<status value="draft" /> <purpose value="Descreve a prescrição de um medicamento." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="MedicationRequest" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" /> <derivation value="constraint" /> <differential> <element id="MedicationRequest.implicitRules"> <path value="MedicationRequest.implicitRules" /> <max value="0" /> </element> <element id="MedicationRequest.language"> <path value="MedicationRequest.language" /> <max value="0" /> </element> <element id="MedicationRequest.contained"> <path value="MedicationRequest.contained" /> <max value="0" /> </element> <element id="MedicationRequest.identifier"> <path value="MedicationRequest.identifier" /> <max value="0" /> </element> <element id="MedicationRequest.statusReason"> <path value="MedicationRequest.statusReason" /> <max value="0" /> </element> <element id="MedicationRequest.category"> <path value="MedicationRequest.category" /> <max value="0" /> </element> <element id="MedicationRequest.priority"> <path value="MedicationRequest.priority" /> <max value="0" /> </element> <element id="MedicationRequest.doNotPerform"> <path value="MedicationRequest.doNotPerform" /> <max value="0" /> </element> <element id="MedicationRequest.reported[x]"> <path value="MedicationRequest.reported[x]" /> <max value="0" /> </element> <element id="MedicationRequest.medication[x]"> <path value="MedicationRequest.medication[x]" /> <short value="Medicamento" /> <definition value="Identificação e informações sobre o medicamento prescrito." /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRMedicamento" /> </type> <binding> <strength value="example" /> </binding> </element> <element id="MedicationRequest.medication[x].type"> <path value="MedicationRequest.medication[x].type" /> <max value="0" /> </element> <element id="MedicationRequest.medication[x].identifier.use"> <path value="MedicationRequest.medication[x].identifier.use" /> <max value="0" /> </element> <element id="MedicationRequest.medication[x].identifier.type"> <path value="MedicationRequest.medication[x].identifier.type" /> <max value="0" /> </element> <element id="MedicationRequest.medication[x].identifier.period"> <path value="MedicationRequest.medication[x].identifier.period" /> <max value="0" /> </element> <element id="MedicationRequest.medication[x].identifier.assigner"> <path value="MedicationRequest.medication[x].identifier.assigner" /> <max value="0" /> </element> <element id="MedicationRequest.medication[x].display"> <path value="MedicationRequest.medication[x].display" /> <max value="0" /> </element> <element id="MedicationRequest.subject"> <path value="MedicationRequest.subject" /> <short value="Sujeito da Composição" /> <definition value="Quem ou o quê a composição se refere. Pode ser um indivíduo, dispositivo, grupos (de indivíduos, dispositivos etc.)." /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0" /> </type> </element> <element id="MedicationRequest.subject.reference"> <path value="MedicationRequest.subject.reference" /> <max value="0" /> </element> <element id="MedicationRequest.subject.type"> <path value="MedicationRequest.subject.type" /> <max value="0" /> </element> <element id="MedicationRequest.subject.identifier"> <path value="MedicationRequest.subject.identifier" /> <min value="1" /> </element> <element id="MedicationRequest.subject.identifier.use"> <path value="MedicationRequest.subject.identifier.use" /> <max value="0" /> </element> <element id="MedicationRequest.subject.identifier.type"> <path value="MedicationRequest.subject.identifier.type" /> <max value="0" /> </element> <element id="MedicationRequest.subject.identifier.period"> <path value="MedicationRequest.subject.identifier.period" /> <max value="0" /> </element> <element id="MedicationRequest.subject.identifier.assigner"> <path value="MedicationRequest.subject.identifier.assigner" /> <max value="0" /> </element> <element id="MedicationRequest.subject.display"> <path value="MedicationRequest.subject.display" /> <max value="0" /> </element> <element id="MedicationRequest.encounter"> <path value="MedicationRequest.encounter" /> <max value="0" /> </element> <element id="MedicationRequest.supportingInformation"> <path value="MedicationRequest.supportingInformation" /> <max value="0" /> </element> <element id="MedicationRequest.authoredOn"> <path value="MedicationRequest.authoredOn" /> <short value="Data e hora da prescrição" /> <definition value="Data e hora da prescrição realizada." /> <min value="1" /> </element> <element id="MedicationRequest.requester"> <path value="MedicationRequest.requester" /> <short value="Estabelecimento de Saúde prescritor" /> <definition value="Identifica pelo número de inscrição no Cadastro Nacional de Estabelecimentos de Saúde o Estabelecimento de Saúde que realizou a prescrição de medicamento." /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0" /> </type> </element> <element id="MedicationRequest.requester.reference"> <path value="MedicationRequest.requester.reference" /> <max value="0" /> </element> <element id="MedicationRequest.requester.type"> <path value="MedicationRequest.requester.type" /> <max value="0" /> </element> <element id="MedicationRequest.requester.identifier"> <path value="MedicationRequest.requester.identifier" /> <min value="1" /> </element> <element id="MedicationRequest.requester.identifier.use"> <path value="MedicationRequest.requester.identifier.use" /> <max value="0" /> </element> <element id="MedicationRequest.requester.identifier.type"> <path value="MedicationRequest.requester.identifier.type" /> <max value="0" /> </element> <element id="MedicationRequest.requester.identifier.period"> <path value="MedicationRequest.requester.identifier.period" /> <max value="0" /> </element> <element id="MedicationRequest.requester.identifier.assigner"> <path value="MedicationRequest.requester.identifier.assigner" /> <max value="0" /> </element> <element id="MedicationRequest.requester.display"> <path value="MedicationRequest.requester.display" /> <max value="0" /> </element> <element id="MedicationRequest.performer"> <path value="MedicationRequest.performer" /> <max value="0" /> </element> <element id="MedicationRequest.performerType"> <path value="MedicationRequest.performerType" /> <max value="0" /> </element> <element id="MedicationRequest.recorder"> <path value="MedicationRequest.recorder" /> <short value="Profissional prescritor" /> <definition value="Identificação e informações do profissional que realizou a prescrição de medicamento." /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0" /> </type> </element> <element id="MedicationRequest.recorder.reference"> <path value="MedicationRequest.recorder.reference" /> <max value="0" /> </element> <element id="MedicationRequest.recorder.type"> <path value="MedicationRequest.recorder.type" /> <max value="0" /> </element> <element id="MedicationRequest.recorder.identifier"> <path value="MedicationRequest.recorder.identifier" /> <min value="1" /> </element> <element id="MedicationRequest.recorder.identifier.use"> <path value="MedicationRequest.recorder.identifier.use" /> <max value="0" /> </element> <element id="MedicationRequest.recorder.identifier.type"> <path value="MedicationRequest.recorder.identifier.type" /> <max value="0" /> </element> <element id="MedicationRequest.recorder.identifier.period"> <path value="MedicationRequest.recorder.identifier.period" /> <max value="0" /> </element> <element id="MedicationRequest.recorder.identifier.assigner"> <path value="MedicationRequest.recorder.identifier.assigner" /> <max value="0" /> </element> <element id="MedicationRequest.recorder.display"> <path value="MedicationRequest.recorder.display" /> <max value="0" /> </element> <element id="MedicationRequest.reasonCode"> <path value="MedicationRequest.reasonCode" /> <max value="0" /> </element> <element id="MedicationRequest.reasonReference"> <path value="MedicationRequest.reasonReference" /> <max value="0" /> </element> <element id="MedicationRequest.instantiatesCanonical"> <path value="MedicationRequest.instantiatesCanonical" /> <max value="0" /> </element> <element id="MedicationRequest.instantiatesUri"> <path value="MedicationRequest.instantiatesUri" /> <max value="0" /> </element> <element id="MedicationRequest.basedOn"> <path value="MedicationRequest.basedOn" /> <max value="0" /> </element> <element id="MedicationRequest.groupIdentifier"> <path value="MedicationRequest.groupIdentifier" /> <max value="0" /> </element> <element id="MedicationRequest.courseOfTherapyType"> <path value="MedicationRequest.courseOfTherapyType" /> <max value="0" /> </element> <element id="MedicationRequest.insurance"> <path value="MedicationRequest.insurance" /> <max value="0" /> </element> <element id="MedicationRequest.note"> <path value="MedicationRequest.note" /> <short value="Descrição da necessidade de uso do medicamento / Medicamentos prescritos no atendimento (não-estruturados)" /> <definition value="Descrição de uso do medicamento indicado para o caso de uma necessidade específica (ex.: dor, febre, após tratamento etc.) Além disso, inclui-se também à descrição da prescrição de medicamentos de forma livre, em texto, podendo ter vários medicamentos no mesmo texto. O profissional prescritor deverá descrever todos os campos necessários a uma prescrição, entre outros elementos relevantes." /> </element> <element id="MedicationRequest.dosageInstruction"> <path value="MedicationRequest.dosageInstruction" /> <max value="1" /> </element> <element id="MedicationRequest.dosageInstruction.sequence"> <path value="MedicationRequest.dosageInstruction.sequence" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.text"> <path value="MedicationRequest.dosageInstruction.text" /> <short value="Posologia não estruturada" /> <definition value="Descrição da posologia de medicamento de forma livre, em texto. O profissional prescritor deverá descrever todos os campos necessários a uma posologia, entre outros elementos relevantes." /> </element> <element id="MedicationRequest.dosageInstruction.additionalInstruction"> <path value="MedicationRequest.dosageInstruction.additionalInstruction" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.patientInstruction"> <path value="MedicationRequest.dosageInstruction.patientInstruction" /> <short value="Orientações sobre o uso do medicamento" /> <definition value="Orientações sobre o uso do medicamento prescrito." /> </element> <element id="MedicationRequest.dosageInstruction.timing"> <path value="MedicationRequest.dosageInstruction.timing" /> <short value="Frequência de uso do medicamento" /> </element> <element id="MedicationRequest.dosageInstruction.timing.event"> <path value="MedicationRequest.dosageInstruction.timing.event" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat"> <path value="MedicationRequest.dosageInstruction.timing.repeat" /> <min value="1" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.extension"> <path value="MedicationRequest.dosageInstruction.timing.repeat.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.extension:period"> <path value="MedicationRequest.dosageInstruction.timing.repeat.extension" /> <sliceName value="period" /> <short value="Extensão - Intervalo entre doses" /> <definition value="Descritor quantitativo da unidade de tempo entre doses." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIntervaloDoses" /> </type> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.extension:when"> <path value="MedicationRequest.dosageInstruction.timing.repeat.extension" /> <sliceName value="when" /> <short value="Extensão - Turno do dia" /> <definition value="Em qual momento do dia ocorre o consumo do medicamento: Manhã, tarde, noite." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno" /> </type> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.extension:when.url"> <path value="MedicationRequest.dosageInstruction.timing.repeat.extension.url" /> <fixedUri value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.extension:when.value[x].id"> <path value="MedicationRequest.dosageInstruction.timing.repeat.extension.value[x].id" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.bounds[x]"> <path value="MedicationRequest.dosageInstruction.timing.repeat.bounds[x]" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.count"> <path value="MedicationRequest.dosageInstruction.timing.repeat.count" /> <short value="Repetições de dose" /> <definition value="Número de doses a cada uso do medicamento (ex.: 1x, 2x, 3x 4x etc.)" /> <min value="1" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.countMax"> <path value="MedicationRequest.dosageInstruction.timing.repeat.countMax" /> <short value="Quantidade total de doses" /> <definition value="Representa a quantidade total de doses prescritas para o medicamento: se for mais de uma, deve ser considerado como 'Dose Contínua'; do contrário, deve ser considerado como 'Dose Única'." /> <min value="1" /> <minValuePositiveInt value="1" /> <maxValuePositiveInt value="2147483647" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.duration"> <path value="MedicationRequest.dosageInstruction.timing.repeat.duration" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.durationMax"> <path value="MedicationRequest.dosageInstruction.timing.repeat.durationMax" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.durationUnit"> <path value="MedicationRequest.dosageInstruction.timing.repeat.durationUnit" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.frequency"> <path value="MedicationRequest.dosageInstruction.timing.repeat.frequency" /> <short value="Intervalo de dose" /> <definition value="Intervalo, em horas, de cada uso do medicamento." /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.frequencyMax"> <path value="MedicationRequest.dosageInstruction.timing.repeat.frequencyMax" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.period"> <path value="MedicationRequest.dosageInstruction.timing.repeat.period" /> <short value="Intervalo entre doses" /> <definition value="Descritor quantitativo da unidade de tempo entre doses." /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.periodMax"> <path value="MedicationRequest.dosageInstruction.timing.repeat.periodMax" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.periodUnit"> <path value="MedicationRequest.dosageInstruction.timing.repeat.periodUnit" /> <short value="Unidade de tempo entre doses" /> <definition value="Unidade de tempo entre doses (ex.: hora, dia, semana, mês etc.), em unidades UCUM." /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek"> <path value="MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.timeOfDay"> <path value="MedicationRequest.dosageInstruction.timing.repeat.timeOfDay" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.when"> <path value="MedicationRequest.dosageInstruction.timing.repeat.when" /> <short value="Turno do dia" /> <definition value="Em qual momento do dia ocorre o consumo do medicamento: Manhã, tarde, noite." /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.timing.repeat.offset"> <path value="MedicationRequest.dosageInstruction.timing.repeat.offset" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.timing.code"> <path value="MedicationRequest.dosageInstruction.timing.code" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.asNeeded[x]"> <path value="MedicationRequest.dosageInstruction.asNeeded[x]" /> <short value="Uso se necessário" /> <definition value="Representa a necessidade do uso contínuo do medicamento." /> <type> <code value="boolean" /> </type> <binding> <strength value="example" /> </binding> </element> <element id="MedicationRequest.dosageInstruction.site"> <path value="MedicationRequest.dosageInstruction.site" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.route"> <path value="MedicationRequest.dosageInstruction.route" /> <short value="Via de Administração" /> <definition value="Via de Adiministração do medicamento prescrito." /> <min value="1" /> <binding> <strength value="required" /> <description value="Via de Administração" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0" /> </binding> </element> <element id="MedicationRequest.dosageInstruction.method"> <path value="MedicationRequest.dosageInstruction.method" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate"> <path value="MedicationRequest.dosageInstruction.doseAndRate" /> <max value="1" /> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.type"> <path value="MedicationRequest.dosageInstruction.doseAndRate.type" /> <short value="Unidade de consumo da dose" /> <definition value="Unidade de consumo do medicamento prescrito (ex.: comprimido, cápsula, aplicação, mL, gota, copo dosador, infusão etc.)." /> <min value="1" /> <binding> <strength value="required" /> <description value="Unidade de consumo da dose" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo" /> </binding> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.type.coding"> <path value="MedicationRequest.dosageInstruction.doseAndRate.type.coding" /> <binding> <strength value="required" /> <description value="Determina a unidade de consumo" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo" /> </binding> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.type.coding.version"> <path value="MedicationRequest.dosageInstruction.doseAndRate.type.coding.version" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.type.coding.display"> <path value="MedicationRequest.dosageInstruction.doseAndRate.type.coding.display" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.type.coding.userSelected"> <path value="MedicationRequest.dosageInstruction.doseAndRate.type.coding.userSelected" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.type.text"> <path value="MedicationRequest.dosageInstruction.doseAndRate.type.text" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.dose[x]"> <path value="MedicationRequest.dosageInstruction.doseAndRate.dose[x]" /> <short value="Quantidade da Dose" /> <definition value="Quantidade da unidade de consumo do medicamento prescrito a cada dose." /> <min value="1" /> <type> <code value="Quantity" /> </type> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.dose[x].unit"> <path value="MedicationRequest.dosageInstruction.doseAndRate.dose[x].unit" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.dose[x].system"> <path value="MedicationRequest.dosageInstruction.doseAndRate.dose[x].system" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.dose[x].code"> <path value="MedicationRequest.dosageInstruction.doseAndRate.dose[x].code" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.rate[x]"> <path value="MedicationRequest.dosageInstruction.doseAndRate.rate[x]" /> <max value="0" /> <type> <code value="Quantity" /> </type> </element> <element id="MedicationRequest.dosageInstruction.maxDosePerPeriod"> <path value="MedicationRequest.dosageInstruction.maxDosePerPeriod" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.maxDosePerAdministration"> <path value="MedicationRequest.dosageInstruction.maxDosePerAdministration" /> <short value="Quantidade a ser dispensada por atendimento" /> <definition value="Quantidade máxima da dose a ser dispensada por atendimento." /> <min value="1" /> </element> <element id="MedicationRequest.dosageInstruction.maxDosePerAdministration.unit"> <path value="MedicationRequest.dosageInstruction.maxDosePerAdministration.unit" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.maxDosePerAdministration.system"> <path value="MedicationRequest.dosageInstruction.maxDosePerAdministration.system" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.maxDosePerAdministration.code"> <path value="MedicationRequest.dosageInstruction.maxDosePerAdministration.code" /> <max value="0" /> </element> <element id="MedicationRequest.dosageInstruction.maxDosePerLifetime"> <path value="MedicationRequest.dosageInstruction.maxDosePerLifetime" /> <max value="0" /> </element> <element id="MedicationRequest.dispenseRequest.initialFill"> <path value="MedicationRequest.dispenseRequest.initialFill" /> <max value="0" /> </element> <element id="MedicationRequest.dispenseRequest.dispenseInterval"> <path value="MedicationRequest.dispenseRequest.dispenseInterval" /> <short value="Intervalo em horas de cada dose do medicamento" /> <definition value="Intervalo, em horas, de cada uso do medicamento." /> <max value="0" /> </element> <element id="MedicationRequest.dispenseRequest.validityPeriod"> <path value="MedicationRequest.dispenseRequest.validityPeriod" /> <short value="Duração de uso do medicamento" /> <definition value="Representa a duração do uso do medicamento prescrito." /> <min value="1" /> </element> <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"> <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed" /> <max value="0" /> </element> <element id="MedicationRequest.dispenseRequest.quantity"> <path value="MedicationRequest.dispenseRequest.quantity" /> <short value="Total do tratamento" /> </element> <element id="MedicationRequest.dispenseRequest.quantity.value"> <path value="MedicationRequest.dispenseRequest.quantity.value" /> <min value="1" /> </element> <element id="MedicationRequest.dispenseRequest.quantity.unit"> <path value="MedicationRequest.dispenseRequest.quantity.unit" /> <max value="0" /> </element> <element id="MedicationRequest.dispenseRequest.quantity.system"> <path value="MedicationRequest.dispenseRequest.quantity.system" /> <max value="0" /> </element> <element id="MedicationRequest.dispenseRequest.quantity.code"> <path value="MedicationRequest.dispenseRequest.quantity.code" /> <max value="0" /> </element> <element id="MedicationRequest.dispenseRequest.expectedSupplyDuration"> <path value="MedicationRequest.dispenseRequest.expectedSupplyDuration" /> <max value="0" /> </element> <element id="MedicationRequest.dispenseRequest.performer"> <path value="MedicationRequest.dispenseRequest.performer" /> <max value="0" /> </element> <element id="MedicationRequest.substitution"> <path value="MedicationRequest.substitution" /> <max value="0" /> </element> <element id="MedicationRequest.priorPrescription"> <path value="MedicationRequest.priorPrescription" /> <max value="0" /> </element> <element id="MedicationRequest.detectedIssue"> <path value="MedicationRequest.detectedIssue" /> <max value="0" /> </element> <element id="MedicationRequest.eventHistory"> <path value="MedicationRequest.eventHistory" /> <max value="0" /> </element> </differential> </StructureDefinition>