Este perfil representa as restrições aplicadas ao recurso Procedure, especificando uma entrada para o Histórico de Procedimentos para o Resumo do Paciente iPeS com base no FHIR R4

Escopo/Uso

Este recurso é usado para registrar os detalhes dos procedimentos atuais e históricos realizados em ou para um paciente. Um procedimento é uma atividade realizada em, com ou para um paciente como parte da prestação de cuidados. Exemplos incluem:

• Procedimentos cirúrgicos
• Procedimentos diagnósticos
• Procedimentos endoscópicos
• Biópsias
• Aconselhamento
• Fisioterapia
• Serviços de suporte pessoal

Este recurso fornece informações resumidas sobre a ocorrência do procedimento e não se destina a fornecer instantâneos em tempo real de um procedimento à medida que ele se desenrola. No entanto, para procedimentos de longo prazo, como psicoterapia, ele pode representar informações resumidas sobre o progresso geral. A criação de um recurso para suportar informações detalhadas em tempo real sobre procedimentos aguarda a identificação de um caso de uso específico para compartilhar tais informações.

Uso Indevido

O recurso Procedure não deve ser usado para capturar um evento se já existir um recurso mais específico—por exemplo, imunizações, administrações de medicamentos e comunicações. A fronteira entre determinar se uma ação é um Procedimento (treinamento ou aconselhamento) versus Comunicação é baseada na existência de uma intenção específica de mudar a mente do paciente.

Casos de Uso

Os procedimentos armazenados em documentos relevantes da RNDS de Saúde Suplementar e outras partes que estão em status "concluído", registrados até um ano antes da solicitação para gerar o resumo do paciente, serão exibidos no Resumo do Paciente.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Procedure		0..*	Procedure	An action that is being or was performed on a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	External Identifiers for this procedure
type	Σ	1..1	CodeableConcept	Description of identifier Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento (required)
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
status	?!Σ	1..1	code	completed | entered-in-error Vínculo: EventStatus (required): A code specifying the state of the procedure.
code	Σ	0..1	CodeableConcept	Identification of the procedure Vínculo: Procedimento realizado (preferred)
subject	Σ	1..1	Reference(Paciente)	Who the procedure was performed on
performed[x]	Σ	0..1	dateTime	When the procedure was performed
reasonCode	Σ	0..1	CodeableConcept	Coded reason procedure performed Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico (required)
report		0..1	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
Procedure.identifier.type	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From a norma FHIR
Procedure.code	preferred	Procedimento realizado http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0
Procedure.reasonCode	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	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	Procedure	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	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	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()

This structure is derived from Procedure

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Procedure			Procedure
identifier		0..1	Identifier	External Identifiers for this procedure
use		0..0
type		1..1	CodeableConcept	Description of identifier Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento (required)
system		0..0
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
partOf		0..0
status		1..1	code	completed | entered-in-error
statusReason		0..0
category		0..0
code		0..1	CodeableConcept	Identification of the procedure Vínculo: Procedimento realizado (preferred)
subject		1..1	Reference(Paciente)	Who the procedure was performed on
type		0..0
identifier		0..0
display		0..0
encounter
type		0..0
identifier		0..0
display		0..0
performed[x]		0..1	dateTime	When the procedure was performed
recorder		0..0
asserter		0..0
performer
function		0..1	CodeableConcept	Type of performance Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao (preferred)
actor		1..1	Reference(Profissional contained | Estabelecimento de Saúde)	The reference to the practitioner
reference		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
onBehalfOf		0..0
location		0..0
reasonCode		0..1	CodeableConcept	Coded reason procedure performed Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico (required)
reasonReference		0..0
bodySite		0..0
outcome		0..0
report		0..1	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
type		0..0
identifier		0..0
display		0..0
complication		0..0
complicationDetail		0..0
followUp		0..0
focalDevice		0..0
usedReference		0..0
usedCode		0..0
Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho	Conformidade	Conjunto de valores	URI
Procedure.identifier.type	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento
Procedure.code	preferred	Procedimento realizado http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0
Procedure.performer.function	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao
Procedure.reasonCode	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Procedure		0..*	Procedure	An action that is being or was performed on a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Vínculo: CommonLanguages (preferred): A human language. Vínculos adicionais Objetivo AllLanguages Vínculo máximo
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	External Identifiers for this procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
type	Σ	1..1	CodeableConcept	Description of identifier Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento (required)
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
status	?!Σ	1..1	code	completed | entered-in-error Vínculo: EventStatus (required): A code specifying the state of the procedure.
code	Σ	0..1	CodeableConcept	Identification of the procedure Vínculo: Procedimento realizado (preferred)
subject	Σ	1..1	Reference(Paciente)	Who the procedure was performed on
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
performed[x]	Σ	0..1	dateTime	When the procedure was performed
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao (preferred)
actor	Σ	1..1	Reference(Profissional contained | Estabelecimento de Saúde)	The reference to the practitioner
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode	Σ	0..1	CodeableConcept	Coded reason procedure performed Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico (required)
report		0..1	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
note		0..*	Annotation	Additional information about the procedure
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
Procedure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
Procedure.identifier.type	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From a norma FHIR
Procedure.code	preferred	Procedimento realizado http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0
Procedure.performer.function	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao
Procedure.performer.actor.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From a norma FHIR
Procedure.reasonCode	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action From a norma FHIR

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	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	Procedure	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	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	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()

Key Elements View

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Procedure		0..*	Procedure	An action that is being or was performed on a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	External Identifiers for this procedure
type	Σ	1..1	CodeableConcept	Description of identifier Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento (required)
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
status	?!Σ	1..1	code	completed | entered-in-error Vínculo: EventStatus (required): A code specifying the state of the procedure.
code	Σ	0..1	CodeableConcept	Identification of the procedure Vínculo: Procedimento realizado (preferred)
subject	Σ	1..1	Reference(Paciente)	Who the procedure was performed on
performed[x]	Σ	0..1	dateTime	When the procedure was performed
reasonCode	Σ	0..1	CodeableConcept	Coded reason procedure performed Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico (required)
report		0..1	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
Procedure.identifier.type	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From a norma FHIR
Procedure.code	preferred	Procedimento realizado http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0
Procedure.reasonCode	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	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	Procedure	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	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	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()

Differential View

This structure is derived from Procedure

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Procedure			Procedure
identifier		0..1	Identifier	External Identifiers for this procedure
use		0..0
type		1..1	CodeableConcept	Description of identifier Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento (required)
system		0..0
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
partOf		0..0
status		1..1	code	completed | entered-in-error
statusReason		0..0
category		0..0
code		0..1	CodeableConcept	Identification of the procedure Vínculo: Procedimento realizado (preferred)
subject		1..1	Reference(Paciente)	Who the procedure was performed on
type		0..0
identifier		0..0
display		0..0
encounter
type		0..0
identifier		0..0
display		0..0
performed[x]		0..1	dateTime	When the procedure was performed
recorder		0..0
asserter		0..0
performer
function		0..1	CodeableConcept	Type of performance Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao (preferred)
actor		1..1	Reference(Profissional contained | Estabelecimento de Saúde)	The reference to the practitioner
reference		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
onBehalfOf		0..0
location		0..0
reasonCode		0..1	CodeableConcept	Coded reason procedure performed Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico (required)
reasonReference		0..0
bodySite		0..0
outcome		0..0
report		0..1	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
type		0..0
identifier		0..0
display		0..0
complication		0..0
complicationDetail		0..0
followUp		0..0
focalDevice		0..0
usedReference		0..0
usedCode		0..0
Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho	Conformidade	Conjunto de valores	URI
Procedure.identifier.type	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento
Procedure.code	preferred	Procedimento realizado http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0
Procedure.performer.function	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao
Procedure.reasonCode	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico

Snapshot View

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Procedure		0..*	Procedure	An action that is being or was performed on a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Vínculo: CommonLanguages (preferred): A human language. Vínculos adicionais Objetivo AllLanguages Vínculo máximo
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	External Identifiers for this procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
type	Σ	1..1	CodeableConcept	Description of identifier Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento (required)
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
status	?!Σ	1..1	code	completed | entered-in-error Vínculo: EventStatus (required): A code specifying the state of the procedure.
code	Σ	0..1	CodeableConcept	Identification of the procedure Vínculo: Procedimento realizado (preferred)
subject	Σ	1..1	Reference(Paciente)	Who the procedure was performed on
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
performed[x]	Σ	0..1	dateTime	When the procedure was performed
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao (preferred)
actor	Σ	1..1	Reference(Profissional contained | Estabelecimento de Saúde)	The reference to the practitioner
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode	Σ	0..1	CodeableConcept	Coded reason procedure performed Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico (required)
report		0..1	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
note		0..*	Annotation	Additional information about the procedure
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
Procedure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
Procedure.identifier.type	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoIdentificadorProcedimento
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From a norma FHIR
Procedure.code	preferred	Procedimento realizado http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedimentosNacionais-1.0
Procedure.performer.function	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao
Procedure.performer.actor.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From a norma FHIR
Procedure.reasonCode	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action From a norma FHIR

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	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	Procedure	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	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	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()

This structure is derived from Procedure

Resumo

Obrigatório: 0 elemento(3 aninhado obrigatoriamente elementos)
Proibido: 32 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

• Paciente (https://fhir.ipes.tech/fhir/StructureDefinition/PatientBRIPES)
• Profissional contained (https://fhir.ipes.tech/fhir/StructureDefinition/PractitionerBRIPES)
• Estabelecimento de Saúde (https://fhir.ipes.tech/fhir/StructureDefinition/EstabelecimentoExecutante)