<status value="active" /> <date value="2020-09-16T13:39:19.0400048+00:00" /> <publisher value="GOInterop Tecnologia LTDA" /> <description value="Procedimento realizado em um indivíduo." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Procedure" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Procedure" /> <derivation value="constraint" /> <differential> <element id="Procedure"> <path value="Procedure" /> <short value="Procedimento Realizado" /> <definition value="Ação de saúde realizada no indivíduo." /> <mustSupport value="true" /> </element> <element id="Procedure.extension"> <path value="Procedure.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Procedure.extension:quantity"> <path value="Procedure.extension" /> <sliceName value="quantity" /> <definition value="Quantidade realizada do procedimento." /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRQuantidade-1.0" /> </type> </element> <element id="Procedure.extension:quantity.value[x]"> <path value="Procedure.extension.value[x]" /> <type> <code value="positiveInt" /> </type> </element> <element id="Procedure.identifier"> <path value="Procedure.identifier" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Procedure.instantiatesCanonical"> <path value="Procedure.instantiatesCanonical" /> <max value="0" /> </element> <element id="Procedure.instantiatesUri"> <path value="Procedure.instantiatesUri" /> <max value="0" /> </element> <element id="Procedure.basedOn"> <path value="Procedure.basedOn" /> <max value="0" /> </element> <element id="Procedure.partOf"> <path value="Procedure.partOf" /> <max value="0" /> </element> <element id="Procedure.status"> <path value="Procedure.status" /> <short value="Estado do Procedimento" /> <definition value="Estado da realização do procedimento." /> <comment value="Na primeira fase da RNDS somente serão informados procedimentos realizados ou cancelados (com erro), portanto, somente o valor completed será aceito." /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Estado do Evento" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoEvento-1.0" /> </binding> </element> <element id="Procedure.statusReason"> <path value="Procedure.statusReason" /> <max value="0" /> </element> <element id="Procedure.category"> <path value="Procedure.category" /> <max value="0" /> </element> <element id="Procedure.code"> <path value="Procedure.code" /> <short value="Procedimento Realizado" /> <definition value="Identificação do procedimento que foi realizado." /> <min value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Classificações Nacionais de Procedimentos" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0" /> </binding> </element> <element id="Procedure.code.coding"> <path value="Procedure.code.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Procedure.code.coding.system"> <path value="Procedure.code.coding.system" /> <min value="1" /> </element> <element id="Procedure.code.coding.code"> <path value="Procedure.code.coding.code" /> <min value="1" /> </element> <element id="Procedure.code.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Procedure.code.coding.display" /> <max value="0" /> </element> <element id="Procedure.code.coding.userSelected"> <path value="Procedure.code.coding.userSelected" /> <max value="0" /> </element> <element id="Procedure.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Procedure.code.text" /> <max value="0" /> </element> <element id="Procedure.subject"> <path value="Procedure.subject" /> <short value="Indivíduo" /> <definition value="Indivíduo em que o procedimento foi realizado." /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0" /> </type> <mustSupport value="true" /> </element> <element id="Procedure.subject.extension"> <path value="Procedure.subject.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Procedure.subject.extension:unidentifiedPatient"> <path value="Procedure.subject.extension" /> <sliceName value="unidentifiedPatient" /> <short value="Dados do Indivíduo Não Identificado" /> <type> <code value="Extension" /> <profile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0" /> </type> <mustSupport value="true" /> </element> <element id="Procedure.subject.extension:unidentifiedPatient.extension:gender"> <path value="Procedure.subject.extension.extension" /> <sliceName value="gender" /> <mustSupport value="true" /> </element> <element id="Procedure.subject.extension:unidentifiedPatient.extension:birthYear"> <path value="Procedure.subject.extension.extension" /> <sliceName value="birthYear" /> <mustSupport value="true" /> </element> <element id="Procedure.subject.extension:unidentifiedPatient.extension:reason"> <path value="Procedure.subject.extension.extension" /> <sliceName value="reason" /> <mustSupport value="true" /> </element> <element id="Procedure.subject.reference"> <path value="Procedure.subject.reference" /> <max value="0" /> </element> <element id="Procedure.subject.type"> <path value="Procedure.subject.type" /> <short value="Recurso do sujeito" /> <definition value="Indica o recurso FHIR que será utilizado na RNDS para identificar de forma direta o sujeito que do procedimento." /> <max value="0" /> </element> <element id="Procedure.subject.identifier"> <path value="Procedure.subject.identifier" /> <type> <code value="Identifier" /> <profile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0" /> </type> </element> <element id="Procedure.subject.identifier.address.line"> <path value="Procedure.subject.identifier.address.line" /> <slicing> <discriminator> <type value="value" /> <path value="line" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Procedure.subject.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Procedure.subject.display" /> <max value="0" /> </element> <element id="Procedure.encounter"> <path value="Procedure.encounter" /> <max value="0" /> </element> <element id="Procedure.performed[x]"> <path value="Procedure.performed[x]" /> <short value="Momento da Realização do Procedimento" /> <definition value="Competência (mês e ano), data ou data e hora que o procedimento foi realizado." /> <min value="1" /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> </element> <element id="Procedure.recorder"> <path value="Procedure.recorder" /> <max value="0" /> </element> <element id="Procedure.asserter"> <path value="Procedure.asserter" /> <max value="0" /> </element> <element id="Procedure.performer:practitioner"> <path value="Procedure.performer" /> <sliceName value="practitioner" /> <short value="Executante" /> <definition value="Permite identificar: - o(s) profissional(is) lotado(s) em um Estabelecimento de Saúde inscrito no CNES que realizou(aram) o procedimento, sua(s) respectiva(s) ocupação(ões) e o Estabelecimento de Saúde Terceiro (quando aplicável) - OPÇÃO PREFERENCIAL; - apenas a(s) ocupação(ões) do(s) profisssional(is) que realizou(aram) o procedimento, seu(s) Estabelecimento(s) de Saúde inscrito(s) no CNES e o Estabelecimento de Saúde Terceiro (quando aplicável) - OPÇÃO ALTERNATIVA quando o profissional não está inscrito no respectivo CNES ou o modelo de origem não disponha dessa informação; - apenas a(s) ocupação(ões) do(s) profisssional(is) que realizou(aram) o procedimento, a(s) organização(ões) identificada(s) pelo CNPJ (pessoa jurídica) ou CPF (profissional liberal) onde o procedimento foi realizado e o Estabelecimento de Saúde Terceiro (quando aplicável) - ÚLTIMA OPÇÃO, utilizar apenas quando o estabelecimento de saúde não possui inscrição no CNES ou o modelo de origem não disponha dessa informação." /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Procedure.performer:practitioner.extension"> <path value="Procedure.performer.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Procedure.performer:practitioner.extension:healthcareTeam"> <path value="Procedure.performer.extension" /> <sliceName value="healthcareTeam" /> <short value="Equipe de Saúde" /> <definition value="Identifica a equipe de saúde que realizou o procedimento utilizando o Identificador Nacional de Equipes." /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIdentificacaoEquipe-1.0" /> </type> <mustSupport value="true" /> </element> <element id="Procedure.performer:practitioner.function"> <path value="Procedure.performer.function" /> <short value="Ocupação do Profissional" /> <definition value="Atividade desempenhada pelo profissional que realizou o procedimento." /> <min value="1" /> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedurePerformerRole" /> </extension> <strength value="required" /> <description value="Ocupação Profissional" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BROcupacao-1.0" /> </binding> </element> <element id="Procedure.performer:practitioner.function.coding"> <path value="Procedure.performer.function.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Procedure.performer:practitioner.function.coding.system"> <path value="Procedure.performer.function.coding.system" /> <min value="1" /> </element> <element id="Procedure.performer:practitioner.function.coding.code"> <path value="Procedure.performer.function.coding.code" /> <min value="1" /> </element> <element id="Procedure.performer:practitioner.function.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Procedure.performer.function.coding.display" /> <max value="0" /> </element> <element id="Procedure.performer:practitioner.function.coding.userSelected"> <path value="Procedure.performer.function.coding.userSelected" /> <max value="0" /> </element> <element id="Procedure.performer:practitioner.function.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Procedure.performer.function.text" /> <max value="0" /> </element> <element id="Procedure.performer:practitioner.actor"> <path value="Procedure.performer.actor" /> <short value="Profissional" /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0" /> </type> <mustSupport value="true" /> </element> <element id="Procedure.performer:practitioner.actor.reference"> <path value="Procedure.performer.actor.reference" /> <max value="0" /> </element> <element id="Procedure.performer:practitioner.actor.type"> <path value="Procedure.performer.actor.type" /> <max value="0" /> </element> <element id="Procedure.performer:practitioner.actor.identifier"> <path value="Procedure.performer.actor.identifier" /> <min value="1" /> <type> <code value="Identifier" /> <profile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRDocumentoIndividuo-1.0" /> </type> </element> <element id="Procedure.performer:practitioner.actor.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Procedure.performer.actor.display" /> <max value="0" /> </element> <element id="Procedure.performer:practitioner.onBehalfOf"> <path value="Procedure.performer.onBehalfOf" /> <short value="Estabelecimento de Saúde Terceiro" /> <definition value="Estabelecimento de Saúde que realizou o procedimento como serviço terceiro do Estabelecimento de Saúde onde o procediemento foi realizado." /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0" /> </type> <mustSupport value="true" /> </element> <element id="Procedure.performer:practitioner.onBehalfOf.reference"> <path value="Procedure.performer.onBehalfOf.reference" /> <max value="0" /> </element> <element id="Procedure.performer:practitioner.onBehalfOf.type"> <path value="Procedure.performer.onBehalfOf.type" /> <max value="0" /> </element> <element id="Procedure.performer:practitioner.onBehalfOf.identifier"> <path value="Procedure.performer.onBehalfOf.identifier" /> <min value="1" /> <type> <code value="Identifier" /> <profile value="http://esus.recife.pe.gov.br/fhir/StructureDefinition/OrganizationIdentifier" /> </type> </element> <element id="Procedure.performer:practitioner.onBehalfOf.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Procedure.performer.onBehalfOf.display" /> <max value="0" /> </element> <element id="Procedure.location"> <path value="Procedure.location" /> <max value="0" /> </element> <element id="Procedure.reasonCode"> <path value="Procedure.reasonCode" /> <max value="0" /> </element> <element id="Procedure.reasonReference"> <path value="Procedure.reasonReference" /> <max value="0" /> </element> <element id="Procedure.bodySite"> <path value="Procedure.bodySite" /> <max value="0" /> </element> <element id="Procedure.outcome"> <path value="Procedure.outcome" /> <max value="0" /> </element> <element id="Procedure.report"> <path value="Procedure.report" /> <max value="0" /> </element> <element id="Procedure.complication"> <path value="Procedure.complication" /> <max value="0" /> </element> <element id="Procedure.complicationDetail"> <path value="Procedure.complicationDetail" /> <max value="0" /> </element> <element id="Procedure.followUp"> <path value="Procedure.followUp" /> <max value="0" /> </element> <element id="Procedure.note"> <path value="Procedure.note" /> <short value="Resultado ou observações do procedimento" /> <definition value="Possibilita realizar anotações acerca do desfecho e observações do procedimento." /> <mustSupport value="true" /> </element> <element id="Procedure.note.author[x]"> <path value="Procedure.note.author[x]" /> <max value="0" /> </element> <element id="Procedure.note.time"> <path value="Procedure.note.time" /> <max value="0" /> </element> <element id="Procedure.note.text"> <path value="Procedure.note.text" /> <mustSupport value="true" /> </element> <element id="Procedure.focalDevice"> <path value="Procedure.focalDevice" /> <max value="0" /> </element> <element id="Procedure.usedReference"> <path value="Procedure.usedReference" /> <max value="0" /> </element> <element id="Procedure.usedCode"> <path value="Procedure.usedCode" /> <max value="0" /> </element> </differential> </StructureDefinition>