{
"description": "Documento público que coleta os dados dos atendimentos em saúde realizados em qualquer estabelecimento de saúde do país, público ou privado, em cada contato assistencial",
"_filename": "StructureDefinition-BRConjuntoMinimoDados-1.1.json",
"package_name": "br.ufg.cgis.rnds",
"date": "2022-06-08",
"derivation": "constraint",
"meta": {
"versionId": "1",
"lastUpdated": "2023-05-25T18:05:29.6576744+00:00"
},
"publisher": "Ministério da Saúde do Brasil",
"fhirVersion": "4.0.1",
"name": "BRConjuntoMinimoDados",
"abstract": false,
"type": "Composition",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Conjunto Mínimo de Dados",
"package_version": "lite-0.0.1",
"status": "draft",
"language": "pt-BR",
"id": "ee075107-d939-4131-99eb-fbc341e8cc9c",
"kind": "resource",
"url": "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRConjuntoMinimoDados-1.1",
"version": "2.0",
"differential": {
"element": [ {
"id": "Composition",
"path": "Composition",
"alias": [ "Contato Assistencial", "CMD", "Minimum Health Data Set", "Minimum Basic Health Data Set", "MHDS", "MBHDS", "Atendimento", "Internação" ],
"short": "Conjunto Mínimo de Dados",
"definition": "Documento que representa o Conjunto Mínimo de Dados.",
"mustSupport": true
}, {
"id": "Composition.identifier",
"max": "0",
"path": "Composition.identifier"
}, {
"id": "Composition.status",
"path": "Composition.status",
"short": "final | entered-in-error",
"binding": {
"strength": "required",
"valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoDocumento-1.0",
"description": "Estado do Documento"
},
"mustSupport": true
}, {
"id": "Composition.type",
"path": "Composition.type",
"short": "Tipo de Documento",
"binding": {
"strength": "required",
"valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoDocumento-1.0",
"description": "Tipo de Documento"
},
"definition": "Especifica o tipo de documento que está sendo enviado na composição.",
"mustSupport": true
}, {
"id": "Composition.type.coding",
"max": "1",
"min": 1,
"path": "Composition.type.coding",
"mustSupport": true
}, {
"id": "Composition.type.coding.system",
"min": 1,
"path": "Composition.type.coding.system"
}, {
"id": "Composition.type.coding.code",
"min": 1,
"path": "Composition.type.coding.code"
}, {
"id": "Composition.type.coding.display",
"max": "0",
"path": "Composition.type.coding.display"
}, {
"id": "Composition.type.coding.userSelected",
"max": "0",
"path": "Composition.type.coding.userSelected"
}, {
"id": "Composition.type.text",
"max": "0",
"path": "Composition.type.text"
}, {
"id": "Composition.category",
"max": "1",
"min": 1,
"path": "Composition.category",
"short": "Modalidade Assistencial",
"binding": {
"strength": "required",
"valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeAssistencial-1.0",
"description": "Modalidade Assistencial"
},
"definition": "Classifica os contatos assistenciais de acordo com as especificidades do modo, local e duração do atendimento.\r\nReferência: https://rts.saude.gov.br/#/modalidade-assistencial",
"mustSupport": true
}, {
"id": "Composition.category.coding",
"max": "1",
"min": 1,
"path": "Composition.category.coding",
"mustSupport": true
}, {
"id": "Composition.category.coding.system",
"min": 1,
"path": "Composition.category.coding.system"
}, {
"id": "Composition.category.coding.code",
"min": 1,
"path": "Composition.category.coding.code"
}, {
"id": "Composition.category.coding.display",
"max": "0",
"path": "Composition.category.coding.display"
}, {
"id": "Composition.category.coding.userSelected",
"max": "0",
"path": "Composition.category.coding.userSelected"
}, {
"id": "Composition.category.text",
"max": "0",
"path": "Composition.category.text"
}, {
"id": "Composition.subject",
"min": 1,
"path": "Composition.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0" ]
} ],
"short": "Sujeito da Composição",
"comment": "Nesta versão, a RNDS suportará somente indivíduos.",
"definition": "Quem ou o quê a composição se refere. Pode ser um indivíduo, dispositivo, grupos (de indivíduos, dispositivos etc.).",
"mustSupport": true
}, {
"id": "Composition.subject.extension",
"min": 0,
"path": "Composition.subject.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Composition.subject.extension:unidentifiedPatient",
"min": 0,
"path": "Composition.subject.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0" ]
} ],
"short": "Dados do Indivíduo Não Identificado",
"sliceName": "unidentifiedPatient",
"mustSupport": true
}, {
"id": "Composition.subject.extension:unidentifiedPatient.extension",
"min": 3,
"path": "Composition.subject.extension.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Composition.subject.extension:unidentifiedPatient.extension:gender",
"min": 1,
"path": "Composition.subject.extension.extension",
"sliceName": "gender",
"mustSupport": true
}, {
"id": "Composition.subject.extension:unidentifiedPatient.extension:birthYear",
"min": 1,
"path": "Composition.subject.extension.extension",
"sliceName": "birthYear",
"mustSupport": true
}, {
"id": "Composition.subject.extension:unidentifiedPatient.extension:reason",
"min": 1,
"path": "Composition.subject.extension.extension",
"sliceName": "reason",
"mustSupport": true
}, {
"id": "Composition.subject.reference",
"max": "0",
"path": "Composition.subject.reference"
}, {
"id": "Composition.subject.type",
"max": "0",
"path": "Composition.subject.type",
"fixedUri": "Patient"
}, {
"id": "Composition.subject.identifier.use",
"max": "0",
"path": "Composition.subject.identifier.use"
}, {
"id": "Composition.subject.identifier.type",
"max": "0",
"path": "Composition.subject.identifier.type"
}, {
"id": "Composition.subject.identifier.system",
"min": 1,
"path": "Composition.subject.identifier.system"
}, {
"id": "Composition.subject.identifier.value",
"min": 1,
"path": "Composition.subject.identifier.value"
}, {
"id": "Composition.subject.identifier.period",
"max": "0",
"path": "Composition.subject.identifier.period"
}, {
"id": "Composition.subject.identifier.assigner",
"max": "0",
"path": "Composition.subject.identifier.assigner"
}, {
"id": "Composition.subject.display",
"max": "0",
"path": "Composition.subject.display"
}, {
"id": "Composition.encounter",
"max": "0",
"path": "Composition.encounter"
}, {
"id": "Composition.date",
"path": "Composition.date",
"short": "Data/hora de Geração do Documento",
"definition": "Data e hora em que o documento foi gerado.",
"mustSupport": true
}, {
"id": "Composition.author",
"path": "Composition.author",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0" ]
} ],
"short": "Reponsável pelo Contato Assistencial",
"comment": "Nesta versão da RNDS somente serão suportadas edições provenientes de Estabelecimentos de Saúde.",
"definition": "Identifica a Pessoa Jurídica ou Pessoa Física (profissional liberal) responsável por gerar o documento.",
"mustSupport": true
}, {
"id": "Composition.author.reference",
"max": "0",
"path": "Composition.author.reference"
}, {
"id": "Composition.author.type",
"max": "0",
"path": "Composition.author.type"
}, {
"id": "Composition.author.identifier",
"min": 1,
"path": "Composition.author.identifier"
}, {
"id": "Composition.author.identifier.use",
"max": "0",
"path": "Composition.author.identifier.use"
}, {
"id": "Composition.author.identifier.type",
"max": "0",
"path": "Composition.author.identifier.type"
}, {
"id": "Composition.author.identifier.system",
"min": 1,
"path": "Composition.author.identifier.system"
}, {
"id": "Composition.author.identifier.value",
"min": 1,
"path": "Composition.author.identifier.value"
}, {
"id": "Composition.author.identifier.period",
"max": "0",
"path": "Composition.author.identifier.period"
}, {
"id": "Composition.author.identifier.assigner",
"max": "0",
"path": "Composition.author.identifier.assigner"
}, {
"id": "Composition.author.display",
"max": "0",
"path": "Composition.author.display"
}, {
"id": "Composition.title",
"path": "Composition.title",
"short": "Título do documento",
"definition": "Título do documento em linguagem humana.",
"mustSupport": true
}, {
"id": "Composition.confidentiality",
"max": "0",
"path": "Composition.confidentiality"
}, {
"id": "Composition.attester",
"max": "0",
"path": "Composition.attester"
}, {
"id": "Composition.custodian",
"max": "0",
"path": "Composition.custodian"
}, {
"id": "Composition.relatesTo",
"max": "1",
"path": "Composition.relatesTo",
"short": "Relação a Outros Documentos",
"definition": "Indica uma relação entre esse documento e outro documento (ou composição) existente.",
"requirements": "Este elemento deve ser utilizado exclusivamente para indicar que este documento substitui (replaces) outro documento / composição; ou seja, é utilizado para cancelar o anterior e passar a considerar este no seu lugar. Este documento receberá um ID próprio; o documento anterior continuará disponível na RNDS e poderá ser recuperado integralmente por referência direta ao seu ID, garantindo a rastreabilidade do processo, mas não estará diretamente disponível na timeline do cidadão."
}, {
"id": "Composition.relatesTo.code",
"path": "Composition.relatesTo.code",
"short": "Tipo de Relacionamento",
"fixedCode": "replaces",
"definition": "Indica o tipo de relacionamento que este documento tem com o outro documento (composição).",
"requirements": "O valor é fixado em replaces, pois a substituição de documentos é a única operação permitida na RNDS."
}, {
"id": "Composition.relatesTo.target[x]",
"path": "Composition.relatesTo.target[x]",
"type": [ {
"code": "Reference"
} ],
"short": "Documento a Ser Substituído",
"definition": "Referência ao documento anterior que este documento está substituindo.",
"requirements": "O valor é fixado em replaces, pois a substituição de documentos é a única operação permitida na RNDS."
}, {
"id": "Composition.relatesTo.target[x].id",
"max": "0",
"path": "Composition.relatesTo.target[x].id"
}, {
"id": "Composition.relatesTo.target[x].reference",
"min": 1,
"path": "Composition.relatesTo.target[x].reference"
}, {
"id": "Composition.relatesTo.target[x].type",
"max": "0",
"path": "Composition.relatesTo.target[x].type"
}, {
"id": "Composition.relatesTo.target[x].identifier",
"max": "0",
"path": "Composition.relatesTo.target[x].identifier"
}, {
"id": "Composition.relatesTo.target[x].display",
"max": "0",
"path": "Composition.relatesTo.target[x].display"
}, {
"id": "Composition.event",
"max": "0",
"path": "Composition.event"
}, {
"id": "Composition.section",
"min": 1,
"path": "Composition.section",
"short": "Seções do documento",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "entry.resolve()",
"type": "profile"
} ]
},
"definition": "Referencia todas as seções (profiles/resources) contidos neste documento.",
"mustSupport": true
}, {
"id": "Composition.section:informacoesContatoAssistencial",
"max": "1",
"min": 1,
"path": "Composition.section",
"short": "Informações do Contato Assistencial",
"sliceName": "informacoesContatoAssistencial",
"mustSupport": true
}, {
"id": "Composition.section:informacoesContatoAssistencial.title",
"max": "0",
"path": "Composition.section.title"
}, {
"id": "Composition.section:informacoesContatoAssistencial.code",
"max": "0",
"path": "Composition.section.code"
}, {
"id": "Composition.section:informacoesContatoAssistencial.author",
"max": "0",
"path": "Composition.section.author"
}, {
"id": "Composition.section:informacoesContatoAssistencial.focus",
"max": "0",
"path": "Composition.section.focus"
}, {
"id": "Composition.section:informacoesContatoAssistencial.text",
"max": "0",
"path": "Composition.section.text"
}, {
"id": "Composition.section:informacoesContatoAssistencial.mode",
"max": "0",
"path": "Composition.section.mode"
}, {
"id": "Composition.section:informacoesContatoAssistencial.orderedBy",
"max": "0",
"path": "Composition.section.orderedBy"
}, {
"id": "Composition.section:informacoesContatoAssistencial.entry",
"max": "1",
"min": 1,
"path": "Composition.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRContatoAssistencial-1.0" ]
} ],
"mustSupport": true
}, {
"id": "Composition.section:informacoesContatoAssistencial.entry.reference",
"min": 1,
"path": "Composition.section.entry.reference"
}, {
"id": "Composition.section:informacoesContatoAssistencial.entry.type",
"max": "0",
"path": "Composition.section.entry.type"
}, {
"id": "Composition.section:informacoesContatoAssistencial.entry.identifier",
"max": "0",
"path": "Composition.section.entry.identifier"
}, {
"id": "Composition.section:informacoesContatoAssistencial.entry.display",
"max": "0",
"path": "Composition.section.entry.display"
}, {
"id": "Composition.section:informacoesContatoAssistencial.emptyReason",
"max": "0",
"path": "Composition.section.emptyReason"
}, {
"id": "Composition.section:informacoesContatoAssistencial.section",
"max": "0",
"path": "Composition.section.section"
}, {
"id": "Composition.section:problemasDiagnosticosAvaliados",
"path": "Composition.section",
"short": "Problema(s)/Diagnóstico(s) Avaliado(s)",
"sliceName": "problemasDiagnosticosAvaliados",
"mustSupport": true
}, {
"id": "Composition.section:problemasDiagnosticosAvaliados.title",
"max": "0",
"path": "Composition.section.title"
}, {
"id": "Composition.section:problemasDiagnosticosAvaliados.code",
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"path": "Composition.section.code"
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"path": "Composition.section.author"
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"path": "Composition.section.orderedBy"
}, {
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"max": "1",
"min": 1,
"path": "Composition.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProblemaDiagnostico" ]
} ],
"mustSupport": true
}, {
"id": "Composition.section:problemasDiagnosticosAvaliados.entry.reference",
"min": 1,
"path": "Composition.section.entry.reference",
"mustSupport": true
}, {
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"path": "Composition.section.entry.type"
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"max": "0",
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"path": "Composition.section.entry.display"
}, {
"id": "Composition.section:problemasDiagnosticosAvaliados.emptyReason",
"max": "0",
"path": "Composition.section.emptyReason",
"short": "Motivo da Seção Vazia",
"mustSupport": true
}, {
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"min": 1,
"path": "Composition.section.emptyReason.coding"
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}