{
  "resourceType": "StructureDefinition",
  "id": "BRRegulacaoAssistencial",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2025-08-04T03:47:26.2750816+00:00"
  },
  "language": "pt-BR",
  "url": "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRegulacaoAssistencial",
  "version": "1.0",
  "name": "BRRegulacaoAssistencial",
  "title": "Regulação Assistencial",
  "status": "active",
  "date": "2023-04-04",
  "publisher": "Ministério da Saúde do Brasil",
  "description": "Documento público que coleta os dados da regulação assistencial",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Composition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Composition",
        "path": "Composition",
        "short": "Regulação Assistencial",
        "definition": "Documento que representa o documento de regulação assistencial.",
        "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.id",
        "path": "Composition.type.id",
        "max": "0"
      },
      {
        "id": "Composition.type.coding",
        "path": "Composition.type.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.type.coding.id",
        "path": "Composition.type.coding.id",
        "max": "0"
      },
      {
        "id": "Composition.type.coding.system",
        "path": "Composition.type.coding.system",
        "min": 1
      },
      {
        "id": "Composition.type.coding.code",
        "path": "Composition.type.coding.code",
        "min": 1,
        "fixedCode": "RA"
      },
      {
        "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": "Modalidade assistencial que gerou a solicitação do procedimento.",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Modalidade Assistencial",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeAssistencialMIRA"
        }
      },
      {
        "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": "Identificador do paciente",
        "definition": "Identificação única do paciente, por meio de CPF ou CNS.",
        "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: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",
        "min": 3
      },
      {
        "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": "Autor do documento",
        "definition": "Identifica o Estabelecimento de Saúde, 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/BREstabelecimentoSaude-1.0",
              "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",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code.coding.code"
            }
          ],
          "rules": "open"
        },
        "short": "Status da Solicitação",
        "definition": "Definição dos eventos de um processo de regulação. Neste elemento será preenchido o código que identifica unicamente o status da solicitação, conforme tabela de status de solicitação.",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.event:pending",
        "path": "Composition.event",
        "sliceName": "pending",
        "short": "Evento de solicitação de procedimento regulado",
        "definition": "Evento destinado a modelar a solicitação de um serviço, bem como o estabelecimento solicitante.",
        "max": "1",
        "constraint": [
          {
            "key": "mira-2",
            "severity": "error",
            "human": "A Data de Agendamento (Appointment.start e Appointment.end) não pode estar preenchida caso o status da solicitação seja Pendente (pending).",
            "expression": "code.coding.exists(code = 'pending') implies %resource.section.entry.resolve().start.empty() and %resource.section.entry.resolve().end.empty()"
          },
          {
            "key": "mira-3",
            "severity": "error",
            "human": "A Data de Execução (ServiceRequest.ocurrenceDateTime) não pode estar preenchida caso o status da solicitação seja Pendente (pending).",
            "expression": "code.coding.exists(code = 'pending') implies %resource.section.entry.resolve().basedOn.resolve().occurrenceDateTime.empty()"
          },
          {
            "key": "mira-4",
            "severity": "error",
            "human": "O identificador do Estabelecimento de Saúde executante (ServiceRequest.performer) não pode estar preenchido caso o status da solicitação seja Pendente (pending).",
            "expression": "code.coding.exists(code = 'pending') implies %resource.section.entry.resolve().basedOn.resolve().performer.empty()"
          },
          {
            "key": "mira-13",
            "severity": "error",
            "human": "Caso o status da solicitação seja Pendente (pending) o status do recurso Appointment deve ser proposed e o status do recurso ServiceRequest deve ser active.",
            "expression": "code.coding.exists(code = 'pending') implies %resource.section.entry.resolve().status = 'proposed' and %resource.section.entry.resolve().basedOn.resolve().status = 'active'"
          }
        ]
      },
      {
        "id": "Composition.event:pending.id",
        "path": "Composition.event.id",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.code",
        "path": "Composition.event.code",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "O código que identifica unicamente o status da solicitação.",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRStatusRegulacaoAssistencial"
        }
      },
      {
        "id": "Composition.event:pending.code.id",
        "path": "Composition.event.code.id",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.code.coding",
        "path": "Composition.event.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.event:pending.code.coding.system",
        "path": "Composition.event.code.coding.system",
        "min": 1
      },
      {
        "id": "Composition.event:pending.code.coding.code",
        "path": "Composition.event.code.coding.code",
        "min": 1,
        "fixedCode": "pending",
        "condition": [
          "mira-2",
          "mira-3",
          "mira-4",
          "mira-13"
        ]
      },
      {
        "id": "Composition.event:pending.code.coding.userSelected",
        "path": "Composition.event.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.code.text",
        "path": "Composition.event.code.text",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.period",
        "path": "Composition.event.period",
        "short": "Data e hora de alteração do status",
        "definition": "Data e hora em que o status da solicitação de procedimento regulado foi alterado no sistema de origem dos dados.",
        "min": 1
      },
      {
        "id": "Composition.event:pending.period.id",
        "path": "Composition.event.period.id",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.period.end",
        "path": "Composition.event.period.end",
        "min": 1
      },
      {
        "id": "Composition.event:pending.detail",
        "path": "Composition.event.detail",
        "short": "Detalhes sobre o status da solicitação do procedimento regulado",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0",
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRequisicaoRegulacaoAssistencial"
            ]
          }
        ]
      },
      {
        "id": "Composition.event:pending.detail.id",
        "path": "Composition.event.detail.id",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.detail.type",
        "path": "Composition.event.detail.type",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.detail.identifier",
        "path": "Composition.event.detail.identifier",
        "short": "Estabelecimento de saúde que realizou a alteração do status",
        "definition": "Identificação única do estabelecimento que realizou a alteração do status da solicitação de procedimento regulado, por meio do CNES."
      },
      {
        "id": "Composition.event:pending.detail.identifier.id",
        "path": "Composition.event.detail.identifier.id",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.detail.identifier.use",
        "path": "Composition.event.detail.identifier.use",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.detail.identifier.type",
        "path": "Composition.event.detail.identifier.type",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.detail.identifier.type.id",
        "path": "Composition.event.detail.identifier.type.id",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.detail.identifier.type.coding",
        "path": "Composition.event.detail.identifier.type.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.event:pending.detail.identifier.type.coding.id",
        "path": "Composition.event.detail.identifier.type.coding.id",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.detail.identifier.type.coding.system",
        "path": "Composition.event.detail.identifier.type.coding.system",
        "min": 1
      },
      {
        "id": "Composition.event:pending.detail.identifier.type.coding.code",
        "path": "Composition.event.detail.identifier.type.coding.code",
        "min": 1
      },
      {
        "id": "Composition.event:pending.detail.identifier.type.coding.userSelected",
        "path": "Composition.event.detail.identifier.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.detail.identifier.type.text",
        "path": "Composition.event.detail.identifier.type.text",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.detail.identifier.system",
        "path": "Composition.event.detail.identifier.system",
        "min": 1
      },
      {
        "id": "Composition.event:pending.detail.identifier.value",
        "path": "Composition.event.detail.identifier.value",
        "min": 1
      },
      {
        "id": "Composition.event:pending.detail.identifier.period",
        "path": "Composition.event.detail.identifier.period",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.detail.identifier.assigner",
        "path": "Composition.event.detail.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Composition.event:pending.detail.display",
        "path": "Composition.event.detail.display",
        "max": "0"
      },
      {
        "id": "Composition.event:returned-to-requester",
        "path": "Composition.event",
        "sliceName": "returned-to-requester",
        "short": "Evento de devolução ao solicitante",
        "definition": "Evento destinado a modelar a devolução (feita por um estabelecimento regulador) de um serviço ao estabelecimento solicitante.",
        "max": "1",
        "constraint": [
          {
            "key": "mira-14",
            "severity": "error",
            "human": "Caso o status da solicitação seja Devolvido para o solicitante (returned-to-requester) o status do recurso Appointment deve ser waitlist e o status do recurso ServiceRequest deve ser on-hold.",
            "expression": "code.coding.exists(code = 'returned-to-requester') implies %resource.section.entry.resolve().status = 'waitlist' and %resource.section.entry.resolve().basedOn.resolve().status = 'on-hold'"
          }
        ]
      },
      {
        "id": "Composition.event:returned-to-requester.id",
        "path": "Composition.event.id",
        "max": "0"
      },
      {
        "id": "Composition.event:returned-to-requester.code",
        "path": "Composition.event.code",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "O código que identifica unicamente o status da solicitação.",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRStatusRegulacaoAssistencial"
        }
      },
      {
        "id": "Composition.event:returned-to-requester.code.id",
        "path": "Composition.event.code.id",
        "max": "0"
      },
      {
        "id": "Composition.event:returned-to-requester.code.coding",
        "path": "Composition.event.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.event:returned-to-requester.code.coding.id",
        "path": "Composition.event.code.coding.id",
        "max": "0"
      },
      {
        "id": "Composition.event:returned-to-requester.code.coding.system",
        "path": "Composition.event.code.coding.system",
        "min": 1
      },
      {
        "id": "Composition.event:returned-to-requester.code.coding.code",
        "path": "Composition.event.code.coding.code",
        "min": 1,
        "fixedCode": "returned-to-requester",
        "condition": [
          "mira-14"
        ]
      },
      {
        "id": "Composition.event:returned-to-requester.code.coding.userSelected",
        "path": "Composition.event.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Composition.event:returned-to-requester.code.text",
        "path": "Composition.event.code.text",
        "max": "0"
      },
      {
        "id": "Composition.event:returned-to-requester.period",
        "path": "Composition.event.period",
        "short": "Data e hora de alteração do status",
        "definition": "Data e hora em que o status da solicitação de procedimento regulado foi alterado no sistema de origem dos dados.",
        "min": 1
      },
      {
        "id": "Composition.event:returned-to-requester.period.id",
        "path": "Composition.event.period.id",
        "max": "0"
      },
      {
        "id": "Composition.event:returned-to-requester.period.end",
        "path": "Composition.event.period.end",
        "min": 1
      },
      {
        "id": "Composition.event:returned-to-requester.detail",
        "path": "Composition.event.detail",
        "short": "Detalhes sobre o status da solicitação do procedimento regulado",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0"
            ]
          }
        ]
      },
      {
        "id": "Composition.event:returned-to-requester.detail.id",
        "path": "Composition.event.detail.id",
        "max": "0"
      },
      {
        "id": "Composition.event:returned-to-requester.detail.reference",
        "path": "Composition.event.detail.reference",
        "max": "0"
      },
      {
        "id": "Composition.event:returned-to-requester.detail.type",
        "path": "Composition.event.detail.type",
        "max": "0"
      },
      {
        "id": "Composition.event:returned-to-requester.detail.identifier",
        "path": "Composition.event.detail.identifier",
        "short": "Estabelecimento de saúde que realizou a alteração do status",
        "definition": "Identificação única do estabelecimento que realizou a alteração do status da solicitação de procedimento regulado, por meio do CNES."
      },
      {
        "id": "Composition.event:returned-to-requester.detail.identifier.id",
        "path": "Composition.event.detail.identifier.id",
        "max": "0"
      },
      {
        "id": "Composition.event:returned-to-requester.detail.identifier.use",
        "path": "Composition.event.detail.identifier.use",
        "max": "0"
      },
      {
        "id": "Composition.event:returned-to-requester.detail.identifier.type",
        "path": "Composition.event.detail.identifier.type",
        "max": "0"
      },
      {
        "id": "Composition.event:returned-to-requester.detail.identifier.system",
        "path": "Composition.event.detail.identifier.system",
        "min": 1
      },
      {
        "id": "Composition.event:returned-to-requester.detail.identifier.value",
        "path": "Composition.event.detail.identifier.value",
        "min": 1
      },
      {
        "id": "Composition.event:returned-to-requester.detail.identifier.period",
        "path": "Composition.event.detail.identifier.period",
        "max": "0"
      },
      {
        "id": "Composition.event:returned-to-requester.detail.identifier.assigner",
        "path": "Composition.event.detail.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Composition.event:returned-to-requester.detail.display",
        "path": "Composition.event.detail.display",
        "max": "0"
      },
      {
        "id": "Composition.event:booked",
        "path": "Composition.event",
        "sliceName": "booked",
        "short": "Evento de agendamento de procedimento regulado",
        "definition": "Evento destinado a modelar o agendamento de um serviço, bem como o estabelecimento executante.",
        "max": "1",
        "constraint": [
          {
            "key": "mira-5",
            "severity": "error",
            "human": "A Data de Agendamento (Appointment.start e Appointment.end) deve ser preenchida caso o status da solicitação seja Agendado (booked).",
            "expression": "code.coding.exists(code = 'booked') implies %resource.section.entry.resolve().start.exists() and %resource.section.entry.resolve().end.exists()"
          },
          {
            "key": "mira-6",
            "severity": "error",
            "human": "O identificador do Estabelecimento de Saúde executante (ServiceRequest.performer) deve ser preenchido caso o status da solicitação seja Agendado (booked).",
            "expression": "code.coding.exists(code = 'booked') implies %resource.section.entry.resolve().basedOn.resolve().performer.exists()"
          },
          {
            "key": "mira-15",
            "severity": "error",
            "human": "Caso o status da solicitação seja Agendado (booked) o status do recurso Appointment deve ser booked e o status do recurso ServiceRequest deve ser active.",
            "expression": "code.coding.exists(code = 'booked') implies %resource.section.entry.resolve().status = 'booked' and %resource.section.entry.resolve().basedOn.resolve().status = 'active'"
          }
        ]
      },
      {
        "id": "Composition.event:booked.id",
        "path": "Composition.event.id",
        "max": "0"
      },
      {
        "id": "Composition.event:booked.code",
        "path": "Composition.event.code",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "O código que identifica unicamente o status da solicitação.",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRStatusRegulacaoAssistencial"
        }
      },
      {
        "id": "Composition.event:booked.code.id",
        "path": "Composition.event.code.id",
        "max": "0"
      },
      {
        "id": "Composition.event:booked.code.coding",
        "path": "Composition.event.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.event:booked.code.coding.id",
        "path": "Composition.event.code.coding.id",
        "max": "0"
      },
      {
        "id": "Composition.event:booked.code.coding.system",
        "path": "Composition.event.code.coding.system",
        "min": 1
      },
      {
        "id": "Composition.event:booked.code.coding.code",
        "path": "Composition.event.code.coding.code",
        "min": 1,
        "fixedCode": "booked",
        "condition": [
          "mira-5",
          "mira-6",
          "mira-15"
        ]
      },
      {
        "id": "Composition.event:booked.code.coding.userSelected",
        "path": "Composition.event.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Composition.event:booked.code.text",
        "path": "Composition.event.code.text",
        "max": "0"
      },
      {
        "id": "Composition.event:booked.period",
        "path": "Composition.event.period",
        "short": "Data e hora de alteração do status",
        "definition": "Data e hora em que o status da solicitação de procedimento regulado foi alterado no sistema de origem dos dados.",
        "min": 1
      },
      {
        "id": "Composition.event:booked.period.id",
        "path": "Composition.event.period.id",
        "max": "0"
      },
      {
        "id": "Composition.event:booked.period.end",
        "path": "Composition.event.period.end",
        "min": 1
      },
      {
        "id": "Composition.event:booked.detail",
        "path": "Composition.event.detail",
        "short": "Detalhes sobre o status da solicitação do procedimento regulado",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0",
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRAgendamentoRegulacaoAssistencial"
            ]
          }
        ]
      },
      {
        "id": "Composition.event:booked.detail.id",
        "path": "Composition.event.detail.id",
        "max": "0"
      },
      {
        "id": "Composition.event:booked.detail.type",
        "path": "Composition.event.detail.type",
        "max": "0"
      },
      {
        "id": "Composition.event:booked.detail.identifier",
        "path": "Composition.event.detail.identifier",
        "short": "Estabelecimento de saúde que realizou a alteração do status",
        "definition": "Identificação única do estabelecimento que realizou a alteração do status da solicitação de procedimento regulado, por meio do CNES."
      },
      {
        "id": "Composition.event:booked.detail.identifier.id",
        "path": "Composition.event.detail.identifier.id",
        "max": "0"
      },
      {
        "id": "Composition.event:booked.detail.identifier.use",
        "path": "Composition.event.detail.identifier.use",
        "max": "0"
      },
      {
        "id": "Composition.event:booked.detail.identifier.type",
        "path": "Composition.event.detail.identifier.type",
        "max": "0"
      },
      {
        "id": "Composition.event:booked.detail.identifier.system",
        "path": "Composition.event.detail.identifier.system",
        "min": 1
      },
      {
        "id": "Composition.event:booked.detail.identifier.value",
        "path": "Composition.event.detail.identifier.value",
        "min": 1
      },
      {
        "id": "Composition.event:booked.detail.identifier.period",
        "path": "Composition.event.detail.identifier.period",
        "max": "0"
      },
      {
        "id": "Composition.event:booked.detail.identifier.assigner",
        "path": "Composition.event.detail.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Composition.event:booked.detail.display",
        "path": "Composition.event.detail.display",
        "max": "0"
      },
      {
        "id": "Composition.event:attended",
        "path": "Composition.event",
        "sliceName": "attended",
        "short": "Evento de atendimento de procedimento regulado",
        "definition": "Evento destinado a modelar o atendimento de um serviço, bem como o estabelecimento executante.",
        "max": "1",
        "constraint": [
          {
            "key": "mira-7",
            "severity": "error",
            "human": "A Data de Agendamento (Appointment.start e Appointment.end) deve ser preenchida caso o status da solicitação seja Atendido/Internado (attended).",
            "expression": "code.coding.exists(code = 'attended') implies %resource.section.entry.resolve().start.exists() and %resource.section.entry.resolve().end.exists()"
          },
          {
            "key": "mira-8",
            "severity": "error",
            "human": "O identificador do Estabelecimento de Saúde executante (ServiceRequest.performer) deve ser preenchido caso o status da solicitação seja Atendido/Internado (attended).",
            "expression": "code.coding.exists(code = 'attended') implies %resource.section.entry.resolve().basedOn.resolve().performer.exists()"
          },
          {
            "key": "mira-9",
            "severity": "error",
            "human": "A Data de Execução (ServiceRequest.ocurrenceDateTime) deve ser preenchida caso o status da solicitação seja Atendido/Internado (attended).",
            "expression": "code.coding.exists(code = 'attended') implies %resource.section.entry.resolve().basedOn.resolve().occurrenceDateTime.exists()"
          },
          {
            "key": "mira-16",
            "severity": "error",
            "human": "Caso o status da solicitação seja Atendido/Internado (attended) o status do recurso Appointment deve ser fulfilled e o status do recurso ServiceRequest deve ser completed.",
            "expression": "code.coding.exists(code = 'attended') implies %resource.section.entry.resolve().status = 'fulfilled' and %resource.section.entry.resolve().basedOn.resolve().status = 'completed'"
          }
        ]
      },
      {
        "id": "Composition.event:attended.id",
        "path": "Composition.event.id",
        "max": "0"
      },
      {
        "id": "Composition.event:attended.code",
        "path": "Composition.event.code",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "O código que identifica unicamente o status da solicitação.",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRStatusRegulacaoAssistencial"
        }
      },
      {
        "id": "Composition.event:attended.code.id",
        "path": "Composition.event.code.id",
        "max": "0"
      },
      {
        "id": "Composition.event:attended.code.coding",
        "path": "Composition.event.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.event:attended.code.coding.id",
        "path": "Composition.event.code.coding.id",
        "max": "0"
      },
      {
        "id": "Composition.event:attended.code.coding.system",
        "path": "Composition.event.code.coding.system",
        "min": 1
      },
      {
        "id": "Composition.event:attended.code.coding.code",
        "path": "Composition.event.code.coding.code",
        "min": 1,
        "fixedCode": "attended",
        "condition": [
          "mira-7",
          "mira-8",
          "mira-9",
          "mira-16"
        ]
      },
      {
        "id": "Composition.event:attended.code.coding.userSelected",
        "path": "Composition.event.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Composition.event:attended.code.text",
        "path": "Composition.event.code.text",
        "max": "0"
      },
      {
        "id": "Composition.event:attended.period",
        "path": "Composition.event.period",
        "short": "Data e hora de alteração do status",
        "definition": "Data e hora em que o status da solicitação de procedimento regulado foi alterado no sistema de origem dos dados.",
        "min": 1
      },
      {
        "id": "Composition.event:attended.period.id",
        "path": "Composition.event.period.id",
        "max": "0"
      },
      {
        "id": "Composition.event:attended.period.end",
        "path": "Composition.event.period.end",
        "min": 1
      },
      {
        "id": "Composition.event:attended.detail",
        "path": "Composition.event.detail",
        "short": "Detalhes sobre o status da solicitação do procedimento regulado",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0",
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRAgendamentoRegulacaoAssistencial"
            ]
          }
        ]
      },
      {
        "id": "Composition.event:attended.detail.id",
        "path": "Composition.event.detail.id",
        "max": "0"
      },
      {
        "id": "Composition.event:attended.detail.type",
        "path": "Composition.event.detail.type",
        "max": "0"
      },
      {
        "id": "Composition.event:attended.detail.identifier",
        "path": "Composition.event.detail.identifier",
        "short": "Estabelecimento de saúde que realizou a alteração do status",
        "definition": "Identificação única do estabelecimento que realizou a alteração do status da solicitação de procedimento regulado, por meio do CNES."
      },
      {
        "id": "Composition.event:attended.detail.identifier.id",
        "path": "Composition.event.detail.identifier.id",
        "max": "0"
      },
      {
        "id": "Composition.event:attended.detail.identifier.use",
        "path": "Composition.event.detail.identifier.use",
        "max": "0"
      },
      {
        "id": "Composition.event:attended.detail.identifier.type",
        "path": "Composition.event.detail.identifier.type",
        "max": "0"
      },
      {
        "id": "Composition.event:attended.detail.identifier.system",
        "path": "Composition.event.detail.identifier.system",
        "min": 1
      },
      {
        "id": "Composition.event:attended.detail.identifier.value",
        "path": "Composition.event.detail.identifier.value",
        "min": 1
      },
      {
        "id": "Composition.event:attended.detail.identifier.period",
        "path": "Composition.event.detail.identifier.period",
        "max": "0"
      },
      {
        "id": "Composition.event:attended.detail.identifier.assigner",
        "path": "Composition.event.detail.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Composition.event:attended.detail.display",
        "path": "Composition.event.detail.display",
        "max": "0"
      },
      {
        "id": "Composition.event:cancelled",
        "path": "Composition.event",
        "sliceName": "cancelled",
        "max": "1",
        "constraint": [
          {
            "key": "mira-17",
            "severity": "error",
            "human": "Caso o status da solicitação seja Negado/Cancelado (cancelled) o status do recurso Appointment deve ser cancelled e o status do recurso ServiceRequest deve ser revoked.",
            "expression": "code.coding.exists(code = 'cancelled') implies %resource.section.entry.resolve().status = 'cancelled' and %resource.section.entry.resolve().basedOn.resolve().status = 'revoked'"
          }
        ]
      },
      {
        "id": "Composition.event:cancelled.id",
        "path": "Composition.event.id",
        "max": "0"
      },
      {
        "id": "Composition.event:cancelled.code",
        "path": "Composition.event.code",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "O código que identifica unicamente o status da solicitação.",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRStatusRegulacaoAssistencial"
        }
      },
      {
        "id": "Composition.event:cancelled.code.id",
        "path": "Composition.event.code.id",
        "max": "0"
      },
      {
        "id": "Composition.event:cancelled.code.coding",
        "path": "Composition.event.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.event:cancelled.code.coding.id",
        "path": "Composition.event.code.coding.id",
        "max": "0"
      },
      {
        "id": "Composition.event:cancelled.code.coding.system",
        "path": "Composition.event.code.coding.system",
        "min": 1
      },
      {
        "id": "Composition.event:cancelled.code.coding.code",
        "path": "Composition.event.code.coding.code",
        "min": 1,
        "fixedCode": "cancelled",
        "condition": [
          "mira-17"
        ]
      },
      {
        "id": "Composition.event:cancelled.code.coding.userSelected",
        "path": "Composition.event.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Composition.event:cancelled.code.text",
        "path": "Composition.event.code.text",
        "max": "0"
      },
      {
        "id": "Composition.event:cancelled.period",
        "path": "Composition.event.period",
        "short": "Data e hora de alteração do status",
        "definition": "Data e hora em que o status da solicitação de procedimento regulado foi alterado no sistema de origem dos dados.",
        "min": 1
      },
      {
        "id": "Composition.event:cancelled.period.id",
        "path": "Composition.event.period.id",
        "max": "0"
      },
      {
        "id": "Composition.event:cancelled.period.end",
        "path": "Composition.event.period.end",
        "min": 1
      },
      {
        "id": "Composition.event:cancelled.detail",
        "path": "Composition.event.detail",
        "short": "Detalhes sobre o status da solicitação do procedimento regulado",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0"
            ]
          }
        ]
      },
      {
        "id": "Composition.event:cancelled.detail.id",
        "path": "Composition.event.detail.id",
        "max": "0"
      },
      {
        "id": "Composition.event:cancelled.detail.type",
        "path": "Composition.event.detail.type",
        "max": "0"
      },
      {
        "id": "Composition.event:cancelled.detail.identifier",
        "path": "Composition.event.detail.identifier",
        "short": "Estabelecimento de saúde que realizou a alteração do status",
        "definition": "Identificação única do estabelecimento que realizou a alteração do status da solicitação de procedimento regulado, por meio do CNES."
      },
      {
        "id": "Composition.event:cancelled.detail.identifier.id",
        "path": "Composition.event.detail.identifier.id",
        "max": "0"
      },
      {
        "id": "Composition.event:cancelled.detail.identifier.use",
        "path": "Composition.event.detail.identifier.use",
        "max": "0"
      },
      {
        "id": "Composition.event:cancelled.detail.identifier.type",
        "path": "Composition.event.detail.identifier.type",
        "max": "0"
      },
      {
        "id": "Composition.event:cancelled.detail.identifier.system",
        "path": "Composition.event.detail.identifier.system",
        "min": 1
      },
      {
        "id": "Composition.event:cancelled.detail.identifier.value",
        "path": "Composition.event.detail.identifier.value",
        "min": 1
      },
      {
        "id": "Composition.event:cancelled.detail.identifier.period",
        "path": "Composition.event.detail.identifier.period",
        "max": "0"
      },
      {
        "id": "Composition.event:cancelled.detail.identifier.assigner",
        "path": "Composition.event.detail.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Composition.event:cancelled.detail.display",
        "path": "Composition.event.detail.display",
        "max": "0"
      },
      {
        "id": "Composition.event:absence",
        "path": "Composition.event",
        "sliceName": "absence",
        "max": "1",
        "constraint": [
          {
            "key": "mira-10",
            "severity": "error",
            "human": "A Data de Agendamento (Appointment.start e Appointment.end) deve ser preenchida caso o status da solicitação seja Falta (absence).",
            "expression": "code.coding.exists(code = 'absence') implies %resource.section.entry.resolve().start.exists() and %resource.section.entry.resolve().end.exists()"
          },
          {
            "key": "mira-11",
            "severity": "error",
            "human": "O identificador do Estabelecimento de Saúde executante (ServiceRequest.performer) deve ser preenchido caso o status da solicitação seja Falta (absence).",
            "expression": "code.coding.exists(code = 'absence') implies %resource.section.entry.resolve().basedOn.resolve().performer.exists()"
          },
          {
            "key": "mira-12",
            "severity": "error",
            "human": "A Data de Execução (ServiceRequest.ocurrenceDateTime) deve ser preenchida caso o status da solicitação seja Falta (absence).",
            "expression": "code.coding.exists(code = 'absence') implies %resource.section.entry.resolve().basedOn.resolve().occurrenceDateTime.exists()"
          },
          {
            "key": "mira-18",
            "severity": "error",
            "human": "Caso o status da solicitação seja Falta (absence) o status do recurso Appointment deve ser noshow e o status do recurso ServiceRequest deve ser completed.",
            "expression": "code.coding.exists(code = 'absence') implies %resource.section.entry.resolve().status = 'noshow' and %resource.section.entry.resolve().basedOn.resolve().status = 'completed'"
          }
        ]
      },
      {
        "id": "Composition.event:absence.id",
        "path": "Composition.event.id",
        "max": "0"
      },
      {
        "id": "Composition.event:absence.code",
        "path": "Composition.event.code",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "O código que identifica unicamente o status da solicitação.",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRStatusRegulacaoAssistencial"
        }
      },
      {
        "id": "Composition.event:absence.code.id",
        "path": "Composition.event.code.id",
        "max": "0"
      },
      {
        "id": "Composition.event:absence.code.coding",
        "path": "Composition.event.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.event:absence.code.coding.id",
        "path": "Composition.event.code.coding.id",
        "max": "0"
      },
      {
        "id": "Composition.event:absence.code.coding.system",
        "path": "Composition.event.code.coding.system",
        "min": 1
      },
      {
        "id": "Composition.event:absence.code.coding.code",
        "path": "Composition.event.code.coding.code",
        "fixedCode": "absence",
        "condition": [
          "mira-10",
          "mira-11",
          "mira-12",
          "mira-18"
        ]
      },
      {
        "id": "Composition.event:absence.code.coding.userSelected",
        "path": "Composition.event.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Composition.event:absence.code.text",
        "path": "Composition.event.code.text",
        "max": "0"
      },
      {
        "id": "Composition.event:absence.period",
        "path": "Composition.event.period",
        "short": "Data e hora de alteração do status",
        "definition": "Data e hora em que o status da solicitação de procedimento regulado foi alterado no sistema de origem dos dados.",
        "min": 1
      },
      {
        "id": "Composition.event:absence.period.id",
        "path": "Composition.event.period.id",
        "max": "0"
      },
      {
        "id": "Composition.event:absence.period.end",
        "path": "Composition.event.period.end",
        "min": 1
      },
      {
        "id": "Composition.event:absence.detail",
        "path": "Composition.event.detail",
        "short": "Detalhes sobre o status da solicitação do procedimento regulado",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0",
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRAgendamentoRegulacaoAssistencial"
            ]
          }
        ]
      },
      {
        "id": "Composition.event:absence.detail.id",
        "path": "Composition.event.detail.id",
        "max": "0"
      },
      {
        "id": "Composition.event:absence.detail.type",
        "path": "Composition.event.detail.type",
        "max": "0"
      },
      {
        "id": "Composition.event:absence.detail.identifier",
        "path": "Composition.event.detail.identifier",
        "short": "Estabelecimento de saúde que realizou a alteração do status",
        "definition": "Identificação única do estabelecimento que realizou a alteração do status da solicitação de procedimento regulado, por meio do CNES."
      },
      {
        "id": "Composition.event:absence.detail.identifier.id",
        "path": "Composition.event.detail.identifier.id",
        "max": "0"
      },
      {
        "id": "Composition.event:absence.detail.identifier.use",
        "path": "Composition.event.detail.identifier.use",
        "max": "0"
      },
      {
        "id": "Composition.event:absence.detail.identifier.type",
        "path": "Composition.event.detail.identifier.type",
        "max": "0"
      },
      {
        "id": "Composition.event:absence.detail.identifier.system",
        "path": "Composition.event.detail.identifier.system",
        "min": 1
      },
      {
        "id": "Composition.event:absence.detail.identifier.value",
        "path": "Composition.event.detail.identifier.value",
        "min": 1
      },
      {
        "id": "Composition.event:absence.detail.identifier.period",
        "path": "Composition.event.detail.identifier.period",
        "max": "0"
      },
      {
        "id": "Composition.event:absence.detail.identifier.assigner",
        "path": "Composition.event.detail.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Composition.event:absence.detail.display",
        "path": "Composition.event.detail.display",
        "max": "0"
      },
      {
        "id": "Composition.event:excluded",
        "path": "Composition.event",
        "sliceName": "excluded",
        "max": "1",
        "constraint": [
          {
            "key": "mira-19",
            "severity": "error",
            "human": "Caso o status da solicitação seja Excluído (excluded) o status do recurso Appointment deve ser cancelled e o status do recurso ServiceRequest deve ser revoked.",
            "expression": "code.coding.exists(code = 'excluded') implies %resource.section.entry.resolve().status = 'cancelled' and %resource.section.entry.resolve().basedOn.resolve().status = 'revoked'"
          }
        ]
      },
      {
        "id": "Composition.event:excluded.id",
        "path": "Composition.event.id",
        "max": "0"
      },
      {
        "id": "Composition.event:excluded.code",
        "path": "Composition.event.code",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "O código que identifica unicamente o status da solicitação.",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRStatusRegulacaoAssistencial"
        }
      },
      {
        "id": "Composition.event:excluded.code.id",
        "path": "Composition.event.code.id",
        "max": "0"
      },
      {
        "id": "Composition.event:excluded.code.coding",
        "path": "Composition.event.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.event:excluded.code.coding.id",
        "path": "Composition.event.code.coding.id",
        "max": "0"
      },
      {
        "id": "Composition.event:excluded.code.coding.system",
        "path": "Composition.event.code.coding.system",
        "min": 1
      },
      {
        "id": "Composition.event:excluded.code.coding.code",
        "path": "Composition.event.code.coding.code",
        "min": 1,
        "fixedCode": "excluded",
        "condition": [
          "mira-19"
        ]
      },
      {
        "id": "Composition.event:excluded.code.coding.userSelected",
        "path": "Composition.event.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Composition.event:excluded.code.text",
        "path": "Composition.event.code.text",
        "max": "0"
      },
      {
        "id": "Composition.event:excluded.period",
        "path": "Composition.event.period",
        "short": "Data e hora de alteração do status",
        "definition": "Data e hora em que o status da solicitação de procedimento regulado foi alterado no sistema de origem dos dados.",
        "min": 1
      },
      {
        "id": "Composition.event:excluded.period.id",
        "path": "Composition.event.period.id",
        "max": "0"
      },
      {
        "id": "Composition.event:excluded.period.end",
        "path": "Composition.event.period.end",
        "min": 1
      },
      {
        "id": "Composition.event:excluded.detail",
        "path": "Composition.event.detail",
        "short": "Detalhes sobre o status da solicitação do procedimento regulado"
      },
      {
        "id": "Composition.event:excluded.detail.id",
        "path": "Composition.event.detail.id",
        "max": "0"
      },
      {
        "id": "Composition.event:excluded.detail.type",
        "path": "Composition.event.detail.type",
        "max": "0"
      },
      {
        "id": "Composition.event:excluded.detail.identifier",
        "path": "Composition.event.detail.identifier",
        "short": "Estabelecimento de saúde que realizou a alteração do status",
        "definition": "Identificação única do estabelecimento que realizou a alteração do status da solicitação de procedimento regulado, por meio do CNES."
      },
      {
        "id": "Composition.event:excluded.detail.identifier.id",
        "path": "Composition.event.detail.identifier.id",
        "max": "0"
      },
      {
        "id": "Composition.event:excluded.detail.identifier.use",
        "path": "Composition.event.detail.identifier.use",
        "max": "0"
      },
      {
        "id": "Composition.event:excluded.detail.identifier.type",
        "path": "Composition.event.detail.identifier.type",
        "max": "0"
      },
      {
        "id": "Composition.event:excluded.detail.identifier.system",
        "path": "Composition.event.detail.identifier.system",
        "min": 1
      },
      {
        "id": "Composition.event:excluded.detail.identifier.value",
        "path": "Composition.event.detail.identifier.value",
        "min": 1
      },
      {
        "id": "Composition.event:excluded.detail.identifier.period",
        "path": "Composition.event.detail.identifier.period",
        "max": "0"
      },
      {
        "id": "Composition.event:excluded.detail.identifier.assigner",
        "path": "Composition.event.detail.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Composition.event:excluded.detail.display",
        "path": "Composition.event.detail.display",
        "max": "0"
      },
      {
        "id": "Composition.section",
        "path": "Composition.section",
        "short": "Seções do documento",
        "definition": "Referencia todas as seções (profiles/resources) contidos neste documento.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section.id",
        "path": "Composition.section.id",
        "max": "0"
      },
      {
        "id": "Composition.section.title",
        "path": "Composition.section.title",
        "max": "0"
      },
      {
        "id": "Composition.section.code",
        "path": "Composition.section.code",
        "max": "0"
      },
      {
        "id": "Composition.section.author",
        "path": "Composition.section.author",
        "max": "0"
      },
      {
        "id": "Composition.section.focus",
        "path": "Composition.section.focus",
        "max": "0"
      },
      {
        "id": "Composition.section.text",
        "path": "Composition.section.text",
        "max": "0"
      },
      {
        "id": "Composition.section.mode",
        "path": "Composition.section.mode",
        "max": "0"
      },
      {
        "id": "Composition.section.orderedBy",
        "path": "Composition.section.orderedBy",
        "max": "0"
      },
      {
        "id": "Composition.section.entry",
        "path": "Composition.section.entry",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRAgendamentoRegulacaoAssistencial"
            ]
          }
        ]
      },
      {
        "id": "Composition.section.entry.id",
        "path": "Composition.section.entry.id",
        "max": "0"
      },
      {
        "id": "Composition.section.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1
      },
      {
        "id": "Composition.section.entry.type",
        "path": "Composition.section.entry.type",
        "max": "0"
      },
      {
        "id": "Composition.section.entry.identifier",
        "path": "Composition.section.entry.identifier",
        "max": "0"
      },
      {
        "id": "Composition.section.entry.display",
        "path": "Composition.section.entry.display",
        "max": "0"
      },
      {
        "id": "Composition.section.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section.section",
        "path": "Composition.section.section",
        "max": "0"
      }
    ]
  }
}