Introdução

Este perfil representa o estabelecimento onde são realizados os serviços de saúde humana sob uma responsabilidade técnica.

Escopo/Uso

Este perfil representa uma organização que atua como executor ou observador para uma observação de resultado (laboratorial, patologia ou imagem) ou como executor de um procedimento. Trata-se de um agrupamento formal ou informalmente reconhecido de pessoas ou organizações com o propósito de alcançar alguma forma de ação coletiva. Inclui empresas, instituições, corporações, departamentos, grupos comunitários, grupos de práticas de saúde, pagador/segurador, etc.

Uso Indevido

Este recurso não deve ser utilizado para representar entidades que não sejam a organização/estabelecimento de saúde que executou o atendimento do paciente.

Casos de Uso

O Perfil Organização é necessário para manter os dados referentes ao estabelecimento em que o paciente foi atendido, incluindo:

• Nome empresarial
• CPF/CNPJ
• Endereço
• Demais dados de identificação
• Período do atendimento
• Códigos dos procedimentos realizados

A organização ou estabelecimento de saúde é uma unidade ou entidade que realiza a execução de serviços médicos e de saúde em conformidade com planos de saúde privados ou seguros de saúde complementar. Esses estabelecimentos, que podem incluir hospitais, clínicas, laboratórios e consultórios médicos, oferecem uma ampla gama de procedimentos e tratamentos médicos aos beneficiários dos planos de saúde suplementar. Eles desempenham um papel essencial no sistema de saúde suplementar ao fornecer serviços médicos necessários para diagnóstico, tratamento e cuidados de saúde, trabalhando em colaboração com as operadoras de planos de saúde para garantir uma cobertura eficaz e de qualidade aos pacientes.

Identificadores

O Estabelecimento de Saúde deve possuir minimamente, de forma optativa, um identificador, que pode ser:

• Cadastro Nacional Pessoa Jurídica (CNPJ) ou Cadastro de Pessoa Física (CPF).
• CNES, caso o prestador executante ainda não possua o código do CNES.

Extensões

Este perfil não possui extensões.

Limites e Relacionamentos

Este recurso pode ser referenciado por outros recursos para obter dados relacionados aos estabelecimentos em que os serviços de cuidado ao paciente foram realizados.

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

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Organization	C	0..*	Organization	A grouping of people or organizations with a common purpose Constraints: org-1
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	ΣC	0..*	Identifier	Identifies this organization across multiple systems Fatia: Não ordenado, Aberto por pattern:$this
identifier:cnes	ΣC	0..1	Identifier	Identifies this organization across multiple systems
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.36
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
identifier:cnpj	ΣC	0..1	Identifier	Identifies this organization across multiple systems
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.76.1.3.3
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
active	?!Σ	0..1	boolean	Whether the organization's record is still in active use
Fatias para type	Σ	0..*	CodeableConcept	Kind of organization Fatia: Não ordenado, Aberto por pattern:$this Vínculo: OrganizationType (example): Used to categorize the organization.
type:tipoCnes	Σ	0..1	CodeableConcept	Tipo de Estabelecimento de Saúde (CNES) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude (required): Tipo de Estabelecimento de Saúde (CNES)
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type From a norma FHIR
Organization.type:tipoCnes	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	Organization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Organization	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	Organization	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	Organization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Organization	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()
org-1	error	Organization	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0

This structure is derived from Organization

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Organization			Organization
Fatias para identifier		0..*	Identifier	Identifies this organization across multiple systems Fatia: Não ordenado, Aberto por pattern:$this
identifier:cnes		0..1	Identifier	Identifies this organization across multiple systems
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.36
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
identifier:cnpj		0..1	Identifier	Identifies this organization across multiple systems
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.76.1.3.3
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
Fatias para type		0..*	CodeableConcept	Kind of organization Fatia: Não ordenado, Aberto por pattern:$this
type:tipoCnes		0..1	CodeableConcept	Tipo de Estabelecimento de Saúde (CNES) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude (required): Tipo de Estabelecimento de Saúde (CNES)
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
text		0..0
contact		0..0
endpoint		0..0
Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho	Conformidade	Conjunto de valores	URI
Organization.type:tipoCnes	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Organization	C	0..*	Organization	A grouping of people or organizations with a common purpose Constraints: org-1
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	ΣC	0..*	Identifier	Identifies this organization across multiple systems Fatia: Não ordenado, Aberto por pattern:$this
identifier:cnes	ΣC	0..1	Identifier	Identifies this organization across multiple systems
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.36
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
identifier:cnpj	ΣC	0..1	Identifier	Identifies this organization across multiple systems
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.76.1.3.3
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
active	?!Σ	0..1	boolean	Whether the organization's record is still in active use
Fatias para type	Σ	0..*	CodeableConcept	Kind of organization Fatia: Não ordenado, Aberto por pattern:$this Vínculo: OrganizationType (example): Used to categorize the organization.
type:tipoCnes	Σ	0..1	CodeableConcept	Tipo de Estabelecimento de Saúde (CNES) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude (required): Tipo de Estabelecimento de Saúde (CNES)
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
name	ΣC	0..1	string	Name used for the organization
alias		0..*	string	A list of alternate names that the organization is known as, or was known as in the past
telecom	C	0..*	ContactPoint	A contact detail for the organization Constraints: org-3
address	C	0..*	Address	An address for the organization Constraints: org-2
partOf	Σ	0..1	Reference(Organization)	The organization of which this organization forms a part
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
Organization.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type From a norma FHIR
Organization.type:tipoCnes	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude
Organization.contact.purpose	extensible	ContactEntityType http://hl7.org/fhir/ValueSet/contactentity-type From a norma FHIR

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	Organization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Organization	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	Organization	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	Organization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Organization	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()
org-1	error	Organization	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0
org-2	error	Organization.address	An address of an organization can never be of use 'home' : where(use = 'home').empty()
org-3	error	Organization.telecom	The telecom of an organization can never be of use 'home' : where(use = 'home').empty()

Key Elements View

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Organization	C	0..*	Organization	A grouping of people or organizations with a common purpose Constraints: org-1
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	ΣC	0..*	Identifier	Identifies this organization across multiple systems Fatia: Não ordenado, Aberto por pattern:$this
identifier:cnes	ΣC	0..1	Identifier	Identifies this organization across multiple systems
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.36
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
identifier:cnpj	ΣC	0..1	Identifier	Identifies this organization across multiple systems
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.76.1.3.3
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
active	?!Σ	0..1	boolean	Whether the organization's record is still in active use
Fatias para type	Σ	0..*	CodeableConcept	Kind of organization Fatia: Não ordenado, Aberto por pattern:$this Vínculo: OrganizationType (example): Used to categorize the organization.
type:tipoCnes	Σ	0..1	CodeableConcept	Tipo de Estabelecimento de Saúde (CNES) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude (required): Tipo de Estabelecimento de Saúde (CNES)
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type From a norma FHIR
Organization.type:tipoCnes	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	Organization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Organization	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	Organization	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	Organization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Organization	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()
org-1	error	Organization	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0

Differential View

This structure is derived from Organization

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Organization			Organization
Fatias para identifier		0..*	Identifier	Identifies this organization across multiple systems Fatia: Não ordenado, Aberto por pattern:$this
identifier:cnes		0..1	Identifier	Identifies this organization across multiple systems
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.36
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
identifier:cnpj		0..1	Identifier	Identifies this organization across multiple systems
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.76.1.3.3
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
Fatias para type		0..*	CodeableConcept	Kind of organization Fatia: Não ordenado, Aberto por pattern:$this
type:tipoCnes		0..1	CodeableConcept	Tipo de Estabelecimento de Saúde (CNES) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude (required): Tipo de Estabelecimento de Saúde (CNES)
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
text		0..0
contact		0..0
endpoint		0..0
Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho	Conformidade	Conjunto de valores	URI
Organization.type:tipoCnes	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude

Snapshot View

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Organization	C	0..*	Organization	A grouping of people or organizations with a common purpose Constraints: org-1
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	ΣC	0..*	Identifier	Identifies this organization across multiple systems Fatia: Não ordenado, Aberto por pattern:$this
identifier:cnes	ΣC	0..1	Identifier	Identifies this organization across multiple systems
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.36
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
identifier:cnpj	ΣC	0..1	Identifier	Identifies this organization across multiple systems
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.76.1.3.3
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
active	?!Σ	0..1	boolean	Whether the organization's record is still in active use
Fatias para type	Σ	0..*	CodeableConcept	Kind of organization Fatia: Não ordenado, Aberto por pattern:$this Vínculo: OrganizationType (example): Used to categorize the organization.
type:tipoCnes	Σ	0..1	CodeableConcept	Tipo de Estabelecimento de Saúde (CNES) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude (required): Tipo de Estabelecimento de Saúde (CNES)
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
name	ΣC	0..1	string	Name used for the organization
alias		0..*	string	A list of alternate names that the organization is known as, or was known as in the past
telecom	C	0..*	ContactPoint	A contact detail for the organization Constraints: org-3
address	C	0..*	Address	An address for the organization Constraints: org-2
partOf	Σ	0..1	Reference(Organization)	The organization of which this organization forms a part
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
Organization.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type From a norma FHIR
Organization.type:tipoCnes	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude https://terminologia.saude.gov.br/fhir/ValueSet/BRTipoEstabelecimentoSaude
Organization.contact.purpose	extensible	ContactEntityType http://hl7.org/fhir/ValueSet/contactentity-type From a norma FHIR

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	Organization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Organization	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	Organization	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	Organization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Organization	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()
org-1	error	Organization	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0
org-2	error	Organization.address	An address of an organization can never be of use 'home' : where(use = 'home').empty()
org-3	error	Organization.telecom	The telecom of an organization can never be of use 'home' : where(use = 'home').empty()

This structure is derived from Organization

Resumo

Obrigatório: 0 elemento(6 aninhado obrigatoriamente elementos)
Fixo: 2 elementos
Proibido: 13 elementos

Fatias

Esta estrutura define os seguintes Slices:

• The element 1 is sliced based on the value of Organization.identifier
• The element 1 is sliced based on the value of Organization.type