> For clean Markdown of any page, append .md to the page URL.
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> For AI client integration (Claude Code, Cursor, etc.), connect to the MCP server at https://api-docs.nilo.services/_mcp/server.

# Cadastrar ou atualizar

POST https://landing-zone-api.nilo.services/fhir/resources/Observation
Content-Type: application/json

Cria a gestação quando nenhum `identifier` do payload casa com uma gestação existente, e atualiza a encontrada caso contrário. Só a gestação é aceita: o `code` tem de trazer o LOINC `82810-3` (*Pregnancy status*), e qualquer outro tipo de observação é recusado.

Reference: https://api-docs.nilo.services/referencia/endpoints/observation/create-or-update

## Authentication

- `x-api-key` header (required) — API Key authentication via header

## Servers

- `https://landing-zone-api.nilo.services` (Production, default)
- `https://landing-zone-api.stg.nilo.services` (Staging)

## Request

### Body (application/json)

This endpoint expects an Observation.

- `code` (CodeableConcept, required) — O tipo de observação. Precisa trazer o `coding` `http://loinc.org|82810-3`, em qualquer posição de `coding`; é ele que roteia a escrita para a gestação.
- `resourceType` (string, required, default: Observation) — Indica o tipo do recurso transacionado.
- `status` (enum, required) — Status do registro da observação, não da gestação. Aceita `final`, `amended`, `corrected` e `preliminary`, sem efeito na gravação; na leitura é sempre `final`.
  - Allowed values: `final`, `amended`, `corrected`, `preliminary`
- `subject` (Reference, required) — Paciente a quem a gestação pertence, por um identificador dela.
- `valueCodeableConcept` (CodeableConcept, required) — O status da gestação: um `coding` no `system` `{host}/fhir/resources/CodeSystem/pregnancy-status` com `prenatal`, `postpartum` ou `abortion`. Um `coding` LOINC (`LA15173-0` ou `LA26683-5`) é opcional e, se vier, tem de concordar com o status.
- `component` (list of Observation_Component, optional) — Os dados da gestação, um `component` por dado, reconhecidos pelo `code`: DUM (`8665-2`), DPP (`11778-8`, só resposta), data do parto (`93857-1`), risco (`risk` no `system` `{host}/fhir/resources/CodeSystem/pregnancy-observation`) e tipo (`57722-1`). Um `component` ausente mantém o valor já gravado.
- `effectivePeriod` (Period, optional) — Período da gestação. Na escrita, `start` é lido como DUM quando não vem o `component` `8665-2`, e `end` é a data de encerramento, recusada em `prenatal`. Na leitura, `start` traz a DUM ou, sem ela, a data em que a gestação foi criada na plataforma. É o único `effective[x]` aceito.
- `id` (string, optional) — Só resposta: o identificador Nilo FHIR do recurso.
- `identifier` (list of Identifier, optional) — Identificadores da gestação. É por aqui que a escrita decide entre criar e atualizar. Na leitura vem também o identificador Nilo, no `system` `{host}/fhir/resources/NamingSystem/hippocrates-api--pregnancy`.
- `meta` (Meta, optional) — Só resposta: metadados da gravação no store FHIR.

## Response

### 200

Recurso criado/atualizado com sucesso.

- `code` (CodeableConcept, required) — O tipo de observação. Precisa trazer o `coding` `http://loinc.org|82810-3`, em qualquer posição de `coding`; é ele que roteia a escrita para a gestação.
- `resourceType` (string, required, default: Observation) — Indica o tipo do recurso transacionado.
- `status` (enum, required) — Status do registro da observação, não da gestação. Aceita `final`, `amended`, `corrected` e `preliminary`, sem efeito na gravação; na leitura é sempre `final`.
  - Allowed values: `final`, `amended`, `corrected`, `preliminary`
- `subject` (Reference, required) — Paciente a quem a gestação pertence, por um identificador dela.
- `valueCodeableConcept` (CodeableConcept, required) — O status da gestação: um `coding` no `system` `{host}/fhir/resources/CodeSystem/pregnancy-status` com `prenatal`, `postpartum` ou `abortion`. Um `coding` LOINC (`LA15173-0` ou `LA26683-5`) é opcional e, se vier, tem de concordar com o status.
- `component` (list of Observation_Component, optional) — Os dados da gestação, um `component` por dado, reconhecidos pelo `code`: DUM (`8665-2`), DPP (`11778-8`, só resposta), data do parto (`93857-1`), risco (`risk` no `system` `{host}/fhir/resources/CodeSystem/pregnancy-observation`) e tipo (`57722-1`). Um `component` ausente mantém o valor já gravado.
- `effectivePeriod` (Period, optional) — Período da gestação. Na escrita, `start` é lido como DUM quando não vem o `component` `8665-2`, e `end` é a data de encerramento, recusada em `prenatal`. Na leitura, `start` traz a DUM ou, sem ela, a data em que a gestação foi criada na plataforma. É o único `effective[x]` aceito.
- `id` (string, optional) — Só resposta: o identificador Nilo FHIR do recurso.
- `identifier` (list of Identifier, optional) — Identificadores da gestação. É por aqui que a escrita decide entre criar e atualizar. Na leitura vem também o identificador Nilo, no `system` `{host}/fhir/resources/NamingSystem/hippocrates-api--pregnancy`.
- `meta` (Meta, optional) — Só resposta: metadados da gravação no store FHIR.

## Errors

### 400 Bad Request Error

Recurso recusado.

- `issue` (list of OperationOutcomeIssueItems, required) — Uma coleção de mensagens de erro, aviso ou informação que resultado de uma ação do sistema.
- `resourceType` (string, required, default: OperationOutcome) — Indica o tipo do recurso transacionado.

## Types

### CodeableConcept

Um CodeableConcept representa um valor geralmente fornecido como uma referência a terminologias ou ontologias, mas também pode ser definido pelo fornecimento de texto. Esse é um padrão comum em dados de saúde.

- `coding` (list of Coding, optional) — Código definido por um sistema de terminologia.
- `text` (string, optional) — Representação de texto simples do conceito.

### Reference

Uma referência de um recurso para outro.

- `identifier` (Identifier, required) — Um identificador, código que identifica alguma entidade de forma única e inequívoca. Normalmente, isso é usado para identificadores de negócios.
- `type` (string, required) — Indica o tipo do recurso referenciado.
- `display` (string, optional) — Alternativa textual para descrever a referência.
- `reference` (string, optional) — Referência direta.

### Observation_Component

Um dado da gestação. O `code` diz qual é, e o valor vem em `valueDateTime` nas datas e em `valueCodeableConcept` no risco e no tipo.

- `code` (CodeableConcept, required) — Qual dado o `component` carrega: `http://loinc.org` com `8665-2` (DUM), `11778-8` (DPP), `93857-1` (data do parto) ou `57722-1` (tipo), ou `{host}/fhir/resources/CodeSystem/pregnancy-observation` com `risk` (risco).
- `valueCodeableConcept` (CodeableConcept, optional) — Valor do risco (`{host}/fhir/resources/CodeSystem/pregnancy-risk`: `low`, `moderate`, `high`) ou do tipo (`{host}/fhir/resources/CodeSystem/pregnancy-type`: `singleton`, `twins`, `triplet_or_more`).
- `valueDateTime` (string, optional) — Valor das datas — DUM, DPP e data do parto. Exige data completa; a hora, se vier, é descartada.

### Period

Um intervalo de tempo definido por uma data de início e término e, opcionalmente, horas para ambos.

- `end` (string, optional) — Uma data, data-hora ou data parcial (por exemplo, apenas ano ou ano + mês).
- `start` (string, optional) — Uma data, data-hora ou data parcial (por exemplo, apenas ano ou ano + mês).

### Identifier

Um identificador, código que identifica alguma entidade de forma única e inequívoca. Normalmente, isso é usado para identificadores de negócios.

- `system` (string, required) — O namespace para o valor do identificador. O cliente deve usar o seu próprio namespace.
- `value` (string, required) — O código de identificação único. Cliente deve usar o seu próprio.
- `use` (enum, optional) — A finalidade deste identificador.
  - Allowed values: `usual`, `official`, `temp`, `secondary`, `old`

### Meta

Os metadados sobre um recurso. Este conteúdo do recurso é normalmente mantido pelo sistema gestor do registro.

- `lastUpdated` (string, optional) — Um instante no tempo (necessário conhecer pelo menos até o nível de segundos).
- `versionId` (string, optional) — Qualquer combinação de letras, números, "-" e ".", com um limite de 64 caracteres. (Pode ser um número inteiro, um OID não prefixado, UUID ou qualquer outro padrão de identificador que atenda a essas restrições.) Os IDs não diferenciam maiúsculas de minúsculas.

### OperationOutcomeIssueItems

Uma mensagem de erro, aviso ou informação que resultado de uma ação do sistema.

- `code` (enum, optional) — Descreve o tipo do problema.
  - Allowed values: `invalid`, `structure`, `required`, `value`, `invariant`, `security`, `login`, `unknown`, `expired`, `forbidden`, `suppressed`, `processing`, `not-supported`, `duplicate`, `multiple-matches`, `not-found`, `deleted`, `too-long`, `code-invalid`, `extension`, `too-costly`, `business-rule`, `conflict`, `transient`, `lock-error`, `no-store`, `exception`, `timeout`, `incomplete`, `throttled`, `informational`
- `details` (CodeableConcept, optional) — Detalhes adicionais sobre os códigos de resultado da operação de erro.
- `diagnostics` (string, optional) — Informações de diagnóstico adicionais sobre o problema
- `expression` (list of string, optional) — FHIR Path (caminho) do(s) elemento(s) relacionado(s) ao problema.
- `severity` (enum, optional) — Indica o resultado do processamento apesar do problema indicado.
  - Allowed values: `fatal`, `error`, `warning`, `information`

### Coding

Código definido por um sistema de terminologia.

- `code` (string, optional) — Código de identificação de um termo no sistema terminológico.
- `display` (string, optional) — Representação textual definida pelo sistema terminológico.
- `system` (string, optional) — Identidade do sistema terminológico.

## Examples

### Gestação gravada

**Response**

```json
{
  "code": {
    "coding": [
      {
        "code": "82810-3",
        "display": "Pregnancy status",
        "system": "http://loinc.org"
      }
    ]
  },
  "resourceType": "Observation",
  "status": "final",
  "subject": {
    "identifier": {
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    },
    "type": "Patient",
    "reference": "Patient/ba200cfa-dae0-46cf-81a0-008e3f7414b4"
  },
  "valueCodeableConcept": {
    "coding": [
      {
        "code": "prenatal",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      },
      {
        "code": "LA15173-0",
        "display": "Pregnant",
        "system": "http://loinc.org"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "code": "8665-2",
            "display": "Last menstrual period start date",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueDateTime": "2026-03-01"
    },
    {
      "code": {
        "coding": [
          {
            "code": "11778-8",
            "display": "Delivery date Estimated",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueDateTime": "2026-12-06"
    },
    {
      "code": {
        "coding": [
          {
            "code": "risk",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "high",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "code": "57722-1",
            "display": "Birth plurality of Pregnancy",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "twins",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-type"
          }
        ]
      }
    }
  ],
  "effectivePeriod": {
    "start": "2026-03-01"
  },
  "id": "5e2d9a41-7c3b-4f08-9b6e-2a1f4c8d7e53",
  "identifier": [
    {
      "system": "https://landing-zone-api.nilo.services/fhir/resources/NamingSystem/hippocrates-api--pregnancy",
      "value": "18342",
      "use": "usual"
    },
    {
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    }
  ]
}
```

**SDK Code**

```python Gestação gravada
import requests

url = "https://landing-zone-api.nilo.services/fhir/resources/Observation"

headers = {"x-api-key": "<apiKey>"}

response = requests.post(url, headers=headers)

print(response.json())
```

```javascript Gestação gravada
const url = 'https://landing-zone-api.nilo.services/fhir/resources/Observation';
const options = {method: 'POST', headers: {'x-api-key': '<apiKey>'}};

try {
  const response = await fetch(url, options);
  const data = await response.json();
  console.log(data);
} catch (error) {
  console.error(error);
}
```

```go Gestação gravada
package main

import (
	"fmt"
	"net/http"
	"io"
)

func main() {

	url := "https://landing-zone-api.nilo.services/fhir/resources/Observation"

	req, _ := http.NewRequest("POST", url, nil)

	req.Header.Add("x-api-key", "<apiKey>")

	res, _ := http.DefaultClient.Do(req)

	defer res.Body.Close()
	body, _ := io.ReadAll(res.Body)

	fmt.Println(res)
	fmt.Println(string(body))

}
```

```ruby Gestação gravada
require 'uri'
require 'net/http'

url = URI("https://landing-zone-api.nilo.services/fhir/resources/Observation")

http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true

request = Net::HTTP::Post.new(url)
request["x-api-key"] = '<apiKey>'

response = http.request(request)
puts response.read_body
```

```java Gestação gravada
import com.mashape.unirest.http.HttpResponse;
import com.mashape.unirest.http.Unirest;

HttpResponse<String> response = Unirest.post("https://landing-zone-api.nilo.services/fhir/resources/Observation")
  .header("x-api-key", "<apiKey>")
  .asString();
```

```php Gestação gravada
<?php
require_once('vendor/autoload.php');

$client = new \GuzzleHttp\Client();

$response = $client->request('POST', 'https://landing-zone-api.nilo.services/fhir/resources/Observation', [
  'headers' => [
    'x-api-key' => '<apiKey>',
  ],
]);

echo $response->getBody();
```

```csharp Gestação gravada
using RestSharp;

var client = new RestClient("https://landing-zone-api.nilo.services/fhir/resources/Observation");
var request = new RestRequest(Method.POST);
request.AddHeader("x-api-key", "<apiKey>");
IRestResponse response = client.Execute(request);
```

```swift Gestação gravada
import Foundation

let headers = ["x-api-key": "<apiKey>"]

let request = NSMutableURLRequest(url: NSURL(string: "https://landing-zone-api.nilo.services/fhir/resources/Observation")! as URL,
                                        cachePolicy: .useProtocolCachePolicy,
                                    timeoutInterval: 10.0)
request.httpMethod = "POST"
request.allHTTPHeaderFields = headers

let session = URLSession.shared
let dataTask = session.dataTask(with: request as URLRequest, completionHandler: { (data, response, error) -> Void in
  if (error != nil) {
    print(error as Any)
  } else {
    let httpResponse = response as? HTTPURLResponse
    print(httpResponse)
  }
})

dataTask.resume()
```

### Gestação em curso

**Request**

```json
{
  "code": {
    "coding": [
      {
        "code": "82810-3",
        "display": "Pregnancy status",
        "system": "http://loinc.org"
      }
    ]
  },
  "resourceType": "Observation",
  "status": "final",
  "subject": {
    "identifier": {
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    },
    "type": "Patient"
  },
  "valueCodeableConcept": {
    "coding": [
      {
        "code": "prenatal",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      },
      {
        "code": "LA15173-0",
        "display": "Pregnant",
        "system": "http://loinc.org"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "code": "8665-2",
            "display": "Last menstrual period start date",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueDateTime": "2026-03-01"
    },
    {
      "code": {
        "coding": [
          {
            "code": "risk",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "high",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "code": "57722-1",
            "display": "Birth plurality of Pregnancy",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "twins",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-type"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    }
  ]
}
```

**Response**

```json
{
  "code": {
    "coding": [
      {
        "code": "82810-3",
        "display": "Pregnancy status",
        "system": "http://loinc.org"
      }
    ]
  },
  "resourceType": "Observation",
  "status": "final",
  "subject": {
    "identifier": {
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    },
    "type": "Patient",
    "reference": "Patient/ba200cfa-dae0-46cf-81a0-008e3f7414b4"
  },
  "valueCodeableConcept": {
    "coding": [
      {
        "code": "prenatal",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      },
      {
        "code": "LA15173-0",
        "display": "Pregnant",
        "system": "http://loinc.org"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "code": "8665-2",
            "display": "Last menstrual period start date",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueDateTime": "2026-03-01"
    },
    {
      "code": {
        "coding": [
          {
            "code": "11778-8",
            "display": "Delivery date Estimated",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueDateTime": "2026-12-06"
    },
    {
      "code": {
        "coding": [
          {
            "code": "risk",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "high",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "code": "57722-1",
            "display": "Birth plurality of Pregnancy",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "twins",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-type"
          }
        ]
      }
    }
  ],
  "effectivePeriod": {
    "start": "2026-03-01"
  },
  "id": "5e2d9a41-7c3b-4f08-9b6e-2a1f4c8d7e53",
  "identifier": [
    {
      "system": "https://landing-zone-api.nilo.services/fhir/resources/NamingSystem/hippocrates-api--pregnancy",
      "value": "18342",
      "use": "usual"
    },
    {
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    }
  ]
}
```

**SDK Code**

```python Gestação em curso
import requests

url = "https://landing-zone-api.nilo.services/fhir/resources/Observation"

payload = {
    "code": { "coding": [
            {
                "code": "82810-3",
                "display": "Pregnancy status",
                "system": "http://loinc.org"
            }
        ] },
    "resourceType": "Observation",
    "status": "final",
    "subject": {
        "identifier": {
            "system": "https://www.acmesaude.com.br/integracao/paciente/",
            "value": "507823709",
            "use": "usual"
        },
        "type": "Patient"
    },
    "valueCodeableConcept": { "coding": [
            {
                "code": "prenatal",
                "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
            },
            {
                "code": "LA15173-0",
                "display": "Pregnant",
                "system": "http://loinc.org"
            }
        ] },
    "component": [
        {
            "code": { "coding": [
                    {
                        "code": "8665-2",
                        "display": "Last menstrual period start date",
                        "system": "http://loinc.org"
                    }
                ] },
            "valueDateTime": "2026-03-01"
        },
        {
            "code": { "coding": [
                    {
                        "code": "risk",
                        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation"
                    }
                ] },
            "valueCodeableConcept": { "coding": [
                    {
                        "code": "high",
                        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk"
                    }
                ] }
        },
        {
            "code": { "coding": [
                    {
                        "code": "57722-1",
                        "display": "Birth plurality of Pregnancy",
                        "system": "http://loinc.org"
                    }
                ] },
            "valueCodeableConcept": { "coding": [
                    {
                        "code": "twins",
                        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-type"
                    }
                ] }
        }
    ],
    "identifier": [
        {
            "system": "https://www.acmesaude.com.br/integracao/gestacao/",
            "value": "3318",
            "use": "usual"
        }
    ]
}
headers = {
    "x-api-key": "<apiKey>",
    "Content-Type": "application/json"
}

response = requests.post(url, json=payload, headers=headers)

print(response.json())
```

```javascript Gestação em curso
const url = 'https://landing-zone-api.nilo.services/fhir/resources/Observation';
const options = {
  method: 'POST',
  headers: {'x-api-key': '<apiKey>', 'Content-Type': 'application/json'},
  body: '{"code":{"coding":[{"code":"82810-3","display":"Pregnancy status","system":"http://loinc.org"}]},"resourceType":"Observation","status":"final","subject":{"identifier":{"system":"https://www.acmesaude.com.br/integracao/paciente/","value":"507823709","use":"usual"},"type":"Patient"},"valueCodeableConcept":{"coding":[{"code":"prenatal","system":"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"},{"code":"LA15173-0","display":"Pregnant","system":"http://loinc.org"}]},"component":[{"code":{"coding":[{"code":"8665-2","display":"Last menstrual period start date","system":"http://loinc.org"}]},"valueDateTime":"2026-03-01"},{"code":{"coding":[{"code":"risk","system":"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation"}]},"valueCodeableConcept":{"coding":[{"code":"high","system":"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk"}]}},{"code":{"coding":[{"code":"57722-1","display":"Birth plurality of Pregnancy","system":"http://loinc.org"}]},"valueCodeableConcept":{"coding":[{"code":"twins","system":"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-type"}]}}],"identifier":[{"system":"https://www.acmesaude.com.br/integracao/gestacao/","value":"3318","use":"usual"}]}'
};

try {
  const response = await fetch(url, options);
  const data = await response.json();
  console.log(data);
} catch (error) {
  console.error(error);
}
```

```go Gestação em curso
package main

import (
	"fmt"
	"strings"
	"net/http"
	"io"
)

func main() {

	url := "https://landing-zone-api.nilo.services/fhir/resources/Observation"

	payload := strings.NewReader("{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"display\": \"Pregnancy status\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"prenatal\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      },\n      {\n        \"code\": \"LA15173-0\",\n        \"display\": \"Pregnant\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"component\": [\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"8665-2\",\n            \"display\": \"Last menstrual period start date\",\n            \"system\": \"http://loinc.org\"\n          }\n        ]\n      },\n      \"valueDateTime\": \"2026-03-01\"\n    },\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"risk\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation\"\n          }\n        ]\n      },\n      \"valueCodeableConcept\": {\n        \"coding\": [\n          {\n            \"code\": \"high\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk\"\n          }\n        ]\n      }\n    },\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"57722-1\",\n            \"display\": \"Birth plurality of Pregnancy\",\n            \"system\": \"http://loinc.org\"\n          }\n        ]\n      },\n      \"valueCodeableConcept\": {\n        \"coding\": [\n          {\n            \"code\": \"twins\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-type\"\n          }\n        ]\n      }\n    }\n  ],\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}")

	req, _ := http.NewRequest("POST", url, payload)

	req.Header.Add("x-api-key", "<apiKey>")
	req.Header.Add("Content-Type", "application/json")

	res, _ := http.DefaultClient.Do(req)

	defer res.Body.Close()
	body, _ := io.ReadAll(res.Body)

	fmt.Println(res)
	fmt.Println(string(body))

}
```

```ruby Gestação em curso
require 'uri'
require 'net/http'

url = URI("https://landing-zone-api.nilo.services/fhir/resources/Observation")

http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true

request = Net::HTTP::Post.new(url)
request["x-api-key"] = '<apiKey>'
request["Content-Type"] = 'application/json'
request.body = "{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"display\": \"Pregnancy status\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"prenatal\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      },\n      {\n        \"code\": \"LA15173-0\",\n        \"display\": \"Pregnant\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"component\": [\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"8665-2\",\n            \"display\": \"Last menstrual period start date\",\n            \"system\": \"http://loinc.org\"\n          }\n        ]\n      },\n      \"valueDateTime\": \"2026-03-01\"\n    },\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"risk\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation\"\n          }\n        ]\n      },\n      \"valueCodeableConcept\": {\n        \"coding\": [\n          {\n            \"code\": \"high\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk\"\n          }\n        ]\n      }\n    },\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"57722-1\",\n            \"display\": \"Birth plurality of Pregnancy\",\n            \"system\": \"http://loinc.org\"\n          }\n        ]\n      },\n      \"valueCodeableConcept\": {\n        \"coding\": [\n          {\n            \"code\": \"twins\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-type\"\n          }\n        ]\n      }\n    }\n  ],\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}"

response = http.request(request)
puts response.read_body
```

```java Gestação em curso
import com.mashape.unirest.http.HttpResponse;
import com.mashape.unirest.http.Unirest;

HttpResponse<String> response = Unirest.post("https://landing-zone-api.nilo.services/fhir/resources/Observation")
  .header("x-api-key", "<apiKey>")
  .header("Content-Type", "application/json")
  .body("{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"display\": \"Pregnancy status\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"prenatal\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      },\n      {\n        \"code\": \"LA15173-0\",\n        \"display\": \"Pregnant\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"component\": [\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"8665-2\",\n            \"display\": \"Last menstrual period start date\",\n            \"system\": \"http://loinc.org\"\n          }\n        ]\n      },\n      \"valueDateTime\": \"2026-03-01\"\n    },\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"risk\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation\"\n          }\n        ]\n      },\n      \"valueCodeableConcept\": {\n        \"coding\": [\n          {\n            \"code\": \"high\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk\"\n          }\n        ]\n      }\n    },\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"57722-1\",\n            \"display\": \"Birth plurality of Pregnancy\",\n            \"system\": \"http://loinc.org\"\n          }\n        ]\n      },\n      \"valueCodeableConcept\": {\n        \"coding\": [\n          {\n            \"code\": \"twins\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-type\"\n          }\n        ]\n      }\n    }\n  ],\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}")
  .asString();
```

```php Gestação em curso
<?php
require_once('vendor/autoload.php');

$client = new \GuzzleHttp\Client();

$response = $client->request('POST', 'https://landing-zone-api.nilo.services/fhir/resources/Observation', [
  'body' => '{
  "code": {
    "coding": [
      {
        "code": "82810-3",
        "display": "Pregnancy status",
        "system": "http://loinc.org"
      }
    ]
  },
  "resourceType": "Observation",
  "status": "final",
  "subject": {
    "identifier": {
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    },
    "type": "Patient"
  },
  "valueCodeableConcept": {
    "coding": [
      {
        "code": "prenatal",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      },
      {
        "code": "LA15173-0",
        "display": "Pregnant",
        "system": "http://loinc.org"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "code": "8665-2",
            "display": "Last menstrual period start date",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueDateTime": "2026-03-01"
    },
    {
      "code": {
        "coding": [
          {
            "code": "risk",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "high",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "code": "57722-1",
            "display": "Birth plurality of Pregnancy",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "twins",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-type"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    }
  ]
}',
  'headers' => [
    'Content-Type' => 'application/json',
    'x-api-key' => '<apiKey>',
  ],
]);

echo $response->getBody();
```

```csharp Gestação em curso
using RestSharp;

var client = new RestClient("https://landing-zone-api.nilo.services/fhir/resources/Observation");
var request = new RestRequest(Method.POST);
request.AddHeader("x-api-key", "<apiKey>");
request.AddHeader("Content-Type", "application/json");
request.AddParameter("application/json", "{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"display\": \"Pregnancy status\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"prenatal\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      },\n      {\n        \"code\": \"LA15173-0\",\n        \"display\": \"Pregnant\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"component\": [\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"8665-2\",\n            \"display\": \"Last menstrual period start date\",\n            \"system\": \"http://loinc.org\"\n          }\n        ]\n      },\n      \"valueDateTime\": \"2026-03-01\"\n    },\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"risk\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation\"\n          }\n        ]\n      },\n      \"valueCodeableConcept\": {\n        \"coding\": [\n          {\n            \"code\": \"high\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk\"\n          }\n        ]\n      }\n    },\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"57722-1\",\n            \"display\": \"Birth plurality of Pregnancy\",\n            \"system\": \"http://loinc.org\"\n          }\n        ]\n      },\n      \"valueCodeableConcept\": {\n        \"coding\": [\n          {\n            \"code\": \"twins\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-type\"\n          }\n        ]\n      }\n    }\n  ],\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}", ParameterType.RequestBody);
IRestResponse response = client.Execute(request);
```

```swift Gestação em curso
import Foundation

let headers = [
  "x-api-key": "<apiKey>",
  "Content-Type": "application/json"
]
let parameters = [
  "code": ["coding": [
      [
        "code": "82810-3",
        "display": "Pregnancy status",
        "system": "http://loinc.org"
      ]
    ]],
  "resourceType": "Observation",
  "status": "final",
  "subject": [
    "identifier": [
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    ],
    "type": "Patient"
  ],
  "valueCodeableConcept": ["coding": [
      [
        "code": "prenatal",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      ],
      [
        "code": "LA15173-0",
        "display": "Pregnant",
        "system": "http://loinc.org"
      ]
    ]],
  "component": [
    [
      "code": ["coding": [
          [
            "code": "8665-2",
            "display": "Last menstrual period start date",
            "system": "http://loinc.org"
          ]
        ]],
      "valueDateTime": "2026-03-01"
    ],
    [
      "code": ["coding": [
          [
            "code": "risk",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation"
          ]
        ]],
      "valueCodeableConcept": ["coding": [
          [
            "code": "high",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk"
          ]
        ]]
    ],
    [
      "code": ["coding": [
          [
            "code": "57722-1",
            "display": "Birth plurality of Pregnancy",
            "system": "http://loinc.org"
          ]
        ]],
      "valueCodeableConcept": ["coding": [
          [
            "code": "twins",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-type"
          ]
        ]]
    ]
  ],
  "identifier": [
    [
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    ]
  ]
] as [String : Any]

let postData = JSONSerialization.data(withJSONObject: parameters, options: [])

let request = NSMutableURLRequest(url: NSURL(string: "https://landing-zone-api.nilo.services/fhir/resources/Observation")! as URL,
                                        cachePolicy: .useProtocolCachePolicy,
                                    timeoutInterval: 10.0)
request.httpMethod = "POST"
request.allHTTPHeaderFields = headers
request.httpBody = postData as Data

let session = URLSession.shared
let dataTask = session.dataTask(with: request as URLRequest, completionHandler: { (data, response, error) -> Void in
  if (error != nil) {
    print(error as Any)
  } else {
    let httpResponse = response as? HTTPURLResponse
    print(httpResponse)
  }
})

dataTask.resume()
```

### Atualização parcial

**Request**

```json
{
  "code": {
    "coding": [
      {
        "code": "82810-3",
        "system": "http://loinc.org"
      }
    ]
  },
  "resourceType": "Observation",
  "status": "final",
  "subject": {
    "identifier": {
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    },
    "type": "Patient"
  },
  "valueCodeableConcept": {
    "coding": [
      {
        "code": "prenatal",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "code": "risk",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "moderate",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    }
  ]
}
```

**Response**

```json
{
  "code": {
    "coding": [
      {
        "code": "82810-3",
        "display": "Pregnancy status",
        "system": "http://loinc.org"
      }
    ]
  },
  "resourceType": "Observation",
  "status": "final",
  "subject": {
    "identifier": {
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    },
    "type": "Patient",
    "reference": "Patient/ba200cfa-dae0-46cf-81a0-008e3f7414b4"
  },
  "valueCodeableConcept": {
    "coding": [
      {
        "code": "prenatal",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      },
      {
        "code": "LA15173-0",
        "display": "Pregnant",
        "system": "http://loinc.org"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "code": "8665-2",
            "display": "Last menstrual period start date",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueDateTime": "2026-03-01"
    },
    {
      "code": {
        "coding": [
          {
            "code": "11778-8",
            "display": "Delivery date Estimated",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueDateTime": "2026-12-06"
    },
    {
      "code": {
        "coding": [
          {
            "code": "risk",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "high",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "code": "57722-1",
            "display": "Birth plurality of Pregnancy",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "twins",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-type"
          }
        ]
      }
    }
  ],
  "effectivePeriod": {
    "start": "2026-03-01"
  },
  "id": "5e2d9a41-7c3b-4f08-9b6e-2a1f4c8d7e53",
  "identifier": [
    {
      "system": "https://landing-zone-api.nilo.services/fhir/resources/NamingSystem/hippocrates-api--pregnancy",
      "value": "18342",
      "use": "usual"
    },
    {
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    }
  ]
}
```

**SDK Code**

```python Atualização parcial
import requests

url = "https://landing-zone-api.nilo.services/fhir/resources/Observation"

payload = {
    "code": { "coding": [
            {
                "code": "82810-3",
                "system": "http://loinc.org"
            }
        ] },
    "resourceType": "Observation",
    "status": "final",
    "subject": {
        "identifier": {
            "system": "https://www.acmesaude.com.br/integracao/paciente/",
            "value": "507823709",
            "use": "usual"
        },
        "type": "Patient"
    },
    "valueCodeableConcept": { "coding": [
            {
                "code": "prenatal",
                "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
            }
        ] },
    "component": [
        {
            "code": { "coding": [
                    {
                        "code": "risk",
                        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation"
                    }
                ] },
            "valueCodeableConcept": { "coding": [
                    {
                        "code": "moderate",
                        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk"
                    }
                ] }
        }
    ],
    "identifier": [
        {
            "system": "https://www.acmesaude.com.br/integracao/gestacao/",
            "value": "3318",
            "use": "usual"
        }
    ]
}
headers = {
    "x-api-key": "<apiKey>",
    "Content-Type": "application/json"
}

response = requests.post(url, json=payload, headers=headers)

print(response.json())
```

```javascript Atualização parcial
const url = 'https://landing-zone-api.nilo.services/fhir/resources/Observation';
const options = {
  method: 'POST',
  headers: {'x-api-key': '<apiKey>', 'Content-Type': 'application/json'},
  body: '{"code":{"coding":[{"code":"82810-3","system":"http://loinc.org"}]},"resourceType":"Observation","status":"final","subject":{"identifier":{"system":"https://www.acmesaude.com.br/integracao/paciente/","value":"507823709","use":"usual"},"type":"Patient"},"valueCodeableConcept":{"coding":[{"code":"prenatal","system":"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"}]},"component":[{"code":{"coding":[{"code":"risk","system":"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation"}]},"valueCodeableConcept":{"coding":[{"code":"moderate","system":"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk"}]}}],"identifier":[{"system":"https://www.acmesaude.com.br/integracao/gestacao/","value":"3318","use":"usual"}]}'
};

try {
  const response = await fetch(url, options);
  const data = await response.json();
  console.log(data);
} catch (error) {
  console.error(error);
}
```

```go Atualização parcial
package main

import (
	"fmt"
	"strings"
	"net/http"
	"io"
)

func main() {

	url := "https://landing-zone-api.nilo.services/fhir/resources/Observation"

	payload := strings.NewReader("{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"prenatal\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      }\n    ]\n  },\n  \"component\": [\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"risk\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation\"\n          }\n        ]\n      },\n      \"valueCodeableConcept\": {\n        \"coding\": [\n          {\n            \"code\": \"moderate\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk\"\n          }\n        ]\n      }\n    }\n  ],\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}")

	req, _ := http.NewRequest("POST", url, payload)

	req.Header.Add("x-api-key", "<apiKey>")
	req.Header.Add("Content-Type", "application/json")

	res, _ := http.DefaultClient.Do(req)

	defer res.Body.Close()
	body, _ := io.ReadAll(res.Body)

	fmt.Println(res)
	fmt.Println(string(body))

}
```

```ruby Atualização parcial
require 'uri'
require 'net/http'

url = URI("https://landing-zone-api.nilo.services/fhir/resources/Observation")

http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true

request = Net::HTTP::Post.new(url)
request["x-api-key"] = '<apiKey>'
request["Content-Type"] = 'application/json'
request.body = "{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"prenatal\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      }\n    ]\n  },\n  \"component\": [\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"risk\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation\"\n          }\n        ]\n      },\n      \"valueCodeableConcept\": {\n        \"coding\": [\n          {\n            \"code\": \"moderate\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk\"\n          }\n        ]\n      }\n    }\n  ],\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}"

response = http.request(request)
puts response.read_body
```

```java Atualização parcial
import com.mashape.unirest.http.HttpResponse;
import com.mashape.unirest.http.Unirest;

HttpResponse<String> response = Unirest.post("https://landing-zone-api.nilo.services/fhir/resources/Observation")
  .header("x-api-key", "<apiKey>")
  .header("Content-Type", "application/json")
  .body("{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"prenatal\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      }\n    ]\n  },\n  \"component\": [\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"risk\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation\"\n          }\n        ]\n      },\n      \"valueCodeableConcept\": {\n        \"coding\": [\n          {\n            \"code\": \"moderate\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk\"\n          }\n        ]\n      }\n    }\n  ],\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}")
  .asString();
```

```php Atualização parcial
<?php
require_once('vendor/autoload.php');

$client = new \GuzzleHttp\Client();

$response = $client->request('POST', 'https://landing-zone-api.nilo.services/fhir/resources/Observation', [
  'body' => '{
  "code": {
    "coding": [
      {
        "code": "82810-3",
        "system": "http://loinc.org"
      }
    ]
  },
  "resourceType": "Observation",
  "status": "final",
  "subject": {
    "identifier": {
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    },
    "type": "Patient"
  },
  "valueCodeableConcept": {
    "coding": [
      {
        "code": "prenatal",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "code": "risk",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "moderate",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    }
  ]
}',
  'headers' => [
    'Content-Type' => 'application/json',
    'x-api-key' => '<apiKey>',
  ],
]);

echo $response->getBody();
```

```csharp Atualização parcial
using RestSharp;

var client = new RestClient("https://landing-zone-api.nilo.services/fhir/resources/Observation");
var request = new RestRequest(Method.POST);
request.AddHeader("x-api-key", "<apiKey>");
request.AddHeader("Content-Type", "application/json");
request.AddParameter("application/json", "{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"prenatal\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      }\n    ]\n  },\n  \"component\": [\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"risk\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation\"\n          }\n        ]\n      },\n      \"valueCodeableConcept\": {\n        \"coding\": [\n          {\n            \"code\": \"moderate\",\n            \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk\"\n          }\n        ]\n      }\n    }\n  ],\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}", ParameterType.RequestBody);
IRestResponse response = client.Execute(request);
```

```swift Atualização parcial
import Foundation

let headers = [
  "x-api-key": "<apiKey>",
  "Content-Type": "application/json"
]
let parameters = [
  "code": ["coding": [
      [
        "code": "82810-3",
        "system": "http://loinc.org"
      ]
    ]],
  "resourceType": "Observation",
  "status": "final",
  "subject": [
    "identifier": [
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    ],
    "type": "Patient"
  ],
  "valueCodeableConcept": ["coding": [
      [
        "code": "prenatal",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      ]
    ]],
  "component": [
    [
      "code": ["coding": [
          [
            "code": "risk",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation"
          ]
        ]],
      "valueCodeableConcept": ["coding": [
          [
            "code": "moderate",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk"
          ]
        ]]
    ]
  ],
  "identifier": [
    [
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    ]
  ]
] as [String : Any]

let postData = JSONSerialization.data(withJSONObject: parameters, options: [])

let request = NSMutableURLRequest(url: NSURL(string: "https://landing-zone-api.nilo.services/fhir/resources/Observation")! as URL,
                                        cachePolicy: .useProtocolCachePolicy,
                                    timeoutInterval: 10.0)
request.httpMethod = "POST"
request.allHTTPHeaderFields = headers
request.httpBody = postData as Data

let session = URLSession.shared
let dataTask = session.dataTask(with: request as URLRequest, completionHandler: { (data, response, error) -> Void in
  if (error != nil) {
    print(error as Any)
  } else {
    let httpResponse = response as? HTTPURLResponse
    print(httpResponse)
  }
})

dataTask.resume()
```

### Encerramento por parto

**Request**

```json
{
  "code": {
    "coding": [
      {
        "code": "82810-3",
        "system": "http://loinc.org"
      }
    ]
  },
  "resourceType": "Observation",
  "status": "final",
  "subject": {
    "identifier": {
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    },
    "type": "Patient"
  },
  "valueCodeableConcept": {
    "coding": [
      {
        "code": "postpartum",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      },
      {
        "code": "LA26683-5",
        "display": "Not pregnant",
        "system": "http://loinc.org"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "code": "93857-1",
            "display": "Date and time of obstetric delivery",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueDateTime": "2026-11-29"
    }
  ],
  "identifier": [
    {
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    }
  ]
}
```

**Response**

```json
{
  "code": {
    "coding": [
      {
        "code": "82810-3",
        "display": "Pregnancy status",
        "system": "http://loinc.org"
      }
    ]
  },
  "resourceType": "Observation",
  "status": "final",
  "subject": {
    "identifier": {
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    },
    "type": "Patient",
    "reference": "Patient/ba200cfa-dae0-46cf-81a0-008e3f7414b4"
  },
  "valueCodeableConcept": {
    "coding": [
      {
        "code": "prenatal",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      },
      {
        "code": "LA15173-0",
        "display": "Pregnant",
        "system": "http://loinc.org"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "code": "8665-2",
            "display": "Last menstrual period start date",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueDateTime": "2026-03-01"
    },
    {
      "code": {
        "coding": [
          {
            "code": "11778-8",
            "display": "Delivery date Estimated",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueDateTime": "2026-12-06"
    },
    {
      "code": {
        "coding": [
          {
            "code": "risk",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "high",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "code": "57722-1",
            "display": "Birth plurality of Pregnancy",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "twins",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-type"
          }
        ]
      }
    }
  ],
  "effectivePeriod": {
    "start": "2026-03-01"
  },
  "id": "5e2d9a41-7c3b-4f08-9b6e-2a1f4c8d7e53",
  "identifier": [
    {
      "system": "https://landing-zone-api.nilo.services/fhir/resources/NamingSystem/hippocrates-api--pregnancy",
      "value": "18342",
      "use": "usual"
    },
    {
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    }
  ]
}
```

**SDK Code**

```python Encerramento por parto
import requests

url = "https://landing-zone-api.nilo.services/fhir/resources/Observation"

payload = {
    "code": { "coding": [
            {
                "code": "82810-3",
                "system": "http://loinc.org"
            }
        ] },
    "resourceType": "Observation",
    "status": "final",
    "subject": {
        "identifier": {
            "system": "https://www.acmesaude.com.br/integracao/paciente/",
            "value": "507823709",
            "use": "usual"
        },
        "type": "Patient"
    },
    "valueCodeableConcept": { "coding": [
            {
                "code": "postpartum",
                "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
            },
            {
                "code": "LA26683-5",
                "display": "Not pregnant",
                "system": "http://loinc.org"
            }
        ] },
    "component": [
        {
            "code": { "coding": [
                    {
                        "code": "93857-1",
                        "display": "Date and time of obstetric delivery",
                        "system": "http://loinc.org"
                    }
                ] },
            "valueDateTime": "2026-11-29"
        }
    ],
    "identifier": [
        {
            "system": "https://www.acmesaude.com.br/integracao/gestacao/",
            "value": "3318",
            "use": "usual"
        }
    ]
}
headers = {
    "x-api-key": "<apiKey>",
    "Content-Type": "application/json"
}

response = requests.post(url, json=payload, headers=headers)

print(response.json())
```

```javascript Encerramento por parto
const url = 'https://landing-zone-api.nilo.services/fhir/resources/Observation';
const options = {
  method: 'POST',
  headers: {'x-api-key': '<apiKey>', 'Content-Type': 'application/json'},
  body: '{"code":{"coding":[{"code":"82810-3","system":"http://loinc.org"}]},"resourceType":"Observation","status":"final","subject":{"identifier":{"system":"https://www.acmesaude.com.br/integracao/paciente/","value":"507823709","use":"usual"},"type":"Patient"},"valueCodeableConcept":{"coding":[{"code":"postpartum","system":"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"},{"code":"LA26683-5","display":"Not pregnant","system":"http://loinc.org"}]},"component":[{"code":{"coding":[{"code":"93857-1","display":"Date and time of obstetric delivery","system":"http://loinc.org"}]},"valueDateTime":"2026-11-29"}],"identifier":[{"system":"https://www.acmesaude.com.br/integracao/gestacao/","value":"3318","use":"usual"}]}'
};

try {
  const response = await fetch(url, options);
  const data = await response.json();
  console.log(data);
} catch (error) {
  console.error(error);
}
```

```go Encerramento por parto
package main

import (
	"fmt"
	"strings"
	"net/http"
	"io"
)

func main() {

	url := "https://landing-zone-api.nilo.services/fhir/resources/Observation"

	payload := strings.NewReader("{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"postpartum\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      },\n      {\n        \"code\": \"LA26683-5\",\n        \"display\": \"Not pregnant\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"component\": [\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"93857-1\",\n            \"display\": \"Date and time of obstetric delivery\",\n            \"system\": \"http://loinc.org\"\n          }\n        ]\n      },\n      \"valueDateTime\": \"2026-11-29\"\n    }\n  ],\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}")

	req, _ := http.NewRequest("POST", url, payload)

	req.Header.Add("x-api-key", "<apiKey>")
	req.Header.Add("Content-Type", "application/json")

	res, _ := http.DefaultClient.Do(req)

	defer res.Body.Close()
	body, _ := io.ReadAll(res.Body)

	fmt.Println(res)
	fmt.Println(string(body))

}
```

```ruby Encerramento por parto
require 'uri'
require 'net/http'

url = URI("https://landing-zone-api.nilo.services/fhir/resources/Observation")

http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true

request = Net::HTTP::Post.new(url)
request["x-api-key"] = '<apiKey>'
request["Content-Type"] = 'application/json'
request.body = "{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"postpartum\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      },\n      {\n        \"code\": \"LA26683-5\",\n        \"display\": \"Not pregnant\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"component\": [\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"93857-1\",\n            \"display\": \"Date and time of obstetric delivery\",\n            \"system\": \"http://loinc.org\"\n          }\n        ]\n      },\n      \"valueDateTime\": \"2026-11-29\"\n    }\n  ],\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}"

response = http.request(request)
puts response.read_body
```

```java Encerramento por parto
import com.mashape.unirest.http.HttpResponse;
import com.mashape.unirest.http.Unirest;

HttpResponse<String> response = Unirest.post("https://landing-zone-api.nilo.services/fhir/resources/Observation")
  .header("x-api-key", "<apiKey>")
  .header("Content-Type", "application/json")
  .body("{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"postpartum\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      },\n      {\n        \"code\": \"LA26683-5\",\n        \"display\": \"Not pregnant\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"component\": [\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"93857-1\",\n            \"display\": \"Date and time of obstetric delivery\",\n            \"system\": \"http://loinc.org\"\n          }\n        ]\n      },\n      \"valueDateTime\": \"2026-11-29\"\n    }\n  ],\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}")
  .asString();
```

```php Encerramento por parto
<?php
require_once('vendor/autoload.php');

$client = new \GuzzleHttp\Client();

$response = $client->request('POST', 'https://landing-zone-api.nilo.services/fhir/resources/Observation', [
  'body' => '{
  "code": {
    "coding": [
      {
        "code": "82810-3",
        "system": "http://loinc.org"
      }
    ]
  },
  "resourceType": "Observation",
  "status": "final",
  "subject": {
    "identifier": {
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    },
    "type": "Patient"
  },
  "valueCodeableConcept": {
    "coding": [
      {
        "code": "postpartum",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      },
      {
        "code": "LA26683-5",
        "display": "Not pregnant",
        "system": "http://loinc.org"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "code": "93857-1",
            "display": "Date and time of obstetric delivery",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueDateTime": "2026-11-29"
    }
  ],
  "identifier": [
    {
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    }
  ]
}',
  'headers' => [
    'Content-Type' => 'application/json',
    'x-api-key' => '<apiKey>',
  ],
]);

echo $response->getBody();
```

```csharp Encerramento por parto
using RestSharp;

var client = new RestClient("https://landing-zone-api.nilo.services/fhir/resources/Observation");
var request = new RestRequest(Method.POST);
request.AddHeader("x-api-key", "<apiKey>");
request.AddHeader("Content-Type", "application/json");
request.AddParameter("application/json", "{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"postpartum\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      },\n      {\n        \"code\": \"LA26683-5\",\n        \"display\": \"Not pregnant\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"component\": [\n    {\n      \"code\": {\n        \"coding\": [\n          {\n            \"code\": \"93857-1\",\n            \"display\": \"Date and time of obstetric delivery\",\n            \"system\": \"http://loinc.org\"\n          }\n        ]\n      },\n      \"valueDateTime\": \"2026-11-29\"\n    }\n  ],\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}", ParameterType.RequestBody);
IRestResponse response = client.Execute(request);
```

```swift Encerramento por parto
import Foundation

let headers = [
  "x-api-key": "<apiKey>",
  "Content-Type": "application/json"
]
let parameters = [
  "code": ["coding": [
      [
        "code": "82810-3",
        "system": "http://loinc.org"
      ]
    ]],
  "resourceType": "Observation",
  "status": "final",
  "subject": [
    "identifier": [
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    ],
    "type": "Patient"
  ],
  "valueCodeableConcept": ["coding": [
      [
        "code": "postpartum",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      ],
      [
        "code": "LA26683-5",
        "display": "Not pregnant",
        "system": "http://loinc.org"
      ]
    ]],
  "component": [
    [
      "code": ["coding": [
          [
            "code": "93857-1",
            "display": "Date and time of obstetric delivery",
            "system": "http://loinc.org"
          ]
        ]],
      "valueDateTime": "2026-11-29"
    ]
  ],
  "identifier": [
    [
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    ]
  ]
] as [String : Any]

let postData = JSONSerialization.data(withJSONObject: parameters, options: [])

let request = NSMutableURLRequest(url: NSURL(string: "https://landing-zone-api.nilo.services/fhir/resources/Observation")! as URL,
                                        cachePolicy: .useProtocolCachePolicy,
                                    timeoutInterval: 10.0)
request.httpMethod = "POST"
request.allHTTPHeaderFields = headers
request.httpBody = postData as Data

let session = URLSession.shared
let dataTask = session.dataTask(with: request as URLRequest, completionHandler: { (data, response, error) -> Void in
  if (error != nil) {
    print(error as Any)
  } else {
    let httpResponse = response as? HTTPURLResponse
    print(httpResponse)
  }
})

dataTask.resume()
```

### Encerramento por aborto

**Request**

```json
{
  "code": {
    "coding": [
      {
        "code": "82810-3",
        "system": "http://loinc.org"
      }
    ]
  },
  "resourceType": "Observation",
  "status": "final",
  "subject": {
    "identifier": {
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    },
    "type": "Patient"
  },
  "valueCodeableConcept": {
    "coding": [
      {
        "code": "abortion",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      }
    ]
  },
  "effectivePeriod": {
    "end": "2026-05-10"
  },
  "identifier": [
    {
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    }
  ]
}
```

**Response**

```json
{
  "code": {
    "coding": [
      {
        "code": "82810-3",
        "display": "Pregnancy status",
        "system": "http://loinc.org"
      }
    ]
  },
  "resourceType": "Observation",
  "status": "final",
  "subject": {
    "identifier": {
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    },
    "type": "Patient",
    "reference": "Patient/ba200cfa-dae0-46cf-81a0-008e3f7414b4"
  },
  "valueCodeableConcept": {
    "coding": [
      {
        "code": "prenatal",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      },
      {
        "code": "LA15173-0",
        "display": "Pregnant",
        "system": "http://loinc.org"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "code": "8665-2",
            "display": "Last menstrual period start date",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueDateTime": "2026-03-01"
    },
    {
      "code": {
        "coding": [
          {
            "code": "11778-8",
            "display": "Delivery date Estimated",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueDateTime": "2026-12-06"
    },
    {
      "code": {
        "coding": [
          {
            "code": "risk",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-observation"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "high",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-risk"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "code": "57722-1",
            "display": "Birth plurality of Pregnancy",
            "system": "http://loinc.org"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "twins",
            "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-type"
          }
        ]
      }
    }
  ],
  "effectivePeriod": {
    "start": "2026-03-01"
  },
  "id": "5e2d9a41-7c3b-4f08-9b6e-2a1f4c8d7e53",
  "identifier": [
    {
      "system": "https://landing-zone-api.nilo.services/fhir/resources/NamingSystem/hippocrates-api--pregnancy",
      "value": "18342",
      "use": "usual"
    },
    {
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    }
  ]
}
```

**SDK Code**

```python Encerramento por aborto
import requests

url = "https://landing-zone-api.nilo.services/fhir/resources/Observation"

payload = {
    "code": { "coding": [
            {
                "code": "82810-3",
                "system": "http://loinc.org"
            }
        ] },
    "resourceType": "Observation",
    "status": "final",
    "subject": {
        "identifier": {
            "system": "https://www.acmesaude.com.br/integracao/paciente/",
            "value": "507823709",
            "use": "usual"
        },
        "type": "Patient"
    },
    "valueCodeableConcept": { "coding": [
            {
                "code": "abortion",
                "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
            }
        ] },
    "effectivePeriod": { "end": "2026-05-10" },
    "identifier": [
        {
            "system": "https://www.acmesaude.com.br/integracao/gestacao/",
            "value": "3318",
            "use": "usual"
        }
    ]
}
headers = {
    "x-api-key": "<apiKey>",
    "Content-Type": "application/json"
}

response = requests.post(url, json=payload, headers=headers)

print(response.json())
```

```javascript Encerramento por aborto
const url = 'https://landing-zone-api.nilo.services/fhir/resources/Observation';
const options = {
  method: 'POST',
  headers: {'x-api-key': '<apiKey>', 'Content-Type': 'application/json'},
  body: '{"code":{"coding":[{"code":"82810-3","system":"http://loinc.org"}]},"resourceType":"Observation","status":"final","subject":{"identifier":{"system":"https://www.acmesaude.com.br/integracao/paciente/","value":"507823709","use":"usual"},"type":"Patient"},"valueCodeableConcept":{"coding":[{"code":"abortion","system":"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"}]},"effectivePeriod":{"end":"2026-05-10"},"identifier":[{"system":"https://www.acmesaude.com.br/integracao/gestacao/","value":"3318","use":"usual"}]}'
};

try {
  const response = await fetch(url, options);
  const data = await response.json();
  console.log(data);
} catch (error) {
  console.error(error);
}
```

```go Encerramento por aborto
package main

import (
	"fmt"
	"strings"
	"net/http"
	"io"
)

func main() {

	url := "https://landing-zone-api.nilo.services/fhir/resources/Observation"

	payload := strings.NewReader("{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"abortion\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      }\n    ]\n  },\n  \"effectivePeriod\": {\n    \"end\": \"2026-05-10\"\n  },\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}")

	req, _ := http.NewRequest("POST", url, payload)

	req.Header.Add("x-api-key", "<apiKey>")
	req.Header.Add("Content-Type", "application/json")

	res, _ := http.DefaultClient.Do(req)

	defer res.Body.Close()
	body, _ := io.ReadAll(res.Body)

	fmt.Println(res)
	fmt.Println(string(body))

}
```

```ruby Encerramento por aborto
require 'uri'
require 'net/http'

url = URI("https://landing-zone-api.nilo.services/fhir/resources/Observation")

http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true

request = Net::HTTP::Post.new(url)
request["x-api-key"] = '<apiKey>'
request["Content-Type"] = 'application/json'
request.body = "{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"abortion\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      }\n    ]\n  },\n  \"effectivePeriod\": {\n    \"end\": \"2026-05-10\"\n  },\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}"

response = http.request(request)
puts response.read_body
```

```java Encerramento por aborto
import com.mashape.unirest.http.HttpResponse;
import com.mashape.unirest.http.Unirest;

HttpResponse<String> response = Unirest.post("https://landing-zone-api.nilo.services/fhir/resources/Observation")
  .header("x-api-key", "<apiKey>")
  .header("Content-Type", "application/json")
  .body("{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"abortion\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      }\n    ]\n  },\n  \"effectivePeriod\": {\n    \"end\": \"2026-05-10\"\n  },\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}")
  .asString();
```

```php Encerramento por aborto
<?php
require_once('vendor/autoload.php');

$client = new \GuzzleHttp\Client();

$response = $client->request('POST', 'https://landing-zone-api.nilo.services/fhir/resources/Observation', [
  'body' => '{
  "code": {
    "coding": [
      {
        "code": "82810-3",
        "system": "http://loinc.org"
      }
    ]
  },
  "resourceType": "Observation",
  "status": "final",
  "subject": {
    "identifier": {
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    },
    "type": "Patient"
  },
  "valueCodeableConcept": {
    "coding": [
      {
        "code": "abortion",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      }
    ]
  },
  "effectivePeriod": {
    "end": "2026-05-10"
  },
  "identifier": [
    {
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    }
  ]
}',
  'headers' => [
    'Content-Type' => 'application/json',
    'x-api-key' => '<apiKey>',
  ],
]);

echo $response->getBody();
```

```csharp Encerramento por aborto
using RestSharp;

var client = new RestClient("https://landing-zone-api.nilo.services/fhir/resources/Observation");
var request = new RestRequest(Method.POST);
request.AddHeader("x-api-key", "<apiKey>");
request.AddHeader("Content-Type", "application/json");
request.AddParameter("application/json", "{\n  \"code\": {\n    \"coding\": [\n      {\n        \"code\": \"82810-3\",\n        \"system\": \"http://loinc.org\"\n      }\n    ]\n  },\n  \"resourceType\": \"Observation\",\n  \"status\": \"final\",\n  \"subject\": {\n    \"identifier\": {\n      \"system\": \"https://www.acmesaude.com.br/integracao/paciente/\",\n      \"value\": \"507823709\",\n      \"use\": \"usual\"\n    },\n    \"type\": \"Patient\"\n  },\n  \"valueCodeableConcept\": {\n    \"coding\": [\n      {\n        \"code\": \"abortion\",\n        \"system\": \"https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status\"\n      }\n    ]\n  },\n  \"effectivePeriod\": {\n    \"end\": \"2026-05-10\"\n  },\n  \"identifier\": [\n    {\n      \"system\": \"https://www.acmesaude.com.br/integracao/gestacao/\",\n      \"value\": \"3318\",\n      \"use\": \"usual\"\n    }\n  ]\n}", ParameterType.RequestBody);
IRestResponse response = client.Execute(request);
```

```swift Encerramento por aborto
import Foundation

let headers = [
  "x-api-key": "<apiKey>",
  "Content-Type": "application/json"
]
let parameters = [
  "code": ["coding": [
      [
        "code": "82810-3",
        "system": "http://loinc.org"
      ]
    ]],
  "resourceType": "Observation",
  "status": "final",
  "subject": [
    "identifier": [
      "system": "https://www.acmesaude.com.br/integracao/paciente/",
      "value": "507823709",
      "use": "usual"
    ],
    "type": "Patient"
  ],
  "valueCodeableConcept": ["coding": [
      [
        "code": "abortion",
        "system": "https://landing-zone-api.nilo.services/fhir/resources/CodeSystem/pregnancy-status"
      ]
    ]],
  "effectivePeriod": ["end": "2026-05-10"],
  "identifier": [
    [
      "system": "https://www.acmesaude.com.br/integracao/gestacao/",
      "value": "3318",
      "use": "usual"
    ]
  ]
] as [String : Any]

let postData = JSONSerialization.data(withJSONObject: parameters, options: [])

let request = NSMutableURLRequest(url: NSURL(string: "https://landing-zone-api.nilo.services/fhir/resources/Observation")! as URL,
                                        cachePolicy: .useProtocolCachePolicy,
                                    timeoutInterval: 10.0)
request.httpMethod = "POST"
request.allHTTPHeaderFields = headers
request.httpBody = postData as Data

let session = URLSession.shared
let dataTask = session.dataTask(with: request as URLRequest, completionHandler: { (data, response, error) -> Void in
  if (error != nil) {
    print(error as Any)
  } else {
    let httpResponse = response as? HTTPURLResponse
    print(httpResponse)
  }
})

dataTask.resume()
```