Rastreamento de Câncer de Colo de Útero
0.0.1 - preliminar
Rastreamento de Câncer de Colo de Útero, published by Comissão de Governança de Informação em Saúde (CGIS - UFG). This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/kyriosdata/farol/ and changes regularly. See the Directory of published versions
URL oficial: https://fhir.fabrica.inf.ufg.br/ccu/StructureDefinition/componentes-laudo-citopatologico | Versão: 0.0.1 | |||
Draft as of 2024-07-17 | Nome para computador: ComponentesLaudoCitopatologico | |||
Copyright: Ministério da Saúde. Produzido pela UFG em parceria com o INCA. |
Observações sobre a amostra que definem um resultado de exame citopatológico.
Várias observações são realizadas sobre a amostra. Cada uma delas é identificada por um código único de (resultado).
Usage:
Descrição de perfis, diferenças, instantâneo, e como apresentações diferentes funcionam.
Essa estrutura é derivada de Observation
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | Observation | Measurements and simple assertions lau-2: Ou há indicação de achados não epiteliais ou de anormalidades, exclusivamente. lau-3: Se amostra é rejeitada, então este é o único componente permitido do laudo (além do tipo da amostra) |
code | 1..1 | CodeableConcept | Type of observation (code / type) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/laudo-siscan | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: citopatologico | |
subject | 1..1 | Reference(Paciente) | A(o) paciente | |
effective[x] | 1..1 | dateTime | Data em que a observação foi feita | |
performer | 1..1 | ReferenciaUnidadeDeSaude(Organization) | O laboratório responsável pelo resultado do exame | |
note | 0..* | Annotation | Observação que ajuda na conclusão (insumo para o laudo) | |
author[x] | 0..0 | |||
time | 0..0 | |||
specimen | 0..0 | |||
Slices for component | 1..* | BackboneElement | Component results Slice: Unordered, Closed by pattern:code | |
component:componente | S | 1..1 | BackboneElement | Componente endocervical / zona transformação |
code | 1..1 | CodeableConcept | Componente endocervical Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: componente | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | 1..1 | CodeableConcept | Código para presença ou ausência | |
coding | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Componentes endocervicais (required) | |
code | 1..1 | code | Presença ou ausência | |
component:variacoes | S | 0..1 | BackboneElement | Variações celulares não neoplásicas |
code | 1..1 | CodeableConcept | Variação celular não neoplásica Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: variacoes-nao-neoplasicas | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | C | 1..1 | CodeableConcept | Indicação de cada uma das variações celulares não neoplásicas identificadas. lau-1: Não pode haver repetição |
coding | 1..5 | Coding | Um dos códigos definidos no conjunto Binding: Variações não neoplásicas (required) | |
code | 1..1 | code | Código para a variação celular não neoplásica | |
component:alteracoes | S | 0..1 | BackboneElement | Alterações celulares reativas |
code | 1..1 | CodeableConcept | Alteração celular reativa Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: alteracoes-reativas | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | C | 1..1 | CodeableConcept | Indicação de cada uma das alterações celulares reativas identificadas lau-1: Não pode haver repetição |
coding | 1..4 | Coding | Um dos códigos definidos no conjunto Binding: Alterações celulares reativas (required) | |
code | 1..1 | code | Código para a variação celular não neoplásica | |
component:celulasGlandulares | S | 0..1 | BackboneElement | Registra presença ou não de células glandulares pós-histerectomia. |
code | 1..1 | CodeableConcept | Identifica se há ou não presença de células glandulares pós-histerectomia Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: celulas-glandulares | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | 1..1 | boolean | true se há presença de células glandulares ou falso, caso contrário. | |
component:organismos | S | 0..1 | BackboneElement | Organismos |
code | 1..1 | CodeableConcept | Alteração celular reativa Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: organismos | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | C | 1..1 | CodeableConcept | Indicação de cada um dos organismos identificados lau-1: Não pode haver repetição |
coding | 1..6 | Coding | Um dos códigos definidos no conjunto Binding: Organismos (required) | |
code | 1..1 | code | Código para a variação celular não neoplásica | |
component:celulasEndometriais | S | 0..1 | BackboneElement | Presença de células endometriais |
code | 1..1 | CodeableConcept | Identifica presença ou não de células endometriais (em mulheres com idade igual ou superior a 45 anos) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: celulas-endometriais | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | 1..1 | boolean | Se true, indica presença de células endometriais e false, caso contrário | |
component:escamosas | S | 0..1 | BackboneElement | Anormalidades em células epiteliais escamosas |
code | 1..1 | CodeableConcept | Alteração celular reativa Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: escamosas | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | 1..1 | CodeableConcept | Identificação da anormalidade escamosa identificada em células epiteliais | |
coding | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Escamosas (required) | |
code | 1..1 | code | Código para a variação celular não neoplásica | |
component:glandulares | S | 0..1 | BackboneElement | Anormalidades em células epiteliais glandulares |
code | 1..1 | CodeableConcept | Alteração celular reativa Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: glandulares | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | 1..1 | CodeableConcept | Identificação da anormalidade glandular identificada em células epiteliais | |
coding | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Glandulares (required) | |
code | 1..1 | code | Código para a variação celular não neoplásica | |
component:outrasNeoplasias | S | 0..1 | BackboneElement | Outras neoplasias malignas |
code | 1..1 | CodeableConcept | Identifica a informação fornecida: outras neoplasias malignas Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: outras-neoplasias-malignas | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | 1..1 | string | Especificação das outras neoplasias malignas identificadas | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.component:componente.value[x].coding | required | ComponentesEndocervicais (a valid code from Componente endocervical)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/componentes-endocervicais from this IG | |
Observation.component:variacoes.value[x].coding | required | VariacoesNaoNeoplasicas (a valid code from Definição das variações celulares não neoplásicas)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/variacoes-nao-neoplasicas from this IG | |
Observation.component:alteracoes.value[x].coding | required | AlteracoesReativas (a valid code from Alteração celular reativa)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/alteracoes-reativas from this IG | |
Observation.component:organismos.value[x].coding | required | Organismos (a valid code from Organismo)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/organismos from this IG | |
Observation.component:escamosas.value[x].coding | required | Escamosas (a valid code from Escamosa)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/escamosas from this IG | |
Observation.component:glandulares.value[x].coding | required | Glandulares (a valid code from Glandular)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/glandulares from this IG |
Id | Grade | Path(s) | Details | Requirements |
lau-1 | error | Observation.component:variacoes.value[x], Observation.component:alteracoes.value[x], Observation.component:organismos.value[x] | Não pode haver repetição : coding.code.isDistinct() | |
lau-2 | error | Observation | Ou há indicação de achados não epiteliais ou de anormalidades, exclusivamente. : component.code.coding.code.intersect('variacoes-nao-neoplasicas' | 'alteracoes-reativas' | 'celulas-glandulares').exists() xor component.code.coding.code.intersect('escamosas' | 'glandulares' | 'outras-neoplasias-malignas').exists() | |
lau-3 | error | Observation | Se amostra é rejeitada, então este é o único componente permitido do laudo (além do tipo da amostra) : component.code.coding.where(code='motivo-rejeicao').exists().not() or component.count() = 2 |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present lau-2: Ou há indicação de achados não epiteliais ou de anormalidades, exclusivamente. lau-3: Se amostra é rejeitada, então este é o único componente permitido do laudo (além do tipo da amostra) |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/laudo-siscan | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: citopatologico | |
subject | Σ | 1..1 | Reference(Paciente) | A(o) paciente |
effective[x] | Σ | 1..1 | dateTime | Data em que a observação foi feita |
performer | Σ | 1..1 | ReferenciaUnidadeDeSaude(Organization) | O laboratório responsável pelo resultado do exame |
note | 0..* | Annotation | Observação que ajuda na conclusão (insumo para o laudo) | |
text | Σ | 1..1 | markdown | The annotation - text content (as markdown) |
Slices for component | Σ | 1..* | BackboneElement | Component results Slice: Unordered, Closed by pattern:code |
component:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
component:componente | SΣ | 1..1 | BackboneElement | Componente endocervical / zona transformação |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Componente endocervical Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: componente | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | Σ | 1..1 | CodeableConcept | Código para presença ou ausência |
coding | Σ | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Componentes endocervicais (required) |
code | Σ | 1..1 | code | Presença ou ausência |
component:variacoes | SΣ | 0..1 | BackboneElement | Variações celulares não neoplásicas |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Variação celular não neoplásica Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: variacoes-nao-neoplasicas | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | ΣC | 1..1 | CodeableConcept | Indicação de cada uma das variações celulares não neoplásicas identificadas. lau-1: Não pode haver repetição |
coding | Σ | 1..5 | Coding | Um dos códigos definidos no conjunto Binding: Variações não neoplásicas (required) |
code | Σ | 1..1 | code | Código para a variação celular não neoplásica |
component:alteracoes | SΣ | 0..1 | BackboneElement | Alterações celulares reativas |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: alteracoes-reativas | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | ΣC | 1..1 | CodeableConcept | Indicação de cada uma das alterações celulares reativas identificadas lau-1: Não pode haver repetição |
coding | Σ | 1..4 | Coding | Um dos códigos definidos no conjunto Binding: Alterações celulares reativas (required) |
code | Σ | 1..1 | code | Código para a variação celular não neoplásica |
component:celulasGlandulares | SΣ | 0..1 | BackboneElement | Registra presença ou não de células glandulares pós-histerectomia. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Identifica se há ou não presença de células glandulares pós-histerectomia Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: celulas-glandulares | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | Σ | 1..1 | boolean | true se há presença de células glandulares ou falso, caso contrário. |
component:organismos | SΣ | 0..1 | BackboneElement | Organismos |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: organismos | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | ΣC | 1..1 | CodeableConcept | Indicação de cada um dos organismos identificados lau-1: Não pode haver repetição |
coding | Σ | 1..6 | Coding | Um dos códigos definidos no conjunto Binding: Organismos (required) |
code | Σ | 1..1 | code | Código para a variação celular não neoplásica |
component:celulasEndometriais | SΣ | 0..1 | BackboneElement | Presença de células endometriais |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Identifica presença ou não de células endometriais (em mulheres com idade igual ou superior a 45 anos) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: celulas-endometriais | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | Σ | 1..1 | boolean | Se true, indica presença de células endometriais e false, caso contrário |
component:escamosas | SΣ | 0..1 | BackboneElement | Anormalidades em células epiteliais escamosas |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: escamosas | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | Σ | 1..1 | CodeableConcept | Identificação da anormalidade escamosa identificada em células epiteliais |
coding | Σ | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Escamosas (required) |
code | Σ | 1..1 | code | Código para a variação celular não neoplásica |
component:glandulares | SΣ | 0..1 | BackboneElement | Anormalidades em células epiteliais glandulares |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: glandulares | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | Σ | 1..1 | CodeableConcept | Identificação da anormalidade glandular identificada em células epiteliais |
coding | Σ | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Glandulares (required) |
code | Σ | 1..1 | code | Código para a variação celular não neoplásica |
component:outrasNeoplasias | SΣ | 0..1 | BackboneElement | Outras neoplasias malignas |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Identifica a informação fornecida: outras neoplasias malignas Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: outras-neoplasias-malignas | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | Σ | 1..1 | string | Especificação das outras neoplasias malignas identificadas |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.code | example | Pattern: citopatologicohttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:componente.code | example | Pattern: componentehttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:componente.value[x].coding | required | ComponentesEndocervicais (a valid code from Componente endocervical)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/componentes-endocervicais from this IG | |
Observation.component:variacoes.code | example | Pattern: variacoes-nao-neoplasicashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:variacoes.value[x].coding | required | VariacoesNaoNeoplasicas (a valid code from Definição das variações celulares não neoplásicas)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/variacoes-nao-neoplasicas from this IG | |
Observation.component:alteracoes.code | example | Pattern: alteracoes-reativashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:alteracoes.value[x].coding | required | AlteracoesReativas (a valid code from Alteração celular reativa)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/alteracoes-reativas from this IG | |
Observation.component:celulasGlandulares.code | example | Pattern: celulas-glandulareshttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:organismos.code | example | Pattern: organismoshttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:organismos.value[x].coding | required | Organismos (a valid code from Organismo)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/organismos from this IG | |
Observation.component:celulasEndometriais.code | example | Pattern: celulas-endometriaishttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:escamosas.code | example | Pattern: escamosashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:escamosas.value[x].coding | required | Escamosas (a valid code from Escamosa)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/escamosas from this IG | |
Observation.component:glandulares.code | example | Pattern: glandulareshttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:glandulares.value[x].coding | required | Glandulares (a valid code from Glandular)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/glandulares from this IG | |
Observation.component:outrasNeoplasias.code | example | Pattern: outras-neoplasias-malignashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
lau-1 | error | Observation.component:variacoes.value[x], Observation.component:alteracoes.value[x], Observation.component:organismos.value[x] | Não pode haver repetição : coding.code.isDistinct() | |
lau-2 | error | Observation | Ou há indicação de achados não epiteliais ou de anormalidades, exclusivamente. : component.code.coding.code.intersect('variacoes-nao-neoplasicas' | 'alteracoes-reativas' | 'celulas-glandulares').exists() xor component.code.coding.code.intersect('escamosas' | 'glandulares' | 'outras-neoplasias-malignas').exists() | |
lau-3 | error | Observation | Se amostra é rejeitada, então este é o único componente permitido do laudo (além do tipo da amostra) : component.code.coding.where(code='motivo-rejeicao').exists().not() or component.count() = 2 |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present lau-2: Ou há indicação de achados não epiteliais ou de anormalidades, exclusivamente. lau-3: Se amostra é rejeitada, então este é o único componente permitido do laudo (além do tipo da amostra) | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
category | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/laudo-siscan | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: citopatologico | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
subject | Σ | 1..1 | Reference(Paciente) | A(o) paciente | ||||
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
effective[x] | Σ | 1..1 | dateTime | Data em que a observação foi feita | ||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
performer | Σ | 1..1 | ReferenciaUnidadeDeSaude(Organization) | O laboratório responsável pelo resultado do exame | ||||
value[x] | ΣC | 0..1 | Actual result | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
note | 0..* | Annotation | Observação que ajuda na conclusão (insumo para o laudo) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
text | Σ | 1..1 | markdown | The annotation - text content (as markdown) | ||||
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
age | 0..1 | Range | Applicable age range, if relevant | |||||
text | 0..1 | string | Text based reference range in an observation | |||||
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
Slices for component | Σ | 1..* | BackboneElement | Component results Slice: Unordered, Closed by pattern:code | ||||
component:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
value[x] | Σ | 0..1 | Actual component result | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:componente | SΣ | 1..1 | BackboneElement | Componente endocervical / zona transformação | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Componente endocervical Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: componente | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | Σ | 1..1 | CodeableConcept | Código para presença ou ausência | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Componentes endocervicais (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Presença ou ausência | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:variacoes | SΣ | 0..1 | BackboneElement | Variações celulares não neoplásicas | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Variação celular não neoplásica Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: variacoes-nao-neoplasicas | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | ΣC | 1..1 | CodeableConcept | Indicação de cada uma das variações celulares não neoplásicas identificadas. lau-1: Não pode haver repetição | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..5 | Coding | Um dos códigos definidos no conjunto Binding: Variações não neoplásicas (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Código para a variação celular não neoplásica | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:alteracoes | SΣ | 0..1 | BackboneElement | Alterações celulares reativas | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: alteracoes-reativas | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | ΣC | 1..1 | CodeableConcept | Indicação de cada uma das alterações celulares reativas identificadas lau-1: Não pode haver repetição | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..4 | Coding | Um dos códigos definidos no conjunto Binding: Alterações celulares reativas (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Código para a variação celular não neoplásica | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:celulasGlandulares | SΣ | 0..1 | BackboneElement | Registra presença ou não de células glandulares pós-histerectomia. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Identifica se há ou não presença de células glandulares pós-histerectomia Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: celulas-glandulares | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | Σ | 1..1 | boolean | true se há presença de células glandulares ou falso, caso contrário. | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:organismos | SΣ | 0..1 | BackboneElement | Organismos | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: organismos | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | ΣC | 1..1 | CodeableConcept | Indicação de cada um dos organismos identificados lau-1: Não pode haver repetição | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..6 | Coding | Um dos códigos definidos no conjunto Binding: Organismos (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Código para a variação celular não neoplásica | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:celulasEndometriais | SΣ | 0..1 | BackboneElement | Presença de células endometriais | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Identifica presença ou não de células endometriais (em mulheres com idade igual ou superior a 45 anos) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: celulas-endometriais | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | Σ | 1..1 | boolean | Se true, indica presença de células endometriais e false, caso contrário | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:escamosas | SΣ | 0..1 | BackboneElement | Anormalidades em células epiteliais escamosas | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: escamosas | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | Σ | 1..1 | CodeableConcept | Identificação da anormalidade escamosa identificada em células epiteliais | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Escamosas (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Código para a variação celular não neoplásica | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:glandulares | SΣ | 0..1 | BackboneElement | Anormalidades em células epiteliais glandulares | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: glandulares | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | Σ | 1..1 | CodeableConcept | Identificação da anormalidade glandular identificada em células epiteliais | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Glandulares (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Código para a variação celular não neoplásica | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:outrasNeoplasias | SΣ | 0..1 | BackboneElement | Outras neoplasias malignas | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Identifica a informação fornecida: outras neoplasias malignas Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: outras-neoplasias-malignas | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | Σ | 1..1 | string | Especificação das outras neoplasias malignas identificadas | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.code | example | Pattern: citopatologicohttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:componente.code | example | Pattern: componentehttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:componente.value[x].coding | required | ComponentesEndocervicais (a valid code from Componente endocervical)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/componentes-endocervicais from this IG | ||||
Observation.component:componente.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:componente.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:variacoes.code | example | Pattern: variacoes-nao-neoplasicashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:variacoes.value[x].coding | required | VariacoesNaoNeoplasicas (a valid code from Definição das variações celulares não neoplásicas)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/variacoes-nao-neoplasicas from this IG | ||||
Observation.component:variacoes.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:variacoes.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:alteracoes.code | example | Pattern: alteracoes-reativashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:alteracoes.value[x].coding | required | AlteracoesReativas (a valid code from Alteração celular reativa)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/alteracoes-reativas from this IG | ||||
Observation.component:alteracoes.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:alteracoes.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:celulasGlandulares.code | example | Pattern: celulas-glandulareshttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:celulasGlandulares.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:celulasGlandulares.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:organismos.code | example | Pattern: organismoshttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:organismos.value[x].coding | required | Organismos (a valid code from Organismo)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/organismos from this IG | ||||
Observation.component:organismos.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:organismos.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:celulasEndometriais.code | example | Pattern: celulas-endometriaishttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:celulasEndometriais.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:celulasEndometriais.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:escamosas.code | example | Pattern: escamosashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:escamosas.value[x].coding | required | Escamosas (a valid code from Escamosa)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/escamosas from this IG | ||||
Observation.component:escamosas.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:escamosas.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:glandulares.code | example | Pattern: glandulareshttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:glandulares.value[x].coding | required | Glandulares (a valid code from Glandular)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/glandulares from this IG | ||||
Observation.component:glandulares.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:glandulares.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:outrasNeoplasias.code | example | Pattern: outras-neoplasias-malignashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:outrasNeoplasias.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:outrasNeoplasias.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
lau-1 | error | Observation.component:variacoes.value[x], Observation.component:alteracoes.value[x], Observation.component:organismos.value[x] | Não pode haver repetição : coding.code.isDistinct() | |
lau-2 | error | Observation | Ou há indicação de achados não epiteliais ou de anormalidades, exclusivamente. : component.code.coding.code.intersect('variacoes-nao-neoplasicas' | 'alteracoes-reativas' | 'celulas-glandulares').exists() xor component.code.coding.code.intersect('escamosas' | 'glandulares' | 'outras-neoplasias-malignas').exists() | |
lau-3 | error | Observation | Se amostra é rejeitada, então este é o único componente permitido do laudo (além do tipo da amostra) : component.code.coding.where(code='motivo-rejeicao').exists().not() or component.count() = 2 |
Essa estrutura é derivada de Observation
Summary
Mandatory: 9 elements(26 nested mandatory elements)
Must-Support: 9 elements
Prohibited: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Visão de diferenças
Essa estrutura é derivada de Observation
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | Observation | Measurements and simple assertions lau-2: Ou há indicação de achados não epiteliais ou de anormalidades, exclusivamente. lau-3: Se amostra é rejeitada, então este é o único componente permitido do laudo (além do tipo da amostra) |
code | 1..1 | CodeableConcept | Type of observation (code / type) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/laudo-siscan | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: citopatologico | |
subject | 1..1 | Reference(Paciente) | A(o) paciente | |
effective[x] | 1..1 | dateTime | Data em que a observação foi feita | |
performer | 1..1 | ReferenciaUnidadeDeSaude(Organization) | O laboratório responsável pelo resultado do exame | |
note | 0..* | Annotation | Observação que ajuda na conclusão (insumo para o laudo) | |
author[x] | 0..0 | |||
time | 0..0 | |||
specimen | 0..0 | |||
Slices for component | 1..* | BackboneElement | Component results Slice: Unordered, Closed by pattern:code | |
component:componente | S | 1..1 | BackboneElement | Componente endocervical / zona transformação |
code | 1..1 | CodeableConcept | Componente endocervical Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: componente | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | 1..1 | CodeableConcept | Código para presença ou ausência | |
coding | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Componentes endocervicais (required) | |
code | 1..1 | code | Presença ou ausência | |
component:variacoes | S | 0..1 | BackboneElement | Variações celulares não neoplásicas |
code | 1..1 | CodeableConcept | Variação celular não neoplásica Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: variacoes-nao-neoplasicas | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | C | 1..1 | CodeableConcept | Indicação de cada uma das variações celulares não neoplásicas identificadas. lau-1: Não pode haver repetição |
coding | 1..5 | Coding | Um dos códigos definidos no conjunto Binding: Variações não neoplásicas (required) | |
code | 1..1 | code | Código para a variação celular não neoplásica | |
component:alteracoes | S | 0..1 | BackboneElement | Alterações celulares reativas |
code | 1..1 | CodeableConcept | Alteração celular reativa Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: alteracoes-reativas | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | C | 1..1 | CodeableConcept | Indicação de cada uma das alterações celulares reativas identificadas lau-1: Não pode haver repetição |
coding | 1..4 | Coding | Um dos códigos definidos no conjunto Binding: Alterações celulares reativas (required) | |
code | 1..1 | code | Código para a variação celular não neoplásica | |
component:celulasGlandulares | S | 0..1 | BackboneElement | Registra presença ou não de células glandulares pós-histerectomia. |
code | 1..1 | CodeableConcept | Identifica se há ou não presença de células glandulares pós-histerectomia Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: celulas-glandulares | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | 1..1 | boolean | true se há presença de células glandulares ou falso, caso contrário. | |
component:organismos | S | 0..1 | BackboneElement | Organismos |
code | 1..1 | CodeableConcept | Alteração celular reativa Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: organismos | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | C | 1..1 | CodeableConcept | Indicação de cada um dos organismos identificados lau-1: Não pode haver repetição |
coding | 1..6 | Coding | Um dos códigos definidos no conjunto Binding: Organismos (required) | |
code | 1..1 | code | Código para a variação celular não neoplásica | |
component:celulasEndometriais | S | 0..1 | BackboneElement | Presença de células endometriais |
code | 1..1 | CodeableConcept | Identifica presença ou não de células endometriais (em mulheres com idade igual ou superior a 45 anos) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: celulas-endometriais | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | 1..1 | boolean | Se true, indica presença de células endometriais e false, caso contrário | |
component:escamosas | S | 0..1 | BackboneElement | Anormalidades em células epiteliais escamosas |
code | 1..1 | CodeableConcept | Alteração celular reativa Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: escamosas | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | 1..1 | CodeableConcept | Identificação da anormalidade escamosa identificada em células epiteliais | |
coding | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Escamosas (required) | |
code | 1..1 | code | Código para a variação celular não neoplásica | |
component:glandulares | S | 0..1 | BackboneElement | Anormalidades em células epiteliais glandulares |
code | 1..1 | CodeableConcept | Alteração celular reativa Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: glandulares | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | 1..1 | CodeableConcept | Identificação da anormalidade glandular identificada em células epiteliais | |
coding | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Glandulares (required) | |
code | 1..1 | code | Código para a variação celular não neoplásica | |
component:outrasNeoplasias | S | 0..1 | BackboneElement | Outras neoplasias malignas |
code | 1..1 | CodeableConcept | Identifica a informação fornecida: outras neoplasias malignas Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: outras-neoplasias-malignas | |
coding | 1..1 | Coding | Código definido por uma terminologia | |
value[x] | 1..1 | string | Especificação das outras neoplasias malignas identificadas | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.component:componente.value[x].coding | required | ComponentesEndocervicais (a valid code from Componente endocervical)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/componentes-endocervicais from this IG | |
Observation.component:variacoes.value[x].coding | required | VariacoesNaoNeoplasicas (a valid code from Definição das variações celulares não neoplásicas)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/variacoes-nao-neoplasicas from this IG | |
Observation.component:alteracoes.value[x].coding | required | AlteracoesReativas (a valid code from Alteração celular reativa)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/alteracoes-reativas from this IG | |
Observation.component:organismos.value[x].coding | required | Organismos (a valid code from Organismo)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/organismos from this IG | |
Observation.component:escamosas.value[x].coding | required | Escamosas (a valid code from Escamosa)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/escamosas from this IG | |
Observation.component:glandulares.value[x].coding | required | Glandulares (a valid code from Glandular)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/glandulares from this IG |
Id | Grade | Path(s) | Details | Requirements |
lau-1 | error | Observation.component:variacoes.value[x], Observation.component:alteracoes.value[x], Observation.component:organismos.value[x] | Não pode haver repetição : coding.code.isDistinct() | |
lau-2 | error | Observation | Ou há indicação de achados não epiteliais ou de anormalidades, exclusivamente. : component.code.coding.code.intersect('variacoes-nao-neoplasicas' | 'alteracoes-reativas' | 'celulas-glandulares').exists() xor component.code.coding.code.intersect('escamosas' | 'glandulares' | 'outras-neoplasias-malignas').exists() | |
lau-3 | error | Observation | Se amostra é rejeitada, então este é o único componente permitido do laudo (além do tipo da amostra) : component.code.coding.where(code='motivo-rejeicao').exists().not() or component.count() = 2 |
Visão de elementos chave
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present lau-2: Ou há indicação de achados não epiteliais ou de anormalidades, exclusivamente. lau-3: Se amostra é rejeitada, então este é o único componente permitido do laudo (além do tipo da amostra) |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/laudo-siscan | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: citopatologico | |
subject | Σ | 1..1 | Reference(Paciente) | A(o) paciente |
effective[x] | Σ | 1..1 | dateTime | Data em que a observação foi feita |
performer | Σ | 1..1 | ReferenciaUnidadeDeSaude(Organization) | O laboratório responsável pelo resultado do exame |
note | 0..* | Annotation | Observação que ajuda na conclusão (insumo para o laudo) | |
text | Σ | 1..1 | markdown | The annotation - text content (as markdown) |
Slices for component | Σ | 1..* | BackboneElement | Component results Slice: Unordered, Closed by pattern:code |
component:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
component:componente | SΣ | 1..1 | BackboneElement | Componente endocervical / zona transformação |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Componente endocervical Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: componente | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | Σ | 1..1 | CodeableConcept | Código para presença ou ausência |
coding | Σ | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Componentes endocervicais (required) |
code | Σ | 1..1 | code | Presença ou ausência |
component:variacoes | SΣ | 0..1 | BackboneElement | Variações celulares não neoplásicas |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Variação celular não neoplásica Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: variacoes-nao-neoplasicas | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | ΣC | 1..1 | CodeableConcept | Indicação de cada uma das variações celulares não neoplásicas identificadas. lau-1: Não pode haver repetição |
coding | Σ | 1..5 | Coding | Um dos códigos definidos no conjunto Binding: Variações não neoplásicas (required) |
code | Σ | 1..1 | code | Código para a variação celular não neoplásica |
component:alteracoes | SΣ | 0..1 | BackboneElement | Alterações celulares reativas |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: alteracoes-reativas | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | ΣC | 1..1 | CodeableConcept | Indicação de cada uma das alterações celulares reativas identificadas lau-1: Não pode haver repetição |
coding | Σ | 1..4 | Coding | Um dos códigos definidos no conjunto Binding: Alterações celulares reativas (required) |
code | Σ | 1..1 | code | Código para a variação celular não neoplásica |
component:celulasGlandulares | SΣ | 0..1 | BackboneElement | Registra presença ou não de células glandulares pós-histerectomia. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Identifica se há ou não presença de células glandulares pós-histerectomia Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: celulas-glandulares | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | Σ | 1..1 | boolean | true se há presença de células glandulares ou falso, caso contrário. |
component:organismos | SΣ | 0..1 | BackboneElement | Organismos |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: organismos | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | ΣC | 1..1 | CodeableConcept | Indicação de cada um dos organismos identificados lau-1: Não pode haver repetição |
coding | Σ | 1..6 | Coding | Um dos códigos definidos no conjunto Binding: Organismos (required) |
code | Σ | 1..1 | code | Código para a variação celular não neoplásica |
component:celulasEndometriais | SΣ | 0..1 | BackboneElement | Presença de células endometriais |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Identifica presença ou não de células endometriais (em mulheres com idade igual ou superior a 45 anos) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: celulas-endometriais | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | Σ | 1..1 | boolean | Se true, indica presença de células endometriais e false, caso contrário |
component:escamosas | SΣ | 0..1 | BackboneElement | Anormalidades em células epiteliais escamosas |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: escamosas | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | Σ | 1..1 | CodeableConcept | Identificação da anormalidade escamosa identificada em células epiteliais |
coding | Σ | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Escamosas (required) |
code | Σ | 1..1 | code | Código para a variação celular não neoplásica |
component:glandulares | SΣ | 0..1 | BackboneElement | Anormalidades em células epiteliais glandulares |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: glandulares | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | Σ | 1..1 | CodeableConcept | Identificação da anormalidade glandular identificada em células epiteliais |
coding | Σ | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Glandulares (required) |
code | Σ | 1..1 | code | Código para a variação celular não neoplásica |
component:outrasNeoplasias | SΣ | 0..1 | BackboneElement | Outras neoplasias malignas |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Identifica a informação fornecida: outras neoplasias malignas Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: outras-neoplasias-malignas | |
coding | Σ | 1..1 | Coding | Código definido por uma terminologia |
value[x] | Σ | 1..1 | string | Especificação das outras neoplasias malignas identificadas |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.code | example | Pattern: citopatologicohttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:componente.code | example | Pattern: componentehttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:componente.value[x].coding | required | ComponentesEndocervicais (a valid code from Componente endocervical)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/componentes-endocervicais from this IG | |
Observation.component:variacoes.code | example | Pattern: variacoes-nao-neoplasicashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:variacoes.value[x].coding | required | VariacoesNaoNeoplasicas (a valid code from Definição das variações celulares não neoplásicas)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/variacoes-nao-neoplasicas from this IG | |
Observation.component:alteracoes.code | example | Pattern: alteracoes-reativashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:alteracoes.value[x].coding | required | AlteracoesReativas (a valid code from Alteração celular reativa)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/alteracoes-reativas from this IG | |
Observation.component:celulasGlandulares.code | example | Pattern: celulas-glandulareshttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:organismos.code | example | Pattern: organismoshttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:organismos.value[x].coding | required | Organismos (a valid code from Organismo)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/organismos from this IG | |
Observation.component:celulasEndometriais.code | example | Pattern: celulas-endometriaishttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:escamosas.code | example | Pattern: escamosashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:escamosas.value[x].coding | required | Escamosas (a valid code from Escamosa)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/escamosas from this IG | |
Observation.component:glandulares.code | example | Pattern: glandulareshttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:glandulares.value[x].coding | required | Glandulares (a valid code from Glandular)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/glandulares from this IG | |
Observation.component:outrasNeoplasias.code | example | Pattern: outras-neoplasias-malignashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
lau-1 | error | Observation.component:variacoes.value[x], Observation.component:alteracoes.value[x], Observation.component:organismos.value[x] | Não pode haver repetição : coding.code.isDistinct() | |
lau-2 | error | Observation | Ou há indicação de achados não epiteliais ou de anormalidades, exclusivamente. : component.code.coding.code.intersect('variacoes-nao-neoplasicas' | 'alteracoes-reativas' | 'celulas-glandulares').exists() xor component.code.coding.code.intersect('escamosas' | 'glandulares' | 'outras-neoplasias-malignas').exists() | |
lau-3 | error | Observation | Se amostra é rejeitada, então este é o único componente permitido do laudo (além do tipo da amostra) : component.code.coding.where(code='motivo-rejeicao').exists().not() or component.count() = 2 |
Visão instantâneo
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present lau-2: Ou há indicação de achados não epiteliais ou de anormalidades, exclusivamente. lau-3: Se amostra é rejeitada, então este é o único componente permitido do laudo (além do tipo da amostra) | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
category | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/laudo-siscan | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: citopatologico | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
subject | Σ | 1..1 | Reference(Paciente) | A(o) paciente | ||||
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
effective[x] | Σ | 1..1 | dateTime | Data em que a observação foi feita | ||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
performer | Σ | 1..1 | ReferenciaUnidadeDeSaude(Organization) | O laboratório responsável pelo resultado do exame | ||||
value[x] | ΣC | 0..1 | Actual result | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
note | 0..* | Annotation | Observação que ajuda na conclusão (insumo para o laudo) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
text | Σ | 1..1 | markdown | The annotation - text content (as markdown) | ||||
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
age | 0..1 | Range | Applicable age range, if relevant | |||||
text | 0..1 | string | Text based reference range in an observation | |||||
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
Slices for component | Σ | 1..* | BackboneElement | Component results Slice: Unordered, Closed by pattern:code | ||||
component:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
value[x] | Σ | 0..1 | Actual component result | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:componente | SΣ | 1..1 | BackboneElement | Componente endocervical / zona transformação | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Componente endocervical Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: componente | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | Σ | 1..1 | CodeableConcept | Código para presença ou ausência | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Componentes endocervicais (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Presença ou ausência | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:variacoes | SΣ | 0..1 | BackboneElement | Variações celulares não neoplásicas | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Variação celular não neoplásica Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: variacoes-nao-neoplasicas | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | ΣC | 1..1 | CodeableConcept | Indicação de cada uma das variações celulares não neoplásicas identificadas. lau-1: Não pode haver repetição | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..5 | Coding | Um dos códigos definidos no conjunto Binding: Variações não neoplásicas (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Código para a variação celular não neoplásica | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:alteracoes | SΣ | 0..1 | BackboneElement | Alterações celulares reativas | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: alteracoes-reativas | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | ΣC | 1..1 | CodeableConcept | Indicação de cada uma das alterações celulares reativas identificadas lau-1: Não pode haver repetição | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..4 | Coding | Um dos códigos definidos no conjunto Binding: Alterações celulares reativas (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Código para a variação celular não neoplásica | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:celulasGlandulares | SΣ | 0..1 | BackboneElement | Registra presença ou não de células glandulares pós-histerectomia. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Identifica se há ou não presença de células glandulares pós-histerectomia Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: celulas-glandulares | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | Σ | 1..1 | boolean | true se há presença de células glandulares ou falso, caso contrário. | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:organismos | SΣ | 0..1 | BackboneElement | Organismos | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: organismos | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | ΣC | 1..1 | CodeableConcept | Indicação de cada um dos organismos identificados lau-1: Não pode haver repetição | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..6 | Coding | Um dos códigos definidos no conjunto Binding: Organismos (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Código para a variação celular não neoplásica | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:celulasEndometriais | SΣ | 0..1 | BackboneElement | Presença de células endometriais | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Identifica presença ou não de células endometriais (em mulheres com idade igual ou superior a 45 anos) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: celulas-endometriais | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | Σ | 1..1 | boolean | Se true, indica presença de células endometriais e false, caso contrário | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:escamosas | SΣ | 0..1 | BackboneElement | Anormalidades em células epiteliais escamosas | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: escamosas | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | Σ | 1..1 | CodeableConcept | Identificação da anormalidade escamosa identificada em células epiteliais | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Escamosas (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Código para a variação celular não neoplásica | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:glandulares | SΣ | 0..1 | BackboneElement | Anormalidades em células epiteliais glandulares | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Alteração celular reativa Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: glandulares | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | Σ | 1..1 | CodeableConcept | Identificação da anormalidade glandular identificada em células epiteliais | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Um dos códigos definidos no conjunto Binding: Glandulares (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Código para a variação celular não neoplásica | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:outrasNeoplasias | SΣ | 0..1 | BackboneElement | Outras neoplasias malignas | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Identifica a informação fornecida: outras neoplasias malignas Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.fabrica.inf.ufg.br/ccu/CodeSystem/resultado-item | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: outras-neoplasias-malignas | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Código definido por uma terminologia | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
value[x] | Σ | 1..1 | string | Especificação das outras neoplasias malignas identificadas | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.code | example | Pattern: citopatologicohttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:componente.code | example | Pattern: componentehttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:componente.value[x].coding | required | ComponentesEndocervicais (a valid code from Componente endocervical)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/componentes-endocervicais from this IG | ||||
Observation.component:componente.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:componente.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:variacoes.code | example | Pattern: variacoes-nao-neoplasicashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:variacoes.value[x].coding | required | VariacoesNaoNeoplasicas (a valid code from Definição das variações celulares não neoplásicas)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/variacoes-nao-neoplasicas from this IG | ||||
Observation.component:variacoes.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:variacoes.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:alteracoes.code | example | Pattern: alteracoes-reativashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:alteracoes.value[x].coding | required | AlteracoesReativas (a valid code from Alteração celular reativa)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/alteracoes-reativas from this IG | ||||
Observation.component:alteracoes.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:alteracoes.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:celulasGlandulares.code | example | Pattern: celulas-glandulareshttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:celulasGlandulares.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:celulasGlandulares.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:organismos.code | example | Pattern: organismoshttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:organismos.value[x].coding | required | Organismos (a valid code from Organismo)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/organismos from this IG | ||||
Observation.component:organismos.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:organismos.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:celulasEndometriais.code | example | Pattern: celulas-endometriaishttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:celulasEndometriais.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:celulasEndometriais.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:escamosas.code | example | Pattern: escamosashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:escamosas.value[x].coding | required | Escamosas (a valid code from Escamosa)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/escamosas from this IG | ||||
Observation.component:escamosas.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:escamosas.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:glandulares.code | example | Pattern: glandulareshttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:glandulares.value[x].coding | required | Glandulares (a valid code from Glandular)https://fhir.fabrica.inf.ufg.br/ccu/ValueSet/glandulares from this IG | ||||
Observation.component:glandulares.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:glandulares.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:outrasNeoplasias.code | example | Pattern: outras-neoplasias-malignashttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:outrasNeoplasias.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:outrasNeoplasias.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
lau-1 | error | Observation.component:variacoes.value[x], Observation.component:alteracoes.value[x], Observation.component:organismos.value[x] | Não pode haver repetição : coding.code.isDistinct() | |
lau-2 | error | Observation | Ou há indicação de achados não epiteliais ou de anormalidades, exclusivamente. : component.code.coding.code.intersect('variacoes-nao-neoplasicas' | 'alteracoes-reativas' | 'celulas-glandulares').exists() xor component.code.coding.code.intersect('escamosas' | 'glandulares' | 'outras-neoplasias-malignas').exists() | |
lau-3 | error | Observation | Se amostra é rejeitada, então este é o único componente permitido do laudo (além do tipo da amostra) : component.code.coding.where(code='motivo-rejeicao').exists().not() or component.count() = 2 |
Essa estrutura é derivada de Observation
Summary
Mandatory: 9 elements(26 nested mandatory elements)
Must-Support: 9 elements
Prohibited: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
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