Guia de Implementação do Registro Eletrônico de Dispensação ou Fornecimento de Medicamento (REDFM) da RNDS
1.0.0 - STU1
Guia de Implementação do Registro Eletrônico de Dispensação ou Fornecimento de Medicamento (REDFM) da RNDS
1.0.0 - STU1
!!Guia de Implementação do Registro Eletrônico de Dispensação ou Fornecimento de Medicamento (REDFM) da RNDS - Compilação de desenvolvimento local (v1.0.0) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas
<Bundle xmlns="http://hl7.org/fhir">
<id value="Example-REDFM-3"/>
<identifier>
<system value="http://www.saude.gov.br/fhir/r4/NamingSystem/BRRNDS-1964"/>
<value value="73549927"/>
</identifier>
<type value="document"/>
<timestamp value="2024-12-30T14:59:51.244-03:00"/>
<entry>
<fullUrl value="urn:uuid:58e54a1d-550e-48bc-9e09-6230c972078a"/>
<resource>
<Composition>
<id value="58e54a1d-550e-48bc-9e09-6230c972078a"/>
<meta>
<profile
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSRegistroEletronicoDispensacaoFornecimentoMedicamento"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_58e54a1d-550e-48bc-9e09-6230c972078a"> </a><p class="res-header-id"><b>Narrativa gerada: Composition 58e54a1d-550e-48bc-9e09-6230c972078a</b></p><a name="58e54a1d-550e-48bc-9e09-6230c972078a"> </a><a name="hc58e54a1d-550e-48bc-9e09-6230c972078a"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Perfil: <a href="StructureDefinition-RNDSRegistroEletronicoDispensacaoFornecimentoMedicamento.html">Registro Eletrônico de Dispensação ou Fornecimento de Medicamento (REDFM)</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title="Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRTipoDocumento REDFM}">Registro Eletrônico de Dispensação ou Fornecimento de Medicamentos</span></p><p><b>date</b>: 2024-12-30 11:46:12-0300</p><p><b>author</b>: Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0</code>/5354072</p><p><b>title</b>: Registro Eletrônico de Dispensação ou Fornecimento de Medicamentos</p></div>
</text>
<status value="final"/>
<type>
<coding>
<system
value="http://www.saude.gov.br/fhir/r4/CodeSystem/BRTipoDocumento"/>
<code value="REDFM"/>
</coding>
</type>
<subject>
<identifier>
<system
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0"/>
<value value="70835645231"/>
</identifier>
</subject>
<date value="2024-12-30T11:46:12.742-03:00"/>
<author>
<identifier>
<system
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0"/>
<value value="5354072"/>
</identifier>
</author>
<title
value="Registro Eletrônico de Dispensação ou Fornecimento de Medicamentos"/>
<section>
<title value="Medicamentos Dispensados"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="56445-0"/>
</coding>
</code>
<entry>
<reference value="urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6"/>
<display value="Amoxicilina 500 mg cápsula"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a54219b8-f741-4c47-b662-e4f8dfa49ab6"/>
<resource>
<MedicationDispense>
<meta>
<lastUpdated value="2024-10-31T11:46:12.742-03:00"/>
<profile
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSMedicamentoDispensadoFornecido"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationDispense_null"> </a><p class="res-header-id"><b>Narrativa gerada: MedicationDispense </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Última atualização: 2024-10-31 11:46:12-0300</p><p style="margin-bottom: 0px">Perfil: <a href="StructureDefinition-RNDSMedicamentoDispensadoFornecido.html">Dispensação ou Fornecimento Eletrônico de Medicamento</a></p></div><p><b>identifier</b>: <code>http://www.saude.gov.br/fhir/r4/NamingSystem/dispensed-item-id</code>/e6f89964-b218-4fb3-9603-e0897c5c2181</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Códigos:{http://terminology.hl7.org/CodeSystem/medicationrequest-category community}">Community</span></p><p><b>medication</b>: <a href="Bundle-Example-REDFM-1.html#urn-uuid-6a78998d-4e0e-4d84-8047-f88d275184f1">Bundle: identifier = http://www.saude.gov.br/fhir/r4/NamingSystem/BRRNDS-1964#73549927; type = document; timestamp = 2024-12-30 14:59:51-0300</a></p><p><b>subject</b>: Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0</code>/712176901347489</p><p><b>supportingInformation</b>: </p><ul><li><a href="#hcnull/prescriber-identifier">Referência para a identificação do Profissional que prescreveu o medicamento.</a></li><li><a href="#hcnull/prescriber-specialty">Referência para a Especialidade do profissional que prescreveu o medicamento.</a></li></ul><blockquote><p><b>performer</b></p><blockquote><p><b>id</b></p>organization</blockquote><p><b>actor</b>: Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0</code>/5354072</p></blockquote><blockquote><p><b>performer</b></p><blockquote><p><b>id</b></p>other-practitioner</blockquote><p><b>function</b>: <span title="Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBO 322230}">AUXILIAR DE ENFERMAGEM</span></p><p><b>actor</b>: Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0</code>/704200519817090</p></blockquote><p><b>authorizingPrescription</b>: <a href="#hcnull/prescription">MedicationRequest: identifier = http://www.saude.gov.br/fhir/r4/NamingSystem/prescription-item-id#e6f89964-b218-4fb3-9603-e0897c5c2181,http://www.saude.gov.br/fhir/r4/NamingSystem/sncr-number#563BFD7432; status = active; intent = order; medication[x] = Amoxicilina 500 mg cápsula; authoredOn = 2024-10-31 11:46:12-0300; reasonCode = Hipertensão essencial (primária)</a></p><p><b>type</b>: <span title="Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRTipoDispensacaoRealizada fully-dispensing}">Fully Dispensing</span></p><p><b>quantity</b>: 30 Cápsula</p><p><b>whenHandedOver</b>: 2024-12-10 11:46:12-0300</p><p><b>receiver</b>: Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0</code>/712176901347489</p><hr/><blockquote><p class="res-header-id"><b>Narrativa gerada: MedicationRequest #prescription</b></p><a name="null/prescription"> </a><a name="hcnull/prescription"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Perfil: <a href="StructureDefinition-RNDSPrescricaoMedicamentoDispensado.html">Prescrição Eletrônica de Medicamento (Contida na Dispensação)</a></p></div><p><b>identifier</b>: <code>http://www.saude.gov.br/fhir/r4/NamingSystem/prescription-item-id</code>/e6f89964-b218-4fb3-9603-e0897c5c2181, <code>http://www.saude.gov.br/fhir/r4/NamingSystem/sncr-number</code>/563BFD7432</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title="Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRObmVMP @brasil12898180271}">Amoxicilina 500 mg cápsula</span></p><p><b>subject</b>: Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0</code>/712176901347489</p><p><b>authoredOn</b>: 2024-10-31 11:46:12-0300</p><p><b>requester</b>: <a href="PractitionerRole/prescriber-info">PractitionerRole/prescriber-info</a></p><p><b>reasonCode</b>: <span title="Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRCID10 I10}">Hipertensão essencial (primária)</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>route</b>: <span title="Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRViaAdministracao 10907}">Oral</span></p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>1 Comprimido<span style="background: LightGoldenRodYellow"> (Detalhes: Unidade de Medida código13 = 'Cápsula')</span></td></tr></table></blockquote></blockquote><hr/><blockquote><p class="res-header-id"><b>Narrativa gerada: Practitioner #prescriber-identifier</b></p><a name="null/prescriber-identifier"> </a><a name="hcnull/prescriber-identifier"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Perfil: <a href="StructureDefinition-RNDSProfissional.html">Profissional</a></p></div><p><b>identifier</b>: Medical License number/154735 (utilização: official, ), Doctor number/873456 (utilização: secondary, )</p><p><b>active</b>: true</p></blockquote><hr/><blockquote><p class="res-header-id"><b>Narrativa gerada: PractitionerRole #prescriber-specialty</b></p><a name="null/prescriber-specialty"> </a><a name="hcnull/prescriber-specialty"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Perfil: <a href="StructureDefinition-RNDSLotacaoProfissional.html">Lotação Profissional</a></p></div><p><b>active</b>: true</p><p><b>practitioner</b>: Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0</code>/704200519817090</p><p><b>organization</b>: Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0</code>/6156002</p><p><b>code</b>: <span title="Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBO 225110}">MEDICO ALERGISTA E IMUNOLOGISTA</span></p></blockquote></div>
</text>
<contained>
<MedicationRequest>
<id value="prescription"/>
<meta>
<profile
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSPrescricaoMedicamentoDispensado"/>
</meta>
<identifier>
<system
value="http://www.saude.gov.br/fhir/r4/NamingSystem/prescription-item-id"/>
<value value="e6f89964-b218-4fb3-9603-e0897c5c2181"/>
</identifier>
<identifier>
<system
value="http://www.saude.gov.br/fhir/r4/NamingSystem/sncr-number"/>
<value value="563BFD7432"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<medicationCodeableConcept>
<coding>
<system
value="http://www.saude.gov.br/fhir/r4/CodeSystem/BRObmVMP"/>
<code value="@brasil12898180271"/>
<display value="Amoxicilina 500 mg cápsula"/>
</coding>
</medicationCodeableConcept>
<subject>
<identifier>
<system
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0"/>
<value value="712176901347489"/>
</identifier>
</subject>
<authoredOn value="2024-10-31T11:46:12.742-03:00"/>
<requester>
<reference value="PractitionerRole/prescriber-info"/>
<identifier>
<system
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0"/>
<value value="704200519817090"/>
</identifier>
</requester>
<reasonCode>
<coding>
<system
value="http://www.saude.gov.br/fhir/r4/CodeSystem/BRCID10"/>
<code value="I10"/>
</coding>
</reasonCode>
<dosageInstruction>
<route>
<coding>
<system
value="http://www.saude.gov.br/fhir/r4/CodeSystem/BRViaAdministracao"/>
<code value="10907"/>
<display value="Oral"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="1"/>
<unit value="Comprimido"/>
<system
value="http://www.saude.gov.br/fhir/r4/CodeSystem/BRUnidadeMedida"/>
<code value="13"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</contained>
<contained>
<Practitioner>
<id value="prescriber-identifier"/>
<meta>
<profile
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSProfissional"/>
</meta>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MD"/>
</coding>
</type>
<system value="https://saude.gov.br/sid/crm-sp"/>
<value value="154735"/>
</identifier>
<identifier>
<use value="secondary"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="DN"/>
</coding>
</type>
<system value="https://saude.gov.br/sid/rqe"/>
<value value="873456"/>
</identifier>
<active value="true"/>
</Practitioner>
</contained>
<contained>
<PractitionerRole>
<id value="prescriber-specialty"/>
<meta>
<profile
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSLotacaoProfissional"/>
</meta>
<active value="true"/>
<practitioner>
<identifier>
<system
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0"/>
<value value="704200519817090"/>
</identifier>
</practitioner>
<organization>
<identifier>
<system
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0"/>
<value value="6156002"/>
</identifier>
</organization>
<code>
<coding>
<system
value="http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBO"/>
<code value="225110"/>
</coding>
</code>
</PractitionerRole>
</contained>
<identifier>
<system
value="http://www.saude.gov.br/fhir/r4/NamingSystem/dispensed-item-id"/>
<value value="e6f89964-b218-4fb3-9603-e0897c5c2181"/>
</identifier>
<status value="completed"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="community"/>
</coding>
</category>
<medicationReference>
<reference value="urn:uuid:6a78998d-4e0e-4d84-8047-f88d275184f1"/>
</medicationReference>
<subject>
<identifier>
<system
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0"/>
<value value="712176901347489"/>
</identifier>
</subject>
<supportingInformation>
<reference value="#prescriber-identifier"/>
<display
value="Referência para a identificação do Profissional que prescreveu o medicamento."/>
</supportingInformation>
<supportingInformation>
<reference value="#prescriber-specialty"/>
<display
value="Referência para a Especialidade do profissional que prescreveu o medicamento."/>
</supportingInformation>
<performer id="organization">
<actor>
<identifier>
<system
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0"/>
<value value="5354072"/>
</identifier>
</actor>
</performer>
<performer id="other-practitioner">
<function>
<coding>
<system
value="http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBO"/>
<code value="322230"/>
</coding>
</function>
<actor>
<identifier>
<system
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0"/>
<value value="704200519817090"/>
</identifier>
</actor>
</performer>
<authorizingPrescription id="out-of-rnds">
<reference value="#prescription"/>
</authorizingPrescription>
<type>
<coding>
<system
value="http://www.saude.gov.br/fhir/r4/CodeSystem/BRTipoDispensacaoRealizada"/>
<code value="fully-dispensing"/>
</coding>
</type>
<quantity>
<value value="30"/>
<unit value="Cápsula"/>
</quantity>
<whenHandedOver value="2024-12-10T11:46:12.742-03:00"/>
<receiver>
<identifier>
<system
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0"/>
<value value="712176901347489"/>
</identifier>
</receiver>
</MedicationDispense>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6a78998d-4e0e-4d84-8047-f88d275184f1"/>
<resource>
<Medication>
<meta>
<profile
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSMedicamentoDispensado"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_null"> </a><p class="res-header-id"><b>Narrativa gerada: Medication </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Perfil: <a href="StructureDefinition-RNDSMedicamentoDispensado.html">Medicamento Dispensado</a></p></div><p><b>code</b>: <span title="Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRObmVMP @brasil12898180271}">Amoxicilina 500 mg cápsula</span></p><p><b>manufacturer</b>: Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0</code>/704200519817090</p><p><b>form</b>: <span title="Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRUnidadeMedida 13}">Cápsula</span></p><h3>Batches</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td style="display: none">*</td><td>587AT765H</td><td>2025-10-31</td></tr></table></div>
</text>
<code>
<coding>
<system
value="http://www.saude.gov.br/fhir/r4/CodeSystem/BRObmVMP"/>
<code value="@brasil12898180271"/>
<display value="Amoxicilina 500 mg cápsula"/>
</coding>
</code>
<manufacturer>
<identifier>
<system
value="http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0"/>
<value value="704200519817090"/>
</identifier>
</manufacturer>
<form>
<coding>
<system
value="http://www.saude.gov.br/fhir/r4/CodeSystem/BRUnidadeMedida"/>
<code value="13"/>
</coding>
</form>
<batch>
<lotNumber value="587AT765H"/>
<expirationDate value="2025-10-31"/>
</batch>
</Medication>
</resource>
</entry>
</Bundle>