superior do intervalo de valores de referência" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.referenceRange.high" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Quantity"^^xsd:anyURI ] ;
            ( fhir:profile [
    fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity>         ] )       ] ) ;
          ( fhir:condition [ fhir:v "obs-3" ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX-7" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "value:IVL_PQ.high" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.referenceRange.type" ] ;
    fhir:path [ fhir:v "Observation.referenceRange.type" ] ;
    fhir:short [ fhir:v "Qualificador do valor de referência" ] ;
    fhir:definition [ fhir:v "Qualificador do valor de referência" ] ;
    fhir:comment [ fhir:v "This SHOULD be populated if there is more than one range.  If this element is not present then the normal range is assumed." ] ;
    fhir:requirements [ fhir:v "Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc.,  - for proper interpretation." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.referenceRange.type" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
    fhir:binding [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "ObservationRangeMeaning"           ]         ] ) ;
    fhir:strength [ fhir:v "preferred" ] ;
    fhir:description [ fhir:v "Code for the meaning of a reference range." ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/ValueSet/referencerange-meaning"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/ValueSet/referencerange-meaning>         ]       ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "sct-concept" ] ;
    fhir:map [ fhir:v "< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX-10" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "interpretationCode" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.referenceRange.appliesTo" ] ;
    fhir:path [ fhir:v "Observation.referenceRange.appliesTo" ] ;
    fhir:short [ fhir:v "População do intervalo de referência" ] ;
    fhir:definition [ fhir:v "População do intervalo de referência" ] ;
    fhir:comment [ fhir:v "This SHOULD be populated if there is more than one range.  If this element is not present then the normal population is assumed." ] ;
    fhir:requirements [ fhir:v "Need to be able to identify the target population for proper interpretation." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.referenceRange.appliesTo" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
    fhir:binding [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "ObservationRangeType"           ]         ] ) ;
    fhir:strength [ fhir:v "example" ] ;
    fhir:description [ fhir:v "Codes identifying the population the reference range applies to." ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/ValueSet/referencerange-appliesto"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/ValueSet/referencerange-appliesto>         ]       ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "sct-concept" ] ;
    fhir:map [ fhir:v "< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX-10" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "interpretationCode" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.referenceRange.age" ] ;
    fhir:path [ fhir:v "Observation.referenceRange.age" ] ;
    fhir:short [ fhir:v "Faixa etária aplicável" ] ;
    fhir:definition [ fhir:v "Faixa etária aplicável, se relevante" ] ;
    fhir:requirements [ fhir:v "Some analytes vary greatly over age." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.referenceRange.age" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Range"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.referenceRange.text" ] ;
    fhir:path [ fhir:v "Observation.referenceRange.text" ] ;
    fhir:short [ fhir:v "Intervalo de referência em formato textual" ] ;
    fhir:definition [ fhir:v "Intervalo de referência em formato textual" ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.referenceRange.text" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "string"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX-7" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "value:ST" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.hasMember" ] ;
    fhir:path [ fhir:v "Observation.hasMember" ] ;
    fhir:short [ fhir:v "Referência à Observação/Resposta de questionário associada a esta observação" ] ;
    fhir:definition [ fhir:v "Referência à Observação/Resposta de questionário associada a esta observação" ] ;
    fhir:comment [ fhir:v "When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases.  For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.  Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html)  into a final score and represent the score as an Observation." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.hasMember" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-observation"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-observation>         ] [
    fhir:v "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse>         ] [
    fhir:v "http://hl7.org/fhir/StructureDefinition/MolecularSequence"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/MolecularSequence>         ] )       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "Relationships established by OBX-4 usage" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "outBoundRelationship" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.derivedFrom" ] ;
    fhir:path [ fhir:v "Observation.derivedFrom" ] ;
    fhir:short [ fhir:v "Referência à Documents, Imagens, Mídias associadas a esta observação" ] ;
    fhir:definition [ fhir:v "Referência à Documents, Imagens, Mídias associadas a esta observação" ] ;
    fhir:comment [ fhir:v "All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value.  The most common reference will be another Observation.  For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.derivedFrom" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "http://hl7.org/fhir/StructureDefinition/DocumentReference"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/DocumentReference>         ] [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ImagingStudy"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/ImagingStudy>         ] [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Media"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Media>         ] [
    fhir:v "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse>         ] [
    fhir:v "https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-observation"^^xsd:anyURI ;
    fhir:link <https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-observation>         ] [
    fhir:v "http://hl7.org/fhir/StructureDefinition/MolecularSequence"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/MolecularSequence>         ] )       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "Relationships established by OBX-4 usage" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v ".targetObservation" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.component" ] ;
    fhir:path [ fhir:v "Observation.component" ] ;
    fhir:short [ fhir:v "Resultado dos componentes da observação" ] ;
    fhir:definition [ fhir:v "Resultado dos componentes da observação" ] ;
    fhir:comment [ fhir:v "For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below." ] ;
    fhir:requirements [ fhir:v "Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable).   However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.component" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "containment by OBX-4?" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "outBoundRelationship[typeCode=COMP]" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.component.id" ] ;
    fhir:path [ fhir:v "Observation.component.id" ] ;
          ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
    fhir:short [ fhir:v "ID exclusivo para referência entre elementos" ] ;
    fhir:definition [ fhir:v "ID exclusivo para referência entre elementos" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.id" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:url ;
    fhir:v "string"^^xsd:anyURI           ]         ] ) ;
    fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.component.extension" ] ;
    fhir:path [ fhir:v "Observation.component.extension" ] ;
    fhir:short [ fhir:v "Conteúdo adicional definido por implementações" ] ;
    fhir:definition [ fhir:v "Conteúdo adicional definido por implementações" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Extension"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ]     ] [
    fhir:id [ fhir:v "Observation.component.modifierExtension" ] ;
    fhir:path [ fhir:v "Observation.component.modifierExtension" ] ;
    fhir:short [ fhir:v "Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" ] ;
    fhir:definition [ fhir:v "Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Extension"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v true ] ;
    fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
    fhir:isSummary [ fhir:v true ]     ] [
    fhir:id [ fhir:v "Observation.component.code" ] ;
    fhir:path [ fhir:v "Observation.component.code" ] ;
    fhir:short [ fhir:v "Tipo do componente da observação" ] ;
    fhir:definition [ fhir:v "Tipo do componente da observação" ] ;
    fhir:comment [ fhir:v "*All* code-value and  component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation." ] ;
    fhir:requirements [ fhir:v "Knowing what kind of observation is being made is essential to understanding the observation." ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.component.code" ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
    fhir:binding [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "ObservationCode"           ]         ] ) ;
    fhir:strength [ fhir:v "example" ] ;
    fhir:description [ fhir:v "Codes identifying names of simple observations." ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/ValueSet/observation-codes"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/ValueSet/observation-codes>         ]       ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "w5" ] ;
    fhir:map [ fhir:v "FiveWs.what[x]" ]       ] [
    fhir:identity [ fhir:v "sct-concept" ] ;
    fhir:map [ fhir:v "< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX-3" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "code" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.component.value[x]" ] ;
    fhir:path [ fhir:v "Observation.component.value[x]" ] ;
    fhir:short [ fhir:v "Resultado do componente" ] ;
    fhir:definition [ fhir:v "Resultado do componente" ] ;
    fhir:comment [ fhir:v "Used when observation has a set of component observations. An observation may have both a value (e.g. an  Apgar score)  and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below." ] ;
    fhir:requirements [ fhir:v "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.component.value[x]" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Quantity"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "string"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "boolean"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "integer"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "Range"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "Ratio"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "SampledData"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "time"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "dateTime"^^xsd:anyURI ]       ] [
    fhir:code [ fhir:v "Period"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "sct-concept" ] ;
    fhir:map [ fhir:v "363714003 |Interprets| < 441742003 |Evaluation finding|" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX.2, OBX.5, OBX.6" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "value" ]       ] [
    fhir:identity [ fhir:v "sct-attr" ] ;
    fhir:map [ fhir:v "363714003 |Interprets|" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.component.dataAbsentReason" ] ;
    fhir:path [ fhir:v "Observation.component.dataAbsentReason" ] ;
    fhir:short [ fhir:v "Por que o resultado do componente está ausente" ] ;
    fhir:definition [ fhir:v "Por que o resultado do componente está ausente" ] ;
    fhir:comment [ fhir:v "\"Null\" or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values." ] ;
    fhir:requirements [ fhir:v "For many results it is necessary to handle exceptional values in measurements." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.component.dataAbsentReason" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] ) ;
          ( fhir:condition [ fhir:v "obs-6" ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
    fhir:binding [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "ObservationValueAbsentReason"           ]         ] ) ;
    fhir:strength [ fhir:v "extensible" ] ;
    fhir:description [ fhir:v "Codes specifying why the result (`Observation.value[x]`) is missing." ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/ValueSet/data-absent-reason"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/ValueSet/data-absent-reason>         ]       ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "N/A" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "value.nullFlavor" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.component.interpretation" ] ;
    fhir:path [ fhir:v "Observation.component.interpretation" ] ;
    fhir:short [ fhir:v "Interpretação do resultado do componente" ] ;
    fhir:definition [ fhir:v "Interpretação do resultado do componente" ] ;
    fhir:comment [ fhir:v "Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result." ] ;
    fhir:requirements [ fhir:v "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result." ] ;
          ( fhir:alias [ fhir:v "Abnormal Flag" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.component.interpretation" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
    fhir:binding [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "ObservationInterpretation"           ]         ] ) ;
    fhir:strength [ fhir:v "extensible" ] ;
    fhir:description [ fhir:v "Codes identifying interpretations of observations." ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/ValueSet/observation-interpretation"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/ValueSet/observation-interpretation>         ]       ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "sct-concept" ] ;
    fhir:map [ fhir:v "< 260245000 |Findings values|" ]       ] [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX-8" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "interpretationCode" ]       ] [
    fhir:identity [ fhir:v "sct-attr" ] ;
    fhir:map [ fhir:v "363713009 |Has interpretation|" ]       ] )     ] [
    fhir:id [ fhir:v "Observation.component.referenceRange" ] ;
    fhir:path [ fhir:v "Observation.component.referenceRange" ] ;
    fhir:short [ fhir:v "Valores de referência" ] ;
    fhir:definition [ fhir:v "Valores de referência para auxiliar na interpretação do resultado" ] ;
    fhir:comment [ fhir:v "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties." ] ;
    fhir:requirements [ fhir:v "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Observation.component.referenceRange" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
    fhir:contentReference [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange"^^xsd:anyURI ] ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "v2" ] ;
    fhir:map [ fhir:v "OBX.7" ]       ] [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]" ]       ] )     ] )
      ] ; #
      fhir:differential [
        ( fhir:element [
    fhir:id [ fhir:v "Observation" ] ;
    fhir:path [ fhir:v "Observation" ]     ] [
    fhir:id [ fhir:v "Observation.code.coding" ] ;
    fhir:path [ fhir:v "Observation.code.coding" ] ;
    fhir:short [ fhir:v "Código definido por uma terminologia" ] ;
    fhir:definition [ fhir:v "Código definido por uma terminologia" ]     ] [
    fhir:id [ fhir:v "Observation.code.coding.system" ] ;
    fhir:path [ fhir:v "Observation.code.coding.system" ] ;
    fhir:short [ fhir:v "Identificador da terminologia" ] ;
    fhir:definition [ fhir:v "Identidade da terminologia" ] ;
    fhir:pattern [
    a fhir:uri ;
    fhir:v "http://loinc.org"^^xsd:anyURI       ]     ] [
    fhir:id [ fhir:v "Observation.code.coding.code" ] ;
    fhir:path [ fhir:v "Observation.code.coding.code" ] ;
    fhir:short [ fhir:v "Código do conceito na sintaxe definida pela terminologia" ] ;
    fhir:definition [ fhir:v "Código do conceito na sintaxe definida pela terminologia - fixo em loinc#74013-4 'Alcoholic drinks per day'" ] ;
    fhir:fixed [
    a fhir:code ;
    fhir:v "74013-4"       ]     ] [
    fhir:id [ fhir:v "Observation.code.coding.display" ] ;
    fhir:path [ fhir:v "Observation.code.coding.display" ] ;
    fhir:short [ fhir:v "Descrição conforme definido pela terminologia" ] ;
    fhir:definition [ fhir:v "Representação definida pela terminologia" ] ;
    fhir:pattern [
    a fhir:string ;
    fhir:v "Alcoholic drinks per day"       ]     ] [
    fhir:id [ fhir:v "Observation.code.coding.userSelected" ] ;
    fhir:path [ fhir:v "Observation.code.coding.userSelected" ] ;
    fhir:short [ fhir:v "Se esse código foi selecionado diretamente pelo usuário" ] ;
    fhir:definition [ fhir:v "Se esse código foi selecionado diretamente pelo usuário" ]     ] [
    fhir:id [ fhir:v "Observation.code.text" ] ;
    fhir:path [ fhir:v "Observation.code.text" ] ;
    fhir:pattern [
    a fhir:string ;
    fhir:v "Representação do texto livre do conceito"       ]     ] )
      ] . #