Guia de Implementação da RNDS
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Guia de Implementação da RNDS - Local Development build (v1.0.0). See the Directory of published versions

: Exemplo 2 de Resultado de Exame Laboratorial na versão 3.2.1 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "f69f5d52-3447-4772-85c4-0f1402cb3bbe",
  "meta" : {
    "lastUpdated" : "2021-11-06T16:20:50-03:00"
  },
  "identifier" : {
    "system" : "https://rnds-fhir.saude.gov.br/NamingSystem/BRRNDS-10302910000182A",
    "value" : "f22f3f3d-5fb3-4a45-aece-699dd467ac1d"
  },
  "type" : "document",
  "timestamp" : "2021-11-06T16:20:50-03:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:00b3ac7c-4992-4b73-ac96-d2a509989fa3",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "00b3ac7c-4992-4b73-ac96-d2a509989fa3",
        "meta" : {
          "profile" : [
            "https://rnds-fhir.saude.gov.br/StructureDefinition/BRResultadoExameLaboratorial-3.2.1"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"00b3ac7c-4992-4b73-ac96-d2a509989fa3\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Composition \"00b3ac7c-4992-4b73-ac96-d2a509989fa3\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BRResultadoExameLaboratorial-3.2.1.html\">Resultado de Exame Laboratorial</a></p></div><p><b>status</b>: final</p><p><b>type</b>: Resultado de Exame(s) Laboratoriais(s) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BRTipoDocumento.html\">Tipo de Documento</a>#REL)</span></p><p><b>date</b>: 2021-11-06 04:20:50-0300</p><p><b>author</b>: <span></span></p><p><b>title</b>: Resultado de Exame Laboratorial</p></div>"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "https://rnds-fhir.saude.gov.br/CodeSystem/BRTipoDocumento",
              "code" : "REL"
            }
          ]
        },
        "subject" : {
          "identifier" : {
            "system" : "https://rnds-fhir.saude.gov.br/StructureDefinition/BRIndividuo-1.0",
            "value" : "712176901347489"
          }
        },
        "date" : "2021-11-06T16:20:50-03:00",
        "author" : [
          {
            "identifier" : {
              "system" : "https://rnds-fhir.saude.gov.br/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0",
              "value" : "00394544000185"
            }
          }
        ],
        "title" : "Resultado de Exame Laboratorial",
        "section" : [
          {
            "entry" : [
              {
                "reference" : "urn:uuid:d924da36-afef-445e-9fcf-2b6c92668745"
              },
              {
                "reference" : "urn:uuid:d0ff0c62-7f61-419d-bf8e-e325a92ca12c"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:d924da36-afef-445e-9fcf-2b6c92668745",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "d924da36-afef-445e-9fcf-2b6c92668745",
        "meta" : {
          "profile" : [
            "https://rnds-fhir.saude.gov.br/StructureDefinition/BRCondicaoSaude"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"d924da36-afef-445e-9fcf-2b6c92668745\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Condition \"d924da36-afef-445e-9fcf-2b6c92668745\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BRCondicaoSaude.html\">Condição de Saúde</a></p></div><p><b>code</b>: Varíola dos macacos [Monkeypox] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BRTerminologiaSuspeitaDiagnostica.html\">Suspeita Diagnóstica</a>#B04)</span></p><p><b>subject</b>: <span></span></p><h3>Stages</h3><table class=\"grid\"><tr><td>-</td><td><b>Assessment</b></td></tr><tr><td>*</td><td><a href=\"#urnuuidd0ff0c62-7f61-419d-bf8e-e325a92ca12c\">See above (urn:uuid:d0ff0c62-7f61-419d-bf8e-e325a92ca12c)</a></td></tr></table></div>"
        },
        "code" : {
          "coding" : [
            {
              "system" : "https://rnds-fhir.saude.gov.br/CodeSystem/BRTerminologiaSuspeitaDiagnostica",
              "code" : "B04",
              "display" : "Varíola dos macacos [Monkeypox]"
            }
          ]
        },
        "subject" : {
          "identifier" : {
            "system" : "https://rnds-fhir.saude.gov.br/StructureDefinition/BRIndividuo-1.0",
            "value" : "712176901347489"
          }
        },
        "stage" : [
          {
            "assessment" : [
              {
                "reference" : "urn:uuid:d0ff0c62-7f61-419d-bf8e-e325a92ca12c"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:d0ff0c62-7f61-419d-bf8e-e325a92ca12c",
      "resource" : {
        "resourceType" : "Observation",
        "meta" : {
          "profile" : [
            "https://rnds-fhir.saude.gov.br/StructureDefinition/BRDiagnosticoLaboratorioClinico-3.2.1"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BRDiagnosticoLaboratorioClinico-3.2.1.html\">Diagnóstico em Laboratório Clínico</a></p></div><p><b>BRPatogeno</b>: Orthopoxvirus (nome do gênero do vírus) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BRTerminologiaPatogeno.html\">Patógeno</a>#01)</span></p><p><b>status</b>: final</p><p><b>category</b>: Diagnóstico e procedimentos especiais em hemoterapia <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BRSubgrupoTabelaSUS.html\">Subgrupo da Tabela SUS</a>#0212)</span></p><p><b>code</b>: Orthopoxvirus IgM Ab [Presença] em soro ou plasma por Imunoensaio <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BRNomeExameLOINC.html\">Exames LOINC</a>#100892-9)</span></p><p><b>subject</b>: <span></span></p><p><b>effective</b>: 2021-11-06 04:20:50-0300</p><p><b>issued</b>: 6 de nov. de 2021 16:20:50</p><p><b>performer</b>: </p><ul><li><span></span></li><li><span></span></li></ul><p><b>value</b>: Não Reagente <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BRTipoResultadoRGNR.html\">Tipo de Reagência</a>#2)</span></p><p><b>method</b>: Diagnóstico através de um hemograma. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>specimen</b>: <a href=\"#urnuuid1763dd4b-d0a3-4e71-854a-0582d5d4b357\">See above (urn:uuid:1763dd4b-d0a3-4e71-854a-0582d5d4b357)</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Text</b></td></tr><tr><td>*</td><td>Escala de -1 para +1.</td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "https://rnds-fhir.saude.gov.br/StructureDefinition/BRPatogeno",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "https://rnds-fhir.saude.gov.br/CodeSystem/BRTerminologiaPatogeno",
                  "code" : "01"
                }
              ]
            }
          }
        ],
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "https://rnds-fhir.saude.gov.br/CodeSystem/BRSubgrupoTabelaSUS",
                "code" : "0212"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "https://rnds-fhir.saude.gov.br/CodeSystem/BRNomeExameLOINC",
              "code" : "100892-9"
            }
          ]
        },
        "subject" : {
          "identifier" : {
            "system" : "https://rnds-fhir.saude.gov.br/StructureDefinition/BRIndividuo-1.0",
            "value" : "712176901347489"
          }
        },
        "effectiveDateTime" : "2021-11-06T16:20:50-03:00",
        "issued" : "2021-11-06T16:20:50-03:00",
        "performer" : [
          {
            "identifier" : {
              "system" : "https://rnds-fhir.saude.gov.br/StructureDefinition/BREstabelecimentoSaude-1.0",
              "value" : "2005654"
            }
          },
          {
            "identifier" : {
              "system" : "https://rnds-fhir.saude.gov.br/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0",
              "value" : "00394544000185"
            }
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://rnds-fhir.saude.gov.br/CodeSystem/BRTipoResultadoRGNR",
              "code" : "2"
            }
          ]
        },
        "method" : {
          "text" : "Diagnóstico através de um hemograma."
        },
        "specimen" : {
          "reference" : "urn:uuid:1763dd4b-d0a3-4e71-854a-0582d5d4b357"
        },
        "referenceRange" : [
          {
            "text" : "Escala de -1 para +1."
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:1763dd4b-d0a3-4e71-854a-0582d5d4b357",
      "resource" : {
        "resourceType" : "Specimen",
        "meta" : {
          "profile" : [
            "https://rnds-fhir.saude.gov.br/StructureDefinition/BRAmostraBiologica-1.0"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Specimen</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BRAmostraBiologica-1.0.html\">Amostra Biológica</a></p></div><p><b>type</b>: Secreção Orofaríngea e Nasofaríngea <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BRTipoAmostraGAL.html\">Tipo de Amostra Biológica</a>#SECONF)</span></p></div>"
        },
        "type" : {
          "coding" : [
            {
              "system" : "https://rnds-fhir.saude.gov.br/CodeSystem/BRTipoAmostraGAL",
              "code" : "SECONF"
            }
          ]
        }
      }
    }
  ]
}