{
  "resourceType": "StructureDefinition",
  "url": "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRequisicaoRegulacaoAssistencial",
  "version": "1.0",
  "name": "BRRequisicaoRegulacaoAssistencial",
  "title": "Requisição de Regulação Assistencial",
  "status": "active",
  "date": "2023-04-04",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "ServiceRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "ServiceRequest",
        "path": "ServiceRequest",
        "constraint": [
          {
            "key": "mira-1",
            "severity": "error",
            "human": "O Motivo da Solicitação (Condition.code) deve ser preenchido caso a Data da Solicitação (ServiceRequest.authoredOn) seja posterior a 01/01/2025.",
            "expression": "(authoredOn > @2025-01-01T01:00:00) implies reasonReference.resolve().code.exists()"
          }
        ]
      },
      {
        "id": "ServiceRequest.id",
        "path": "ServiceRequest.id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.implicitRules",
        "path": "ServiceRequest.implicitRules",
        "max": "0"
      },
      {
        "id": "ServiceRequest.language",
        "path": "ServiceRequest.language",
        "max": "0"
      },
      {
        "id": "ServiceRequest.text",
        "path": "ServiceRequest.text",
        "max": "0"
      },
      {
        "id": "ServiceRequest.contained",
        "path": "ServiceRequest.contained",
        "max": "0"
      },
      {
        "id": "ServiceRequest.identifier",
        "path": "ServiceRequest.identifier",
        "max": "0"
      },
      {
        "id": "ServiceRequest.instantiatesCanonical",
        "path": "ServiceRequest.instantiatesCanonical",
        "max": "0"
      },
      {
        "id": "ServiceRequest.instantiatesUri",
        "path": "ServiceRequest.instantiatesUri",
        "max": "0"
      },
      {
        "id": "ServiceRequest.basedOn",
        "path": "ServiceRequest.basedOn",
        "max": "0"
      },
      {
        "id": "ServiceRequest.replaces",
        "path": "ServiceRequest.replaces",
        "max": "0"
      },
      {
        "id": "ServiceRequest.requisition",
        "path": "ServiceRequest.requisition",
        "max": "0"
      },
      {
        "id": "ServiceRequest.status",
        "path": "ServiceRequest.status",
        "condition": [
          "mira-13",
          "mira-14",
          "mira-15",
          "mira-16",
          "mira-17",
          "mira-18",
          "mira-19"
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRStatusRequisicaoRegulacaoAssistencial"
        }
      },
      {
        "id": "ServiceRequest.intent",
        "path": "ServiceRequest.intent",
        "short": "proposal | plan |  directive | order | original-order | reflex-order | filler-order | instance-order | option",
        "fixedCode": "proposal",
        "binding": {
          "strength": "required",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRIntencaoRegulacao"
        }
      },
      {
        "id": "ServiceRequest.category",
        "path": "ServiceRequest.category",
        "short": "Modalidade assistencial",
        "definition": "Modalidade assistencial que gerou a solicitação do procedimento.",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "Modalidade assistencial.",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeAssistencialMIRA"
        }
      },
      {
        "id": "ServiceRequest.category.id",
        "path": "ServiceRequest.category.id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.category.coding",
        "path": "ServiceRequest.category.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "ServiceRequest.category.coding.id",
        "path": "ServiceRequest.category.coding.id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.category.coding.system",
        "path": "ServiceRequest.category.coding.system",
        "min": 1
      },
      {
        "id": "ServiceRequest.category.coding.code",
        "path": "ServiceRequest.category.coding.code",
        "min": 1
      },
      {
        "id": "ServiceRequest.category.coding.userSelected",
        "path": "ServiceRequest.category.coding.userSelected",
        "max": "0"
      },
      {
        "id": "ServiceRequest.category.text",
        "path": "ServiceRequest.category.text",
        "max": "0"
      },
      {
        "id": "ServiceRequest.priority",
        "path": "ServiceRequest.priority",
        "short": "Caráter da solicitação",
        "definition": "Modalidade assistencial que gerou a solicitação do procedimento.",
        "min": 1,
        "binding": {
          "strength": "required",
          "description": "Caráter do atendimento",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRCaraterAtendimentoMIRA"
        }
      },
      {
        "id": "ServiceRequest.doNotPerform",
        "path": "ServiceRequest.doNotPerform",
        "max": "0"
      },
      {
        "id": "ServiceRequest.code",
        "path": "ServiceRequest.code",
        "short": "Código do procedimento",
        "definition": "O código que identifica unicamente o procedimento conforme tabela SUS.",
        "min": 1,
        "binding": {
          "strength": "required",
          "description": "SIGTAP",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0"
        }
      },
      {
        "id": "ServiceRequest.code.id",
        "path": "ServiceRequest.code.id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.code.coding",
        "path": "ServiceRequest.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "ServiceRequest.code.coding.id",
        "path": "ServiceRequest.code.coding.id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.code.coding.system",
        "path": "ServiceRequest.code.coding.system",
        "min": 1
      },
      {
        "id": "ServiceRequest.code.coding.code",
        "path": "ServiceRequest.code.coding.code",
        "min": 1
      },
      {
        "id": "ServiceRequest.code.coding.userSelected",
        "path": "ServiceRequest.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "ServiceRequest.code.text",
        "path": "ServiceRequest.code.text",
        "max": "0"
      },
      {
        "id": "ServiceRequest.orderDetail",
        "path": "ServiceRequest.orderDetail",
        "max": "0"
      },
      {
        "id": "ServiceRequest.quantity[x]",
        "path": "ServiceRequest.quantity[x]",
        "max": "0"
      },
      {
        "id": "ServiceRequest.subject",
        "path": "ServiceRequest.subject",
        "short": "Identificador do paciente",
        "definition": "Identificação única do paciente, por meio de CPF ou CNS.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.subject.id",
        "path": "ServiceRequest.subject.id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.subject.reference",
        "path": "ServiceRequest.subject.reference",
        "max": "0"
      },
      {
        "id": "ServiceRequest.subject.type",
        "path": "ServiceRequest.subject.type",
        "max": "0"
      },
      {
        "id": "ServiceRequest.subject.identifier",
        "path": "ServiceRequest.subject.identifier",
        "min": 1
      },
      {
        "id": "ServiceRequest.subject.identifier.id",
        "path": "ServiceRequest.subject.identifier.id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.subject.identifier.use",
        "path": "ServiceRequest.subject.identifier.use",
        "max": "0"
      },
      {
        "id": "ServiceRequest.subject.identifier.type",
        "path": "ServiceRequest.subject.identifier.type",
        "max": "0"
      },
      {
        "id": "ServiceRequest.subject.identifier.system",
        "path": "ServiceRequest.subject.identifier.system",
        "min": 1
      },
      {
        "id": "ServiceRequest.subject.identifier.value",
        "path": "ServiceRequest.subject.identifier.value",
        "min": 1
      },
      {
        "id": "ServiceRequest.subject.identifier.period",
        "path": "ServiceRequest.subject.identifier.period",
        "max": "0"
      },
      {
        "id": "ServiceRequest.subject.identifier.assigner",
        "path": "ServiceRequest.subject.identifier.assigner",
        "max": "0"
      },
      {
        "id": "ServiceRequest.subject.display",
        "path": "ServiceRequest.subject.display",
        "max": "0"
      },
      {
        "id": "ServiceRequest.encounter",
        "path": "ServiceRequest.encounter",
        "max": "0"
      },
      {
        "id": "ServiceRequest.occurrence[x]",
        "path": "ServiceRequest.occurrence[x]",
        "short": "Data da execução",
        "definition": "A data e hora em que o procedimento regulado foi executado no padrão ISO 8601.",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "condition": [
          "mira-3",
          "mira-9",
          "mira-12"
        ]
      },
      {
        "id": "ServiceRequest.occurrence[x].id",
        "path": "ServiceRequest.occurrence[x].id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.asNeeded[x]",
        "path": "ServiceRequest.asNeeded[x]",
        "max": "0"
      },
      {
        "id": "ServiceRequest.authoredOn",
        "path": "ServiceRequest.authoredOn",
        "short": "Data da solicitação",
        "definition": "A data e hora da solicitação do procedimento regulado no padrão ISO 8601.",
        "min": 1,
        "condition": [
          "mira-1"
        ]
      },
      {
        "id": "ServiceRequest.requester",
        "path": "ServiceRequest.requester",
        "short": "Estabelecimento de saúde solicitante",
        "definition": "Identificação única do estabelecimento solicitante, por meio do CNES.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.requester.id",
        "path": "ServiceRequest.requester.id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.requester.reference",
        "path": "ServiceRequest.requester.reference",
        "max": "0"
      },
      {
        "id": "ServiceRequest.requester.type",
        "path": "ServiceRequest.requester.type",
        "max": "0"
      },
      {
        "id": "ServiceRequest.requester.identifier",
        "path": "ServiceRequest.requester.identifier",
        "min": 1
      },
      {
        "id": "ServiceRequest.requester.identifier.id",
        "path": "ServiceRequest.requester.identifier.id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.requester.identifier.use",
        "path": "ServiceRequest.requester.identifier.use",
        "max": "0"
      },
      {
        "id": "ServiceRequest.requester.identifier.type",
        "path": "ServiceRequest.requester.identifier.type",
        "max": "0"
      },
      {
        "id": "ServiceRequest.requester.identifier.system",
        "path": "ServiceRequest.requester.identifier.system",
        "min": 1
      },
      {
        "id": "ServiceRequest.requester.identifier.value",
        "path": "ServiceRequest.requester.identifier.value",
        "min": 1
      },
      {
        "id": "ServiceRequest.requester.identifier.period",
        "path": "ServiceRequest.requester.identifier.period",
        "max": "0"
      },
      {
        "id": "ServiceRequest.requester.identifier.assigner",
        "path": "ServiceRequest.requester.identifier.assigner",
        "max": "0"
      },
      {
        "id": "ServiceRequest.requester.display",
        "path": "ServiceRequest.requester.display",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performerType",
        "path": "ServiceRequest.performerType",
        "short": "Especialidade médica do executante",
        "definition": "Identificação da especialidade médica do profissional executante do procedimento, conforme tabela de CBO. \r\nCaso o procedimento informado pertença à forma de organização 03.01.01 da tabela SUS, o código CBO será obrigatório.",
        "binding": {
          "strength": "required",
          "description": "Classificação Brasileira de Ocupações.",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BROcupacao-1.0"
        }
      },
      {
        "id": "ServiceRequest.performerType.id",
        "path": "ServiceRequest.performerType.id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performerType.coding",
        "path": "ServiceRequest.performerType.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "ServiceRequest.performerType.coding.id",
        "path": "ServiceRequest.performerType.coding.id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performerType.coding.system",
        "path": "ServiceRequest.performerType.coding.system",
        "min": 1
      },
      {
        "id": "ServiceRequest.performerType.coding.code",
        "path": "ServiceRequest.performerType.coding.code",
        "min": 1
      },
      {
        "id": "ServiceRequest.performerType.coding.userSelected",
        "path": "ServiceRequest.performerType.coding.userSelected",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performerType.text",
        "path": "ServiceRequest.performerType.text",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performer",
        "path": "ServiceRequest.performer",
        "short": "Estabelecimento de saúde executante",
        "definition": "Identificação única do estabelecimento executante, por meio do CNES.",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0"
            ]
          }
        ],
        "condition": [
          "mira-4",
          "mira-6",
          "mira-8",
          "mira-11"
        ]
      },
      {
        "id": "ServiceRequest.performer.id",
        "path": "ServiceRequest.performer.id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performer.reference",
        "path": "ServiceRequest.performer.reference",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performer.type",
        "path": "ServiceRequest.performer.type",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performer.identifier",
        "path": "ServiceRequest.performer.identifier",
        "min": 1
      },
      {
        "id": "ServiceRequest.performer.identifier.id",
        "path": "ServiceRequest.performer.identifier.id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performer.identifier.use",
        "path": "ServiceRequest.performer.identifier.use",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performer.identifier.type",
        "path": "ServiceRequest.performer.identifier.type",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performer.identifier.system",
        "path": "ServiceRequest.performer.identifier.system",
        "min": 1
      },
      {
        "id": "ServiceRequest.performer.identifier.value",
        "path": "ServiceRequest.performer.identifier.value",
        "min": 1
      },
      {
        "id": "ServiceRequest.performer.identifier.period",
        "path": "ServiceRequest.performer.identifier.period",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performer.identifier.assigner",
        "path": "ServiceRequest.performer.identifier.assigner",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performer.display",
        "path": "ServiceRequest.performer.display",
        "max": "0"
      },
      {
        "id": "ServiceRequest.locationCode",
        "path": "ServiceRequest.locationCode",
        "max": "0"
      },
      {
        "id": "ServiceRequest.locationReference",
        "path": "ServiceRequest.locationReference",
        "max": "0"
      },
      {
        "id": "ServiceRequest.reasonCode",
        "path": "ServiceRequest.reasonCode",
        "max": "0"
      },
      {
        "id": "ServiceRequest.reasonReference",
        "path": "ServiceRequest.reasonReference",
        "short": "Motivo da solicitação",
        "definition": "Identificação do motivo da solicitação do procedimento, conforme tabela de Classificação Internacional de Doenças na versão 10 (CID-10).",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRCID10Avaliado-1.0"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.reasonReference.id",
        "path": "ServiceRequest.reasonReference.id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.reasonReference.reference",
        "path": "ServiceRequest.reasonReference.reference",
        "min": 1
      },
      {
        "id": "ServiceRequest.reasonReference.type",
        "path": "ServiceRequest.reasonReference.type",
        "max": "0"
      },
      {
        "id": "ServiceRequest.reasonReference.identifier",
        "path": "ServiceRequest.reasonReference.identifier",
        "max": "0"
      },
      {
        "id": "ServiceRequest.reasonReference.display",
        "path": "ServiceRequest.reasonReference.display",
        "max": "0"
      },
      {
        "id": "ServiceRequest.insurance",
        "path": "ServiceRequest.insurance",
        "max": "0"
      },
      {
        "id": "ServiceRequest.supportingInfo",
        "path": "ServiceRequest.supportingInfo",
        "max": "0"
      },
      {
        "id": "ServiceRequest.specimen",
        "path": "ServiceRequest.specimen",
        "max": "0"
      },
      {
        "id": "ServiceRequest.bodySite",
        "path": "ServiceRequest.bodySite",
        "max": "0"
      },
      {
        "id": "ServiceRequest.note",
        "path": "ServiceRequest.note",
        "max": "0"
      },
      {
        "id": "ServiceRequest.patientInstruction",
        "path": "ServiceRequest.patientInstruction",
        "max": "0"
      },
      {
        "id": "ServiceRequest.relevantHistory",
        "path": "ServiceRequest.relevantHistory",
        "max": "0"
      }
    ]
  }
}