<status value="draft" /> <date value="2022-06-08" /> <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" /> <fhirVersion value="4.0.0" /> <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" /> <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" /> <mustSupport value="true" /> <binding> <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." /> <mustSupport value="true" /> <binding> <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"> <path value="Composition.type.coding" /> <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" /> </element> <element id="Composition.type.coding.code"> <path value="Composition.type.coding.code" /> <min value="1" /> </element> <element id="Composition.type.coding.display"> <path value="Composition.type.coding.display" /> <max value="0" /> </element> <element id="Composition.type.coding.userSelected"> <path value="Composition.type.coding.userSelected" /> <max value="0" /> </element> <element id="Composition.type.text"> <path value="Composition.type.text" /> <max value="0" /> </element> <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. Referência: https://rts.saude.gov.br/#/modalidade-assistencial" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Modalidade Assistencial" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeAssistencial-1.0" /> </binding> </element> <element id="Composition.category.coding"> <path value="Composition.category.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.category.coding.system"> <path value="Composition.category.coding.system" /> <min value="1" /> </element> <element id="Composition.category.coding.code"> <path value="Composition.category.coding.code" /> <min value="1" /> </element> <element id="Composition.category.coding.display"> <path value="Composition.category.coding.display" /> <max value="0" /> </element> <element id="Composition.category.coding.userSelected"> <path value="Composition.category.coding.userSelected" /> <max value="0" /> </element> <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" /> </element> <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/BRIndividuoNaoIdentificado-1.0" /> </type> <mustSupport value="true" /> </element> <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="0" /> </element> <element id="Composition.subject.extension:unidentifiedPatient.extension:gender"> <path value="Composition.subject.extension.extension" /> <sliceName value="gender" /> <min value="0" /> <mustSupport value="true" /> </element> <element id="Composition.subject.extension:unidentifiedPatient.extension:birthYear"> <path value="Composition.subject.extension.extension" /> <sliceName value="birthYear" /> <min value="0" /> <mustSupport value="true" /> </element> <element id="Composition.subject.extension:unidentifiedPatient.extension:reason"> <path value="Composition.subject.extension.extension" /> <sliceName value="reason" /> <min value="0" /> <mustSupport value="true" /> </element> <element id="Composition.subject.extension:unidentifiedPatient.url"> <path value="Composition.subject.extension.url" /> <fixedUri value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0" /> </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" /> </element> <element id="Composition.author.identifier.period"> <path value="Composition.author.identifier.period" /> <max value="0" /> </element> <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." /> <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" /> </element> <element id="Composition.relatesTo.target[x].reference"> <path value="Composition.relatesTo.target[x].reference" /> <min value="1" /> </element> <element id="Composition.relatesTo.target[x].type"> <path value="Composition.relatesTo.target[x].type" /> <max value="0" /> </element> <element id="Composition.relatesTo.target[x].identifier"> <path value="Composition.relatesTo.target[x].identifier" /> <max value="0" /> </element> <element id="Composition.relatesTo.target[x].display"> <path value="Composition.relatesTo.target[x].display" /> <max value="0" /> </element> <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" /> </element> <element id="Composition.section:informacoesContatoAssistencial.title"> <path value="Composition.section.title" /> <max value="0" /> </element> <element id="Composition.section:informacoesContatoAssistencial.code"> <path value="Composition.section.code" /> <max value="0" /> </element> <element id="Composition.section:informacoesContatoAssistencial.author"> <path value="Composition.section.author" /> <max value="0" /> </element> <element id="Composition.section:informacoesContatoAssistencial.focus"> <path value="Composition.section.focus" /> <max value="0" /> </element> <element id="Composition.section:informacoesContatoAssistencial.text"> <path value="Composition.section.text" /> <max value="0" /> </element> <element id="Composition.section:informacoesContatoAssistencial.mode"> <path value="Composition.section.mode" /> <max value="0" /> </element> <element id="Composition.section:informacoesContatoAssistencial.orderedBy"> <path value="Composition.section.orderedBy" /> <max value="0" /> </element> <element id="Composition.section:informacoesContatoAssistencial.entry"> <path value="Composition.section.entry" /> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRContatoAssistencial-1.0" /> </type> <mustSupport value="true" /> </element> <element id="Composition.section:informacoesContatoAssistencial.entry.reference"> <path value="Composition.section.entry.reference" /> <min value="1" /> </element> <element id="Composition.section:informacoesContatoAssistencial.entry.type"> <path value="Composition.section.entry.type" /> <max value="0" /> </element> <element id="Composition.section:informacoesContatoAssistencial.entry.identifier"> <path value="Composition.section.entry.identifier" /> <max value="0" /> </element> <element id="Composition.section:informacoesContatoAssistencial.entry.display"> <path value="Composition.section.entry.display" /> <max value="0" /> </element> <element id="Composition.section:informacoesContatoAssistencial.emptyReason"> <path value="Composition.section.emptyReason" /> <max value="0" /> </element> <element id="Composition.section:informacoesContatoAssistencial.section"> <path value="Composition.section.section" /> <max value="0" /> <contentReference 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</element> <element id="Composition.section:diagnosticosAvaliados.mode"> <path value="Composition.section.mode" /> <max value="0" /> </element> <element id="Composition.section:diagnosticosAvaliados.orderedBy"> <path value="Composition.section.orderedBy" /> <max value="0" /> </element> <element id="Composition.section:diagnosticosAvaliados.entry"> <path value="Composition.section.entry" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRCID10Avaliado-1.0" /> </type> <mustSupport value="true" /> </element> <element id="Composition.section:diagnosticosAvaliados.entry.reference"> <path value="Composition.section.entry.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:diagnosticosAvaliados.entry.type"> <path value="Composition.section.entry.type" /> <max value="0" /> </element> <element id="Composition.section:diagnosticosAvaliados.entry.identifier"> <path 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value="Composition.section.entry" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRCIAP2Avaliado-1.0" /> </type> <mustSupport value="true" /> </element> <element id="Composition.section:problemasAvaliados.entry.reference"> <path value="Composition.section.entry.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:problemasAvaliados.entry.type"> <path value="Composition.section.entry.type" /> <max value="0" /> </element> <element id="Composition.section:problemasAvaliados.entry.identifier"> <path value="Composition.section.entry.identifier" /> <max value="0" /> </element> <element id="Composition.section:problemasAvaliados.entry.display"> <path value="Composition.section.entry.display" /> <max value="0" /> </element> <element id="Composition.section:problemasAvaliados.emptyReason"> <path value="Composition.section.emptyReason" /> <short value="Motivo da 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id="Composition.section:problemasAvaliados.emptyReason.text"> <path value="Composition.section.emptyReason.text" /> <max value="0" /> </element> <element id="Composition.section:problemasAvaliados.section"> <path value="Composition.section.section" /> <max value="0" /> <contentReference value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" /> </element> <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" /> <max value="0" /> </element> <element id="Composition.section:procedimentosRealizados.code"> <path value="Composition.section.code" /> <max value="0" /> </element> <element id="Composition.section:procedimentosRealizados.author"> <path 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