{
  "resourceType": "StructureDefinition",
  "id": "521287f6-fd07-498d-aec2-1dff41af31ba",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2020-06-09T14:31:10.273+00:00"
  },
  "language": "pt-BR",
  "url": "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRConjuntoMinimoDados-1.1",
  "version": "1.1",
  "name": "BRConjuntoMinimoDados",
  "title": "Conjunto Mínimo de Dados",
  "status": "active",
  "date": "2020-06-09T14:31:33.8335625Z",
  "publisher": "Ministério da Saúde do Brasil",
  "description": "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",
  "fhirVersion": "4.0.0",
  "kind": "resource",
  "abstract": false,
  "type": "Composition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Composition",
        "path": "Composition",
        "short": "Conjunto Mínimo de Dados",
        "definition": "Documento que representa o Conjunto Mínimo de Dados.",
        "alias": [
          "Contato Assistencial",
          "CMD",
          "Minimum Health Data Set",
          "Minimum Basic Health Data Set",
          "MHDS",
          "MBHDS",
          "Atendimento",
          "Internação"
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.identifier",
        "path": "Composition.identifier",
        "max": "0"
      },
      {
        "id": "Composition.status",
        "path": "Composition.status",
        "short": "final | entered-in-error",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Estado do Documento",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoDocumento-1.0"
        }
      },
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "short": "Tipo de Documento",
        "definition": "Especifica o tipo de documento que está sendo enviado na composição.",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Tipo de Documento",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoDocumento-1.0"
        }
      },
      {
        "id": "Composition.type.coding",
        "path": "Composition.type.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.type.coding.system",
        "path": "Composition.type.coding.system",
        "min": 1
      },
      {
        "id": "Composition.type.coding.code",
        "path": "Composition.type.coding.code",
        "min": 1
      },
      {
        "id": "Composition.type.coding.display",
        "path": "Composition.type.coding.display",
        "max": "0"
      },
      {
        "id": "Composition.type.coding.userSelected",
        "path": "Composition.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Composition.type.text",
        "path": "Composition.type.text",
        "max": "0"
      },
      {
        "id": "Composition.category",
        "path": "Composition.category",
        "short": "Modalidade Assistencial",
        "definition": "Classifica os contatos assistenciais de acordo com as especificidades do modo, local e duração do atendimento.\r\nReferência: https://rts.saude.gov.br/#/modalidade-assistencial",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Modalidade Assistencial",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeAssistencial-1.0"
        }
      },
      {
        "id": "Composition.category.coding",
        "path": "Composition.category.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.category.coding.system",
        "path": "Composition.category.coding.system",
        "min": 1
      },
      {
        "id": "Composition.category.coding.code",
        "path": "Composition.category.coding.code",
        "min": 1
      },
      {
        "id": "Composition.category.coding.display",
        "path": "Composition.category.coding.display",
        "max": "0"
      },
      {
        "id": "Composition.category.coding.userSelected",
        "path": "Composition.category.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Composition.category.text",
        "path": "Composition.category.text",
        "max": "0"
      },
      {
        "id": "Composition.subject",
        "path": "Composition.subject",
        "short": "Sujeito da Composição",
        "definition": "Quem ou o quê a composição se refere. Pode ser um indivíduo, dispositivo, grupos (de indivíduos, dispositivos etc.).",
        "comment": "Nesta versão, a RNDS suportará somente indivíduos.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.subject.extension",
        "path": "Composition.subject.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.subject.extension:unidentifiedPatient",
        "path": "Composition.subject.extension",
        "sliceName": "unidentifiedPatient",
        "short": "Dados do Indivíduo Não Identificado",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.subject.extension:unidentifiedPatient.extension",
        "path": "Composition.subject.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.subject.extension:unidentifiedPatient.extension:gender",
        "path": "Composition.subject.extension.extension",
        "sliceName": "gender",
        "mustSupport": true
      },
      {
        "id": "Composition.subject.extension:unidentifiedPatient.extension:birthYear",
        "path": "Composition.subject.extension.extension",
        "sliceName": "birthYear",
        "mustSupport": true
      },
      {
        "id": "Composition.subject.extension:unidentifiedPatient.extension:reason",
        "path": "Composition.subject.extension.extension",
        "sliceName": "reason",
        "mustSupport": true
      },
      {
        "id": "Composition.subject.reference",
        "path": "Composition.subject.reference",
        "max": "0"
      },
      {
        "id": "Composition.subject.type",
        "path": "Composition.subject.type",
        "max": "0",
        "fixedUri": "Patient"
      },
      {
        "id": "Composition.subject.identifier.use",
        "path": "Composition.subject.identifier.use",
        "max": "0"
      },
      {
        "id": "Composition.subject.identifier.type",
        "path": "Composition.subject.identifier.type",
        "max": "0"
      },
      {
        "id": "Composition.subject.identifier.system",
        "path": "Composition.subject.identifier.system",
        "min": 1
      },
      {
        "id": "Composition.subject.identifier.value",
        "path": "Composition.subject.identifier.value",
        "min": 1
      },
      {
        "id": "Composition.subject.identifier.period",
        "path": "Composition.subject.identifier.period",
        "max": "0"
      },
      {
        "id": "Composition.subject.identifier.assigner",
        "path": "Composition.subject.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Composition.subject.display",
        "path": "Composition.subject.display",
        "max": "0"
      },
      {
        "id": "Composition.encounter",
        "path": "Composition.encounter",
        "max": "0"
      },
      {
        "id": "Composition.date",
        "path": "Composition.date",
        "short": "Data/hora de Geração do Documento",
        "definition": "Data e hora em que o documento foi gerado.",
        "mustSupport": true
      },
      {
        "id": "Composition.author",
        "path": "Composition.author",
        "short": "Reponsável pelo Contato Assistencial",
        "definition": "Identifica a Pessoa Jurídica ou Pessoa Física (profissional liberal) responsável por gerar o documento.",
        "comment": "Nesta versão da RNDS somente serão suportadas edições provenientes de Estabelecimentos de Saúde.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.author.reference",
        "path": "Composition.author.reference",
        "max": "0"
      },
      {
        "id": "Composition.author.type",
        "path": "Composition.author.type",
        "max": "0"
      },
      {
        "id": "Composition.author.identifier",
        "path": "Composition.author.identifier",
        "min": 1
      },
      {
        "id": "Composition.author.identifier.use",
        "path": "Composition.author.identifier.use",
        "max": "0"
      },
      {
        "id": "Composition.author.identifier.type",
        "path": "Composition.author.identifier.type",
        "max": "0"
      },
      {
        "id": "Composition.author.identifier.system",
        "path": "Composition.author.identifier.system",
        "min": 1
      },
      {
        "id": "Composition.author.identifier.value",
        "path": "Composition.author.identifier.value",
        "min": 1
      },
      {
        "id": "Composition.author.identifier.period",
        "path": "Composition.author.identifier.period",
        "max": "0"
      },
      {
        "id": "Composition.author.identifier.assigner",
        "path": "Composition.author.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Composition.author.display",
        "path": "Composition.author.display",
        "max": "0"
      },
      {
        "id": "Composition.title",
        "path": "Composition.title",
        "short": "Título do documento",
        "definition": "Título do documento em linguagem humana.",
        "mustSupport": true
      },
      {
        "id": "Composition.confidentiality",
        "path": "Composition.confidentiality",
        "max": "0"
      },
      {
        "id": "Composition.attester",
        "path": "Composition.attester",
        "max": "0"
      },
      {
        "id": "Composition.custodian",
        "path": "Composition.custodian",
        "max": "0"
      },
      {
        "id": "Composition.relatesTo",
        "path": "Composition.relatesTo",
        "short": "Relação a Outros Documentos",
        "definition": "Indica uma relação entre esse documento e outro documento (ou composição) existente.",
        "requirements": "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": "1"
      },
      {
        "id": "Composition.relatesTo.code",
        "path": "Composition.relatesTo.code",
        "short": "Tipo de Relacionamento",
        "definition": "Indica o tipo de relacionamento que este documento tem com o outro documento (composição).",
        "requirements": "O valor é fixado em replaces, pois a substituição de documentos é a única operação permitida na RNDS.",
        "fixedCode": "replaces"
      },
      {
        "id": "Composition.relatesTo.target[x]",
        "path": "Composition.relatesTo.target[x]",
        "short": "Documento a Ser Substituído",
        "definition": "Referência ao documento anterior que este documento está substituindo.",
        "requirements": "O valor é fixado em replaces, pois a substituição de documentos é a única operação permitida na RNDS.",
        "type": [
          {
            "code": "Reference"
          }
        ]
      },
      {
        "id": "Composition.relatesTo.target[x].id",
        "path": "Composition.relatesTo.target[x].id",
        "max": "0"
      },
      {
        "id": "Composition.relatesTo.target[x].reference",
        "path": "Composition.relatesTo.target[x].reference",
        "min": 1
      },
      {
        "id": "Composition.relatesTo.target[x].type",
        "path": "Composition.relatesTo.target[x].type",
        "max": "0"
      },
      {
        "id": "Composition.relatesTo.target[x].identifier",
        "path": "Composition.relatesTo.target[x].identifier",
        "max": "0"
      },
      {
        "id": "Composition.relatesTo.target[x].display",
        "path": "Composition.relatesTo.target[x].display",
        "max": "0"
      },
      {
        "id": "Composition.event",
        "path": "Composition.event",
        "max": "0"
      },
      {
        "id": "Composition.section",
        "path": "Composition.section",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "entry.resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "Seções do documento",
        "definition": "Referencia todas as seções (profiles/resources) contidos neste documento.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:informacoesContatoAssistencial",
        "path": "Composition.section",
        "sliceName": "informacoesContatoAssistencial",
        "short": "Informações do Contato Assistencial",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:informacoesContatoAssistencial.title",
        "path": "Composition.section.title",
        "max": "0"
      },
      {
        "id": "Composition.section:informacoesContatoAssistencial.code",
        "path": "Composition.section.code",
        "max": "0"
      },
      {
        "id": "Composition.section:informacoesContatoAssistencial.author",
        "path": "Composition.section.author",
        "max": "0"
      },
      {
        "id": "Composition.section:informacoesContatoAssistencial.focus",
        "path": "Composition.section.focus",
        "max": "0"
      },
      {
        "id": "Composition.section:informacoesContatoAssistencial.text",
        "path": "Composition.section.text",
        "max": "0"
      },
      {
        "id": "Composition.section:informacoesContatoAssistencial.mode",
        "path": "Composition.section.mode",
        "max": "0"
      },
      {
        "id": "Composition.section:informacoesContatoAssistencial.orderedBy",
        "path": "Composition.section.orderedBy",
        "max": "0"
      },
      {
        "id": "Composition.section:informacoesContatoAssistencial.entry",
        "path": "Composition.section.entry",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRContatoAssistencial-1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:informacoesContatoAssistencial.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1
      },
      {
        "id": "Composition.section:informacoesContatoAssistencial.entry.type",
        "path": "Composition.section.entry.type",
        "max": "0"
      },
      {
        "id": "Composition.section:informacoesContatoAssistencial.entry.identifier",
        "path": "Composition.section.entry.identifier",
        "max": "0"
      },
      {
        "id": "Composition.section:informacoesContatoAssistencial.entry.display",
        "path": "Composition.section.entry.display",
        "max": "0"
      },
      {
        "id": "Composition.section:informacoesContatoAssistencial.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section:informacoesContatoAssistencial.section",
        "path": "Composition.section.section",
        "max": "0"
      },
      {
        "id": "Composition.section:diagnosticosAvaliados",
        "path": "Composition.section",
        "sliceName": "diagnosticosAvaliados",
        "short": "Problema(s)/Diagnóstico(s) Avaliado(s)",
        "mustSupport": true
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.title",
        "path": "Composition.section.title",
        "max": "0"
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.code",
        "path": "Composition.section.code",
        "max": "0"
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.author",
        "path": "Composition.section.author",
        "max": "0"
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.focus",
        "path": "Composition.section.focus",
        "max": "0"
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.text",
        "path": "Composition.section.text",
        "max": "0"
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.mode",
        "path": "Composition.section.mode",
        "max": "0"
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.orderedBy",
        "path": "Composition.section.orderedBy",
        "max": "0"
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.entry",
        "path": "Composition.section.entry",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRCID10Avaliado-1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.entry.type",
        "path": "Composition.section.entry.type",
        "max": "0"
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.entry.identifier",
        "path": "Composition.section.entry.identifier",
        "max": "0"
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.entry.display",
        "path": "Composition.section.entry.display",
        "max": "0"
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.emptyReason",
        "path": "Composition.section.emptyReason",
        "short": "Motivo da Seção Vazia",
        "max": "0",
        "mustSupport": true
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.emptyReason.coding",
        "path": "Composition.section.emptyReason.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.emptyReason.coding.system",
        "path": "Composition.section.emptyReason.coding.system",
        "min": 1
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.emptyReason.coding.code",
        "path": "Composition.section.emptyReason.coding.code",
        "min": 1
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.emptyReason.coding.display",
        "path": "Composition.section.emptyReason.coding.display",
        "max": "0"
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.emptyReason.coding.userSelected",
        "path": "Composition.section.emptyReason.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.emptyReason.text",
        "path": "Composition.section.emptyReason.text",
        "max": "0"
      },
      {
        "id": "Composition.section:diagnosticosAvaliados.section",
        "path": "Composition.section.section",
        "max": "0"
      },
      {
        "id": "Composition.section:problemasAvaliados",
        "path": "Composition.section",
        "sliceName": "problemasAvaliados",
        "short": "Problema(s)/Diagnóstico(s) Avaliado(s)",
        "mustSupport": true
      },
      {
        "id": "Composition.section:problemasAvaliados.title",
        "path": "Composition.section.title",
        "max": "0"
      },
      {
        "id": "Composition.section:problemasAvaliados.code",
        "path": "Composition.section.code",
        "max": "0"
      },
      {
        "id": "Composition.section:problemasAvaliados.author",
        "path": "Composition.section.author",
        "max": "0"
      },
      {
        "id": "Composition.section:problemasAvaliados.focus",
        "path": "Composition.section.focus",
        "max": "0"
      },
      {
        "id": "Composition.section:problemasAvaliados.text",
        "path": "Composition.section.text",
        "max": "0"
      },
      {
        "id": "Composition.section:problemasAvaliados.mode",
        "path": "Composition.section.mode",
        "max": "0"
      },
      {
        "id": "Composition.section:problemasAvaliados.orderedBy",
        "path": "Composition.section.orderedBy",
        "max": "0"
      },
      {
        "id": "Composition.section:problemasAvaliados.entry",
        "path": "Composition.section.entry",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRCIAP2Avaliado-1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:problemasAvaliados.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:problemasAvaliados.entry.type",
        "path": "Composition.section.entry.type",
        "max": "0"
      },
      {
        "id": "Composition.section:problemasAvaliados.entry.identifier",
        "path": "Composition.section.entry.identifier",
        "max": "0"
      },
      {
        "id": "Composition.section:problemasAvaliados.entry.display",
        "path": "Composition.section.entry.display",
        "max": "0"
      },
      {
        "id": "Composition.section:problemasAvaliados.emptyReason",
        "path": "Composition.section.emptyReason",
        "short": "Motivo da Seção Vazia",
        "max": "0",
        "mustSupport": true
      },
      {
        "id": "Composition.section:problemasAvaliados.emptyReason.coding",
        "path": "Composition.section.emptyReason.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.section:problemasAvaliados.emptyReason.coding.system",
        "path": "Composition.section.emptyReason.coding.system",
        "min": 1
      },
      {
        "id": "Composition.section:problemasAvaliados.emptyReason.coding.code",
        "path": "Composition.section.emptyReason.coding.code",
        "min": 1
      },
      {
        "id": "Composition.section:problemasAvaliados.emptyReason.coding.display",
        "path": "Composition.section.emptyReason.coding.display",
        "max": "0"
      },
      {
        "id": "Composition.section:problemasAvaliados.emptyReason.coding.userSelected",
        "path": "Composition.section.emptyReason.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Composition.section:problemasAvaliados.emptyReason.text",
        "path": "Composition.section.emptyReason.text",
        "max": "0"
      },
      {
        "id": "Composition.section:problemasAvaliados.section",
        "path": "Composition.section.section",
        "max": "0"
      },
      {
        "id": "Composition.section:procedimentosRealizados",
        "path": "Composition.section",
        "sliceName": "procedimentosRealizados",
        "short": "Procedimento(s) Realizado(s)",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:procedimentosRealizados.title",
        "path": "Composition.section.title",
        "max": "0"
      },
      {
        "id": "Composition.section:procedimentosRealizados.code",
        "path": "Composition.section.code",
        "max": "0"
      },
      {
        "id": "Composition.section:procedimentosRealizados.author",
        "path": "Composition.section.author",
        "max": "0"
      },
      {
        "id": "Composition.section:procedimentosRealizados.focus",
        "path": "Composition.section.focus",
        "max": "0"
      },
      {
        "id": "Composition.section:procedimentosRealizados.text",
        "path": "Composition.section.text",
        "max": "0"
      },
      {
        "id": "Composition.section:procedimentosRealizados.mode",
        "path": "Composition.section.mode",
        "max": "0"
      },
      {
        "id": "Composition.section:procedimentosRealizados.orderedBy",
        "path": "Composition.section.orderedBy",
        "max": "0"
      },
      {
        "id": "Composition.section:procedimentosRealizados.entry",
        "path": "Composition.section.entry",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProcedimentoRealizado-1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:procedimentosRealizados.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1
      },
      {
        "id": "Composition.section:procedimentosRealizados.entry.type",
        "path": "Composition.section.entry.type",
        "max": "0"
      },
      {
        "id": "Composition.section:procedimentosRealizados.entry.identifier",
        "path": "Composition.section.entry.identifier",
        "max": "0"
      },
      {
        "id": "Composition.section:procedimentosRealizados.entry.display",
        "path": "Composition.section.entry.display",
        "max": "0"
      },
      {
        "id": "Composition.section:procedimentosRealizados.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section:procedimentosRealizados.section",
        "path": "Composition.section.section",
        "max": "0"
      }
    ]
  }
}