<status value="draft" /> <date value="2023-10-04T12:03:06.914214+00:00" /> <description value="Encontro ou Contato assistencial. Interação formal entre o paciente e profissional(is) de saúde(s) para prestação de serviços de saúde. Tipicamente, representa uma consulta ambulatorial (atenção primária e secundária), um internação, um atendimento em urgência/emergência ou um atendimento em telemedicina. O recurso é utilizado para indexação da informação na "linha do tempo" do Registro Eletrônico de Saúde do paciente. É parte estruturante dos seguintes modelos de informação: Registro de Atendimento Clínico (RAC), Sumário de Alta (SA), Registro de Pronto Atendimento (RPA) ou Conjunto Mínimo de Dados (CMD)." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Encounter" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Encounter" /> <derivation value="constraint" /> <differential> <element id="Encounter.identifier"> <path value="Encounter.identifier" /> <slicing> <discriminator> <type value="type" /> <path value="type.coding.id" /> </discriminator> <rules value="open" /> </slicing> <definition value="Identificador local no sistema de origem Identificador na RNDS Identificador na estrutura de documentos do MHD" /> </element> <element id="Encounter.identifier:localIdentifier"> <path value="Encounter.identifier" /> <sliceName value="localIdentifier" /> <definition value="Identificador local no sistema de origem;" /> <max value="1" /> </element> <element id="Encounter.identifier:localIdentifier.use"> <path value="Encounter.identifier.use" /> <max value="0" /> </element> <element id="Encounter.identifier:localIdentifier.type"> <path value="Encounter.identifier.type" /> <fixedCodeableConcept> <coding> <system value="http://ehrrunner.com/fhir/CodingSystem/identifier-type" /> <code value="local" /> </coding> </fixedCodeableConcept> </element> <element id="Encounter.identifier:localIdentifier.system"> <path value="Encounter.identifier.system" /> <definition value="Deve conter o identificador do sistema de informação (S-RES) de origem. Tipicamente, esse identificador é apresentado em formato de OID (urn:oid:{{oidSistemaOrigem}}:{{cnesOrganizacao}}). O OID do sistema de origem deve ser fornecido pela plataforma." /> <min value="1" /> </element> <element id="Encounter.identifier:localIdentifier.value"> <path value="Encounter.identifier.value" /> <definition value="Identificador (unívoco) do registro de atendimento / contato assistêncial no sistema de origem." /> <min value="1" /> </element> <element id="Encounter.identifier:localIdentifier.period"> <path value="Encounter.identifier.period" /> <max value="0" /> </element> <element id="Encounter.identifier:localIdentifier.assigner"> <path value="Encounter.identifier.assigner" /> <max value="0" /> </element> <element id="Encounter.identifier:rndsIdentifier"> <path value="Encounter.identifier" /> <sliceName value="rndsIdentifier" /> <definition value="Identificador do registro na RNDS (id/identificador da Composition)" /> <max value="1" /> </element> <element id="Encounter.identifier:rndsIdentifier.use"> <path value="Encounter.identifier.use" /> <max value="0" /> </element> <element 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value="0" /> </element> <element id="Encounter.identifier:mhdIdentifier"> <path value="Encounter.identifier" /> <sliceName value="mhdIdentifier" /> <definition value="Identificador do registro MHD correspondente (quando o recurso foi gerado a partir de uma representação OpenEHR e indexado através de um Bundle MHD)." /> <max value="1" /> </element> <element id="Encounter.identifier:mhdIdentifier.use"> <path value="Encounter.identifier.use" /> <max value="0" /> </element> <element id="Encounter.identifier:mhdIdentifier.type"> <path value="Encounter.identifier.type" /> <fixedCodeableConcept> <coding> <system value="http://ehrrunner.com/fhir/CodingSystem/identifier-type" /> <code value="mhd" /> </coding> </fixedCodeableConcept> </element> <element id="Encounter.identifier:mhdIdentifier.system"> <path value="Encounter.identifier.system" /> <min value="1" /> <fixedUri value="http://ehrrunner.com/fhir/NamingSystem/MHDDocumentOID" /> </element> <element 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<element id="Encounter.class.version"> <path value="Encounter.class.version" /> <max value="0" /> </element> <element id="Encounter.class.code"> <path value="Encounter.class.code" /> <min value="1" /> </element> <element id="Encounter.class.userSelected"> <path value="Encounter.class.userSelected" /> <max value="0" /> </element> <element id="Encounter.classHistory"> <path value="Encounter.classHistory" /> <max value="0" /> </element> <element id="Encounter.type"> <path value="Encounter.type" /> <max value="0" /> </element> <element id="Encounter.serviceType"> <path value="Encounter.serviceType" /> <max value="0" /> </element> <element id="Encounter.priority"> <path value="Encounter.priority" /> <binding> <strength value="preferred" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRCaraterAtendimento-1.0" /> </binding> </element> <element id="Encounter.priority.coding.system"> <path value="Encounter.priority.coding.system" /> <min value="1" /> </element> <element 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value="0" /> </element> <element id="Encounter.episodeOfCare"> <path value="Encounter.episodeOfCare" /> <max value="0" /> </element> <element id="Encounter.basedOn"> <path value="Encounter.basedOn" /> <definition value="Referência para a solicitação de encaminhamento (referência ou regulação) que resultou no encontro, se disponível." /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ehrrunner.com/fhir/StructureDefinition/Referral-1.0" /> </type> </element> <element id="Encounter.basedOn.display"> <path value="Encounter.basedOn.display" /> <max value="0" /> </element> <element id="Encounter.participant"> <path value="Encounter.participant" /> <definition value="Lista de profissionais de saúde que participam do atendimento." /> <min value="1" /> </element> <element id="Encounter.participant.type"> <path value="Encounter.participant.type" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Encounter.participant.type:funcao"> <path value="Encounter.participant.type" /> <sliceName value="funcao" /> <min value="1" /> <max value="1" /> <binding> <strength value="extensible" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0" /> </binding> </element> <element id="Encounter.participant.type:funcao.coding"> <path value="Encounter.participant.type.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Encounter.participant.type:funcao.coding.system"> <path value="Encounter.participant.type.coding.system" /> <min value="1" /> </element> <element id="Encounter.participant.type:funcao.coding.version"> <path value="Encounter.participant.type.coding.version" /> <max value="0" /> </element> <element id="Encounter.participant.type:funcao.coding.code"> <path value="Encounter.participant.type.coding.code" /> <min value="1" /> </element> <element 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value="http://ehrrunner.com/fhir/ValueSet/Especialidade-1.0" /> </binding> </element> <element id="Encounter.participant.type:especialidade.coding.system"> <path value="Encounter.participant.type.coding.system" /> <min value="1" /> </element> <element id="Encounter.participant.type:especialidade.coding.version"> <path value="Encounter.participant.type.coding.version" /> <max value="0" /> </element> <element id="Encounter.participant.type:especialidade.coding.code"> <path value="Encounter.participant.type.coding.code" /> <min value="1" /> </element> <element id="Encounter.participant.type:especialidade.coding.userSelected"> <path value="Encounter.participant.type.coding.userSelected" /> <max value="0" /> </element> <element id="Encounter.participant.type:areaAtuacao"> <path value="Encounter.participant.type" /> <sliceName value="areaAtuacao" /> <max value="1" /> </element> <element id="Encounter.participant.type:areaAtuacao.coding"> <path value="Encounter.participant.type.coding" /> 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value="value" /> <path value="identifier.value" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Encounter.reasonReference:motivoAtendimentoSubjetivo"> <path value="Encounter.reasonReference" /> <sliceName value="motivoAtendimentoSubjetivo" /> <definition value="Motivo subjetivo para o atendimento. Anamnese." /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ehrrunner.com/fhir/StructureDefinition/ObservationText" /> </type> </element> <element id="Encounter.reasonReference:motivoAtendimentoSubjetivo.type"> <path value="Encounter.reasonReference.type" /> <max value="0" /> </element> <element id="Encounter.reasonReference:motivoAtendimentoSubjetivo.identifier"> <path value="Encounter.reasonReference.identifier" /> <max value="0" /> </element> <element id="Encounter.reasonReference:motivoAtendimentoSubjetivo.display"> <path value="Encounter.reasonReference.display" /> <max value="0" /> </element> <element id="Encounter.reasonReference:diagnosticoPrincipal"> <path value="Encounter.reasonReference" /> <sliceName value="diagnosticoPrincipal" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ehrrunner.com/fhir/StructureDefinition/Condition" /> </type> </element> <element 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value="preferred" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedencia-1.0" /> </binding> </element> <element id="Encounter.hospitalization.admitSource.coding"> <path value="Encounter.hospitalization.admitSource.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Encounter.hospitalization.admitSource.coding.system"> <path value="Encounter.hospitalization.admitSource.coding.system" /> <min value="1" /> </element> <element id="Encounter.hospitalization.admitSource.coding.version"> <path value="Encounter.hospitalization.admitSource.coding.version" /> <max value="0" /> </element> <element id="Encounter.hospitalization.admitSource.coding.code"> <path value="Encounter.hospitalization.admitSource.coding.code" /> <min value="1" /> </element> <element id="Encounter.hospitalization.admitSource.coding.userSelected"> <path value="Encounter.hospitalization.admitSource.coding.userSelected" /> <max value="0" /> </element> <element 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<type> <code value="Reference" /> <targetProfile value="http://ehrrunner.com/fhir/StructureDefinition/Organization-1.0" /> </type> </element> <element id="Encounter.hospitalization.destination.reference"> <path value="Encounter.hospitalization.destination.reference" /> <max value="0" /> </element> <element id="Encounter.hospitalization.destination.identifier"> <path value="Encounter.hospitalization.destination.identifier" /> <min value="1" /> </element> <element id="Encounter.hospitalization.destination.identifier.use"> <path value="Encounter.hospitalization.destination.identifier.use" /> <max value="0" /> </element> <element id="Encounter.hospitalization.destination.identifier.type"> <path value="Encounter.hospitalization.destination.identifier.type" /> <min value="1" /> <binding> <strength value="extensible" /> <valueSet value="http://ehrrunner.com/fhir/ValueSet/IdentifierType-1.0" /> </binding> </element> <element id="Encounter.hospitalization.destination.identifier.type.coding"> 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