composition.canonical_xml.Registro_de_Atendimento_Clinico.xml Maven / Gradle / Ivy
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<composition xmlns="http://schemas.openehr.org/v1"
archetype_node_id="openEHR-EHR-COMPOSITION.encounter.v1"
xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xsi:schemaLocation="http://schemas.openehr.org/v1 https://specifications.openehr.org/releases/1.0.2/its/XML-schema/Composition.xsd"
xsi:type="COMPOSITION">
<name>
<value>Registro de Atendimento Clínico</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-COMPOSITION.encounter.v1</value>
</archetype_id>
<template_id>
<value>Registro de Atendimento Clínico v1.0</value>
</template_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<territory>
<terminology_id>
<value>ISO_3166-1</value>
</terminology_id>
<code_string>BR</code_string>
</territory>
<category>
<value>event</value>
<defining_code>
<terminology_id>
<value>openehr</value>
</terminology_id>
<code_string>433</code_string>
</defining_code>
</category>
<composer xsi:type="PARTY_IDENTIFIED">
<identifiers>
<issuer>2.16.840.1.113883.13.236</issuer>
<assigner>2.16.840.1.113883.13.236</assigner>
<id>2345667891234</id>
<type>CPF</type>
</identifiers>
</composer>
<context>
<start_time>
<value>2019-09-03T17:45:27.680Z</value>
</start_time>
<setting>
<value>secondary medical care</value>
<defining_code>
<terminology_id>
<value>openehr</value>
</terminology_id>
<code_string>232</code_string>
</defining_code>
</setting>
</context>
<content archetype_node_id="openEHR-EHR-SECTION.adhoc.v1" xsi:type="SECTION">
<name>
<value>Caracterização do atendimento</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-SECTION.adhoc.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items
archetype_node_id="openEHR-EHR-ADMIN_ENTRY.admission-ms_br.v02" xsi:type="ADMIN_ENTRY">
<name>
<value>Admissão do paciente</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-ADMIN_ENTRY.admission-ms_br.v02</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0.135" xsi:type="ELEMENT">
<name>
<value>Modalidade assistencial</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Atenção básica</value>
<defining_code>
<terminology_id>
<value>local</value>
</terminology_id>
<code_string>at0.136</code_string>
</defining_code>
</value>
</items>
<items archetype_node_id="at0.176" xsi:type="ELEMENT">
<name>
<value>Procedência</value>
</name>
<value xsi:type="DV_TEXT">
<value>SAMU</value>
</value>
</items>
<items archetype_node_id="at0073" xsi:type="CLUSTER">
<name>
<value>Localização atribuída ao paciente</value>
</name>
<items archetype_node_id="at0074.1" xsi:type="ELEMENT">
<name>
<value>Local de atendimento</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Unidade móvel</value>
<defining_code>
<terminology_id>
<value>local</value>
</terminology_id>
<code_string>at0.149</code_string>
</defining_code>
</value>
</items>
<items archetype_node_id="at0104" xsi:type="CLUSTER">
<name>
<value>Instituição</value>
</name>
<items archetype_node_id="at0.158" xsi:type="ELEMENT">
<name>
<value>Estabelecimento de saúde</value>
</name>
<value xsi:type="DV_TEXT">
<value>UBS Bom Retiro</value>
</value>
</items>
</items>
</items>
<items archetype_node_id="at0121" xsi:type="CLUSTER">
<name>
<value>Profissionais do atendimento</value>
</name>
<items archetype_node_id="at0.184" xsi:type="ELEMENT">
<name>
<value>Nome do profissional</value>
</name>
<value xsi:type="DV_TEXT">
<value>MARLI DOS SANTOS NEVES DAS NEVES</value>
</value>
</items>
<items archetype_node_id="at0099.1" xsi:type="ELEMENT">
<name>
<value>CPF do profissional</value>
</name>
<value xsi:type="DV_TEXT">
<value>20301136976</value>
</value>
</items>
<items archetype_node_id="at0.165" xsi:type="ELEMENT">
<name>
<value>CNS</value>
</name>
<value xsi:type="DV_TEXT">
<value>203011369760008</value>
</value>
</items>
<items archetype_node_id="at0.166" xsi:type="ELEMENT">
<name>
<value>Ocupação do profissional</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Médico de família e comunidade</value>
<defining_code>
<terminology_id>
<value>CBO_2002.v1.0.0</value>
</terminology_id>
<code_string>225130</code_string>
</defining_code>
</value>
</items>
<items
archetype_node_id="openEHR-EHR-CLUSTER.individual_professional-ms_br.v1" xsi:type="CLUSTER">
<name>
<value>Dados demográficos individuais do profissional</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-CLUSTER.individual_professional-ms_br.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items archetype_node_id="at0.20" xsi:type="CLUSTER">
<name>
<value>Conselho de classe</value>
</name>
<items archetype_node_id="at0.21" xsi:type="ELEMENT">
<name>
<value>Tipo de conselho</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>CRBM</value>
<defining_code>
<terminology_id>
<value>local</value>
</terminology_id>
<code_string>at0.24</code_string>
</defining_code>
</value>
</items>
<items archetype_node_id="at0.22" xsi:type="ELEMENT">
<name>
<value>UF</value>
</name>
<value xsi:type="DV_TEXT">
<value>DF</value>
</value>
</items>
<items archetype_node_id="at0.23" xsi:type="ELEMENT">
<name>
<value>Número do registro</value>
</name>
<value xsi:type="DV_TEXT">
<value>123456</value>
</value>
</items>
</items>
</items>
</items>
<items archetype_node_id="at0.183" xsi:type="ELEMENT">
<name>
<value>Retorno</value>
</name>
<value xsi:type="DV_BOOLEAN">
<value>true</value>
</value>
</items>
<items archetype_node_id="at0071" xsi:type="ELEMENT">
<name>
<value>Data e hora do atendimento</value>
</name>
<value xsi:type="DV_DATE_TIME">
<value>2018-01-01T00:00:00Z</value>
</value>
</items>
</data>
</items>
</content>
<content archetype_node_id="openEHR-EHR-SECTION.problem_list.v1" xsi:type="SECTION">
<name>
<value>Motivo do atendimento</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-SECTION.problem_list.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items
archetype_node_id="openEHR-EHR-EVALUATION.reason_for_encounter.v1" xsi:type="EVALUATION">
<name>
<value>Motivo para o encontro</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-EVALUATION.reason_for_encounter.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0004" xsi:type="ELEMENT">
<name>
<value>Motivo do atendimento</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Hipertensão sem complicações</value>
<defining_code>
<terminology_id>
<value>CIAP-2_2005.v1.0.0</value>
</terminology_id>
<code_string>K86</code_string>
</defining_code>
</value>
</items>
</data>
</items>
<items
archetype_node_id="openEHR-EHR-EVALUATION.container.v0" xsi:type="EVALUATION">
<name>
<value>Recipiente</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-EVALUATION.container.v0</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items
archetype_node_id="openEHR-EHR-CLUSTER.free_text.v0" xsi:type="CLUSTER">
<name>
<value>Texto livre</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-CLUSTER.free_text.v0</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items archetype_node_id="at0001" xsi:type="ELEMENT">
<name>
<value>Declaração subjetiva do paciente para o atendimento</value>
</name>
<value xsi:type="DV_TEXT">
<value>Acompanhamento da pressão e diabetes.</value>
</value>
</items>
</items>
</data>
</items>
</content>
<content archetype_node_id="openEHR-EHR-SECTION.adhoc.v1" xsi:type="SECTION">
<name>
<value>Observações</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-SECTION.adhoc.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items archetype_node_id="openEHR-EHR-SECTION.vital_signs.v0" xsi:type="SECTION">
<name>
<value>Sinais vitais</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-SECTION.vital_signs.v0</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items
archetype_node_id="openEHR-EHR-OBSERVATION.blood_pressure.v2" xsi:type="OBSERVATION">
<name>
<value>Pressão Arterial</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-OBSERVATION.blood_pressure.v2</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<protocol archetype_node_id="at0011" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0014" xsi:type="ELEMENT">
<name>
<value>Local da aferição</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Braço direito</value>
<defining_code>
<terminology_id>
<value>local</value>
</terminology_id>
<code_string>at0025</code_string>
</defining_code>
</value>
</items>
</protocol>
<data archetype_node_id="at0001" xsi:type="HISTORY">
<name>
<value>HISTORY</value>
</name>
<origin>
<value>2019-10-25T14:51:40.506</value>
</origin>
<events archetype_node_id="at0006" xsi:type="POINT_EVENT">
<name>
<value>ANY_EVENT</value>
</name>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
<data archetype_node_id="at0003" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0004" xsi:type="ELEMENT">
<name>
<value>Sistólica</value>
</name>
<value xsi:type="DV_QUANTITY">
<magnitude>144</magnitude>
<units>mm[Hg]</units>
<precision>0</precision>
</value>
</items>
<items archetype_node_id="at0005" xsi:type="ELEMENT">
<name>
<value>Diastólica</value>
</name>
<value xsi:type="DV_QUANTITY">
<magnitude>128</magnitude>
<units>mm[Hg]</units>
<precision>0</precision>
</value>
</items>
</data>
<state archetype_node_id="at0007" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0008" xsi:type="ELEMENT">
<name>
<value>Posição do indivíduo na aferição</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Em pé</value>
<defining_code>
<terminology_id>
<value>local</value>
</terminology_id>
<code_string>at1000</code_string>
</defining_code>
</value>
</items>
</state>
</events>
</data>
</items>
<items
archetype_node_id="openEHR-EHR-OBSERVATION.pulse.v1" xsi:type="OBSERVATION">
<name>
<value>Pulso/Batimento Cardíaco</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-OBSERVATION.pulse.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0002" xsi:type="HISTORY">
<name>
<value>HISTORY</value>
</name>
<origin>
<value>2019-10-25T14:51:40.520</value>
</origin>
<events archetype_node_id="at0003" xsi:type="POINT_EVENT">
<name>
<value>ANY_EVENT</value>
</name>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
<data archetype_node_id="at0001" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0004" xsi:type="ELEMENT">
<name>
<value>Frequência cardíaca</value>
</name>
<value xsi:type="DV_QUANTITY">
<magnitude>160</magnitude>
<units>/min</units>
<precision>0</precision>
</value>
</items>
</data>
</events>
</data>
</items>
<items
archetype_node_id="openEHR-EHR-OBSERVATION.respiration.v1" xsi:type="OBSERVATION">
<name>
<value>Respirações</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-OBSERVATION.respiration.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="HISTORY">
<name>
<value>HISTORY</value>
</name>
<origin>
<value>2019-10-25T14:51:40.537</value>
</origin>
<events archetype_node_id="at0002" xsi:type="POINT_EVENT">
<name>
<value>ANY_EVENT</value>
</name>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
<data archetype_node_id="at0003" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0004" xsi:type="ELEMENT">
<name>
<value>Frequência respiratória</value>
</name>
<value xsi:type="DV_QUANTITY">
<magnitude>30</magnitude>
<units>/min</units>
<precision>0</precision>
</value>
</items>
</data>
</events>
</data>
</items>
<items
archetype_node_id="openEHR-EHR-OBSERVATION.body_temperature.v2" xsi:type="OBSERVATION">
<name>
<value>Temperatura Corporal</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-OBSERVATION.body_temperature.v2</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0002" xsi:type="HISTORY">
<name>
<value>HISTORY</value>
</name>
<origin>
<value>2019-10-25T14:51:40.574</value>
</origin>
<events archetype_node_id="at0003" xsi:type="POINT_EVENT">
<name>
<value>ANY_EVENT</value>
</name>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
<data archetype_node_id="at0001" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0004" xsi:type="ELEMENT">
<name>
<value>Temperatura</value>
</name>
<value xsi:type="DV_QUANTITY">
<magnitude>37.1</magnitude>
<units>Cel</units>
<precision>1</precision>
</value>
</items>
</data>
</events>
</data>
</items>
<items
archetype_node_id="openEHR-EHR-OBSERVATION.pulse_oximetry.v1" xsi:type="OBSERVATION">
<name>
<value>Oximetria de pulso</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-OBSERVATION.pulse_oximetry.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="HISTORY">
<name>
<value>HISTORY</value>
</name>
<origin>
<value>2019-10-25T14:51:40.580</value>
</origin>
<events archetype_node_id="at0002" xsi:type="POINT_EVENT">
<name>
<value>ANY_EVENT</value>
</name>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
<data archetype_node_id="at0003" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0006" xsi:type="ELEMENT">
<name>
<value>Saturação O2</value>
</name>
<value xsi:type="DV_PROPORTION">
<numerator>90</numerator>
<denominator>100</denominator>
<type>2</type>
</value>
</items>
</data>
</events>
</data>
</items>
</items>
<items archetype_node_id="openEHR-EHR-SECTION.adhoc.v1" xsi:type="SECTION">
<name>
<value>Medições</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-SECTION.adhoc.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items
archetype_node_id="openEHR-EHR-OBSERVATION.body_weight.v2" xsi:type="OBSERVATION">
<name>
<value>Peso corporal</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-OBSERVATION.body_weight.v2</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
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<name>
<value>HISTORY</value>
</name>
<origin>
<value>2019-10-25T14:51:40.589</value>
</origin>
<events archetype_node_id="at0003" xsi:type="POINT_EVENT">
<name>
<value>ANY_EVENT</value>
</name>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
<data archetype_node_id="at0001" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0004" xsi:type="ELEMENT">
<name>
<value>Peso</value>
</name>
<value xsi:type="DV_QUANTITY">
<magnitude>72.0</magnitude>
<units>kg</units>
</value>
</items>
</data>
</events>
</data>
</items>
<items
archetype_node_id="openEHR-EHR-OBSERVATION.height.v2" xsi:type="OBSERVATION">
<name>
<value>Altura / comprimento</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-OBSERVATION.height.v2</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="HISTORY">
<name>
<value>HISTORY</value>
</name>
<origin>
<value>2019-10-25T14:51:40.602</value>
</origin>
<events archetype_node_id="at0002" xsi:type="POINT_EVENT">
<name>
<value>ANY_EVENT</value>
</name>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
<data archetype_node_id="at0003" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0004" xsi:type="ELEMENT">
<name>
<value>Altura</value>
</name>
<value xsi:type="DV_QUANTITY">
<magnitude>178</magnitude>
<units>cm</units>
</value>
</items>
</data>
</events>
</data>
</items>
<items
archetype_node_id="openEHR-EHR-OBSERVATION.body_mass_index.v2" xsi:type="OBSERVATION">
<name>
<value>Índice de massa corporal</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-OBSERVATION.body_mass_index.v2</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="HISTORY">
<name>
<value>HISTORY</value>
</name>
<origin>
<value>2019-10-25T14:51:40.616</value>
</origin>
<events archetype_node_id="at0002" xsi:type="POINT_EVENT">
<name>
<value>ANY_EVENT</value>
</name>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
<data archetype_node_id="at0003" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0004" xsi:type="ELEMENT">
<name>
<value>Índice de massa corporal</value>
</name>
<value xsi:type="DV_QUANTITY">
<magnitude>25.8</magnitude>
<units>kg/m2</units>
<precision>1</precision>
</value>
</items>
</data>
</events>
</data>
</items>
<items
archetype_node_id="openEHR-EHR-OBSERVATION.head_circumference.v1" xsi:type="OBSERVATION">
<name>
<value>Circunferência cefálica</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-OBSERVATION.head_circumference.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="HISTORY">
<name>
<value>HISTORY</value>
</name>
<origin>
<value>2019-10-25T14:51:40.621</value>
</origin>
<events archetype_node_id="at0010" xsi:type="POINT_EVENT">
<name>
<value>ANY_EVENT</value>
</name>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
<data archetype_node_id="at0003" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0004" xsi:type="ELEMENT">
<name>
<value>Perímetro cefálico</value>
</name>
<value xsi:type="DV_QUANTITY">
<magnitude>78</magnitude>
<units>cm</units>
</value>
</items>
</data>
</events>
</data>
</items>
<items
archetype_node_id="openEHR-EHR-OBSERVATION.waist_circumference.v1" xsi:type="OBSERVATION">
<name>
<value>Circunferência da cintura</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-OBSERVATION.waist_circumference.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="HISTORY">
<name>
<value>HISTORY</value>
</name>
<origin>
<value>2019-10-25T14:51:40.633</value>
</origin>
<events archetype_node_id="at0010" xsi:type="POINT_EVENT">
<name>
<value>ANY_EVENT</value>
</name>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
<data archetype_node_id="at0003" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0004" xsi:type="ELEMENT">
<name>
<value>Circunferência da cintura</value>
</name>
<value xsi:type="DV_QUANTITY">
<magnitude>122</magnitude>
<units>cm</units>
</value>
</items>
</data>
</events>
</data>
</items>
</items>
<items archetype_node_id="openEHR-EHR-SECTION.adhoc.v1" xsi:type="SECTION">
<name>
<value>Informações adicionais</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-SECTION.adhoc.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items
archetype_node_id="openEHR-EHR-OBSERVATION.menstrual_cycle.v0" xsi:type="OBSERVATION">
<name>
<value>Ciclo menstrual</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-OBSERVATION.menstrual_cycle.v0</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="HISTORY">
<name>
<value>HISTORY</value>
</name>
<origin>
<value>2019-10-25T14:51:40.640</value>
</origin>
<events archetype_node_id="at0002" xsi:type="POINT_EVENT">
<name>
<value>ANY_EVENT</value>
</name>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
<data archetype_node_id="at0003" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items
archetype_node_id="openEHR-EHR-ELEMENT.last_normal_menstrual_period.v1"
xsi:type="ELEMENT">
<name>
<value>DUM (Data da Última Menstruação)</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-ELEMENT.last_normal_menstrual_period.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<value xsi:type="DV_DATE_TIME">
<value>2018-01-01T00:00:00Z</value>
</value>
</items>
</data>
</events>
</data>
</items>
<items
archetype_node_id="openEHR-EHR-OBSERVATION.gestation.v1" xsi:type="OBSERVATION">
<name>
<value>Gestação</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-OBSERVATION.gestation.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="HISTORY">
<name>
<value>HISTORY</value>
</name>
<origin>
<value>2019-10-25T14:51:40.649</value>
</origin>
<events archetype_node_id="at0002" xsi:type="POINT_EVENT">
<name>
<value>ANY_EVENT</value>
</name>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
<data archetype_node_id="at0003" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0004" xsi:type="ELEMENT">
<name>
<value>Idade gestacional</value>
</name>
<value xsi:type="DV_DURATION">
<value>P8W3D</value>
</value>
</items>
</data>
</events>
</data>
</items>
<items
archetype_node_id="openEHR-EHR-EVALUATION.obstetric_summary.v0" xsi:type="EVALUATION">
<name>
<value>Sumário obstétrico</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-EVALUATION.obstetric_summary.v0</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
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<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0002" xsi:type="ELEMENT">
<name>
<value>Quantidade de gestas prévias</value>
</name>
<value xsi:type="DV_COUNT">
<magnitude>0</magnitude>
</value>
</items>
<items archetype_node_id="at0003" xsi:type="ELEMENT">
<name>
<value>Quantidade de partos</value>
</name>
<value xsi:type="DV_COUNT">
<magnitude>0</magnitude>
</value>
</items>
<items archetype_node_id="at0017" xsi:type="ELEMENT">
<name>
<value>Quantidade de abortos</value>
</name>
<value xsi:type="DV_COUNT">
<magnitude>0</magnitude>
</value>
</items>
</data>
</items>
<items
archetype_node_id="openEHR-EHR-EVALUATION.container.v0" xsi:type="EVALUATION">
<name>
<value>Recipiente</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-EVALUATION.container.v0</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items
archetype_node_id="openEHR-EHR-CLUSTER.free_text.v0" xsi:type="CLUSTER">
<name>
<value>Texto livre</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-CLUSTER.free_text.v0</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items archetype_node_id="at0001" xsi:type="ELEMENT">
<name>
<value>Tipo de aleitamento materno para crianças até 2 anos</value>
</name>
<value xsi:type="DV_TEXT">
<value>Aleitamento materno exclusiv0</value>
</value>
</items>
</items>
</data>
</items>
<items archetype_node_id="openEHR-EHR-SECTION.adhoc.v1" xsi:type="SECTION">
<name>
<value>Exposição a substâncias: uso de álcool, tabaco e outras substâncias nos últimos 3 meses</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-SECTION.adhoc.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items
archetype_node_id="openEHR-EHR-OBSERVATION.alcohol_intake-haoc.v01" xsi:type="OBSERVATION">
<name>
<value>Consumo de álcool</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-OBSERVATION.alcohol_intake-haoc.v01</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
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<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="HISTORY">
<name>
<value>HISTORY</value>
</name>
<origin>
<value>2019-10-25T14:51:40.664</value>
</origin>
<events archetype_node_id="at0002" xsi:type="POINT_EVENT">
<name>
<value>ANY_EVENT</value>
</name>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
<data archetype_node_id="at0003" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0021" xsi:type="ELEMENT">
<name>
<value>Comentário</value>
</name>
<value xsi:type="DV_TEXT">
<value>Cerveja, 6 copos dia</value>
</value>
</items>
<items archetype_node_id="at0.39" xsi:type="ELEMENT">
<name>
<value>Uso de álcool?</value>
</name>
<value xsi:type="DV_BOOLEAN">
<value>true</value>
</value>
</items>
</data>
</events>
</data>
</items>
<items
archetype_node_id="openEHR-EHR-OBSERVATION.tobacco_use.v1" xsi:type="OBSERVATION">
<name>
<value>Uso de tabaco</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-OBSERVATION.tobacco_use.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
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<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
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<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="HISTORY">
<name>
<value>HISTORY</value>
</name>
<origin>
<value>2019-10-25T14:51:40.802</value>
</origin>
<events archetype_node_id="at0002" xsi:type="POINT_EVENT">
<name>
<value>ANY_EVENT</value>
</name>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
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<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0004" xsi:type="ELEMENT">
<name>
<value>Uso de tabaco?</value>
</name>
<value xsi:type="DV_BOOLEAN">
<value>true</value>
</value>
</items>
<items archetype_node_id="at0021" xsi:type="ELEMENT">
<name>
<value>Comentário</value>
</name>
<value xsi:type="DV_TEXT">
<value>Dois maços por dia</value>
</value>
</items>
</data>
</events>
</data>
</items>
<items
archetype_node_id="openEHR-EHR-SECTION.adhoc.v1" xsi:type="SECTION">
<name>
<value>Outras substâncias psicoativas</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-SECTION.adhoc.v1</value>
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<rm_version>1.0.2</rm_version>
</archetype_details>
<items
archetype_node_id="openEHR-EHR-OBSERVATION.substance_use-ms_br.v01" xsi:type="OBSERVATION">
<name>
<value>Substância em uso</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-OBSERVATION.substance_use-ms_br.v01</value>
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<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
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</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
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<code_string>UTF-8</code_string>
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<subject xsi:type="PARTY_SELF"/>
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<name>
<value>HISTORY</value>
</name>
<origin>
<value>2019-10-25T14:51:40.811</value>
</origin>
<events archetype_node_id="at0002" xsi:type="POINT_EVENT">
<name>
<value>ANY_EVENT</value>
</name>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
<data archetype_node_id="at0003" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0.24" xsi:type="ELEMENT">
<name>
<value>Categoria da substância psicoativa</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Opiáceos</value>
<defining_code>
<terminology_id>
<value>local</value>
</terminology_id>
<code_string>at0.25</code_string>
</defining_code>
</value>
</items>
<items archetype_node_id="at0004" xsi:type="ELEMENT">
<name>
<value>Nome da substância psicoativa</value>
</name>
<value xsi:type="DV_TEXT">
<value>Heroína</value>
</value>
</items>
<items archetype_node_id="at0010" xsi:type="CLUSTER">
<name>
<value>Detalhes do consumo</value>
</name>
<items
archetype_node_id="at0005" xsi:type="ELEMENT">
<name>
<value>Frequência</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Uso semanal</value>
<defining_code>
<terminology_id>
<value>local</value>
</terminology_id>
<code_string>at0020</code_string>
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</value>
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</items>
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</events>
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</items>
</items>
</items>
</items>
</content>
<content archetype_node_id="openEHR-EHR-SECTION.problem_list.v1" xsi:type="SECTION">
<name>
<value>Diagnósticos avaliados</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-SECTION.problem_list.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items
archetype_node_id="openEHR-EHR-EVALUATION.problem_diagnosis-ms_br.v1" xsi:type="EVALUATION">
<name>
<value>Problema Diagnóstico</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-EVALUATION.problem_diagnosis-ms_br.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
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<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
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<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0002.1" xsi:type="ELEMENT">
<name>
<value>Diagnóstico</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Hipertensão secundária</value>
<defining_code>
<terminology_id>
<value>CID-10_1998.v1.0.0</value>
</terminology_id>
<code_string>I15</code_string>
</defining_code>
</value>
</items>
<items
archetype_node_id="openEHR-EHR-CLUSTER.problem_qualifier-haoc.v1" xsi:type="CLUSTER">
<name>
<value>Qualificador do problema/diagnóstico</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-CLUSTER.problem_qualifier-haoc.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items archetype_node_id="at0083" xsi:type="ELEMENT">
<name>
<value>Estado de resolução do diagnóstico</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Não resolvendo</value>
<defining_code>
<terminology_id>
<value>local</value>
</terminology_id>
<code_string>at0086</code_string>
</defining_code>
</value>
</items>
<items archetype_node_id="at0063" xsi:type="ELEMENT">
<name>
<value>Categoria do diagnóstico</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Diagnóstico principal</value>
<defining_code>
<terminology_id>
<value>local</value>
</terminology_id>
<code_string>at0064</code_string>
</defining_code>
</value>
</items>
<items archetype_node_id="at0073.1" xsi:type="ELEMENT">
<name>
<value>Indicador de presença na admissão</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Sim</value>
<defining_code>
<terminology_id>
<value>local</value>
</terminology_id>
<code_string>at0.98</code_string>
</defining_code>
</value>
</items>
</items>
</data>
</items>
</content>
<content archetype_node_id="openEHR-EHR-SECTION.adverse_list.v1" xsi:type="SECTION">
<name>
<value>Alergias e/ou reações adversas no atendimento</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-SECTION.adverse_list.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items
archetype_node_id="openEHR-EHR-EVALUATION.adverse_reaction_risk-ms_br.v1" xsi:type="EVALUATION">
<name>
<value>Risco de reação adversa</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-EVALUATION.adverse_reaction_risk-ms_br.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0002" xsi:type="ELEMENT">
<name>
<value>Agente/substância específica</value>
</name>
<value xsi:type="DV_TEXT">
<value>Lactose</value>
</value>
</items>
<items archetype_node_id="at0063" xsi:type="ELEMENT">
<name>
<value>Grau de certeza</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Suspeita</value>
<defining_code>
<terminology_id>
<value>local</value>
</terminology_id>
<code_string>at0127</code_string>
</defining_code>
</value>
</items>
<items archetype_node_id="at0101" xsi:type="ELEMENT">
<name>
<value>Criticidade</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Baixo</value>
<defining_code>
<terminology_id>
<value>local</value>
</terminology_id>
<code_string>at0102</code_string>
</defining_code>
</value>
</items>
<items archetype_node_id="at0120" xsi:type="ELEMENT">
<name>
<value>Categoria do agente causador da alergia ou reação adversa</value>
</name>
<value xsi:type="DV_TEXT">
<value>Alimento</value>
</value>
</items>
<items archetype_node_id="at0117" xsi:type="ELEMENT">
<name>
<value>Data da instalação da reação adversa</value>
</name>
<value xsi:type="DV_DATE_TIME">
<value>2018-01-01T00:00:00Z</value>
</value>
</items>
<items archetype_node_id="at0006" xsi:type="ELEMENT">
<name>
<value>Evolução da alergia/reação adversa</value>
</name>
<value xsi:type="DV_TEXT">
<value>Pele avermelhada</value>
</value>
</items>
</data>
</items>
</content>
<content archetype_node_id="openEHR-EHR-SECTION.problem_list.v1" xsi:type="SECTION">
<name>
<value>Procedimento(s) realizado(s)</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-SECTION.problem_list.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items
archetype_node_id="openEHR-EHR-ACTION.procedure-HAOC.v1" xsi:type="ACTION">
<name>
<value>Procedimento</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-ACTION.procedure-HAOC.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<time>
<value>2018-01-01T00:00:00Z</value>
</time>
<description archetype_node_id="at0001" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0002.1" xsi:type="ELEMENT">
<name>
<value>Procedimento(s) realizado(s)</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>ELETROCARDIOGRAMA</value>
<defining_code>
<terminology_id>
<value>SIGTAP_201712.v1.0.0</value>
</terminology_id>
<code_string>02.11.02.003-6</code_string>
</defining_code>
</value>
</items>
<items archetype_node_id="at0.74" xsi:type="ELEMENT">
<name>
<value>Categoria do procedimento</value>
</name>
<value xsi:type="DV_TEXT">
<value>SADT</value>
</value>
</items>
<items archetype_node_id="at0048" xsi:type="ELEMENT">
<name>
<value>Resultado ou observações do procedimento</value>
</name>
<value xsi:type="DV_TEXT">
<value>Frequência cardíaca entre 80 e 100 batimentos por minuto. Onda P presente, indicando
ritmo sinusal. A onda P normal.
</value>
</value>
</items>
<items archetype_node_id="at0060" xsi:type="ELEMENT">
<name>
<value>Data da realização</value>
</name>
<value xsi:type="DV_DATE_TIME">
<value>2018-01-01T00:00:00Z</value>
</value>
</items>
<items archetype_node_id="at0.70" xsi:type="ELEMENT">
<name>
<value>Estado do procedimento</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Concluído</value>
<defining_code>
<terminology_id>
<value>local</value>
</terminology_id>
<code_string>at0.71</code_string>
</defining_code>
</value>
</items>
</description>
<ism_transition>
<current_state>
<value>completed</value>
<defining_code>
<terminology_id>
<value>openehr</value>
</terminology_id>
<code_string>532</code_string>
</defining_code>
</current_state>
</ism_transition>
</items>
</content>
<content
archetype_node_id="openEHR-EHR-SECTION.medication_order_list.v1" xsi:type="SECTION">
<name>
<value>Receita no atendimento</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-SECTION.medication_order_list.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items
archetype_node_id="openEHR-EHR-EVALUATION.container.v0" xsi:type="EVALUATION">
<name>
<value>Recipiente</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-EVALUATION.container.v0</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items
archetype_node_id="openEHR-EHR-CLUSTER.free_text.v0" xsi:type="CLUSTER">
<name>
<value>Texto livre</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-CLUSTER.free_text.v0</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items archetype_node_id="at0001" xsi:type="ELEMENT">
<name>
<value>Medicamentos prescritos no atendimento (não estruturado)</value>
</name>
<value xsi:type="DV_TEXT">
<value>1) Captopril 25mg comprimidos, 1cp, oral, 12/12hs, por 30 dias; 2)Glibenclamida 5mg
comprimidos, 1cp, oral, 12/12hs, por 30 dias; 3) Sinvastatina 20 mg comprimidos, 1cp,
oral, 1x dia, por 30 dias.
</value>
</value>
</items>
</items>
</data>
</items>
</content>
<content archetype_node_id="openEHR-EHR-SECTION.adhoc.v1" xsi:type="SECTION">
<name>
<value>Plano de cuidados, instruções e recomendações</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-SECTION.adhoc.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items
archetype_node_id="openEHR-EHR-INSTRUCTION.care_plan_request-haoc.v0" xsi:type="INSTRUCTION">
<name>
<value>Plano de cuidados</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-INSTRUCTION.care_plan_request-haoc.v0</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<narrative>
<value/>
</narrative>
<activities archetype_node_id="at0001" xsi:type="ACTIVITY">
<name>
<value>Atividade</value>
</name>
<description archetype_node_id="at0004" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0007" xsi:type="ELEMENT">
<name>
<value>Descrição do plano de cuidados, instruções e recomendações</value>
</name>
<value xsi:type="DV_TEXT">
<value>1) Orientação sobre dieta hipossódica e hipocalórica; 2) Caminhada diária; 3)
Orientação sobre os cuidados com curativo da ferida cirírgica.
</value>
</value>
</items>
</description>
<timing>
<value>2018-01-01T00:00:00Z</value>
<formalism>ISO 8601</formalism>
</timing>
<action_archetype_id>openEHR-EHR-ACTION.care_plan.v1</action_archetype_id>
</activities>
</items>
</content>
<content archetype_node_id="openEHR-EHR-SECTION.adhoc.v1" xsi:type="SECTION">
<name>
<value>Dados do desfecho</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-SECTION.adhoc.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<items
archetype_node_id="openEHR-EHR-ADMIN_ENTRY.desfecho_alta-ms_br.v1" xsi:type="ADMIN_ENTRY">
<name>
<value>Desfecho / alta do contato assistencial</value>
</name>
<archetype_details>
<archetype_id>
<value>openEHR-EHR-ADMIN_ENTRY.desfecho_alta-ms_br.v1</value>
</archetype_id>
<rm_version>1.0.2</rm_version>
</archetype_details>
<language>
<terminology_id>
<value>ISO_639-1</value>
</terminology_id>
<code_string>pt</code_string>
</language>
<encoding>
<terminology_id>
<value>IANA_character-sets</value>
</terminology_id>
<code_string>UTF-8</code_string>
</encoding>
<subject xsi:type="PARTY_SELF"/>
<data archetype_node_id="at0001" xsi:type="ITEM_TREE">
<name>
<value>ITEM_TREE</value>
</name>
<items archetype_node_id="at0034" xsi:type="CLUSTER">
<name>
<value>Encaminhamentos</value>
</name>
<items archetype_node_id="at0037" xsi:type="ELEMENT">
<name>
<value>Encaminhamento para especialidade (estruturado)</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Médico de família e comunidade</value>
<defining_code>
<terminology_id>
<value>CBO_2002.v1.0.0</value>
</terminology_id>
<code_string>225130</code_string>
</defining_code>
</value>
</items>
<items archetype_node_id="at0062" xsi:type="ELEMENT">
<name>
<value>Justificativa</value>
</name>
<value xsi:type="DV_TEXT">
<value>Necessidade de acompanhamento</value>
</value>
</items>
<items archetype_node_id="at0068" xsi:type="CLUSTER">
<name>
<value>Exame ou procedimento</value>
</name>
<items archetype_node_id="at0063" xsi:type="ELEMENT">
<name>
<value>Encaminhamento para exames e procedimentos</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Perícia médica</value>
<defining_code>
<terminology_id>
<value>TUSS_201907</value>
</terminology_id>
<code_string>10106103</code_string>
</defining_code>
</value>
</items>
<items archetype_node_id="at0064" xsi:type="ELEMENT">
<name>
<value>Lateralidade</value>
</name>
<value xsi:type="DV_CODED_TEXT">
<value>Direito</value>
<defining_code>
<terminology_id>
<value>local</value>
</terminology_id>
<code_string>at0065</code_string>
</defining_code>
</value>
</items>
</items>
</items>
<items archetype_node_id="at0033" xsi:type="CLUSTER">
<name>
<value>Informações adicionais/complementares</value>
</name>
<items archetype_node_id="at0019" xsi:type="ELEMENT">
<name>
<value>Descrição das informações</value>
</name>
<value xsi:type="DV_TEXT">
<value>N/A</value>
</value>
</items>
</items>
</data>
</items>
</content>
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