{
  "resourceType": "StructureDefinition",
  "id": "BRImunobiologicoAdministrado-3.0",
  "language": "pt-BR",
  "url": "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRImunobiologicoAdministrado-3.0",
  "version": "3.0",
  "name": "BRImunobiologicoAdministrado",
  "title": "Imunobiológico Administrado em Rotina",
  "status": "active",
  "date": "2021-09-03",
  "publisher": "Ministério da Saúde do Brasil",
  "description": "Representa um imunobiológico administrado em Rotina (Portaria Conjunta SAES/SVSA/SEIDIGI Nº 25, de 27 de Novembro de 2023).",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Immunization",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Immunization",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Immunization",
        "path": "Immunization",
        "short": "Imunobiológico Administrado",
        "definition": "Representa o imunobiológico administrado em rotina.",
        "alias": [
          "Vacinação",
          "Vacina Administrada"
        ],
        "mustSupport": true
      },
      {
        "id": "Immunization.extension",
        "path": "Immunization.extension",
        "min": 2,
        "max": "3"
      },
      {
        "id": "Immunization.extension:grupoAtendimento",
        "path": "Immunization.extension",
        "sliceName": "grupoAtendimento",
        "definition": "Identifica a classificação do grupo de atendimento dos indivíduos para a vacinação.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRGrupoAtendimento"
            ]
          }
        ]
      },
      {
        "id": "Immunization.extension:condicaoMaternal",
        "path": "Immunization.extension",
        "sliceName": "condicaoMaternal",
        "min": 1,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRCondicaoMaternal"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Immunization.extension:contatoHanseniase",
        "path": "Immunization.extension",
        "sliceName": "contatoHanseniase",
        "definition": "Identifica se um indivíduo possui contato próximo de pacientes que vivem com Hanseníase. Para registro do campo contato hanseníase, deverão ser utilizados as opções TRUE (T) e FALSE (F) - Verdadeiro ou Falso.\r\nRegra negocial: O campo deve ser obrigatório quando o imunobiológico for vacina Bacilo Calmette-Guérim (BCG) de code 15",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRContatoHanseniase"
            ]
          }
        ]
      },
      {
        "id": "Immunization.identifier",
        "path": "Immunization.identifier",
        "max": "0"
      },
      {
        "id": "Immunization.status",
        "path": "Immunization.status",
        "short": "Estado da Administração do Imunobiológico",
        "fixedCode": "completed",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Estado do Evento",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoEvento-1.0"
        }
      },
      {
        "id": "Immunization.statusReason",
        "path": "Immunization.statusReason",
        "max": "0"
      },
      {
        "id": "Immunization.vaccineCode",
        "path": "Immunization.vaccineCode",
        "short": "Imunobiológico",
        "definition": "Identifica o nome do imunobiológico administrado no indivíduo.",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Imunobiológico",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRImunobiologico-1.0"
        }
      },
      {
        "id": "Immunization.vaccineCode.coding",
        "path": "Immunization.vaccineCode.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Immunization.vaccineCode.coding.system",
        "path": "Immunization.vaccineCode.coding.system",
        "min": 1
      },
      {
        "id": "Immunization.vaccineCode.coding.code",
        "path": "Immunization.vaccineCode.coding.code",
        "min": 1
      },
      {
        "id": "Immunization.vaccineCode.coding.display",
        "path": "Immunization.vaccineCode.coding.display",
        "max": "0"
      },
      {
        "id": "Immunization.vaccineCode.coding.userSelected",
        "path": "Immunization.vaccineCode.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Immunization.vaccineCode.text",
        "path": "Immunization.vaccineCode.text",
        "max": "0"
      },
      {
        "id": "Immunization.patient",
        "path": "Immunization.patient",
        "short": "Indivíduo",
        "definition": "Indivíduo que recebeu o imunobiológico.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Immunization.patient.identifier.use",
        "path": "Immunization.patient.identifier.use",
        "max": "0"
      },
      {
        "id": "Immunization.patient.identifier.type",
        "path": "Immunization.patient.identifier.type",
        "max": "0"
      },
      {
        "id": "Immunization.patient.identifier.system",
        "path": "Immunization.patient.identifier.system",
        "min": 1
      },
      {
        "id": "Immunization.patient.identifier.value",
        "path": "Immunization.patient.identifier.value",
        "min": 1
      },
      {
        "id": "Immunization.patient.identifier.period",
        "path": "Immunization.patient.identifier.period",
        "max": "0"
      },
      {
        "id": "Immunization.patient.identifier.assigner",
        "path": "Immunization.patient.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Immunization.patient.display",
        "path": "Immunization.patient.display",
        "max": "0"
      },
      {
        "id": "Immunization.encounter",
        "path": "Immunization.encounter",
        "max": "0"
      },
      {
        "id": "Immunization.occurrence[x]",
        "path": "Immunization.occurrence[x]",
        "short": "Data da Administração do Imunobiológico",
        "definition": "Data em que o imunobiológico foi administrado. O padrão da data deve seguir a ISO8601.\nRegra negocial: A data não pode ser maior que o dia vigente.",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Immunization.recorded",
        "path": "Immunization.recorded",
        "max": "0"
      },
      {
        "id": "Immunization.primarySource",
        "path": "Immunization.primarySource",
        "short": "Indicação da fonte do registro",
        "definition": "Indica se o registro é de fonte própria (true) ou se é derivado de uma fonte externa (false)."
      },
      {
        "id": "Immunization.reportOrigin",
        "path": "Immunization.reportOrigin",
        "short": "Registro de Origem",
        "definition": "Referencia a origem deste registro de fonte externa.",
        "binding": {
          "strength": "required",
          "description": "Registro de Origem",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRRegistroOrigem"
        }
      },
      {
        "id": "Immunization.location",
        "path": "Immunization.location",
        "short": "Indicação do país de origem do registro da vacina",
        "definition": "Identifica se o registro da administração da vacina, realizado por transcrição de caderneta, foi realizado no Brasil ou em outro País."
      },
      {
        "id": "Immunization.location.reference",
        "path": "Immunization.location.reference",
        "max": "0"
      },
      {
        "id": "Immunization.location.type",
        "path": "Immunization.location.type",
        "max": "0"
      },
      {
        "id": "Immunization.location.identifier",
        "path": "Immunization.location.identifier",
        "min": 1
      },
      {
        "id": "Immunization.location.identifier.use",
        "path": "Immunization.location.identifier.use",
        "max": "0"
      },
      {
        "id": "Immunization.location.identifier.type",
        "path": "Immunization.location.identifier.type",
        "max": "0"
      },
      {
        "id": "Immunization.location.identifier.system",
        "path": "Immunization.location.identifier.system",
        "short": "País de origem do registro da vacina",
        "min": 1,
        "fixedUri": "http://www.saude.gov.br/fhir/r4/CodeSystem/BRPais"
      },
      {
        "id": "Immunization.location.identifier.value",
        "path": "Immunization.location.identifier.value",
        "short": "País de origem do registro da vacina",
        "min": 1,
        "binding": {
          "strength": "required",
          "description": "Códigos para representação de países",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRPais-1.0"
        }
      },
      {
        "id": "Immunization.location.identifier.period",
        "path": "Immunization.location.identifier.period",
        "max": "0"
      },
      {
        "id": "Immunization.location.identifier.assigner",
        "path": "Immunization.location.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Immunization.location.display",
        "path": "Immunization.location.display",
        "max": "0"
      },
      {
        "id": "Immunization.manufacturer",
        "path": "Immunization.manufacturer",
        "short": "Fabricante",
        "definition": "Identifica o laboratório fabricante do imunobiológico administrado no indivíduo.\nRegra negocial: Para registro de transcrição de caderneta de vacinação, este campo é opcional.",
        "mustSupport": true
      },
      {
        "id": "Immunization.manufacturer.reference",
        "path": "Immunization.manufacturer.reference",
        "max": "0"
      },
      {
        "id": "Immunization.manufacturer.type",
        "path": "Immunization.manufacturer.type",
        "max": "0"
      },
      {
        "id": "Immunization.manufacturer.identifier",
        "path": "Immunization.manufacturer.identifier",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Immunization.manufacturer.identifier.use",
        "path": "Immunization.manufacturer.identifier.use",
        "max": "0"
      },
      {
        "id": "Immunization.manufacturer.identifier.type",
        "path": "Immunization.manufacturer.identifier.type",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Immunization.manufacturer.identifier.type.coding",
        "path": "Immunization.manufacturer.identifier.type.coding",
        "max": "0"
      },
      {
        "id": "Immunization.manufacturer.identifier.type.coding.id",
        "path": "Immunization.manufacturer.identifier.type.coding.id",
        "max": "0"
      },
      {
        "id": "Immunization.manufacturer.identifier.type.coding.system",
        "path": "Immunization.manufacturer.identifier.type.coding.system",
        "max": "0"
      },
      {
        "id": "Immunization.manufacturer.identifier.type.coding.version",
        "path": "Immunization.manufacturer.identifier.type.coding.version",
        "max": "0"
      },
      {
        "id": "Immunization.manufacturer.identifier.type.coding.code",
        "path": "Immunization.manufacturer.identifier.type.coding.code",
        "max": "0"
      },
      {
        "id": "Immunization.manufacturer.identifier.type.coding.display",
        "path": "Immunization.manufacturer.identifier.type.coding.display",
        "max": "0"
      },
      {
        "id": "Immunization.manufacturer.identifier.type.coding.userSelected",
        "path": "Immunization.manufacturer.identifier.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Immunization.manufacturer.identifier.type.text",
        "path": "Immunization.manufacturer.identifier.type.text",
        "max": "0"
      },
      {
        "id": "Immunization.manufacturer.identifier.system",
        "path": "Immunization.manufacturer.identifier.system",
        "short": "Fabricante PNI",
        "definition": "URL que define o system BRFabricantePNI como referência para esse elemento.",
        "min": 1,
        "fixedUri": "http://www.saude.gov.br/fhir/r4/CodeSystem/BRFabricantePNI",
        "mustSupport": true
      },
      {
        "id": "Immunization.manufacturer.identifier.value",
        "path": "Immunization.manufacturer.identifier.value",
        "short": "Fabricante do imunobiológico.",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "O código do fabricante do imunobiológico.",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRFabricanteImunobiologico-1.0"
        }
      },
      {
        "id": "Immunization.manufacturer.identifier.period",
        "path": "Immunization.manufacturer.identifier.period",
        "max": "0"
      },
      {
        "id": "Immunization.manufacturer.identifier.assigner",
        "path": "Immunization.manufacturer.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Immunization.manufacturer.display",
        "path": "Immunization.manufacturer.display",
        "short": "Nome do fabricante",
        "max": "0"
      },
      {
        "id": "Immunization.lotNumber",
        "path": "Immunization.lotNumber",
        "short": "Lote",
        "definition": "Identifica o lote do imunobiológico de acordo com o fabricante.\r\nO lote é fundamental para identificação de características do imunobiológico. É uma informação presente na embalagem do produto ou, algumas vezes, na caderneta de vacinação.\nRegra negocial: Para registro de transcrição de caderneta de vacinação, este campo é opcional.",
        "mustSupport": true
      },
      {
        "id": "Immunization.expirationDate",
        "path": "Immunization.expirationDate",
        "short": "Data de expiração do imunobiológico",
        "definition": "Data de expiração do imunobiológico"
      },
      {
        "id": "Immunization.site",
        "path": "Immunization.site",
        "short": "Local de Aplicação",
        "definition": "Identifica a localização anatômica em que o imunobiológico foi aplicado.",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Local de Aplicação",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRLocalAplicacao-1.0"
        }
      },
      {
        "id": "Immunization.site.coding",
        "path": "Immunization.site.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Immunization.site.coding.system",
        "path": "Immunization.site.coding.system",
        "min": 1
      },
      {
        "id": "Immunization.site.coding.code",
        "path": "Immunization.site.coding.code",
        "min": 1
      },
      {
        "id": "Immunization.site.coding.display",
        "path": "Immunization.site.coding.display",
        "max": "0"
      },
      {
        "id": "Immunization.site.coding.userSelected",
        "path": "Immunization.site.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Immunization.site.text",
        "path": "Immunization.site.text",
        "max": "0"
      },
      {
        "id": "Immunization.route",
        "path": "Immunization.route",
        "short": "Via de Administração",
        "definition": "Identifica a via com que o imunobiológico administrado entra em contato com o organismo.",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Via de Administração",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0"
        }
      },
      {
        "id": "Immunization.route.coding",
        "path": "Immunization.route.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Immunization.route.coding.system",
        "path": "Immunization.route.coding.system",
        "min": 1
      },
      {
        "id": "Immunization.route.coding.code",
        "path": "Immunization.route.coding.code",
        "min": 1
      },
      {
        "id": "Immunization.route.coding.display",
        "path": "Immunization.route.coding.display",
        "max": "0"
      },
      {
        "id": "Immunization.route.coding.userSelected",
        "path": "Immunization.route.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Immunization.route.text",
        "path": "Immunization.route.text",
        "max": "0"
      },
      {
        "id": "Immunization.doseQuantity",
        "path": "Immunization.doseQuantity",
        "max": "0"
      },
      {
        "id": "Immunization.performer",
        "path": "Immunization.performer",
        "short": "Profissional Executante",
        "definition": "Informações sobre o profissional que administrou o imunobiológico.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Immunization.performer.function",
        "path": "Immunization.performer.function",
        "short": "Especialidade do profissional prescritor",
        "definition": "Identifica a especialidade do profissional que prescreveu a administração do imunobiológico por meio do Código Brasileiro de Ocupações (CBO). Regra negocial: Quando a estratégia de vacinação for Especial, o campo deve ser obrigatório.",
        "min": 0,
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BROcupacao-1.0"
        }
      },
      {
        "id": "Immunization.performer.function.coding",
        "path": "Immunization.performer.function.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Immunization.performer.function.coding.system",
        "path": "Immunization.performer.function.coding.system",
        "min": 1
      },
      {
        "id": "Immunization.performer.function.coding.code",
        "path": "Immunization.performer.function.coding.code",
        "min": 1
      },
      {
        "id": "Immunization.performer.function.coding.display",
        "path": "Immunization.performer.function.coding.display",
        "max": "0"
      },
      {
        "id": "Immunization.performer.function.coding.userSelected",
        "path": "Immunization.performer.function.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Immunization.performer.function.text",
        "path": "Immunization.performer.function.text",
        "max": "0"
      },
      {
        "id": "Immunization.performer.actor",
        "path": "Immunization.performer.actor",
        "short": "Identificador do profissional",
        "definition": "Identifica o número do Cadastro Nacional de Saúde (CNS) do profissional de saúde que realizou o atendimento ou transcrição. Deverá ser utilizado para a identificação, o Cartão Nacional de Saúde (CNS) do profissional.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Immunization.performer.actor.reference",
        "path": "Immunization.performer.actor.reference",
        "min": 1
      },
      {
        "id": "Immunization.performer.actor.type",
        "path": "Immunization.performer.actor.type",
        "max": "0"
      },
      {
        "id": "Immunization.performer.actor.identifier",
        "path": "Immunization.performer.actor.identifier",
        "max": "0"
      },
      {
        "id": "Immunization.performer.actor.display",
        "path": "Immunization.performer.actor.display",
        "max": "0"
      },
      {
        "id": "Immunization.note",
        "path": "Immunization.note",
        "max": "0"
      },
      {
        "id": "Immunization.reasonCode",
        "path": "Immunization.reasonCode",
        "max": "0"
      },
      {
        "id": "Immunization.reasonReference",
        "path": "Immunization.reasonReference",
        "short": "Motivo de Indicação",
        "definition": "Identifica o código da Classificação Internacional de Doenças (CID) do motivo da indicação para administração do imunobiológico.\n\nRegra negocial: Quando a estratégia de vacinação for \"Especial\", o campo deve ser obrigatório.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRCID10Avaliado-1.0"
            ]
          }
        ]
      },
      {
        "id": "Immunization.isSubpotent",
        "path": "Immunization.isSubpotent",
        "max": "0"
      },
      {
        "id": "Immunization.subpotentReason",
        "path": "Immunization.subpotentReason",
        "max": "0"
      },
      {
        "id": "Immunization.education",
        "path": "Immunization.education",
        "max": "0"
      },
      {
        "id": "Immunization.programEligibility",
        "path": "Immunization.programEligibility",
        "max": "0"
      },
      {
        "id": "Immunization.fundingSource",
        "path": "Immunization.fundingSource",
        "max": "0"
      },
      {
        "id": "Immunization.reaction",
        "path": "Immunization.reaction",
        "max": "0"
      },
      {
        "id": "Immunization.protocolApplied",
        "path": "Immunization.protocolApplied",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Immunization.protocolApplied.extension",
        "path": "Immunization.protocolApplied.extension",
        "min": 1,
        "max": "2"
      },
      {
        "id": "Immunization.protocolApplied.extension:strategy",
        "path": "Immunization.protocolApplied.extension",
        "sliceName": "strategy",
        "definition": "Identifica a estratégia de vacinação adotada, conforme estabelecidos pelo Programa Nacional de Imunização (PNI) e disponibilizado nos CodeSystems da Rede Nacional de Dados em Saúde (RNDS).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstrategiaVacinacao-1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Immunization.protocolApplied.extension:pesquisaClinica",
        "path": "Immunization.protocolApplied.extension",
        "sliceName": "pesquisaClinica",
        "short": "Pesquisa Clínica",
        "definition": "Dados do Estudo Clínico para o desenvolvimento do imunobiológico administrado.",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstrategiaVacinacaoPesquisa-1.0"
            ]
          }
        ]
      },
      {
        "id": "Immunization.protocolApplied.extension:pesquisaClinica.extension",
        "path": "Immunization.protocolApplied.extension.extension",
        "max": "3"
      },
      {
        "id": "Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroProtocoloEstudoANVISA",
        "path": "Immunization.protocolApplied.extension.extension",
        "sliceName": "numeroProtocoloEstudoANVISA",
        "short": "ANVISA Protocolo Estudo",
        "definition": "Número do protocolo do estudo clínico na ANVISA: identifica o número do protocolo do estudo clínico autorizado pela Agência Nacional de Vigilância Sanitária para administração de vacinas."
      },
      {
        "id": "Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroVersaoProtocoloEstudo",
        "path": "Immunization.protocolApplied.extension.extension",
        "sliceName": "numeroVersaoProtocoloEstudo",
        "short": "ANVISA Protocolo Versão",
        "definition": "Número da versão do protocolo do estudo na ANVISA: identifica o número da versão do protocolo do estudo clínico autorizado pela Agência Nacional de Vigilância Sanitária para administração de vacinas."
      },
      {
        "id": "Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroRegistroVacinaAnvisa",
        "path": "Immunization.protocolApplied.extension.extension",
        "sliceName": "numeroRegistroVacinaAnvisa",
        "short": "ANVISA Num Registro",
        "definition": "Número do registro sanitário da vacina na ANVISA. Este registro pode ser emergencial ou definitivo.\r\nIdentifica o número do registro sanitário da vacina registrado na Agência Nacional de Vigilância Sanitária."
      },
      {
        "id": "Immunization.protocolApplied.series",
        "path": "Immunization.protocolApplied.series",
        "max": "0"
      },
      {
        "id": "Immunization.protocolApplied.authority",
        "path": "Immunization.protocolApplied.authority",
        "max": "0"
      },
      {
        "id": "Immunization.protocolApplied.targetDisease",
        "path": "Immunization.protocolApplied.targetDisease",
        "max": "0"
      },
      {
        "id": "Immunization.protocolApplied.doseNumber[x]",
        "path": "Immunization.protocolApplied.doseNumber[x]",
        "short": "Dose",
        "definition": "Identifica o registro da dose da vacina administrada no indivíduo.",
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Dose do Imunobiológico",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRDose-1.0"
        }
      },
      {
        "id": "Immunization.protocolApplied.seriesDoses[x]",
        "path": "Immunization.protocolApplied.seriesDoses[x]",
        "max": "0"
      }
    ]
  }
}