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