Guia de Implementação do Registro de Atendimento Clínico (RAC) da RNDS
0.1.0 - CI Build
Guia de Implementação do Registro de Atendimento Clínico (RAC) da RNDS
0.1.0 - CI Build
Guia de Implementação do Registro de Atendimento Clínico (RAC) da RNDS - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPrescricaoMedicamento | Version: 0.1.0 | |||
| Standards status: Informative | Maturity Level: 1 | Computable Name: BRPrescricaoMedicamento | ||
Prescrição de Medicamento
Descreve a prescrição de um medicamento.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
  modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 status |
?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. ele-1: All FHIR elements must have a @value or children |
| intent |
?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children |
  medication[x] |
Σ | 1..1 | Medicamento Binding: Indicativo de prescrição não estruturada ou medicamento não identificado (required): Justificativa da ausência de dados estruturados sobre o medicamento. ele-1: All FHIR elements must have a @value or children | |
  medicationCodeableConcept |
CodeableConcept | |||
  medicationReference |
Reference(Medicamento) | |||
| subject |
Σ | 1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Sujeito da Composição ele-1: All FHIR elements must have a @value or children |
| identifier |
Σ | 1..1 | Identifier | Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children |
| authoredOn |
Σ | 1..1 | dateTime | Data e hora da prescrição ele-1: All FHIR elements must have a @value or children |
| requester |
Σ | 0..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0) | Estabelecimento de Saúde prescritor ele-1: All FHIR elements must have a @value or children |
| identifier |
Σ | 1..1 | Identifier | Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children |
| recorder |
1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0) | Profissional prescritor ele-1: All FHIR elements must have a @value or children | |
| identifier |
Σ | 1..1 | Identifier | Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children |
| note |
0..1 | Annotation | Notas não estruturadas ele-1: All FHIR elements must have a @value or children | |
 dosageInstruction |
0..1 | Dosage | How the medication should be taken ele-1: All FHIR elements must have a @value or children | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| text |
Σ | 0..1 | string | Prescrição e/ou Posologia Não Estruturada ele-1: All FHIR elements must have a @value or children |
| patientInstruction |
Σ | 0..1 | string | Orientações sobre o uso do medicamento ele-1: All FHIR elements must have a @value or children |
| timing |
Σ | 0..1 | Timing | Frequência de uso do medicamento ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| repeat |
ΣC | 1..1 | Element | When the event is to occur ele-1: All FHIR elements must have a @value or children tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa |
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
  period |
0..1 | (Complex) | Extensão - Intervalo entre doses URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIntervaloDoses ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
   Slices for extension |
Content/Rules for all slices | |||
 extension:periodUnit |
0..1 | Extension | Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 url |
1..1 | uri | "periodUnit" | |
 value[x] |
1..1 | code | Value of extension Binding: Unidade de Tempo (required): Define a unidade de tempo segundo o UCUM ele-1: All FHIR elements must have a @value or children | |
 extension:period |
0..1 | Extension | Intervalo entre doses ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| url |
1..1 | uri | "period" | |
| value[x] |
1..1 | positiveInt | Intervalo entre doses ele-1: All FHIR elements must have a @value or children | |
| url |
1..1 | uri | "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIntervaloDoses" | |
| when |
0..1 | (Complex) | Extensão - Turno do dia URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| url |
1..1 | uri | "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno" | |
| count |
Σ | 1..1 | positiveInt | Repetições de dose ele-1: All FHIR elements must have a @value or children |
| countMax |
Σ | 1..1 | positiveInt | Quantidade total de doses ele-1: All FHIR elements must have a @value or children |
| frequency |
Σ | 0..1 | positiveInt | Intervalo de dose ele-1: All FHIR elements must have a @value or children |
| asNeeded[x] |
Σ | 0..1 | boolean | Uso se necessário ele-1: All FHIR elements must have a @value or children |
| route |
Σ | 1..1 | CodeableConcept | Via de Administração Binding: Via de Administração do Imunobiológico (required): Via de Administração ele-1: All FHIR elements must have a @value or children |
| doseAndRate |
Σ | 0..1 | Element | Amount of medication administered ele-1: All FHIR elements must have a @value or children |
| type |
Σ | 1..1 | CodeableConcept | Unidade de consumo da dose Binding: Unidade de Consumo (required): Unidade de consumo da dose ele-1: All FHIR elements must have a @value or children |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system Binding: Unidade de Consumo (required): Determina a unidade de consumo ele-1: All FHIR elements must have a @value or children |
| dose[x] |
Σ | 1..1 | Quantity | Quantidade da Dose ele-1: All FHIR elements must have a @value or children |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children |
| maxDosePerAdministration |
Σ | 1..1 | SimpleQuantity | Quantidade a ser dispensada por atendimento ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | |
| MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | |
| MedicationRequest.medication[x] | required | BRPrescricaoNaoEstruturadahttp://www.saude.gov.br/fhir/r4/ValueSet/BRPrescricaoNaoEstruturadafrom this IG | |
| MedicationRequest.dosageInstruction.timing.repeat.extension:period.extension:periodUnit.value[x] | required | BRUnidadeTempo (a valid code from Unidade de tempo)http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeTempofrom this IG | |
| MedicationRequest.dosageInstruction.route | required | BRViaAdministracao (a valid code from Via de Administração)http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0from this IG | |
| MedicationRequest.dosageInstruction.doseAndRate.type | required | BRUnidadeConsumo (a valid code from Unidade de Medida)http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumofrom this IG | |
| MedicationRequest.dosageInstruction.doseAndRate.type.coding | required | BRUnidadeConsumo (a valid code from Unidade de Medida)http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumofrom this IG | |
| MedicationRequest.dosageInstruction.doseAndRate.dose[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
| tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
| tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
| tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
| tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
| tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
| tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
| tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
| tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
Other representations of profile: CSV, Excel, Schematron
