<status value="active" /> <date value="2023-04-04" /> <publisher value="Ministério da Saúde do Brasil" /> <description value="Documento público que coleta os dados da regulação assistencial" /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Composition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Composition" /> <derivation value="constraint" /> <differential> <element id="Composition"> <path value="Composition" /> <short value="Regulação Assistencial" /> <definition value="Documento que representa o documento de regulação assistencial." /> <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.id"> <path value="Composition.type.id" /> <max value="0" /> </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.id"> <path value="Composition.type.coding.id" /> <max value="0" /> </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" /> <fixedCode value="RA" /> </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="Modalidade assistencial que gerou a solicitação do procedimento." /> <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/BRModalidadeAssistencialMIRA" /> </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="Identificador do paciente" /> <definition value="Identificação única do paciente, por meio de CPF ou CNS." /> <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:unidentifiedPatient"> <path value="Composition.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/BRIndividuoNaoIdentificado-1.0" /> </type> <mustSupport value="true" /> </element> <element id="Composition.subject.extension:unidentifiedPatient.extension"> <path value="Composition.subject.extension.extension" /> <min value="3" /> </element> <element id="Composition.subject.extension:unidentifiedPatient.extension:gender"> <path value="Composition.subject.extension.extension" /> <sliceName value="gender" /> <mustSupport value="true" /> </element> <element id="Composition.subject.extension:unidentifiedPatient.extension:birthYear"> <path value="Composition.subject.extension.extension" /> <sliceName value="birthYear" /> <mustSupport value="true" /> </element> <element id="Composition.subject.extension:unidentifiedPatient.extension:reason"> <path value="Composition.subject.extension.extension" /> <sliceName value="reason" /> <mustSupport value="true" /> </element> <element id="Composition.subject.reference"> <path value="Composition.subject.reference" /> <max value="0" /> </element> <element id="Composition.subject.type"> <path value="Composition.subject.type" /> <max value="0" /> <fixedUri value="Patient" /> </element> <element id="Composition.subject.identifier.use"> <path value="Composition.subject.identifier.use" /> <max value="0" /> </element> <element id="Composition.subject.identifier.type"> <path value="Composition.subject.identifier.type" /> <max value="0" /> </element> <element id="Composition.subject.identifier.system"> <path value="Composition.subject.identifier.system" /> <min value="1" /> </element> <element id="Composition.subject.identifier.value"> <path value="Composition.subject.identifier.value" /> <min value="1" /> </element> <element id="Composition.subject.identifier.period"> <path value="Composition.subject.identifier.period" /> <max value="0" /> </element> <element id="Composition.subject.identifier.assigner"> <path value="Composition.subject.identifier.assigner" /> <max value="0" /> </element> <element id="Composition.subject.display"> <path value="Composition.subject.display" /> <max value="0" /> </element> <element id="Composition.encounter"> <path value="Composition.encounter" /> <max value="0" /> </element> <element id="Composition.date"> <path value="Composition.date" /> <short value="Data/hora de Geração do Documento" /> <definition value="Data e hora em que o documento foi gerado." /> <mustSupport value="true" /> </element> <element id="Composition.author"> <path value="Composition.author" /> <short value="Autor do documento" /> <definition value="Identifica o Estabelecimento de Saúde, 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/BREstabelecimentoSaude-1.0" /> <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" /> <slicing> <discriminator> <type value="value" /> <path value="code.coding.code" /> </discriminator> <rules value="open" /> </slicing> <short value="Status da Solicitação" /> <definition value="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 value="1" /> <max value="1" /> </element> <element id="Composition.event:pending"> <path value="Composition.event" /> <sliceName value="pending" /> <short value="Evento de solicitação de procedimento regulado" /> <definition value="Evento destinado a modelar a solicitação de um serviço, bem como o estabelecimento solicitante." /> <max value="1" /> <constraint> <key value="mira-2" /> <severity value="error" /> <human value="A Data de Agendamento (Appointment.start e Appointment.end) não pode estar preenchida caso o status da solicitação seja Pendente (pending)." /> <expression value="code.coding.exists(code = 'pending') implies %resource.section.entry.resolve().start.empty() and %resource.section.entry.resolve().end.empty()" /> </constraint> <constraint> <key value="mira-3" /> <severity value="error" /> <human value="A Data de Execução (ServiceRequest.ocurrenceDateTime) não pode estar preenchida caso o status da solicitação seja Pendente (pending)." /> <expression value="code.coding.exists(code = 'pending') implies %resource.section.entry.resolve().basedOn.resolve().occurrenceDateTime.empty()" /> </constraint> <constraint> <key value="mira-4" /> <severity value="error" /> <human value="O identificador do Estabelecimento de Saúde executante (ServiceRequest.performer) não pode estar preenchido caso o status da solicitação seja Pendente (pending)." /> <expression value="code.coding.exists(code = 'pending') implies %resource.section.entry.resolve().basedOn.resolve().performer.empty()" /> </constraint> <constraint> <key value="mira-13" /> <severity value="error" /> <human value="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 value="code.coding.exists(code = 'pending') implies %resource.section.entry.resolve().status = 'proposed' and %resource.section.entry.resolve().basedOn.resolve().status = 'active'" /> </constraint> </element> <element id="Composition.event:pending.id"> <path value="Composition.event.id" /> <max value="0" /> </element> <element id="Composition.event:pending.code"> <path value="Composition.event.code" /> <min value="1" /> <max value="1" /> <binding> <strength value="required" /> <description value="O código que identifica unicamente o status da solicitação." /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRStatusRegulacaoAssistencial" /> </binding> </element> <element id="Composition.event:pending.code.id"> <path value="Composition.event.code.id" /> <max value="0" /> </element> <element id="Composition.event:pending.code.coding"> <path value="Composition.event.code.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.event:pending.code.coding.system"> <path value="Composition.event.code.coding.system" /> <min value="1" /> </element> <element id="Composition.event:pending.code.coding.code"> <path value="Composition.event.code.coding.code" /> <min value="1" /> <fixedCode value="pending" /> <condition value="mira-2" /> <condition value="mira-3" /> <condition value="mira-4" /> <condition value="mira-13" /> </element> <element id="Composition.event:pending.code.coding.userSelected"> <path value="Composition.event.code.coding.userSelected" /> <max value="0" /> </element> <element id="Composition.event:pending.code.text"> <path value="Composition.event.code.text" /> <max value="0" /> </element> <element id="Composition.event:pending.period"> <path value="Composition.event.period" /> <short value="Data e hora de alteração do status" /> <definition value="Data e hora em que o status da solicitação de procedimento regulado foi alterado no sistema de origem dos dados." /> <min value="1" /> </element> <element id="Composition.event:pending.period.id"> <path value="Composition.event.period.id" /> <max value="0" /> </element> <element id="Composition.event:pending.period.end"> <path value="Composition.event.period.end" /> <min value="1" /> </element> <element id="Composition.event:pending.detail"> <path value="Composition.event.detail" /> <short value="Detalhes sobre o status da solicitação do procedimento regulado" /> <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/BRRequisicaoRegulacaoAssistencial" /> </type> </element> <element id="Composition.event:pending.detail.id"> <path value="Composition.event.detail.id" /> <max value="0" /> </element> <element id="Composition.event:pending.detail.type"> <path value="Composition.event.detail.type" /> <max value="0" /> </element> <element id="Composition.event:pending.detail.identifier"> <path value="Composition.event.detail.identifier" /> <short value="Estabelecimento de saúde que realizou a alteração do status" /> <definition value="Identificação única do estabelecimento que realizou a alteração do status da solicitação de procedimento regulado, por meio do CNES." /> </element> <element id="Composition.event:pending.detail.identifier.id"> <path value="Composition.event.detail.identifier.id" /> <max value="0" /> </element> <element id="Composition.event:pending.detail.identifier.use"> <path value="Composition.event.detail.identifier.use" /> <max value="0" /> </element> <element id="Composition.event:pending.detail.identifier.type"> <path value="Composition.event.detail.identifier.type" /> <max value="0" /> </element> <element id="Composition.event:pending.detail.identifier.type.id"> <path value="Composition.event.detail.identifier.type.id" /> <max value="0" /> </element> <element id="Composition.event:pending.detail.identifier.type.coding"> <path value="Composition.event.detail.identifier.type.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.event:pending.detail.identifier.type.coding.id"> <path value="Composition.event.detail.identifier.type.coding.id" /> <max value="0" /> </element> <element id="Composition.event:pending.detail.identifier.type.coding.system"> <path value="Composition.event.detail.identifier.type.coding.system" /> <min value="1" /> </element> <element id="Composition.event:pending.detail.identifier.type.coding.code"> <path value="Composition.event.detail.identifier.type.coding.code" /> <min value="1" /> </element> <element id="Composition.event:pending.detail.identifier.type.coding.userSelected"> <path value="Composition.event.detail.identifier.type.coding.userSelected" /> <max value="0" /> </element> <element id="Composition.event:pending.detail.identifier.type.text"> <path value="Composition.event.detail.identifier.type.text" /> <max value="0" /> </element> <element id="Composition.event:pending.detail.identifier.system"> <path value="Composition.event.detail.identifier.system" /> <min value="1" /> </element> <element id="Composition.event:pending.detail.identifier.value"> <path value="Composition.event.detail.identifier.value" /> <min value="1" /> </element> <element id="Composition.event:pending.detail.identifier.period"> <path value="Composition.event.detail.identifier.period" /> <max value="0" /> </element> <element id="Composition.event:pending.detail.identifier.assigner"> <path value="Composition.event.detail.identifier.assigner" /> <max value="0" /> </element> <element id="Composition.event:pending.detail.display"> <path value="Composition.event.detail.display" /> <max value="0" /> </element> <element id="Composition.event:returned-to-requester"> <path value="Composition.event" /> <sliceName value="returned-to-requester" /> <short value="Evento de devolução ao solicitante" /> <definition value="Evento destinado a modelar a devolução (feita por um estabelecimento regulador) de um serviço ao estabelecimento solicitante." /> <max value="1" /> <constraint> <key value="mira-14" /> <severity value="error" /> <human value="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 value="code.coding.exists(code = 'returned-to-requester') implies %resource.section.entry.resolve().status = 'waitlist' and %resource.section.entry.resolve().basedOn.resolve().status = 'on-hold'" /> </constraint> </element> <element id="Composition.event:returned-to-requester.id"> <path value="Composition.event.id" /> <max value="0" /> </element> <element id="Composition.event:returned-to-requester.code"> <path value="Composition.event.code" /> <min value="1" /> <max value="1" /> <binding> <strength value="required" /> <description value="O código que identifica unicamente o status da solicitação." /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRStatusRegulacaoAssistencial" /> </binding> </element> <element id="Composition.event:returned-to-requester.code.id"> <path value="Composition.event.code.id" /> <max value="0" /> </element> <element id="Composition.event:returned-to-requester.code.coding"> <path value="Composition.event.code.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.event:returned-to-requester.code.coding.id"> <path value="Composition.event.code.coding.id" /> <max value="0" /> </element> <element id="Composition.event:returned-to-requester.code.coding.system"> <path value="Composition.event.code.coding.system" /> <min value="1" /> </element> <element id="Composition.event:returned-to-requester.code.coding.code"> <path value="Composition.event.code.coding.code" /> <min value="1" /> <fixedCode value="returned-to-requester" /> <condition value="mira-14" /> </element> <element id="Composition.event:returned-to-requester.code.coding.userSelected"> <path value="Composition.event.code.coding.userSelected" /> <max value="0" /> </element> <element id="Composition.event:returned-to-requester.code.text"> <path value="Composition.event.code.text" /> <max value="0" /> </element> <element id="Composition.event:returned-to-requester.period"> <path value="Composition.event.period" /> <short value="Data e hora de alteração do status" /> <definition value="Data e hora em que o status da solicitação de procedimento regulado foi alterado no sistema de origem dos dados." /> <min value="1" /> </element> <element id="Composition.event:returned-to-requester.period.id"> <path value="Composition.event.period.id" /> <max value="0" /> </element> <element id="Composition.event:returned-to-requester.period.end"> <path value="Composition.event.period.end" /> <min value="1" /> </element> <element id="Composition.event:returned-to-requester.detail"> <path value="Composition.event.detail" /> <short value="Detalhes sobre o status da solicitação do procedimento regulado" /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0" /> </type> </element> <element id="Composition.event:returned-to-requester.detail.id"> <path value="Composition.event.detail.id" /> <max value="0" /> </element> <element id="Composition.event:returned-to-requester.detail.reference"> <path value="Composition.event.detail.reference" /> <max value="0" /> </element> <element id="Composition.event:returned-to-requester.detail.type"> <path value="Composition.event.detail.type" /> <max value="0" /> </element> <element id="Composition.event:returned-to-requester.detail.identifier"> <path value="Composition.event.detail.identifier" /> <short value="Estabelecimento de saúde que realizou a alteração do status" /> <definition value="Identificação única do estabelecimento que realizou a alteração do status da solicitação de procedimento regulado, por meio do CNES." /> </element> <element id="Composition.event:returned-to-requester.detail.identifier.id"> <path value="Composition.event.detail.identifier.id" /> <max value="0" /> </element> <element id="Composition.event:returned-to-requester.detail.identifier.use"> <path value="Composition.event.detail.identifier.use" /> <max value="0" /> </element> <element id="Composition.event:returned-to-requester.detail.identifier.type"> <path value="Composition.event.detail.identifier.type" /> <max value="0" /> </element> <element id="Composition.event:returned-to-requester.detail.identifier.system"> <path value="Composition.event.detail.identifier.system" /> <min value="1" /> </element> <element id="Composition.event:returned-to-requester.detail.identifier.value"> <path value="Composition.event.detail.identifier.value" /> <min value="1" /> </element> <element id="Composition.event:returned-to-requester.detail.identifier.period"> <path value="Composition.event.detail.identifier.period" /> <max value="0" /> </element> <element id="Composition.event:returned-to-requester.detail.identifier.assigner"> <path value="Composition.event.detail.identifier.assigner" /> <max value="0" /> </element> <element id="Composition.event:returned-to-requester.detail.display"> <path value="Composition.event.detail.display" /> <max value="0" /> </element> <element id="Composition.event:booked"> <path value="Composition.event" /> <sliceName value="booked" /> <short value="Evento de agendamento de procedimento regulado" /> <definition value="Evento destinado a modelar o agendamento de um serviço, bem como o estabelecimento executante." /> <max value="1" /> <constraint> <key value="mira-5" /> <severity value="error" /> <human value="A Data de Agendamento (Appointment.start e Appointment.end) deve ser preenchida caso o status da solicitação seja Agendado (booked)." /> <expression value="code.coding.exists(code = 'booked') implies %resource.section.entry.resolve().start.exists() and %resource.section.entry.resolve().end.exists()" /> </constraint> <constraint> <key value="mira-6" /> <severity value="error" /> <human value="O identificador do Estabelecimento de Saúde executante (ServiceRequest.performer) deve ser preenchido caso o status da solicitação seja Agendado (booked)." /> <expression value="code.coding.exists(code = 'booked') implies %resource.section.entry.resolve().basedOn.resolve().performer.exists()" /> </constraint> <constraint> <key value="mira-15" /> <severity value="error" /> <human value="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 value="code.coding.exists(code = 'booked') implies %resource.section.entry.resolve().status = 'booked' and %resource.section.entry.resolve().basedOn.resolve().status = 'active'" /> </constraint> </element> <element id="Composition.event:booked.id"> <path value="Composition.event.id" /> <max value="0" /> </element> <element id="Composition.event:booked.code"> <path value="Composition.event.code" /> <min value="1" /> <max value="1" /> <binding> <strength value="required" /> <description value="O código que identifica unicamente o status da solicitação." /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRStatusRegulacaoAssistencial" /> </binding> </element> <element id="Composition.event:booked.code.id"> <path value="Composition.event.code.id" /> <max value="0" /> </element> <element id="Composition.event:booked.code.coding"> <path value="Composition.event.code.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.event:booked.code.coding.id"> <path value="Composition.event.code.coding.id" /> <max value="0" /> </element> <element id="Composition.event:booked.code.coding.system"> <path value="Composition.event.code.coding.system" /> <min value="1" /> </element> <element id="Composition.event:booked.code.coding.code"> <path value="Composition.event.code.coding.code" /> <min value="1" /> <fixedCode value="booked" /> <condition value="mira-5" /> <condition value="mira-6" /> <condition value="mira-15" /> </element> <element id="Composition.event:booked.code.coding.userSelected"> <path value="Composition.event.code.coding.userSelected" /> <max value="0" /> </element> <element id="Composition.event:booked.code.text"> <path value="Composition.event.code.text" /> <max value="0" /> </element> <element id="Composition.event:booked.period"> <path value="Composition.event.period" /> <short value="Data e hora de alteração do status" /> <definition value="Data e hora em que o status da solicitação de procedimento regulado foi alterado no sistema de origem dos dados." /> <min value="1" /> </element> <element id="Composition.event:booked.period.id"> <path value="Composition.event.period.id" /> <max value="0" /> </element> <element id="Composition.event:booked.period.end"> <path value="Composition.event.period.end" /> <min value="1" /> </element> <element id="Composition.event:booked.detail"> <path value="Composition.event.detail" /> <short value="Detalhes sobre o status da solicitação do procedimento regulado" /> <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/BRAgendamentoRegulacaoAssistencial" /> </type> </element> <element id="Composition.event:booked.detail.id"> <path value="Composition.event.detail.id" /> <max value="0" /> </element> <element id="Composition.event:booked.detail.type"> <path value="Composition.event.detail.type" /> <max value="0" /> </element> <element id="Composition.event:booked.detail.identifier"> <path value="Composition.event.detail.identifier" /> <short value="Estabelecimento de saúde que realizou a alteração do status" /> <definition value="Identificação única do estabelecimento que realizou a alteração do status da solicitação de procedimento regulado, por meio do CNES." /> </element> <element id="Composition.event:booked.detail.identifier.id"> <path value="Composition.event.detail.identifier.id" /> <max value="0" /> </element> <element id="Composition.event:booked.detail.identifier.use"> <path value="Composition.event.detail.identifier.use" /> <max value="0" /> </element> <element id="Composition.event:booked.detail.identifier.type"> <path value="Composition.event.detail.identifier.type" /> <max value="0" /> </element> <element id="Composition.event:booked.detail.identifier.system"> <path value="Composition.event.detail.identifier.system" /> <min value="1" /> </element> <element id="Composition.event:booked.detail.identifier.value"> <path value="Composition.event.detail.identifier.value" /> <min value="1" /> </element> <element id="Composition.event:booked.detail.identifier.period"> <path value="Composition.event.detail.identifier.period" /> <max value="0" /> </element> <element id="Composition.event:booked.detail.identifier.assigner"> <path value="Composition.event.detail.identifier.assigner" /> <max value="0" /> </element> <element id="Composition.event:booked.detail.display"> <path value="Composition.event.detail.display" /> <max value="0" /> </element> <element id="Composition.event:attended"> <path value="Composition.event" /> <sliceName value="attended" /> <short value="Evento de atendimento de procedimento regulado" /> <definition value="Evento destinado a modelar o atendimento de um serviço, bem como o estabelecimento executante." /> <max value="1" /> <constraint> <key value="mira-7" /> <severity value="error" /> <human value="A Data de Agendamento (Appointment.start e Appointment.end) deve ser preenchida caso o status da solicitação seja Atendido/Internado (attended)." /> <expression value="code.coding.exists(code = 'attended') implies %resource.section.entry.resolve().start.exists() and %resource.section.entry.resolve().end.exists()" /> </constraint> <constraint> <key value="mira-8" /> <severity value="error" /> <human value="O identificador do Estabelecimento de Saúde executante (ServiceRequest.performer) deve ser preenchido caso o status da solicitação seja Atendido/Internado (attended)." /> <expression value="code.coding.exists(code = 'attended') implies %resource.section.entry.resolve().basedOn.resolve().performer.exists()" /> </constraint> <constraint> <key value="mira-9" /> <severity value="error" /> <human value="A Data de Execução (ServiceRequest.ocurrenceDateTime) deve ser preenchida caso o status da solicitação seja Atendido/Internado (attended)." /> <expression value="code.coding.exists(code = 'attended') implies %resource.section.entry.resolve().basedOn.resolve().occurrenceDateTime.exists()" /> </constraint> <constraint> <key value="mira-16" /> <severity value="error" /> <human value="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 value="code.coding.exists(code = 'attended') implies %resource.section.entry.resolve().status = 'fulfilled' and %resource.section.entry.resolve().basedOn.resolve().status = 'completed'" /> </constraint> </element> <element id="Composition.event:attended.id"> <path value="Composition.event.id" /> <max value="0" /> </element> <element id="Composition.event:attended.code"> <path value="Composition.event.code" /> <min value="1" /> <max value="1" /> <binding> <strength value="required" /> <description value="O código que identifica unicamente o status da solicitação." /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRStatusRegulacaoAssistencial" /> </binding> </element> <element id="Composition.event:attended.code.id"> <path value="Composition.event.code.id" /> <max value="0" /> </element> <element id="Composition.event:attended.code.coding"> <path value="Composition.event.code.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.event:attended.code.coding.id"> <path value="Composition.event.code.coding.id" /> <max value="0" /> </element> <element id="Composition.event:attended.code.coding.system"> <path value="Composition.event.code.coding.system" /> <min value="1" /> </element> <element id="Composition.event:attended.code.coding.code"> <path value="Composition.event.code.coding.code" /> <min value="1" /> <fixedCode value="attended" /> <condition value="mira-7" /> <condition value="mira-8" /> <condition value="mira-9" /> <condition value="mira-16" /> </element> <element id="Composition.event:attended.code.coding.userSelected"> <path value="Composition.event.code.coding.userSelected" /> <max value="0" /> </element> <element id="Composition.event:attended.code.text"> <path value="Composition.event.code.text" /> <max value="0" /> </element> <element id="Composition.event:attended.period"> <path value="Composition.event.period" /> <short value="Data e hora de alteração do status" /> <definition value="Data e hora em que o status da solicitação de procedimento regulado foi alterado no sistema de origem dos dados." /> <min value="1" /> </element> <element id="Composition.event:attended.period.id"> <path value="Composition.event.period.id" /> <max value="0" /> </element> <element id="Composition.event:attended.period.end"> <path value="Composition.event.period.end" /> <min value="1" /> </element> <element id="Composition.event:attended.detail"> <path value="Composition.event.detail" /> <short value="Detalhes sobre o status da solicitação do procedimento regulado" /> <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/BRAgendamentoRegulacaoAssistencial" /> </type> </element> <element id="Composition.event:attended.detail.id"> <path value="Composition.event.detail.id" /> <max value="0" /> </element> <element id="Composition.event:attended.detail.type"> <path value="Composition.event.detail.type" /> <max value="0" /> </element> <element id="Composition.event:attended.detail.identifier"> <path value="Composition.event.detail.identifier" /> <short value="Estabelecimento de saúde que realizou a alteração do status" /> <definition value="Identificação única do estabelecimento que realizou a alteração do status da solicitação de procedimento regulado, por meio do CNES." /> </element> <element id="Composition.event:attended.detail.identifier.id"> <path value="Composition.event.detail.identifier.id" /> <max value="0" /> </element> <element id="Composition.event:attended.detail.identifier.use"> <path value="Composition.event.detail.identifier.use" /> <max value="0" /> </element> <element id="Composition.event:attended.detail.identifier.type"> <path value="Composition.event.detail.identifier.type" /> <max value="0" /> </element> <element id="Composition.event:attended.detail.identifier.system"> <path value="Composition.event.detail.identifier.system" /> <min value="1" /> </element> <element id="Composition.event:attended.detail.identifier.value"> <path value="Composition.event.detail.identifier.value" /> <min value="1" /> </element> <element id="Composition.event:attended.detail.identifier.period"> <path value="Composition.event.detail.identifier.period" /> <max value="0" /> </element> <element id="Composition.event:attended.detail.identifier.assigner"> <path value="Composition.event.detail.identifier.assigner" /> <max value="0" /> </element> <element id="Composition.event:attended.detail.display"> <path value="Composition.event.detail.display" /> <max value="0" /> </element> <element id="Composition.event:cancelled"> <path value="Composition.event" /> <sliceName value="cancelled" /> <max value="1" /> <constraint> <key value="mira-17" /> <severity value="error" /> <human value="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 value="code.coding.exists(code = 'cancelled') implies %resource.section.entry.resolve().status = 'cancelled' and %resource.section.entry.resolve().basedOn.resolve().status = 'revoked'" /> </constraint> </element> <element id="Composition.event:cancelled.id"> <path value="Composition.event.id" /> <max value="0" /> </element> <element id="Composition.event:cancelled.code"> <path value="Composition.event.code" /> <min value="1" /> <max value="1" /> <binding> <strength value="required" /> <description value="O código que identifica unicamente o status da solicitação." /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRStatusRegulacaoAssistencial" /> </binding> </element> <element id="Composition.event:cancelled.code.id"> <path value="Composition.event.code.id" /> <max value="0" /> </element> <element id="Composition.event:cancelled.code.coding"> <path value="Composition.event.code.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.event:cancelled.code.coding.id"> <path value="Composition.event.code.coding.id" /> <max value="0" /> </element> <element id="Composition.event:cancelled.code.coding.system"> <path value="Composition.event.code.coding.system" /> <min value="1" /> </element> <element id="Composition.event:cancelled.code.coding.code"> <path value="Composition.event.code.coding.code" /> <min value="1" /> <fixedCode value="cancelled" /> <condition value="mira-17" /> </element> <element id="Composition.event:cancelled.code.coding.userSelected"> <path value="Composition.event.code.coding.userSelected" /> <max value="0" /> </element> <element id="Composition.event:cancelled.code.text"> <path value="Composition.event.code.text" /> <max value="0" /> </element> <element id="Composition.event:cancelled.period"> <path value="Composition.event.period" /> <short value="Data e hora de alteração do status" /> <definition value="Data e hora em que o status da solicitação de procedimento regulado foi alterado no sistema de origem dos dados." /> <min value="1" /> </element> <element id="Composition.event:cancelled.period.id"> <path value="Composition.event.period.id" /> <max value="0" /> </element> <element id="Composition.event:cancelled.period.end"> <path value="Composition.event.period.end" /> <min value="1" /> </element> <element id="Composition.event:cancelled.detail"> <path value="Composition.event.detail" /> <short value="Detalhes sobre o status da solicitação do procedimento regulado" /> <type> <code value="Reference" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0" /> </type> </element> <element id="Composition.event:cancelled.detail.id"> <path value="Composition.event.detail.id" /> <max value="0" /> </element> <element id="Composition.event:cancelled.detail.type"> <path value="Composition.event.detail.type" /> <max value="0" /> </element> <element id="Composition.event:cancelled.detail.identifier"> <path value="Composition.event.detail.identifier" /> <short value="Estabelecimento de saúde que realizou a alteração do status" /> <definition value="Identificação única do estabelecimento que realizou a alteração do status da solicitação de procedimento regulado, por meio do CNES." /> </element> <element id="Composition.event:cancelled.detail.identifier.id"> <path value="Composition.event.detail.identifier.id" /> <max value="0" /> </element> <element id="Composition.event:cancelled.detail.identifier.use"> <path value="Composition.event.detail.identifier.use" /> <max value="0" /> </element> <element id="Composition.event:cancelled.detail.identifier.type"> <path value="Composition.event.detail.identifier.type" /> <max value="0" /> </element> <element id="Composition.event:cancelled.detail.identifier.system"> <path value="Composition.event.detail.identifier.system" /> <min value="1" /> </element> <element id="Composition.event:cancelled.detail.identifier.value"> <path value="Composition.event.detail.identifier.value" /> <min value="1" /> </element> <element id="Composition.event:cancelled.detail.identifier.period"> <path value="Composition.event.detail.identifier.period" /> <max value="0" /> </element> <element id="Composition.event:cancelled.detail.identifier.assigner"> <path value="Composition.event.detail.identifier.assigner" /> <max value="0" /> </element> <element id="Composition.event:cancelled.detail.display"> <path value="Composition.event.detail.display" /> <max value="0" /> </element> <element id="Composition.event:absence"> <path value="Composition.event" /> <sliceName value="absence" /> <max value="1" /> <constraint> <key value="mira-10" /> <severity value="error" /> <human value="A Data de Agendamento (Appointment.start e Appointment.end) deve ser preenchida caso o status da solicitação seja Falta (absence)." /> <expression value="code.coding.exists(code = 'absence') implies %resource.section.entry.resolve().start.exists() and %resource.section.entry.resolve().end.exists()" /> </constraint> <constraint> <key value="mira-11" /> <severity value="error" /> <human value="O identificador do Estabelecimento de Saúde executante (ServiceRequest.performer) deve ser preenchido caso o status da solicitação seja Falta (absence)." /> <expression value="code.coding.exists(code = 'absence') implies %resource.section.entry.resolve().basedOn.resolve().performer.exists()" /> </constraint> <constraint> <key value="mira-12" /> <severity value="error" /> <human value="A Data de Execução (ServiceRequest.ocurrenceDateTime) deve ser preenchida caso o status da solicitação seja Falta (absence)." /> <expression value="code.coding.exists(code = 'absence') implies %resource.section.entry.resolve().basedOn.resolve().occurrenceDateTime.exists()" /> </constraint> <constraint> <key value="mira-18" /> <severity value="error" /> <human value="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 value="code.coding.exists(code = 'absence') implies %resource.section.entry.resolve().status = 'noshow' and %resource.section.entry.resolve().basedOn.resolve().status = 'completed'" /> </constraint> </element> <element id="Composition.event:absence.id"> <path value="Composition.event.id" /> <max value="0" /> </element> <element id="Composition.event:absence.code"> <path value="Composition.event.code" /> <min value="1" /> <max value="1" /> <binding> <strength value="required" /> <description value="O código que identifica unicamente o status da solicitação." /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRStatusRegulacaoAssistencial" /> </binding> </element> <element id="Composition.event:absence.code.id"> <path value="Composition.event.code.id" /> <max value="0" /> </element> <element id="Composition.event:absence.code.coding"> <path value="Composition.event.code.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.event:absence.code.coding.id"> <path value="Composition.event.code.coding.id" /> <max value="0" /> </element> <element id="Composition.event:absence.code.coding.system"> <path value="Composition.event.code.coding.system" /> <min value="1" /> </element> <element id="Composition.event:absence.code.coding.code"> <path value="Composition.event.code.coding.code" /> <fixedCode value="absence" /> <condition value="mira-10" /> <condition value="mira-11" /> <condition value="mira-12" /> <condition value="mira-18" /> </element> <element id="Composition.event:absence.code.coding.userSelected"> <path value="Composition.event.code.coding.userSelected" /> <max value="0" /> </element> <element id="Composition.event:absence.code.text"> <path value="Composition.event.code.text" /> <max value="0" /> </element> <element id="Composition.event:absence.period"> <path value="Composition.event.period" /> <short value="Data e hora de alteração do status" /> <definition value="Data e hora em que o status da solicitação de procedimento regulado foi alterado no sistema de origem dos dados." /> <min value="1" /> </element> <element id="Composition.event:absence.period.id"> <path value="Composition.event.period.id" /> <max value="0" /> </element> <element id="Composition.event:absence.period.end"> <path value="Composition.event.period.end" /> <min value="1" /> </element> <element id="Composition.event:absence.detail"> <path value="Composition.event.detail" /> <short value="Detalhes sobre o status da solicitação do procedimento regulado" /> <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/BRAgendamentoRegulacaoAssistencial" /> </type> </element> <element id="Composition.event:absence.detail.id"> <path value="Composition.event.detail.id" /> <max value="0" /> </element> <element id="Composition.event:absence.detail.type"> <path value="Composition.event.detail.type" /> <max value="0" /> </element> <element id="Composition.event:absence.detail.identifier"> <path value="Composition.event.detail.identifier" /> <short value="Estabelecimento de saúde que realizou a alteração do status" /> <definition value="Identificação única do estabelecimento que realizou a alteração do status da solicitação de procedimento regulado, por meio do CNES." /> </element> <element id="Composition.event:absence.detail.identifier.id"> <path value="Composition.event.detail.identifier.id" /> <max value="0" /> </element> <element id="Composition.event:absence.detail.identifier.use"> <path value="Composition.event.detail.identifier.use" /> <max value="0" /> </element> <element id="Composition.event:absence.detail.identifier.type"> <path value="Composition.event.detail.identifier.type" /> <max value="0" /> </element> <element id="Composition.event:absence.detail.identifier.system"> <path value="Composition.event.detail.identifier.system" /> <min value="1" /> </element> <element id="Composition.event:absence.detail.identifier.value"> <path value="Composition.event.detail.identifier.value" /> <min value="1" /> </element> <element id="Composition.event:absence.detail.identifier.period"> <path value="Composition.event.detail.identifier.period" /> <max value="0" /> </element> <element id="Composition.event:absence.detail.identifier.assigner"> <path value="Composition.event.detail.identifier.assigner" /> <max value="0" /> </element> <element id="Composition.event:absence.detail.display"> <path value="Composition.event.detail.display" /> <max value="0" /> </element> <element id="Composition.event:excluded"> <path value="Composition.event" /> <sliceName value="excluded" /> <max value="1" /> <constraint> <key value="mira-19" /> <severity value="error" /> <human value="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 value="code.coding.exists(code = 'excluded') implies %resource.section.entry.resolve().status = 'cancelled' and %resource.section.entry.resolve().basedOn.resolve().status = 'revoked'" /> </constraint> </element> <element id="Composition.event:excluded.id"> <path value="Composition.event.id" /> <max value="0" /> </element> <element id="Composition.event:excluded.code"> <path value="Composition.event.code" /> <min value="1" /> <max value="1" /> <binding> <strength value="required" /> <description value="O código que identifica unicamente o 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