{ "resourceType": "StructureDefinition", "id": "rnds-medicamento-dispensado-fornecido", "url": "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSMedicamentoDispensadoFornecido", "version": "1.0.0", "name": "RNDSMedicamentoDispensadoFornecido", "title": "Dispensação ou Fornecimento Eletrônico de Medicamento", "status": "draft", "date": "2024-12-16", "publisher": "Ministério da Saúde do Brasil", "fhirVersion": "4.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "rx-dispense-rmim", "uri": "http://www.hl7.org/v3/PORX_RM020070UV", "name": "V3 Pharmacy Dispense RMIM" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" } ], "kind": "resource", "abstract": false, "type": "MedicationDispense", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationDispense", "derivation": "constraint", "differential": { "element": [ { "id": "MedicationDispense", "path": "MedicationDispense", "constraint": [ { "key": "dfm-1", "severity": "error", "human": "Caso o medicamento seja dispensado deve ser informado o elemento medicationReference, caso não seja dispensado deve ser informado apenas o código do medicamento no elemento medicationCodeableConcept.", "expression": "(MedicationDispense.type.coding.exists(code = 'not-dispensed') implies MedicationDispense.medication.ofType(CodeableConcept).exists()) and (MedicationDispense.type.coding.exists(code = 'not-dispensed').not() implies MedicationDispense.medication.ofType(Reference).exists())" }, { "key": "dfm-2", "severity": "error", "human": "A quantidade (quantity) e o indivíduo que retirou o medicamento (receiver) são obrigatórios caso a prescrição seja atendida.", "expression": "MedicationDispense.medication.ofType(Reference).exists() implies MedicationDispense.quantity.exists() and MedicationDispense.receiver.exists()" }, { "key": "dfm-3", "severity": "error", "human": "Caso a Prescrição não esteja disponível na RNDS é necessário informar as informações nos respectivos elementos.", "expression": "MedicationDispense.authorizingPrescription.exists(id = 'out-of-rnds') implies MedicationDispense.supportingInformation.where(reference = '#prescriber-identifier').exists() and MedicationDispense.supportingInformation.where(reference = '#prescriber-specialty').exists() and MedicationDispense.contained.where(id = 'prescription').exists() and MedicationDispense.contained.where(id = 'prescriber-identifier').exists() and MedicationDispense.contained.where(id = 'prescriber-specialty').exists()" }, { "key": "dfm-4", "severity": "error", "human": "Caso o profissional responsável seja Farmacêutico devem ser informados os dados do conselho profissional.", "expression": "MedicationDispense.performer.where(id = 'pharmacist').exists() implies MedicationDispense.contained.where(id = 'pharmacist-crf').identifier.type.coding.where(code = 'RPH').exists()" }, { "key": "dfm-5", "severity": "error", "human": "O profissional responsável deve ser Farmacêutico ou outra categoria de profissional.", "expression": "MedicationDispense.performer.exists(id = 'pharmacist') xor MedicationDispense.performer.exists(id = 'other-practitioner')" }, { "key": "dfm-7", "severity": "error", "human": "Em caso de Dispensação Parcial ou Não Atendimento da prescrição deve ser informada a justificativa no elemento note.", "expression": "MedicationDispense.type.coding.exists(code = 'partial-dispensing' or code = 'not-dispensed') implies MedicationDispense.note.exists()" }, { "key": "dfm-8", "severity": "error", "human": "O profissional Prescritor, quando informado, deve ter uma identificação de Médico, Odontólogo ou Enfermeiro.", "expression": "MedicationDispense.contained.where(id = 'prescriber-identifier').exists() implies MedicationDispense.contained.where(id = 'prescriber-identifier').identifier.type.coding.exists(code = 'MD' or code = 'RN' or code = 'RI')" }, { "key": "dfm-9", "severity": "error", "human": "Ao informar o número do RQE o número do CRM também é obrigatório no slice prescriberIdentifier.", "expression": "MedicationDispense.contained.ofType(Practitioner).identifier.type.coding.where(code = 'DN').exists() implies MedicationDispense.contained.ofType(Practitioner).identifier.type.coding.where(code = 'MD').exists()" } ] }, { "id": "MedicationDispense.contained", "path": "MedicationDispense.contained", "slicing": { "discriminator": [ { "type": "value", "path": "id" } ], "rules": "open" } }, { "id": "MedicationDispense.contained:prescriptionDetails", "path": "MedicationDispense.contained", "sliceName": "prescriptionDetails", "max": "1", "type": [ { "code": "MedicationRequest", "profile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSPrescricaoMedicamentoDispensado" ] } ] }, { "id": "MedicationDispense.contained:prescriptionDetails.id", "path": "MedicationDispense.contained.id", "min": 1, "fixedString": "prescription" }, { "id": "MedicationDispense.contained:prescriptionDetails.meta", "path": "MedicationDispense.contained.meta", "min": 1 }, { "id": "MedicationDispense.contained:prescriptionDetails.meta.profile", "path": "MedicationDispense.contained.meta.profile", "min": 1, "max": "1" }, { "id": "MedicationDispense.contained:prescriberIdentifier", "path": "MedicationDispense.contained", "sliceName": "prescriberIdentifier", "max": "1", "type": [ { "code": "Practitioner", "profile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSProfissional" ] } ] }, { "id": "MedicationDispense.contained:prescriberIdentifier.id", "path": "MedicationDispense.contained.id", "min": 1, "fixedString": "prescriber-identifier" }, { "id": "MedicationDispense.contained:prescriberIdentifier.meta", "path": "MedicationDispense.contained.meta", "min": 1 }, { "id": "MedicationDispense.contained:prescriberIdentifier.meta.profile", "path": "MedicationDispense.contained.meta.profile", "min": 1, "max": "1" }, { "id": "MedicationDispense.contained:prescriberIdentifier.identifier", "path": "MedicationDispense.contained.identifier" }, { "id": "MedicationDispense.contained:prescriberIdentifier.identifier:rqeMedico", "path": "MedicationDispense.contained.identifier", "sliceName": "rqeMedico" }, { "id": "MedicationDispense.contained:prescriberIdentifier.identifier:rqeMedico.type", "path": "MedicationDispense.contained.identifier.type" }, { "id": "MedicationDispense.contained:prescriberIdentifier.identifier:rqeMedico.type.coding", "path": "MedicationDispense.contained.identifier.type.coding" }, { "id": "MedicationDispense.contained:prescriberIdentifier.identifier:rqeMedico.type.coding.code", "path": "MedicationDispense.contained.identifier.type.coding.code", "patternCode": "DN" }, { "id": "MedicationDispense.contained:prescriberSpecialty", "path": "MedicationDispense.contained", "sliceName": "prescriberSpecialty", "max": "1", "type": [ { "code": "PractitionerRole", "profile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSLotacaoProfissional" ] } ] }, { "id": "MedicationDispense.contained:prescriberSpecialty.id", "path": "MedicationDispense.contained.id", "min": 1, "fixedString": "prescriber-specialty" }, { "id": "MedicationDispense.contained:prescriberSpecialty.meta", "path": "MedicationDispense.contained.meta", "min": 1 }, { "id": "MedicationDispense.contained:prescriberSpecialty.meta.profile", "path": "MedicationDispense.contained.meta.profile", "min": 1, "max": "1" }, { "id": "MedicationDispense.contained:pharmacistIdentifier", "path": "MedicationDispense.contained", "sliceName": "pharmacistIdentifier", "max": "1", "type": [ { "code": "Practitioner", "profile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSProfissional" ] } ] }, { "id": "MedicationDispense.contained:pharmacistIdentifier.id", "path": "MedicationDispense.contained.id", "min": 1, "fixedString": "pharmacist-crf" }, { "id": "MedicationDispense.contained:pharmacistIdentifier.identifier", "path": "MedicationDispense.contained.identifier" }, { "id": "MedicationDispense.contained:pharmacistIdentifier.identifier:identificadorFarmaceutico", "path": "MedicationDispense.contained.identifier", "sliceName": "identificadorFarmaceutico", "min": 1 }, { "id": "MedicationDispense.identifier", "path": "MedicationDispense.identifier", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" }, "short": "Cada item dispensado ou fornecido DEVE ser identificado pelo ID local e também pode ser identificado pelo número do Sistema Nacional de Controle de Receituários - SNCR.", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.identifier:dispensedItemId", "path": "MedicationDispense.identifier", "sliceName": "dispensedItemId", "short": "Identificadores local do item dispensado ou fornecido", "min": 1, "max": "1", "mustSupport": true }, { "id": "MedicationDispense.identifier:dispensedItemId.system", "path": "MedicationDispense.identifier.system", "min": 1, "fixedUri": "http://www.saude.gov.br/fhir/r4/NamingSystem/dispensed-item-id" }, { "id": "MedicationDispense.identifier:dispensedItemId.value", "path": "MedicationDispense.identifier.value", "min": 1 }, { "id": "MedicationDispense.identifier:sncrNumber", "path": "MedicationDispense.identifier", "sliceName": "sncrNumber", "short": "Número do Sistema Nacional de Controle de Receituários", "definition": "Número do Sistema Nacional de Controle de Receituários (caso aplicado ao item dispensado ou fornecido)", "max": "1", "mustSupport": true }, { "id": "MedicationDispense.identifier:sncrNumber.system", "path": "MedicationDispense.identifier.system", "min": 1, "fixedUri": "http://www.saude.gov.br/fhir/r4/NamingSystem/sncr-number" }, { "id": "MedicationDispense.identifier:sncrNumber.value", "path": "MedicationDispense.identifier.value", "min": 1 }, { "id": "MedicationDispense.status", "path": "MedicationDispense.status", "mustSupport": true }, { "id": "MedicationDispense.statusReason[x]", "path": "MedicationDispense.statusReason[x]", "type": [ { "code": "CodeableConcept" } ] }, { "id": "MedicationDispense.category", "path": "MedicationDispense.category", "short": "Categoria de dispensação de medicamentos", "definition": "Na Atenção Primária, o código `community` deve ser usado. Na Atenção Especializada, a categoria frequentemente corresponderá ao tipo de atendimento prestado.\r\n\r\n```json\r\n\"category\": [\r\n {\r\n \"coding\": [\r\n {\r\n \"system\": \"http://terminology.hl7.org/CodeSystem/medicationdispense-category\",\r\n \"code\": \"community\"\r\n }\r\n ]\r\n }\r\n],\r\n```" }, { "id": "MedicationDispense.medication[x]", "path": "MedicationDispense.medication[x]", "type": [ { "code": "CodeableConcept" }, { "code": "Reference", "targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSMedicamentoDispensado" ] } ], "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento" } }, { "id": "MedicationDispense.subject", "path": "MedicationDispense.subject", "short": "Para quem é a dispensação", "definition": "É necessária a identificação de um paciente com um número de CPF ou CNS.\r\n\r\n```json\r\n\"subject\": {\r\n \"identifier\": {\r\n \"system\": \"http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0\",\r\n \"value\": \"53678720454\"\r\n }\r\n}\r\n```", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSPaciente", "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0" ] } ], "mustSupport": true }, { "id": "MedicationDispense.subject.identifier", "path": "MedicationDispense.subject.identifier", "min": 1 }, { "id": "MedicationDispense.subject.identifier.system", "path": "MedicationDispense.subject.identifier.system", "min": 1 }, { "id": "MedicationDispense.subject.identifier.value", "path": "MedicationDispense.subject.identifier.value", "min": 1 }, { "id": "MedicationDispense.supportingInformation", "path": "MedicationDispense.supportingInformation", "slicing": { "discriminator": [ { "type": "profile", "path": "resolve()" } ], "rules": "open" } }, { "id": "MedicationDispense.supportingInformation:prescriberIdentifierReference", "path": "MedicationDispense.supportingInformation", "sliceName": "prescriberIdentifierReference", "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSProfissional" ] } ] }, { "id": "MedicationDispense.supportingInformation:prescriberIdentifierReference.reference", "path": "MedicationDispense.supportingInformation.reference", "min": 1, "fixedString": "#prescriber-identifier" }, { "id": "MedicationDispense.supportingInformation:prescriberSpecialtyReference", "path": "MedicationDispense.supportingInformation", "sliceName": "prescriberSpecialtyReference", "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSLotacaoProfissional" ] } ] }, { "id": "MedicationDispense.supportingInformation:prescriberSpecialtyReference.reference", "path": "MedicationDispense.supportingInformation.reference", "min": 1, "fixedString": "#prescriber-specialty" }, { "id": "MedicationDispense.performer", "path": "MedicationDispense.performer", "slicing": { "discriminator": [ { "type": "value", "path": "id" } ], "rules": "open" }, "min": 1, "mustSupport": true }, { "id": "MedicationDispense.performer:organization", "path": "MedicationDispense.performer", "sliceName": "organization", "short": "Estabelecimento onde ocorreu a dispensação ou fornecimento de medicamento.", "min": 1, "max": "1" }, { "id": "MedicationDispense.performer:organization.id", "path": "MedicationDispense.performer.id", "min": 1, "fixedString": "organization" }, { "id": "MedicationDispense.performer:organization.actor", "path": "MedicationDispense.performer.actor", "type": [ { "code": "Reference", "targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSEstabelecimentoSaude", "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0" ] } ] }, { "id": "MedicationDispense.performer:organization.actor.identifier", "path": "MedicationDispense.performer.actor.identifier", "min": 1 }, { "id": "MedicationDispense.performer:organization.actor.identifier.system", "path": "MedicationDispense.performer.actor.identifier.system", "min": 1 }, { "id": "MedicationDispense.performer:organization.actor.identifier.value", "path": "MedicationDispense.performer.actor.identifier.value", "min": 1 }, { "id": "MedicationDispense.performer:pharmacist", "path": "MedicationDispense.performer", "sliceName": "pharmacist", "short": "Farmacêutico que realizou a dispensação do medicamento", "max": "1" }, { "id": "MedicationDispense.performer:pharmacist.id", "path": "MedicationDispense.performer.id", "min": 1, "fixedString": "pharmacist" }, { "id": "MedicationDispense.performer:pharmacist.function", "path": "MedicationDispense.performer.function", "min": 1, "constraint": [ { "key": "dfm-6", "severity": "error", "human": "Caso o profissional seja farmacêutico deve conter um código CBO da Família \"2234 : Farmacêuticos\"", "expression": "coding.code.startsWith('2234')" } ], "binding": { "strength": "required", "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BROcupacao-1.0" } }, { "id": "MedicationDispense.performer:pharmacist.function.coding", "path": "MedicationDispense.performer.function.coding", "min": 1, "max": "1" }, { "id": "MedicationDispense.performer:pharmacist.function.coding.system", "path": "MedicationDispense.performer.function.coding.system", "min": 1 }, { "id": "MedicationDispense.performer:pharmacist.function.coding.code", "path": "MedicationDispense.performer.function.coding.code", "min": 1 }, { "id": "MedicationDispense.performer:pharmacist.actor", "path": "MedicationDispense.performer.actor", "type": [ { "code": "Reference", "targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSProfissional", "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0" ] } ] }, { "id": "MedicationDispense.performer:pharmacist.actor.reference", "path": "MedicationDispense.performer.actor.reference", "min": 1, "fixedString": "#pharmacist-crf" }, { "id": "MedicationDispense.performer:pharmacist.actor.identifier", "path": "MedicationDispense.performer.actor.identifier", "min": 1 }, { "id": "MedicationDispense.performer:pharmacist.actor.identifier.system", "path": "MedicationDispense.performer.actor.identifier.system", "min": 1 }, { "id": "MedicationDispense.performer:pharmacist.actor.identifier.value", "path": "MedicationDispense.performer.actor.identifier.value", "min": 1 }, { "id": "MedicationDispense.performer:otherPractitioner", "path": "MedicationDispense.performer", "sliceName": "otherPractitioner", "short": "Profissional que realizou o fornecimento do medicamento", "max": "1" }, { "id": "MedicationDispense.performer:otherPractitioner.id", "path": "MedicationDispense.performer.id", "min": 1, "fixedString": "other-practitioner" }, { "id": "MedicationDispense.performer:otherPractitioner.function", "path": "MedicationDispense.performer.function", "min": 1, "binding": { "strength": "required", "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BROcupacao-1.0" } }, { "id": "MedicationDispense.performer:otherPractitioner.function.coding", "path": "MedicationDispense.performer.function.coding", "min": 1, "max": "1" }, { "id": "MedicationDispense.performer:otherPractitioner.function.coding.system", "path": "MedicationDispense.performer.function.coding.system", "min": 1 }, { "id": "MedicationDispense.performer:otherPractitioner.function.coding.code", "path": "MedicationDispense.performer.function.coding.code", "min": 1 }, { "id": "MedicationDispense.performer:otherPractitioner.actor", "path": "MedicationDispense.performer.actor", "type": [ { "code": "Reference", "targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSProfissional", "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0" ] } ] }, { "id": "MedicationDispense.authorizingPrescription", "path": "MedicationDispense.authorizingPrescription", "slicing": { "discriminator": [ { "type": "value", "path": "id" } ], "rules": "open" }, "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSPrescricaoMedicamentoDispensado" ] } ], "mustSupport": true }, { "id": "MedicationDispense.authorizingPrescription:prescriptionInRNDS", "path": "MedicationDispense.authorizingPrescription", "sliceName": "prescriptionInRNDS", "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSPrescricaoMedicamentoDispensado" ] } ] }, { "id": "MedicationDispense.authorizingPrescription:prescriptionInRNDS.id", "path": "MedicationDispense.authorizingPrescription.id", "fixedString": "in-rnds" }, { "id": "MedicationDispense.authorizingPrescription:prescriptionInRNDS.reference", "path": "MedicationDispense.authorizingPrescription.reference", "max": "0" }, { "id": "MedicationDispense.authorizingPrescription:prescriptionInRNDS.identifier", "path": "MedicationDispense.authorizingPrescription.identifier", "min": 1 }, { "id": "MedicationDispense.authorizingPrescription:prescriptionInRNDS.identifier.system", "path": "MedicationDispense.authorizingPrescription.identifier.system", "min": 1, "fixedUri": "http://www.saude.gov.br/fhir/r4/NamingSystem/prescription-item-id" }, { "id": "MedicationDispense.authorizingPrescription:prescriptionInRNDS.identifier.value", "path": "MedicationDispense.authorizingPrescription.identifier.value", "min": 1 }, { "id": "MedicationDispense.authorizingPrescription:prescriptionOutOfRNDS", "path": "MedicationDispense.authorizingPrescription", "sliceName": "prescriptionOutOfRNDS", "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSPrescricaoMedicamentoDispensado" ] } ] }, { "id": "MedicationDispense.authorizingPrescription:prescriptionOutOfRNDS.id", "path": "MedicationDispense.authorizingPrescription.id", "fixedString": "out-of-rnds" }, { "id": "MedicationDispense.authorizingPrescription:prescriptionOutOfRNDS.reference", "path": "MedicationDispense.authorizingPrescription.reference", "min": 1, "fixedString": "#prescription" }, { "id": "MedicationDispense.authorizingPrescription:prescriptionOutOfRNDS.identifier", "path": "MedicationDispense.authorizingPrescription.identifier", "max": "0" }, { "id": "MedicationDispense.type", "path": "MedicationDispense.type", "min": 1, "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoDispensacaoRealizada" } }, { "id": "MedicationDispense.type.coding", "path": "MedicationDispense.type.coding", "min": 1, "max": "1" }, { "id": "MedicationDispense.type.coding.system", "path": "MedicationDispense.type.coding.system", "min": 1 }, { "id": "MedicationDispense.type.coding.code", "path": "MedicationDispense.type.coding.code", "min": 1 }, { "id": "MedicationDispense.quantity", "path": "MedicationDispense.quantity", "mustSupport": true }, { "id": "MedicationDispense.quantity.value", "path": "MedicationDispense.quantity.value", "min": 1 }, { "id": "MedicationDispense.whenHandedOver", "path": "MedicationDispense.whenHandedOver", "min": 1, "mustSupport": true }, { "id": "MedicationDispense.receiver", "path": "MedicationDispense.receiver", "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSPaciente", "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0" ] } ], "mustSupport": true }, { "id": "MedicationDispense.receiver.identifier", "path": "MedicationDispense.receiver.identifier", "min": 1 }, { "id": "MedicationDispense.receiver.identifier.system", "path": "MedicationDispense.receiver.identifier.system", "min": 1 }, { "id": "MedicationDispense.receiver.identifier.value", "path": "MedicationDispense.receiver.identifier.value", "min": 1 }, { "id": "MedicationDispense.note", "path": "MedicationDispense.note", "mustSupport": true }, { "id": "MedicationDispense.dosageInstruction", "path": "MedicationDispense.dosageInstruction", "short": "Como o medicamento deve ser usado", "definition": "O conteúdo do `dosageInstruction` deve seguir as orientações contidas em cada elemento.\r\n\r\n`dosageInstruction.text` **DEVE** ser fornecido e é uma versão legível por humanos da dose estruturada, como seria impressa em uma prescrição de papel. O prescritor deve inserir uma dosagem de item de medicamento. \r\n\r\nO prescritor deve inserir uma dosagem de item de medicamento. O uso de um valor padrão genérico, por exemplo, \"Use conforme as instruções\", se um valor não for inserido, não é aceitável de uma perspectiva clínica. O usuário deve ser solicitado a selecionar uma instrução de dosagem de uma lista de seleção, digitar manualmente ou fazer com que o sistema preencha com uma instrução de dosagem válida e clinicamente segura, relevante para o medicamento prescrito ou circunstâncias clínicas.\r\n\r\n\r\n```json\r\n\"dosageInstruction\": [\r\n {\r\n \"text\": \"Tomar 1 comprimido via oral pela manhã por 10 dias\",\r\n \"timing\": {\r\n \"repeat\": {\r\n \"boundsDuration\": {\r\n \"value\": 10,\r\n \"unit\": \"day\",\r\n \"system\": \"http://unitsofmeasure.org\",\r\n \"code\": \"d\"\r\n },\r\n \"frequency\": 1,\r\n \"period\": 1,\r\n \"periodUnit\": \"d\",\r\n \"when\": \"MORN\"\r\n }\r\n },\r\n \"route\": {\r\n \"coding\": [\r\n {\r\n \"system\": \"http://www.saude.gov.br/fhir/r4/CodeSystem/BRViaAdministracao\",\r\n \"code\": \"10907\",\r\n \"display\": \"Oral\"\r\n }\r\n ]\r\n },\r\n \"doseAndRate\": [\r\n {\r\n \"doseQuantity\": {\r\n \"value\": 1,\r\n \"unit\": \"Comprimido\",\r\n \"system\": \"http://www.saude.gov.br/fhir/r4/CodeSystem/BRUnidadeMedida\",\r\n \"code\": \"19\"\r\n }\r\n }\r\n ],\r\n }\r\n]\r\n\r\n\r\n```" }, { "id": "MedicationDispense.dosageInstruction.route", "path": "MedicationDispense.dosageInstruction.route", "short": "Via de admiminstração do medicamento", "definition": "Conceito - referência a uma terminologia que representa a via de administração do medicamento.\r\n\r\n```json\r\n\"route\": {\r\n \"coding\": [\r\n {\r\n \"system\": \"http://www.saude.gov.br/fhir/r4/CodeSystem/BRViaAdministracao\",\r\n \"code\": \"10907\",\r\n \"display\": \"Oral\"\r\n }\r\n ]\r\n}\r\n```", "min": 1, "binding": { "strength": "required", "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0" } }, { "id": "MedicationDispense.dosageInstruction.route.coding", "path": "MedicationDispense.dosageInstruction.route.coding", "min": 1, "max": "1" }, { "id": "MedicationDispense.dosageInstruction.route.coding.system", "path": "MedicationDispense.dosageInstruction.route.coding.system", "min": 1 }, { "id": "MedicationDispense.dosageInstruction.route.coding.code", "path": "MedicationDispense.dosageInstruction.route.coding.code", "min": 1 }, { "id": "MedicationDispense.dosageInstruction.doseAndRate", "path": "MedicationDispense.dosageInstruction.doseAndRate", "min": 1, "max": "1" }, { "id": "MedicationDispense.dosageInstruction.doseAndRate.dose[x]", "path": "MedicationDispense.dosageInstruction.doseAndRate.dose[x]", "min": 1, "type": [ { "code": "Quantity" } ] }, { "id": "MedicationDispense.dosageInstruction.doseAndRate.dose[x].value", "path": "MedicationDispense.dosageInstruction.doseAndRate.dose[x].value", "min": 1 } ] } }