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