<status value="draft" /> <date value="2024-12-14" /> <publisher value="Ministério da Saúde do Brasil" /> <description value="Dados da prescrição a serem informados durante a dispensação caso o registro não esteja na RNDS." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="script10.6" /> <uri value="http://ncpdp.org/SCRIPT10_6" /> <name value="Mapping to NCPDP SCRIPT 10.6" /> </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="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="MedicationRequest" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" /> <derivation value="constraint" /> <differential> <element id="MedicationRequest.identifier"> <path value="MedicationRequest.identifier" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> <short value="Cada item prescrito DEVE ser identificado pelo ID local e também pode ser identificado pelo número do Sistema Nacional de Controle de Receituários - SNCR." /> <definition value="Exemplos de identificação (apenas para fins ilustrativos): ID Local: ```json "identifier": [ { "system": "http://www.saude.gov.br/fhir/r4/NamingSystem/prescription-item-id", "value": "a54219b8-f741-4c47-b662-e4f8dfa49ab6" } ] ``` Número do Sistema Nacional de Controle de Receituários: ```json "identifier": [ { "system": "http://www.saude.gov.br/fhir/r4/NamingSystem/sncr-number", "value": "19356261" } ] ```" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.identifier:prescriptionItemId"> <path value="MedicationRequest.identifier" /> <sliceName value="prescriptionItemId" /> <short value="Identificador local do item prescrito" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.identifier:prescriptionItemId.system"> <path value="MedicationRequest.identifier.system" /> <min value="1" /> <fixedUri value="http://www.saude.gov.br/fhir/r4/NamingSystem/prescription-item-id" /> </element> <element id="MedicationRequest.identifier:prescriptionItemId.value"> <path value="MedicationRequest.identifier.value" /> <min value="1" /> </element> <element id="MedicationRequest.identifier:sncrNumber"> <path value="MedicationRequest.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 prescrito)" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.identifier:sncrNumber.system"> <path value="MedicationRequest.identifier.system" /> <min value="1" /> <fixedUri value="http://www.saude.gov.br/fhir/r4/NamingSystem/sncr-number" /> </element> <element id="MedicationRequest.identifier:sncrNumber.value"> <path value="MedicationRequest.identifier.value" /> <min value="1" /> </element> <element id="MedicationRequest.status"> <path value="MedicationRequest.status" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.medication[x]"> <path value="MedicationRequest.medication[x]" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento" /> </binding> </element> <element id="MedicationRequest.medication[x].coding"> <path value="MedicationRequest.medication[x].coding" /> <min value="1" /> <max value="1" /> </element> <element id="MedicationRequest.medication[x].coding.system"> <path value="MedicationRequest.medication[x].coding.system" /> <min value="1" /> </element> <element id="MedicationRequest.medication[x].coding.code"> <path value="MedicationRequest.medication[x].coding.code" /> <min value="1" /> </element> <element id="MedicationRequest.subject"> <path value="MedicationRequest.subject" /> <short value="A quem ou a que grupo se destina a requisição de medicamento" /> <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" } } ```" /> <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="MedicationRequest.subject.identifier"> <path value="MedicationRequest.subject.identifier" /> <min value="1" /> </element> <element id="MedicationRequest.subject.identifier.system"> <path value="MedicationRequest.subject.identifier.system" /> <min value="1" /> </element> <element id="MedicationRequest.subject.identifier.value"> <path value="MedicationRequest.subject.identifier.value" /> <min value="1" /> </element> <element id="MedicationRequest.requester"> <path value="MedicationRequest.requester" /> <min value="1" /> <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" /> <targetProfile value="http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSLotacaoProfissional" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.requester.reference"> <path value="MedicationRequest.requester.reference" /> <min value="1" /> </element> <element id="MedicationRequest.requester.identifier"> <path value="MedicationRequest.requester.identifier" /> <min value="1" /> </element> <element id="MedicationRequest.requester.identifier.system"> <path value="MedicationRequest.requester.identifier.system" /> <min value="1" /> </element> <element id="MedicationRequest.requester.identifier.value"> <path value="MedicationRequest.requester.identifier.value" /> <min value="1" /> </element> <element id="MedicationRequest.reasonCode"> <path value="MedicationRequest.reasonCode" /> <min value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRProblemaDiagnostico" /> </binding> </element> <element id="MedicationRequest.reasonCode.coding"> <path value="MedicationRequest.reasonCode.coding" /> <min value="1" /> <max value="1" /> </element> <element id="MedicationRequest.reasonCode.coding.system"> <path value="MedicationRequest.reasonCode.coding.system" /> <min value="1" /> </element> <element id="MedicationRequest.reasonCode.coding.code"> <path value="MedicationRequest.reasonCode.coding.code" /> <min value="1" /> </element> <element id="MedicationRequest.note"> <path value="MedicationRequest.note" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction"> <path value="MedicationRequest.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" } } ], } ] ```" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction.route"> <path value="MedicationRequest.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="MedicationRequest.dosageInstruction.route.coding"> <path value="MedicationRequest.dosageInstruction.route.coding" /> <min value="1" /> <max value="1" /> </element> <element id="MedicationRequest.dosageInstruction.route.coding.system"> <path value="MedicationRequest.dosageInstruction.route.coding.system" /> <min value="1" /> </element> <element id="MedicationRequest.dosageInstruction.route.coding.code"> <path value="MedicationRequest.dosageInstruction.route.coding.code" /> <min value="1" /> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate"> <path value="MedicationRequest.dosageInstruction.doseAndRate" /> <min value="1" /> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.dose[x]"> <path value="MedicationRequest.dosageInstruction.doseAndRate.dose[x]" /> <min value="1" /> <type> <code value="Quantity" /> </type> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.dose[x].value"> <path value="MedicationRequest.dosageInstruction.doseAndRate.dose[x].value" /> <min value="1" /> </element> </differential> </StructureDefinition>