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