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<StructureDefinition xmlns="http://hl7.org/fhir">
  <meta>
    <versionId value="1" />
    <lastUpdated value="2022-12-02T15:03:22.6332+00:00" />
  </meta>
  <language value="pt-BR" />
  <url value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRConjuntoMinimoDadosANS-1.0.0" />
  <version value="2.0.0" />
  <name value="BRConjuntoMinimoDadosANS" />
  <title value="Conjunto Mínimo de Dados ANS" />
  <status value="draft" />
  <date value="2022-11-11" />
  <publisher value="Ministério da Saúde do Brasil" />
  <description value="Documento público que coleta os dados dos atendimentos em saúde realizados em qualquer estabelecimento de saúde do país, público ou privado, em cada contato assistencial (ANS)." />
  <purpose value="Recepção de documentos do tipo &quot;Conjunto Mínimo de Dados&quot; (CMD) enviados pela &quot;Agência Nacional de Saúde Suplementar&quot; (ANS)." />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Composition" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Composition" />
  <derivation value="constraint" />
  <differential>
    <element id="Composition">
      <path value="Composition" />
      <short value="Conjunto Mínimo de Dados ANS" />
      <definition value="Documento que representa o Conjunto Mínimo de Dados." />
      <alias value="Contato Assistencial" />
      <alias value="CMD" />
      <alias value="Minimum Health Data Set" />
      <alias value="Minimum Basic Health Data Set" />
      <alias value="MHDS" />
      <alias value="MBHDS" />
      <alias value="Atendimento" />
      <alias value="Internação" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.identifier">
      <path value="Composition.identifier" />
      <max value="0" />
    </element>
    <element id="Composition.status">
      <path value="Composition.status" />
      <short value="final | entered-in-error" />
      <definition value="Estado do documento." />
      <comment value="Indica o estado atual do documento.&#xD;&#xA; - &quot;final&quot; - documento válido&#xD;&#xA; - &quot;entered-in-error&quot; - documento excluído ou substituído." />
      <requirements value="Necessidade de indicar o estado atual do documento." />
      <mustSupport value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CompositionStatus" />
        </extension>
        <strength value="required" />
        <description value="Estado do Documento" />
        <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoDocumento-1.0" />
      </binding>
    </element>
    <element id="Composition.type">
      <path value="Composition.type" />
      <short value="Tipo de Documento" />
      <definition value="Especifica o tipo de documento que está sendo enviado na composição." />
      <fixedCodeableConcept>
        <coding>
          <system value="http://www.saude.gov.br/fhir/r4/CodeSystem/BRTipoDocumento" />
          <code value="CMD" />
        </coding>
      </fixedCodeableConcept>
      <mustSupport value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentType" />
        </extension>
        <strength value="required" />
        <description value="Tipo de Documento" />
        <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoDocumento-1.0" />
      </binding>
    </element>
    <element id="Composition.type.coding">
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      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.type.coding.system">
      <path value="Composition.type.coding.system" />
      <min value="1" />
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    <element id="Composition.type.coding.code">
      <path value="Composition.type.coding.code" />
      <min value="1" />
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    <element id="Composition.type.coding.display">
      <path value="Composition.type.coding.display" />
      <max value="0" />
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      <path value="Composition.type.coding.userSelected" />
      <max value="0" />
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    <element id="Composition.type.text">
      <path value="Composition.type.text" />
      <max value="0" />
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    <element id="Composition.category">
      <path value="Composition.category" />
      <short value="Modalidade Assistencial" />
      <definition value="Classifica os contatos assistenciais de acordo com as especificidades do modo, local e duração do atendimento.&#xD;&#xA;Referência: https://rts.saude.gov.br/#/modalidade-assistencial" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentCategory" />
        </extension>
        <strength value="required" />
        <description value="Modalidade Assistencial" />
        <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeAssistencial-1.0" />
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      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
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    <element id="Composition.category.coding.system">
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      <min value="1" />
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    <element id="Composition.category.coding.code">
      <path value="Composition.category.coding.code" />
      <min value="1" />
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      <max value="0" />
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    <element id="Composition.category.text">
      <path value="Composition.category.text" />
      <max value="0" />
    </element>
    <element id="Composition.subject">
      <path value="Composition.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.)." />
      <comment value="Nesta versão, a RNDS suportará somente indivíduos." />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0" />
      </type>
      <mustSupport value="true" />
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    <element id="Composition.subject.extension">
      <path value="Composition.subject.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Composition.subject.extension:unidentifiedPatient">
      <path value="Composition.subject.extension" />
      <sliceName value="unidentifiedPatient" />
      <short value="Dados do Indivíduo Não Identificado" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificadoANS-1.0.0" />
      </type>
      <mustSupport value="true" />
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    <element id="Composition.subject.extension:unidentifiedPatient.extension">
      <path value="Composition.subject.extension.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="3" />
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    <element id="Composition.subject.extension:unidentifiedPatient.extension:gender">
      <path value="Composition.subject.extension.extension" />
      <sliceName value="gender" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.subject.extension:unidentifiedPatient.extension:birthYear">
      <path value="Composition.subject.extension.extension" />
      <sliceName value="birthYear" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.subject.extension:unidentifiedPatient.extension:reason">
      <path value="Composition.subject.extension.extension" />
      <sliceName value="reason" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.subject.reference">
      <path value="Composition.subject.reference" />
      <max value="0" />
    </element>
    <element id="Composition.subject.type">
      <path value="Composition.subject.type" />
      <max value="0" />
      <fixedUri value="Patient" />
    </element>
    <element id="Composition.subject.identifier.use">
      <path value="Composition.subject.identifier.use" />
      <max value="0" />
    </element>
    <element id="Composition.subject.identifier.type">
      <path value="Composition.subject.identifier.type" />
      <max value="0" />
    </element>
    <element id="Composition.subject.identifier.system">
      <path value="Composition.subject.identifier.system" />
      <min value="1" />
    </element>
    <element id="Composition.subject.identifier.value">
      <path value="Composition.subject.identifier.value" />
      <min value="1" />
    </element>
    <element id="Composition.subject.identifier.period">
      <path value="Composition.subject.identifier.period" />
      <max value="0" />
    </element>
    <element id="Composition.subject.identifier.assigner">
      <path value="Composition.subject.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="Composition.subject.display">
      <path value="Composition.subject.display" />
      <max value="0" />
    </element>
    <element id="Composition.encounter">
      <path value="Composition.encounter" />
      <max value="0" />
    </element>
    <element id="Composition.date">
      <path value="Composition.date" />
      <short value="Data/hora de Geração do Documento" />
      <definition value="Data e hora em que o documento foi gerado." />
      <mustSupport value="true" />
    </element>
    <element id="Composition.author">
      <path value="Composition.author" />
      <short value="Reponsável pelo Contato Assistencial" />
      <definition value="Identifica a Pessoa Jurídica ou Pessoa Física (profissional liberal) responsável por gerar o documento." />
      <comment value="Nesta versão da RNDS somente serão suportadas edições provenientes de Estabelecimentos de Saúde." />
      <type>
        <code value="Reference" />
        <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Composition.author.reference">
      <path value="Composition.author.reference" />
      <max value="0" />
    </element>
    <element id="Composition.author.type">
      <path value="Composition.author.type" />
      <max value="0" />
    </element>
    <element id="Composition.author.identifier">
      <path value="Composition.author.identifier" />
      <min value="1" />
    </element>
    <element id="Composition.author.identifier.use">
      <path value="Composition.author.identifier.use" />
      <max value="0" />
    </element>
    <element id="Composition.author.identifier.type">
      <path value="Composition.author.identifier.type" />
      <max value="0" />
    </element>
    <element id="Composition.author.identifier.system">
      <path value="Composition.author.identifier.system" />
      <min value="1" />
    </element>
    <element id="Composition.author.identifier.value">
      <path value="Composition.author.identifier.value" />
      <min value="1" />
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    <element id="Composition.author.identifier.period">
      <path value="Composition.author.identifier.period" />
      <max value="0" />
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    <element id="Composition.author.identifier.assigner">
      <path value="Composition.author.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="Composition.author.display">
      <path value="Composition.author.display" />
      <max value="0" />
    </element>
    <element id="Composition.title">
      <path value="Composition.title" />
      <short value="Título do documento" />
      <definition value="Título do documento em linguagem humana." />
      <fixedString value="Conjunto Mínimo de Dados" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.confidentiality">
      <path value="Composition.confidentiality" />
      <max value="0" />
    </element>
    <element id="Composition.attester">
      <path value="Composition.attester" />
      <max value="0" />
    </element>
    <element id="Composition.custodian">
      <path value="Composition.custodian" />
      <max value="0" />
    </element>
    <element id="Composition.relatesTo">
      <path value="Composition.relatesTo" />
      <short value="Relação a Outros Documentos" />
      <definition value="Indica uma relação entre esse documento e outro documento (ou composição) existente." />
      <requirements value="Este elemento deve ser utilizado exclusivamente para indicar que este documento substitui (replaces) outro documento / composição; ou seja, é utilizado para cancelar o anterior e passar a considerar este no seu lugar. Este documento receberá um ID próprio; o documento anterior continuará disponível na RNDS e poderá ser recuperado integralmente por referência direta ao seu ID, garantindo a rastreabilidade do processo, mas não estará diretamente disponível na timeline do cidadão." />
      <max value="1" />
    </element>
    <element id="Composition.relatesTo.code">
      <path value="Composition.relatesTo.code" />
      <short value="Tipo de Relacionamento" />
      <definition value="Indica o tipo de relacionamento que este documento tem com o outro documento (composição)." />
      <requirements value="O valor é fixado em replaces, pois a substituição de documentos é a única operação permitida na RNDS." />
      <fixedCode value="replaces" />
    </element>
    <element id="Composition.relatesTo.target[x]">
      <path value="Composition.relatesTo.target[x]" />
      <short value="Documento a Ser Substituído" />
      <definition value="Referência ao documento anterior que este documento está substituindo." />
      <requirements value="O valor é fixado em replaces, pois a substituição de documentos é a única operação permitida na RNDS." />
      <type>
        <code value="Reference" />
      </type>
    </element>
    <element id="Composition.relatesTo.target[x].id">
      <path value="Composition.relatesTo.target[x].id" />
      <max value="0" />
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      <path value="Composition.relatesTo.target[x].reference" />
      <min value="1" />
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    <element id="Composition.relatesTo.target[x].type">
      <path value="Composition.relatesTo.target[x].type" />
      <max value="0" />
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    <element id="Composition.relatesTo.target[x].identifier">
      <path value="Composition.relatesTo.target[x].identifier" />
      <max value="0" />
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    <element id="Composition.relatesTo.target[x].display">
      <path value="Composition.relatesTo.target[x].display" />
      <max value="0" />
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    <element id="Composition.event">
      <path value="Composition.event" />
      <max value="0" />
    </element>
    <element id="Composition.section">
      <path value="Composition.section" />
      <slicing>
        <discriminator>
          <type value="profile" />
          <path value="entry.resolve()" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <short value="Seções do documento" />
      <definition value="Referencia todas as seções (profiles/resources) contidos neste documento." />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.section:informacoesContatoAssistencial">
      <path value="Composition.section" />
      <sliceName value="informacoesContatoAssistencial" />
      <short value="Informações do Contato Assistencial" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
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    <element id="Composition.section:informacoesContatoAssistencial.title">
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      <max value="0" />
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    <element id="Composition.section:informacoesContatoAssistencial.code">
      <path value="Composition.section.code" />
      <max value="0" />
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    <element id="Composition.section:informacoesContatoAssistencial.entry">
      <path value="Composition.section.entry" />
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        <code value="Reference" />
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    <element id="Composition.section:informacoesContatoAssistencial.section">
      <path value="Composition.section.section" />
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    <element id="Composition.section:problemasDiagnosticosAvaliados">
      <path value="Composition.section" />
      <sliceName value="problemasDiagnosticosAvaliados" />
      <short value="Problema(s)/Diagnóstico(s) Avaliado(s)" />
      <mustSupport value="true" />
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      <max value="0" />
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    <element id="Composition.section:problemasDiagnosticosAvaliados.author">
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    <element id="Composition.section:problemasDiagnosticosAvaliados.focus">
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    <element id="Composition.section:problemasDiagnosticosAvaliados.text">
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    <element id="Composition.section:problemasDiagnosticosAvaliados.mode">
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    <element id="Composition.section:problemasDiagnosticosAvaliados.orderedBy">
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      <max value="0" />
    </element>
    <element id="Composition.section:problemasDiagnosticosAvaliados.entry">
      <path value="Composition.section.entry" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProblemaDiagnosticoANS" />
      </type>
      <mustSupport value="true" />
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    <element id="Composition.section:problemasDiagnosticosAvaliados.entry.reference">
      <path value="Composition.section.entry.reference" />
      <min value="1" />
      <mustSupport value="true" />
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    <element id="Composition.section:problemasDiagnosticosAvaliados.entry.type">
      <path value="Composition.section.entry.type" />
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      <max value="0" />
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    <element id="Composition.section:problemasDiagnosticosAvaliados.emptyReason">
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      <short value="Motivo da Seção Vazia" />
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      <mustSupport value="true" />
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    <element id="Composition.section:problemasDiagnosticosAvaliados.emptyReason.coding">
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    <element id="Composition.section:procedimentosRealizados">
      <path value="Composition.section" />
      <sliceName value="procedimentosRealizados" />
      <short value="Procedimento(s) Realizado(s)" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.section:procedimentosRealizados.title">
      <path value="Composition.section.title" />
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name : BRConjuntoMinimoDadosANS

{

}

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