<status value="draft" /> <date value="2022-11-11" /> <publisher value="Ministério da Saúde do Brasil" /> <description value="Procedimento realizado em um indivíduo (ANS)." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Procedure" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Procedure" /> <derivation value="constraint" /> <differential> <element id="Procedure"> <path value="Procedure" /> <short value="Procedimento Realizado ANS" /> <definition value="Ação de saúde realizada no indivíduo." /> <mustSupport value="false" /> </element> <element id="Procedure.extension"> <path value="Procedure.extension" /> <min value="1" /> </element> <element id="Procedure.extension:quantity"> <path value="Procedure.extension" /> <sliceName value="quantity" /> <definition value="Quantidade realizada do procedimento." /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRQuantidade-1.0" /> </type> </element> <element id="Procedure.extension:quantity.value[x]"> <path value="Procedure.extension.value[x]" /> <type> <code value="decimal" /> </type> <type> <code value="positiveInt" /> </type> </element> <element id="Procedure.identifier"> <path value="Procedure.identifier" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Procedure.identifier.use"> <path value="Procedure.identifier.use" /> <max value="0" /> </element> <element id="Procedure.identifier.type"> <path value="Procedure.identifier.type" /> <short value="Tipo de Identificador" /> <min value="1" /> <fixedCodeableConcept> <coding> <system value="http://www.saude.gov.br/fhir/r4/CodeSystem/BRTipoIdentificador" /> <code value="AUTH" /> </coding> </fixedCodeableConcept> <binding> <strength value="required" /> <description value="Tipo de Identificador" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoIdentificadorProcedimento-1.0" /> </binding> </element> <element id="Procedure.identifier.type.coding"> <path value="Procedure.identifier.type.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Procedure.identifier.type.coding.system"> <path value="Procedure.identifier.type.coding.system" /> <min value="1" /> </element> <element id="Procedure.identifier.type.coding.code"> <path value="Procedure.identifier.type.coding.code" /> <min value="1" /> </element> <element id="Procedure.identifier.type.coding.display"> <path value="Procedure.identifier.type.coding.display" /> <max value="0" /> </element> <element id="Procedure.identifier.type.coding.userSelected"> <path value="Procedure.identifier.type.coding.userSelected" /> <max value="0" /> </element> <element id="Procedure.identifier.type.text"> <path value="Procedure.identifier.type.text" /> <max value="0" /> </element> <element id="Procedure.identifier.system"> <path value="Procedure.identifier.system" /> <max value="0" /> </element> <element id="Procedure.identifier.value"> <path value="Procedure.identifier.value" /> <short value="Código de Autorização" /> <definition value="Código do identificador da permissão para a realização do procedimento." /> <min value="1" /> </element> <element id="Procedure.identifier.period"> <path value="Procedure.identifier.period" /> <max value="0" /> </element> <element id="Procedure.identifier.assigner"> <path value="Procedure.identifier.assigner" /> <max value="0" /> </element> <element id="Procedure.instantiatesCanonical"> <path value="Procedure.instantiatesCanonical" /> <max value="0" /> </element> <element id="Procedure.instantiatesUri"> <path value="Procedure.instantiatesUri" /> <max value="0" /> </element> <element id="Procedure.basedOn"> <path value="Procedure.basedOn" /> <max value="0" /> </element> <element id="Procedure.partOf"> <path value="Procedure.partOf" /> <max value="0" /> </element> <element id="Procedure.status"> <path value="Procedure.status" /> <short value="Estado do Procedimento" /> <definition value="Estado da realização do procedimento." /> <comment value="Na primeira fase da RNDS somente serão informados procedimentos realizados ou cancelados (com erro), portanto, somente o valor completed será aceito." /> <mustSupport value="false" /> <binding> <strength value="required" /> <description value="Estado do Evento" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoEvento-1.0" /> </binding> </element> <element id="Procedure.statusReason"> <path value="Procedure.statusReason" /> <max value="0" /> </element> <element id="Procedure.category"> <path value="Procedure.category" /> <max value="0" /> </element> <element id="Procedure.code"> <path value="Procedure.code" /> <short value="Procedimento Realizado" /> <definition value="Identificação do procedimento que foi realizado." /> <min value="1" /> <mustSupport value="false" /> <binding> <strength value="required" /> <description value="Classificações Nacionais de Procedimentos" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosANSeCarga" /> </binding> </element> <element id="Procedure.code.coding"> <path value="Procedure.code.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Procedure.code.coding.system"> <path value="Procedure.code.coding.system" /> <min value="1" /> </element> <element id="Procedure.code.coding.code"> <path value="Procedure.code.coding.code" /> <min value="1" /> </element> <element id="Procedure.code.coding.display"> <path value="Procedure.code.coding.display" /> <max value="0" /> </element> <element id="Procedure.code.coding.userSelected"> <path value="Procedure.code.coding.userSelected" /> <max value="0" /> </element> <element id="Procedure.code.text"> <path value="Procedure.code.text" /> <max value="0" /> </element> <element id="Procedure.subject"> <path value="Procedure.subject" /> <short value="Indivíduo" /> <definition value="Indivíduo em que o procedimento foi realizado." /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0" /> </type> <mustSupport value="false" /> </element> <element id="Procedure.subject.extension:unidentifiedPatient"> <path value="Procedure.subject.extension" /> <sliceName value="unidentifiedPatient" /> <short value="Dados do Indivíduo Não Identificado" /> <type> <code value="Extension" /> <profile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificadoANS-1.0.0" /> </type> <mustSupport value="true" /> </element> <element id="Procedure.subject.extension:unidentifiedPatient.extension:gender"> <path value="Procedure.subject.extension.extension" /> <sliceName value="gender" /> <mustSupport value="true" /> </element> <element id="Procedure.subject.extension:unidentifiedPatient.extension:birthYear"> <path value="Procedure.subject.extension.extension" /> <sliceName value="birthYear" /> <mustSupport value="true" /> </element> <element id="Procedure.subject.extension:unidentifiedPatient.extension:reason"> <path value="Procedure.subject.extension.extension" /> <sliceName value="reason" /> <mustSupport value="true" /> </element> <element id="Procedure.subject.reference"> <path value="Procedure.subject.reference" /> <max value="0" /> </element> <element id="Procedure.subject.type"> <path value="Procedure.subject.type" /> <short value="Recurso do sujeito" /> <definition value="Indica o recurso FHIR que será utilizado na RNDS para identificar de forma direta o sujeito que do procedimento." /> <max value="0" /> </element> <element id="Procedure.subject.identifier.use"> <path value="Procedure.subject.identifier.use" /> <max value="0" /> </element> <element id="Procedure.subject.identifier.type"> <path value="Procedure.subject.identifier.type" /> <max value="0" /> </element> <element id="Procedure.subject.identifier.system"> <path value="Procedure.subject.identifier.system" /> <min value="1" /> </element> <element id="Procedure.subject.identifier.value"> <path value="Procedure.subject.identifier.value" /> <min value="1" /> </element> <element id="Procedure.subject.identifier.period"> <path value="Procedure.subject.identifier.period" /> <max value="0" /> </element> <element id="Procedure.subject.identifier.assigner"> <path value="Procedure.subject.identifier.assigner" /> <max value="0" /> </element> <element id="Procedure.subject.display"> <path value="Procedure.subject.display" /> <max value="0" /> </element> <element id="Procedure.encounter"> <path value="Procedure.encounter" /> <max value="0" /> </element> <element id="Procedure.performed[x]"> <path value="Procedure.performed[x]" /> <short value="Momento da Realização do Procedimento" /> <definition value="Competência (mês e ano), data ou data e hora que o procedimento foi realizado." /> <min value="1" /> <type> <code value="dateTime" /> </type> <mustSupport value="false" /> </element> <element id="Procedure.recorder"> <path value="Procedure.recorder" /> <max value="0" /> </element> <element id="Procedure.asserter"> <path value="Procedure.asserter" /> <max value="0" /> </element> <element id="Procedure.performer.id"> <path value="Procedure.performer.id" /> <max value="0" /> </element> <element id="Procedure.performer.extension:healthcareTeam"> <path value="Procedure.performer.extension" /> <sliceName value="healthcareTeam" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIdentificacaoEquipe-1.0" /> </type> <isModifier value="false" /> </element> <element id="Procedure.performer.function"> <path value="Procedure.performer.function" /> <binding> <strength value="required" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BROcupacao-1.0" /> </binding> </element> <element id="Procedure.performer.function.id"> <path value="Procedure.performer.function.id" /> <max value="0" /> </element> <element id="Procedure.performer.function.extension"> <path value="Procedure.performer.function.extension" /> <max value="0" /> </element> <element id="Procedure.performer.function.coding"> <path value="Procedure.performer.function.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Procedure.performer.function.coding.id"> <path value="Procedure.performer.function.coding.id" /> <max value="0" /> </element> <element id="Procedure.performer.function.coding.extension"> <path value="Procedure.performer.function.coding.extension" /> <max value="0" /> </element> <element id="Procedure.performer.function.coding.system"> <path value="Procedure.performer.function.coding.system" /> <min value="1" /> </element> <element id="Procedure.performer.function.coding.code"> <path value="Procedure.performer.function.coding.code" /> <min value="1" /> </element> <element id="Procedure.performer.function.coding.display"> <path value="Procedure.performer.function.coding.display" /> <max value="0" /> </element> <element id="Procedure.performer.function.coding.userSelected"> <path value="Procedure.performer.function.coding.userSelected" /> <max value="0" /> </element> <element id="Procedure.performer.function.text"> <path value="Procedure.performer.function.text" /> <max value="0" /> </element> <element id="Procedure.performer.actor"> <path value="Procedure.performer.actor" /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRLotacaoProfissional-1.0" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0" /> </type> </element> <element id="Procedure.performer.actor.id"> <path value="Procedure.performer.actor.id" /> <max value="0" /> </element> <element id="Procedure.performer.actor.extension"> <path value="Procedure.performer.actor.extension" /> <max value="0" /> </element> <element id="Procedure.performer.actor.reference"> <path value="Procedure.performer.actor.reference" /> <max value="0" /> </element> <element id="Procedure.performer.actor.type"> <path value="Procedure.performer.actor.type" /> <max value="0" /> </element> <element id="Procedure.performer.actor.identifier"> <path value="Procedure.performer.actor.identifier" /> <min value="1" /> </element> <element id="Procedure.performer.actor.identifier.id"> <path value="Procedure.performer.actor.identifier.id" /> <max value="0" /> </element> <element id="Procedure.performer.actor.identifier.extension"> <path value="Procedure.performer.actor.identifier.extension" /> <max value="0" /> </element> <element id="Procedure.performer.actor.identifier.use"> <path value="Procedure.performer.actor.identifier.use" /> <max value="0" /> </element> <element id="Procedure.performer.actor.identifier.type"> <path value="Procedure.performer.actor.identifier.type" /> <max value="0" /> </element> <element id="Procedure.performer.actor.identifier.system"> <path value="Procedure.performer.actor.identifier.system" /> <min value="1" /> </element> <element id="Procedure.performer.actor.identifier.value"> <path value="Procedure.performer.actor.identifier.value" /> <min value="1" /> </element> <element id="Procedure.performer.actor.identifier.period"> <path value="Procedure.performer.actor.identifier.period" /> <max value="0" /> </element> <element id="Procedure.performer.actor.identifier.assigner"> <path value="Procedure.performer.actor.identifier.assigner" /> <max value="0" /> </element> <element id="Procedure.performer.actor.display"> <path value="Procedure.performer.actor.display" /> <max value="0" /> </element> <element id="Procedure.performer.onBehalfOf"> <path value="Procedure.performer.onBehalfOf" /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0" /> </type> </element> <element id="Procedure.performer.onBehalfOf.id"> <path value="Procedure.performer.onBehalfOf.id" /> <max value="0" /> </element> <element id="Procedure.performer.onBehalfOf.extension"> <path value="Procedure.performer.onBehalfOf.extension" /> <max value="0" /> </element> <element id="Procedure.performer.onBehalfOf.reference"> <path value="Procedure.performer.onBehalfOf.reference" /> <max value="0" /> </element> <element id="Procedure.performer.onBehalfOf.type"> <path value="Procedure.performer.onBehalfOf.type" /> <max value="0" /> </element> <element id="Procedure.performer.onBehalfOf.identifier"> <path value="Procedure.performer.onBehalfOf.identifier" /> <min value="1" /> </element> <element id="Procedure.performer.onBehalfOf.identifier.id"> <path value="Procedure.performer.onBehalfOf.identifier.id" /> <max value="0" /> </element> <element id="Procedure.performer.onBehalfOf.identifier.extension"> <path value="Procedure.performer.onBehalfOf.identifier.extension" /> <max value="0" /> </element> <element id="Procedure.performer.onBehalfOf.identifier.use"> <path value="Procedure.performer.onBehalfOf.identifier.use" /> <max value="0" /> </element> <element id="Procedure.performer.onBehalfOf.identifier.type"> <path value="Procedure.performer.onBehalfOf.identifier.type" /> <max value="0" /> </element> <element id="Procedure.performer.onBehalfOf.identifier.system"> <path value="Procedure.performer.onBehalfOf.identifier.system" /> <min value="1" /> </element> <element id="Procedure.performer.onBehalfOf.identifier.value"> <path value="Procedure.performer.onBehalfOf.identifier.value" /> <min value="1" /> </element> <element id="Procedure.performer.onBehalfOf.identifier.period"> <path value="Procedure.performer.onBehalfOf.identifier.period" /> <max value="0" /> </element> <element id="Procedure.performer.onBehalfOf.identifier.assigner"> <path value="Procedure.performer.onBehalfOf.identifier.assigner" /> <max value="0" /> </element> <element id="Procedure.performer.onBehalfOf.display"> <path value="Procedure.performer.onBehalfOf.display" /> <max value="0" /> </element> <element id="Procedure.location"> <path value="Procedure.location" /> <max value="0" /> </element> <element id="Procedure.reasonCode"> <path value="Procedure.reasonCode" /> <max value="0" /> </element> <element id="Procedure.reasonReference"> <path value="Procedure.reasonReference" /> <max value="0" /> </element> <element id="Procedure.bodySite"> <path value="Procedure.bodySite" /> <max value="0" /> </element> <element id="Procedure.outcome"> <path value="Procedure.outcome" /> <max value="0" /> </element> <element id="Procedure.report"> <path value="Procedure.report" /> <max value="0" /> </element> <element id="Procedure.complication"> <path value="Procedure.complication" /> <max value="0" /> </element> <element id="Procedure.complicationDetail"> <path value="Procedure.complicationDetail" /> <max value="0" /> </element> <element id="Procedure.followUp"> <path value="Procedure.followUp" /> <max value="0" /> </element> <element id="Procedure.note"> <path value="Procedure.note" /> <short value="Resultado ou observações do procedimento" /> <definition value="Possibilita realizar anotações acerca do desfecho e observações do procedimento." /> <mustSupport value="false" /> </element> <element id="Procedure.note.author[x]"> <path value="Procedure.note.author[x]" /> <max value="0" /> </element> <element id="Procedure.note.time"> <path value="Procedure.note.time" /> <max value="0" /> </element> <element id="Procedure.note.text"> <path value="Procedure.note.text" /> <mustSupport value="true" /> </element> <element id="Procedure.focalDevice"> <path value="Procedure.focalDevice" /> <max value="0" /> </element> <element id="Procedure.usedReference"> <path value="Procedure.usedReference" /> <max value="0" /> </element> <element id="Procedure.usedCode"> <path value="Procedure.usedCode" /> <max value="0" /> </element> </differential> </StructureDefinition>