Introdução

Interação formal entre o paciente e profissional(is) de saúde(s) para prestação de serviços de saúde. Tipicamente, representa uma consulta ambulatorial (atenção primária e secundária), uma internação, um atendimento em urgência/emergência ou um atendimento em telemedicina.

Escopo/Uso

Este perfil é utilizado para indexação da informação na "linha do tempo" do Registro Eletrônico de Saúde do paciente. É parte estruturante dos seguintes modelos de informação:

• Registro de Atendimento Clínico (RAC): destinado a modelar dados essenciais de uma consulta realizada a um indivíduo no âmbito da atenção básica, especializada ou domiciliar.

• Sumário de Alta (SA): apresenta o conjunto dos principais registros realizados durante a permanência do indivíduo em um atendimento, como evolução clínica, procedimentos assistenciais, intervenções clínicas e diagnósticas, condutas adotadas e iniciadas para seguimento em clínica ou outro estabelecimento de assistência à saúde. É essencial para garantir a segurança do paciente na continuidade do tratamento, conforme a Resolução CIT Nº 33, de 22 de março de 2018.

• Conjunto Mínimo de Dados (CMD): 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.

Uso Indevido

Este recurso não deve ser utilizado para representar recursos que…

Casos de Uso

O Perfil Contato Assistencial é utilizado para gerar registros de consulta clínica ambulatorial na Atenção Primária em Saúde (APS) ** ou na **Atenção Especializada (AE), além de ser usado no registro de alta hospitalar. Todos os casos anteriores subsidiam o Conjunto Mínimo de Dados.

Identificadores

• Identificador local no sistema de origem: Deve conter o identificador do sistema de informação (S-RES) de origem. Tipicamente, esse identificador é apresentado no formato de OID (urn:oid::). O OID do sistema de origem deve ser fornecido pela plataforma.

• Identificador do registro na RNDS (id/identificador da Composition): urn:oid:1.3.6.1.4.1.54413.1.1.5.13

• Identificador do registro MHD correspondente (quando o recurso foi gerado a partir de uma representação OpenEHR e indexado através de um Bundle MHD): http://ehrrunner.com/fhir/NamingSystem/ MHDDocumentOID

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

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Fatias para identifier	Σ	0..*	Identifier	Identifier(s) by which this encounter is known Fatia: Não ordenado, Aberto por type:type.coding.id
identifier:localIdentifier	Σ	0..1	Identifier	Identifier(s) by which this encounter is known
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Valor fixo: Como mostrado
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://ehrrunner.com/fhir/CodingSystem/identifier-type
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: local
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
identifier:rndsIdentifier	Σ	0..1	Identifier	Identifier(s) by which this encounter is known
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Valor fixo: Como mostrado
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://ehrrunner.com/fhir/CodingSystem/identifier-type
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: rnds
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:1.3.6.1.4.1.54413.1.1.5.13
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
identifier:mhdIdentifier	Σ	0..1	Identifier	Identifier(s) by which this encounter is known
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Valor fixo: Como mostrado
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://ehrrunner.com/fhir/CodingSystem/identifier-type
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: mhd
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: http://ehrrunner.com/fhir/NamingSystem/MHDDocumentOID
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
status	?!Σ	1..1	code	finished | entered-in-error Vínculo: EncounterStatus (required): Current state of the encounter.
class	Σ	1..1	Coding	Classification of patient encounter Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial (extensible)
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRCaraterAtendimento (preferred)
subject	Σ	1..1	Reference(Paciente)	The patient or group present at the encounter
basedOn		0..1	Reference(Solicitação de Serviço)	The ServiceRequest that initiated this encounter
participant	Σ	1..*	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Fatias para type	Σ	1..*	CodeableConcept	Role of participant in encounter Fatia: Não ordenado, Aberto por type:$this Vínculo: ParticipantType (extensible): Role of participant in encounter.
type:funcao	Σ	1..1	CodeableConcept	Role of participant in encounter Vínculo: http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0 (extensible)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
type:ocupacaoProfissional	Σ	0..1	CodeableConcept	Role of participant in encounter Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
type:especialidade	Σ	0..1	CodeableConcept	Role of participant in encounter Vínculo: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	0..1	Coding	Code defined by a terminology system Vínculo: Especialidade (extensible)
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
type:areaAtuacao	Σ	0..1	CodeableConcept	Role of participant in encounter Vínculo: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	0..1	Coding	Code defined by a terminology system Vínculo: Área de Atuação (preferred)
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
appointment	Σ	0..1	Reference(Agendamento de Consulta ou Procedimento)	The appointment that scheduled this encounter
period		1..1	Period	The start and end time of the encounter
Fatias para reasonReference	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference) Fatia: Não ordenado, Aberto por value:identifier.value
reasonReference:motivoAtendimentoSubjetivo	Σ	0..1	Reference(Observação)	Reason the encounter takes place (reference)
reasonReference:diagnosticoPrincipal	Σ	0..1	Reference(Problema ou Diagnóstico)	Reason the encounter takes place (reference)
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Problema ou Diagnóstico | Procedimento)	The diagnosis or procedure relevant to the encounter
serviceProvider		1..1	Reference(Estabelecimento de Saúde)	The organization (facility) responsible for this encounter
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	ValueSet / Código	URI
Encounter.identifier:localIdentifier.type	extensible	Fixed Value: local http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
Encounter.identifier:rndsIdentifier.type	extensible	Fixed Value: rnds http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
Encounter.identifier:mhdIdentifier.type	extensible	Fixed Value: mhd http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From a norma FHIR
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From a norma FHIR
Encounter.class	extensible	https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.priority	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRCaraterAtendimento https://terminologia.saude.gov.br/fhir/ValueSet/BRCaraterAtendimento
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Encounter.participant.type:funcao	extensible	http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0 http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0
Encounter.participant.type:ocupacaoProfissional	required	https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao
Encounter.participant.type:especialidade	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Encounter.participant.type:especialidade.coding	extensible	Especialidade https://fhir.ecoinfo.ipes.tech/fhir/ValueSet/Especialidade From este IG
Encounter.participant.type:areaAtuacao	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Encounter.participant.type:areaAtuacao.coding	preferred	AreaAtuacao(a valid code from Área de Atuação) https://fhir.ecoinfo.ipes.tech/fhir/ValueSet/AreaAtuacao From este IG

Restrições

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

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Encounter			Encounter
Fatias para identifier		0..*	Identifier	Identifier(s) by which this encounter is known Fatia: Não ordenado, Aberto por type:type.coding.id
identifier:localIdentifier		0..1	Identifier	Identifier(s) by which this encounter is known
use		0..0
type		0..1	CodeableConcept	Description of identifier Valor fixo: Como mostrado
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
system		1..1	uri	Identity of the terminology system Valor fixo: http://ehrrunner.com/fhir/CodingSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Valor fixo: local
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
identifier:rndsIdentifier		0..1	Identifier	Identifier(s) by which this encounter is known
use		0..0
type		0..1	CodeableConcept	Description of identifier Valor fixo: Como mostrado
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
system		1..1	uri	Identity of the terminology system Valor fixo: http://ehrrunner.com/fhir/CodingSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Valor fixo: rnds
text		0..0
system		1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:1.3.6.1.4.1.54413.1.1.5.13
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
identifier:mhdIdentifier		0..1	Identifier	Identifier(s) by which this encounter is known
use		0..0
type		0..1	CodeableConcept	Description of identifier Valor fixo: Como mostrado
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
system		1..1	uri	Identity of the terminology system Valor fixo: http://ehrrunner.com/fhir/CodingSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Valor fixo: mhd
system		1..1	uri	The namespace for the identifier value Valor fixo: http://ehrrunner.com/fhir/NamingSystem/MHDDocumentOID
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
status		1..1	code	finished | entered-in-error
statusHistory		0..0
class		1..1	Coding	Classification of patient encounter Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial (extensible)
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0
classHistory		0..0
type		0..0
serviceType		0..0
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRCaraterAtendimento (preferred)
coding
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0
subject		1..1	Reference(Paciente)	The patient or group present at the encounter
type		0..0
identifier		0..0
display		0..0
episodeOfCare		0..0
basedOn		0..1	Reference(Solicitação de Serviço)	The ServiceRequest that initiated this encounter
display		0..0
participant		1..*	BackboneElement	List of participants involved in the encounter
Fatias para type		1..*	CodeableConcept	Role of participant in encounter Fatia: Não ordenado, Aberto por type:$this
type:funcao		1..1	CodeableConcept	Role of participant in encounter Vínculo: http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0 (extensible)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0
text		0..0
type:ocupacaoProfissional		0..1	CodeableConcept	Role of participant in encounter Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0
text		0..0
type:especialidade		0..1	CodeableConcept	Role of participant in encounter
coding		0..1	Coding	Code defined by a terminology system Vínculo: Especialidade (extensible)
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0
type:areaAtuacao		0..1	CodeableConcept	Role of participant in encounter
coding		0..1	Coding	Code defined by a terminology system Vínculo: Área de Atuação (preferred)
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0
period		0..0
individual
reference		0..0
type		0..1	uri	Type the reference refers to (e.g. "Patient") Valor fixo: Practitioner
identifier		1..1	Identifier	Logical reference, when literal reference is not known
use		0..0
type		1..1	CodeableConcept	Description of identifier Vínculo: ParticipantType (extensible)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0
text		0..0
value		1..1	string	The value that is unique
period		0..0
appointment		0..1	Reference(Agendamento de Consulta ou Procedimento)	The appointment that scheduled this encounter
display		0..0
period		1..1	Period	The start and end time of the encounter
Fatias para reasonReference		0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference) Fatia: Não ordenado, Aberto por value:identifier.value
reasonReference:motivoAtendimentoSubjetivo		0..1	Reference(Observação)	Reason the encounter takes place (reference)
type		0..0
identifier		0..0
display		0..0
reasonReference:diagnosticoPrincipal		0..1	Reference(Problema ou Diagnóstico)	Reason the encounter takes place (reference)
type		0..0
identifier		0..0
diagnosis		0..*	BackboneElement	The list of diagnosis relevant to this encounter
condition		1..1	Reference(Problema ou Diagnóstico | Procedimento)	The diagnosis or procedure relevant to the encounter
type		0..0
identifier		0..0
display		0..0
use		0..0
rank		0..0
account		0..0
hospitalization
preAdmissionIdentifier		0..0
origin		0..0
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Vínculo: http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedencia-1.0 (preferred)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0
text		0..0
reAdmission
coding		1..1	Coding	Code defined by a terminology system
text		0..0
dietPreference		0..0
specialCourtesy		0..0
specialArrangement		0..0
destination		0..1	Reference(Estabelecimento de Saúde)	Location/organization to which the patient is discharged
reference		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
use		0..0
type		1..1	CodeableConcept	Description of identifier Vínculo: ParticipantType (extensible)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text		0..0
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Vínculo: http://www.saude.gov.br/fhir/r4/ValueSet/BRMotivoDesfecho-1.0 (example)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0
text		0..0
location		0..0
serviceProvider		1..1	Reference(Estabelecimento de Saúde)	The organization (facility) responsible for this encounter
type		0..0
identifier
use		0..0
type		1..1	CodeableConcept	Description of identifier Vínculo: ParticipantType (extensible)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
partOf		0..0
Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho	Conformidade	Conjunto de valores	URI
Encounter.class	extensible	https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial
Encounter.priority	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRCaraterAtendimento https://terminologia.saude.gov.br/fhir/ValueSet/BRCaraterAtendimento
Encounter.participant.type:funcao	extensible	http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0 http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0
Encounter.participant.type:ocupacaoProfissional	required	https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao
Encounter.participant.type:especialidade.coding	extensible	Especialidade https://fhir.ecoinfo.ipes.tech/fhir/ValueSet/Especialidade From este IG
Encounter.participant.type:areaAtuacao.coding	preferred	AreaAtuacao(a valid code from Área de Atuação) https://fhir.ecoinfo.ipes.tech/fhir/ValueSet/AreaAtuacao From este IG
Encounter.participant.individual.identifier.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Encounter.hospitalization.admitSource	preferred	http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedencia-1.0 http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedencia-1.0
Encounter.hospitalization.destination.identifier.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Encounter.hospitalization.dischargeDisposition	example	http://www.saude.gov.br/fhir/r4/ValueSet/BRMotivoDesfecho-1.0 http://www.saude.gov.br/fhir/r4/ValueSet/BRMotivoDesfecho-1.0
Encounter.serviceProvider.identifier.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Encounter		0..*	Encounter	An interaction during which services are provided to the 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
Fatias para identifier	Σ	0..*	Identifier	Identifier(s) by which this encounter is known Fatia: Não ordenado, Aberto por type:type.coding.id
identifier:localIdentifier	Σ	0..1	Identifier	Identifier(s) by which this encounter is known
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	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Valor fixo: Como mostrado
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://ehrrunner.com/fhir/CodingSystem/identifier-type
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: local
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
identifier:rndsIdentifier	Σ	0..1	Identifier	Identifier(s) by which this encounter is known
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	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Valor fixo: Como mostrado
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://ehrrunner.com/fhir/CodingSystem/identifier-type
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: rnds
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
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
coding	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:1.3.6.1.4.1.54413.1.1.5.13
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
identifier:mhdIdentifier	Σ	0..1	Identifier	Identifier(s) by which this encounter is known
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	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Valor fixo: Como mostrado
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://ehrrunner.com/fhir/CodingSystem/identifier-type
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: mhd
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: http://ehrrunner.com/fhir/NamingSystem/MHDDocumentOID
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
status	?!Σ	1..1	code	finished | entered-in-error Vínculo: EncounterStatus (required): Current state of the encounter.
class	Σ	1..1	Coding	Classification of patient encounter Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial (extensible)
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
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRCaraterAtendimento (preferred)
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
coding	Σ	0..*	Coding	Code defined by a terminology system
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
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Paciente)	The patient or group present at the encounter
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
basedOn		0..1	Reference(Solicitação de Serviço)	The ServiceRequest that initiated this encounter
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
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	0..1	Identifier	Logical reference, when literal reference is not known
participant	Σ	1..*	BackboneElement	List of participants involved in the encounter
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
Fatias para type	Σ	1..*	CodeableConcept	Role of participant in encounter Fatia: Não ordenado, Aberto por type:$this Vínculo: ParticipantType (extensible): Role of participant in encounter.
type:funcao	Σ	1..1	CodeableConcept	Role of participant in encounter Vínculo: http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0 (extensible)
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
coding	Σ	1..1	Coding	Code defined by a terminology system
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
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
type:ocupacaoProfissional	Σ	0..1	CodeableConcept	Role of participant in encounter Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao (required)
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
coding	Σ	1..1	Coding	Code defined by a terminology system
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
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
type:especialidade	Σ	0..1	CodeableConcept	Role of participant in encounter Vínculo: ParticipantType (extensible): Role of participant in encounter.
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
coding	Σ	0..1	Coding	Code defined by a terminology system Vínculo: Especialidade (extensible)
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
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
text	Σ	0..1	string	Plain text representation of the concept
type:areaAtuacao	Σ	0..1	CodeableConcept	Role of participant in encounter Vínculo: ParticipantType (extensible): Role of participant in encounter.
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
coding	Σ	0..1	Coding	Code defined by a terminology system Vínculo: Área de Atuação (preferred)
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
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
text	Σ	0..1	string	Plain text representation of the concept
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
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). Valor fixo: Practitioner
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
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: ParticipantType (extensible)
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
coding	Σ	1..1	Coding	Code defined by a terminology system
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
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
system	Σ	0..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
appointment	Σ	0..1	Reference(Agendamento de Consulta ou Procedimento)	The appointment that scheduled this encounter
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
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	0..1	Identifier	Logical reference, when literal reference is not known
period		1..1	Period	The start and end time of the encounter
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Vínculo: EncounterReasonCodes (preferred): Reason why the encounter takes place.
Fatias para reasonReference	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference) Fatia: Não ordenado, Aberto por value:identifier.value
reasonReference:motivoAtendimentoSubjetivo	Σ	0..1	Reference(Observação)	Reason the encounter takes place (reference)
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
reasonReference:diagnosticoPrincipal	Σ	0..1	Reference(Problema ou Diagnóstico)	Reason the encounter takes place (reference)
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
display	Σ	0..1	string	Text alternative for the resource
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
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
condition	Σ	1..1	Reference(Problema ou Diagnóstico | Procedimento)	The diagnosis or procedure relevant to the encounter
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
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
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
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Vínculo: http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedencia-1.0 (preferred)
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
coding	Σ	1..1	Coding	Code defined by a terminology system
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
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Vínculo: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
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
coding	Σ	1..1	Coding	Code defined by a terminology system
destination		0..1	Reference(Estabelecimento de Saúde)	Location/organization to which the patient is discharged
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
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: ParticipantType (extensible)
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
coding	Σ	1..1	Coding	Code defined by a terminology system
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
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
system	Σ	0..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Exemplo General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Vínculo: http://www.saude.gov.br/fhir/r4/ValueSet/BRMotivoDesfecho-1.0 (example)
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
coding	Σ	1..1	Coding	Code defined by a terminology system
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
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
serviceProvider		1..1	Reference(Estabelecimento de Saúde)	The organization (facility) responsible for this encounter
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
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
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: ParticipantType (extensible)
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
coding	Σ	1..1	Coding	Code defined by a terminology system
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
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
display	Σ	0..1	string	Text alternative for the resource
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	ValueSet / Código	URI
Encounter.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
Encounter.identifier:localIdentifier.type	extensible	Fixed Value: local http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
Encounter.identifier:rndsIdentifier.type	extensible	Fixed Value: rnds http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
Encounter.identifier:mhdIdentifier.type	extensible	Fixed Value: mhd http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From a norma FHIR
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From a norma FHIR
Encounter.class	extensible	https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.priority	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRCaraterAtendimento https://terminologia.saude.gov.br/fhir/ValueSet/BRCaraterAtendimento
Encounter.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From a norma FHIR
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Encounter.participant.type:funcao	extensible	http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0 http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0
Encounter.participant.type:ocupacaoProfissional	required	https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao
Encounter.participant.type:especialidade	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Encounter.participant.type:especialidade.coding	extensible	Especialidade https://fhir.ecoinfo.ipes.tech/fhir/ValueSet/Especialidade From este IG
Encounter.participant.type:areaAtuacao	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Encounter.participant.type:areaAtuacao.coding	preferred	AreaAtuacao(a valid code from Área de Atuação) https://fhir.ecoinfo.ipes.tech/fhir/ValueSet/AreaAtuacao From este IG
Encounter.participant.individual.type	extensible	Fixed Value: Practitioner http://hl7.org/fhir/ValueSet/resource-types From a norma FHIR
Encounter.participant.individual.identifier.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Encounter.appointment.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From a norma FHIR
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason From a norma FHIR
Encounter.hospitalization.admitSource	preferred	http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedencia-1.0 http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedencia-1.0
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.destination.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From a norma FHIR
Encounter.hospitalization.destination.identifier.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Encounter.hospitalization.dischargeDisposition	example	http://www.saude.gov.br/fhir/r4/ValueSet/BRMotivoDesfecho-1.0 http://www.saude.gov.br/fhir/r4/ValueSet/BRMotivoDesfecho-1.0
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 From a norma FHIR
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type From a norma FHIR
Encounter.serviceProvider.identifier.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR

Restrições

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