Uso e Escopo

Este recurso fornece orientação para a transferência eletrônica de informações de referência entre prestadores de cuidados de saúde para utilização no SUS e contém as informações necessárias para o destinatário da solicitação, que é uma Central de Regulação Assistencial que procede com a autorização, agendamento dos procedimentos, exames ou outras tecnologia de cuidado

Espera-se que a especificação desse recurso Referral seja genérica o suficiente para suportar todos os casos de uso e fluxos de trabalho de referência. Os fluxos específicos considerados durante o desenvolvimento desta corrente especificação incluem inicialmente o encaminhamento para realização de um conjunto de procedimentos, exames e tecnologias de cuidado necessários a uma atenção oportuna e com qualidade, integrados para concluir uma etapa na linha de cuidado ou na condução de agravos específicos de rápida resolução, de diagnóstico ou desses determinados procedimentos, que fazem parte são integrantes Ofertas de Cuidado Integrado (OCI). As OCI foram definidas na Portaria GM/MS 3.492, de 8 de abril de 2024 que instituiu o Programa Nacional de Expansão e Qualificação da Atenção Ambulatorial Especializada, no âmbito do Sistema Único de Saúde (SUS), chamado de Programa Mais Acesso a Especialistas (PMAE).

Casos de Uso

Na primeira fase esse recurso Solicitação de Serviços Referência será utilizado para exames e procedimentos ambulatoriais de alta complexidade e relacionados, que são autorizados pela APAC (Autorização de Procedimentos de Alta Complexidade). No entanto, ele pode ser facilmente adaptado para acomodar casos de uso de referência adicionais no futuro ou atualização dos existentes.

Limites e Relacionamentos

O perfil Solicitação de Serviço - Referência é um registro de um encaminhamento com um pedido de execução de um serviço que resultaria em um Procedure , Observation , DiagnosticReport , ImagingStudy ou recurso similar realizado por outro profissional de saúde. Em contraste com Solicitação de Serviço - Referência, o Recurso Regulação Assistencial (MIRA) é um recurso Task que abrange intenção e evento e rastreia a execução até a conclusão e se destina a ações "administrativas", como solicitar e rastrear coisas a serem feitas em um registro ou manter o controle de uma lista de verificação de etapas a serem executadas como parte de um processo de atendimento.

Uma Solicitação de Serviço - Referência é o recurso de "ServiceRequest" que "Task" está buscando atende.

Na troca de informações financeiras e informações clínicas de apoio, relacionadas com o fornecimento proposto ou real de bens e serviços relacionados com cuidados de saúde para pacientes aos as fontes pagadoras (operadoras se planos de saúde e programas nacionais de saúde), para planejamento de pagamento de tratamento e reembolso, o recurso Claim deve ser utilizado.

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

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Fatias para contained		0..1	Resource	Contained, inline Resources Fatia: Não ordenado, Aberto por pattern:$this
contained:practitionerContained		0..1	Practitioner	Profissional
id	Σ	0..1	string	Logical id of this artifact Valor fixo: practitioner
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Fatias para identifier	Σ	0..*	Identifier	An identifier for the person as this agent Fatia: Não ordenado, Aberto por pattern:$this
identifier:cns	Σ	0..1	Identifier	An identifier for the person as this agent
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.236
value	Σ	1..1	string	CNS do profissional Exemplo General: 123456
identifier:cpf	Σ	0..1	Identifier	An identifier for the person as this agent
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.237
value	Σ	1..1	string	CPF do profissional Exemplo General: 123456
identifier:registroProfissional	Σ	0..1	Identifier	An identifier for the person as this agent
system	Σ	1..1	uri	Namespace para registros de identificação civil Valor fixo: urn:oid:2.16.840.1.113883.13.243
value	Σ	1..1	string	Número do registro Exemplo General: 123456
contained:organizationContained		0..1	Organization	Organização
id	Σ	0..1	string	Logical id of this artifact Valor fixo: organization
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:$this
identifier:cnes	ΣC	0..1	Identifier	Identifies this organization across multiple systems
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.36
value	Σ	1..1	string	CNES da organização Exemplo General: 123456
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Fatias para identifier	Σ	1..1	Identifier	Identifiers assigned to this order Fatia: Não ordenado, Aberto por pattern:system
identifier:localIdentifier	Σ	1..1	Identifier	Identificador do registro no sistema de origem
system	Σ	1..1	uri	Identificador único do sistema de origem Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identificador do registro no sistema de origem Exemplo General: 123456
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Vínculo: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Vínculo: RequestIntent (required): The kind of service request.
Fatias para category	Σ	0..*	CodeableConcept	Classification of service Fatia: Não ordenado, Aberto por pattern:$this Vínculo: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:category	Σ	0..1	CodeableConcept	Classification of service Vínculo: ServiceRequestCategoryCodes (example): Classification of the requested service.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Valor fixo: https://fhir.ecoinfo.ipes.tech/fhir/CodeSystem/ServiceRequestCategory
code	Σ	1..1	code	Symbol in syntax defined by the system Valor fixo: SADT
display	Σ	0..1	string	Representation defined by the system Valor fixo: Serviço Auxiliar de Diagnóstico ou Terapia
code	Σ	0..1	CodeableConcept	Código(s) do(s) exame(s) solicitado(s) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (preferred)
orderDetail	ΣC	0..*	CodeableConcept	Código dos exames solicitados Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (preferred)
Fatias para coding	Σ	0..*	Coding	Code defined by a terminology system Fatia: Não ordenado, Aberto por type:$this
coding:referenceCode	Σ	0..1	Coding	Código nas terminologias do SUS (Tabela SUS ou TUSS) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (preferred)
coding:localCode	Σ	0..1	Coding	Código local do exame (procedimento)
subject	Σ	1..1	Reference(Paciente)	Individual or Entity the service is ordered for
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	Σ	0..1	Reference(Contato Assistencial)	Encounter in which the request was created
requester	Σ	0..1	Reference(Practitioner | Organization)	Who/what is requesting service
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 (required)
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
ServiceRequest.contained:practitionerContained.qualification.code	example	v2.0360.2.7(a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 From a norma FHIR
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From a norma FHIR
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From a norma FHIR
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From a norma FHIR
ServiceRequest.category:category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From a norma FHIR
ServiceRequest.code	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.orderDetail	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.orderDetail.coding:referenceCode	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.reasonCode	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	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	ServiceRequest	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	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	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()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

This structure is derived from ServiceRequest

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
ServiceRequest			ServiceRequest
Fatias para contained		0..1	Resource	Contained, inline Resources Fatia: Não ordenado, Aberto por pattern:$this
contained:practitionerContained		0..1	Practitioner	Profissional
id		0..1	string	Logical id of this artifact Valor fixo: practitioner
meta		0..0
implicitRules		0..0
language		0..0
text		0..0
contained		0..0
Fatias para identifier		0..*	Identifier	An identifier for the person as this agent Fatia: Não ordenado, Aberto por pattern:$this
identifier:cns		0..1	Identifier	An identifier for the person as this agent
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.236
value		1..1	string	CNS do profissional
period		0..0
assigner		0..0
identifier:cpf		0..1	Identifier	An identifier for the person as this agent
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.237
value		1..1	string	CPF do profissional
period		0..0
assigner		0..0
identifier:registroProfissional		0..1	Identifier	An identifier for the person as this agent
use		0..0
type		0..0
system		1..1	uri	Namespace para registros de identificação civil Valor fixo: urn:oid:2.16.840.1.113883.13.243
value		1..1	string	Número do registro
period		0..0
assigner
display		1..1	string	Text alternative for the resource
active		0..0
telecom		0..0
address		0..0
gender		0..0
birthDate		0..0
photo		0..0
qualification		0..0
communication		0..0
contained:organizationContained		0..1	Organization	Organização
id		0..1	string	Logical id of this artifact Valor fixo: organization
meta		0..0
implicitRules		0..0
language		0..0
text		0..0
contained		0..0
Fatias para identifier		0..*	Identifier	Identifies this organization across multiple systems Fatia: Não ordenado, Aberto por pattern:$this
identifier:cnes		0..1	Identifier	Identifies this organization across multiple systems
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.36
value		1..1	string	CNES da organização
period		0..0
assigner		0..0
active		0..0
type		0..0
telecom		0..0
address		0..0
partOf		0..0
contact		0..0
endpoint		0..0
Fatias para identifier		1..1	Identifier	Identifiers assigned to this order Fatia: Não ordenado, Aberto por pattern:system
identifier:localIdentifier		1..1	Identifier	Identificador do registro no sistema de origem
use		0..0
type		0..0
system		1..1	uri	Identificador único do sistema de origem
value		1..1	string	Identificador do registro no sistema de origem
period		0..0
assigner		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..0
replaces		0..0
Fatias para category		0..*	CodeableConcept	Classification of service Fatia: Não ordenado, Aberto por pattern:$this
category:category		0..1	CodeableConcept	Classification of service
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Valor fixo: https://fhir.ecoinfo.ipes.tech/fhir/CodeSystem/ServiceRequestCategory
version		0..0
code		1..1	code	Symbol in syntax defined by the system Valor fixo: SADT
display		0..1	string	Representation defined by the system Valor fixo: Serviço Auxiliar de Diagnóstico ou Terapia
userSelected		0..0
text		0..0
doNotPerform		0..0
code		0..1	CodeableConcept	Código(s) do(s) exame(s) solicitado(s) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (preferred)
orderDetail		0..*	CodeableConcept	Código dos exames solicitados Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (preferred)
Fatias para coding		0..*	Coding	Code defined by a terminology system Fatia: Não ordenado, Aberto por type:$this
coding:referenceCode		0..1	Coding	Código nas terminologias do SUS (Tabela SUS ou TUSS) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (preferred)
userSelected		0..0
coding:localCode		0..1	Coding	Código local do exame (procedimento)
quantity[x]		0..0
subject		1..1	Reference(Paciente)	Individual or Entity the service is ordered for
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0
identifier		0..0
display		0..0
encounter		0..1	Reference(Contato Assistencial)	Encounter in which the request was created
requester		0..1	Reference(Practitioner | Organization)	Who/what is requesting service
reasonCode		0..*	CodeableConcept	Explanation/Justification for procedure or service Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 (required)
Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho	Conformidade	Conjunto de valores	URI
ServiceRequest.code	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.orderDetail	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.orderDetail.coding:referenceCode	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.reasonCode	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: prr-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
Fatias para contained		0..1	Resource	Contained, inline Resources Fatia: Não ordenado, Aberto por pattern:$this
contained:practitionerContained		0..1	Practitioner	Profissional
id	Σ	0..1	string	Logical id of this artifact Valor fixo: practitioner
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Fatias para identifier	Σ	0..*	Identifier	An identifier for the person as this agent Fatia: Não ordenado, Aberto por pattern:$this
identifier:cns	Σ	0..1	Identifier	An identifier for the person as this agent
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:2.16.840.1.113883.13.236
value	Σ	1..1	string	CNS do profissional Exemplo General: 123456
identifier:cpf	Σ	0..1	Identifier	An identifier for the person as this agent
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:2.16.840.1.113883.13.237
value	Σ	1..1	string	CPF do profissional Exemplo General: 123456
identifier:registroProfissional	Σ	0..1	Identifier	An identifier for the person as this agent
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	Namespace para registros de identificação civil Valor fixo: urn:oid:2.16.840.1.113883.13.243
value	Σ	1..1	string	Número do registro Exemplo General: 123456
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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
display	Σ	1..1	string	Text alternative for the resource
name	Σ	0..*	HumanName	The name(s) associated with the practitioner
contained:organizationContained		0..1	Organization	Organização
id	Σ	0..1	string	Logical id of this artifact Valor fixo: organization
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:$this
identifier:cnes	ΣC	0..1	Identifier	Identifies this organization across multiple systems
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.36
value	Σ	1..1	string	CNES da organização Exemplo General: 123456
name	ΣC	0..1	string	Name used for the organization
alias		0..*	string	A list of alternate names that the organization is known as, or was known as in the past
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Fatias para identifier	Σ	1..1	Identifier	Identifiers assigned to this order Fatia: Não ordenado, Aberto por pattern:system
identifier:localIdentifier	Σ	1..1	Identifier	Identificador do registro no sistema de origem
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system	Σ	1..1	uri	Identificador único do sistema de origem Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identificador do registro no sistema de origem Exemplo General: 123456
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Vínculo: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Vínculo: RequestIntent (required): The kind of service request.
Fatias para category	Σ	0..*	CodeableConcept	Classification of service Fatia: Não ordenado, Aberto por pattern:$this Vínculo: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:category	Σ	0..1	CodeableConcept	Classification of service Vínculo: ServiceRequestCategoryCodes (example): Classification of the requested service.
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 Valor fixo: https://fhir.ecoinfo.ipes.tech/fhir/CodeSystem/ServiceRequestCategory
code	Σ	1..1	code	Symbol in syntax defined by the system Valor fixo: SADT
display	Σ	0..1	string	Representation defined by the system Valor fixo: Serviço Auxiliar de Diagnóstico ou Terapia
priority	Σ	0..1	code	routine | urgent | asap | stat Vínculo: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
code	Σ	0..1	CodeableConcept	Código(s) do(s) exame(s) solicitado(s) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (preferred)
orderDetail	ΣC	0..*	CodeableConcept	Código dos exames solicitados Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (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
Fatias para coding	Σ	0..*	Coding	Code defined by a terminology system Fatia: Não ordenado, Aberto por type:$this
coding:referenceCode	Σ	0..1	Coding	Código nas terminologias do SUS (Tabela SUS ou TUSS) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (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	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
coding:localCode	Σ	0..1	Coding	Código local do exame (procedimento)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Paciente)	Individual or Entity the service is ordered for
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	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	Σ	0..1	Reference(Contato Assistencial)	Encounter in which the request was created
occurrence[x]	Σ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Vínculo: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	Σ	0..1	dateTime	Date request signed
requester	Σ	0..1	Reference(Practitioner | Organization)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Vínculo: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Vínculo: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 (required)
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
ServiceRequest.contained:practitionerContained.identifier:registroProfissional.assigner.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From a norma FHIR
ServiceRequest.contained:practitionerContained.qualification.code	example	v2.0360.2.7(a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 From a norma FHIR
ServiceRequest.contained:organizationContained.contact.purpose	extensible	ContactEntityType http://hl7.org/fhir/ValueSet/contactentity-type From a norma FHIR
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From a norma FHIR
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From a norma FHIR
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From a norma FHIR
ServiceRequest.category:category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From a norma FHIR
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 From a norma FHIR
ServiceRequest.code	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.orderDetail	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.orderDetail.coding:referenceCode	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From a norma FHIR
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From a norma FHIR
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From a norma FHIR

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	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	ServiceRequest	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	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	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()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Key Elements View

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Fatias para contained		0..1	Resource	Contained, inline Resources Fatia: Não ordenado, Aberto por pattern:$this
contained:practitionerContained		0..1	Practitioner	Profissional
id	Σ	0..1	string	Logical id of this artifact Valor fixo: practitioner
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Fatias para identifier	Σ	0..*	Identifier	An identifier for the person as this agent Fatia: Não ordenado, Aberto por pattern:$this
identifier:cns	Σ	0..1	Identifier	An identifier for the person as this agent
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.236
value	Σ	1..1	string	CNS do profissional Exemplo General: 123456
identifier:cpf	Σ	0..1	Identifier	An identifier for the person as this agent
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.237
value	Σ	1..1	string	CPF do profissional Exemplo General: 123456
identifier:registroProfissional	Σ	0..1	Identifier	An identifier for the person as this agent
system	Σ	1..1	uri	Namespace para registros de identificação civil Valor fixo: urn:oid:2.16.840.1.113883.13.243
value	Σ	1..1	string	Número do registro Exemplo General: 123456
contained:organizationContained		0..1	Organization	Organização
id	Σ	0..1	string	Logical id of this artifact Valor fixo: organization
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:$this
identifier:cnes	ΣC	0..1	Identifier	Identifies this organization across multiple systems
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.36
value	Σ	1..1	string	CNES da organização Exemplo General: 123456
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Fatias para identifier	Σ	1..1	Identifier	Identifiers assigned to this order Fatia: Não ordenado, Aberto por pattern:system
identifier:localIdentifier	Σ	1..1	Identifier	Identificador do registro no sistema de origem
system	Σ	1..1	uri	Identificador único do sistema de origem Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identificador do registro no sistema de origem Exemplo General: 123456
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Vínculo: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Vínculo: RequestIntent (required): The kind of service request.
Fatias para category	Σ	0..*	CodeableConcept	Classification of service Fatia: Não ordenado, Aberto por pattern:$this Vínculo: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:category	Σ	0..1	CodeableConcept	Classification of service Vínculo: ServiceRequestCategoryCodes (example): Classification of the requested service.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Valor fixo: https://fhir.ecoinfo.ipes.tech/fhir/CodeSystem/ServiceRequestCategory
code	Σ	1..1	code	Symbol in syntax defined by the system Valor fixo: SADT
display	Σ	0..1	string	Representation defined by the system Valor fixo: Serviço Auxiliar de Diagnóstico ou Terapia
code	Σ	0..1	CodeableConcept	Código(s) do(s) exame(s) solicitado(s) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (preferred)
orderDetail	ΣC	0..*	CodeableConcept	Código dos exames solicitados Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (preferred)
Fatias para coding	Σ	0..*	Coding	Code defined by a terminology system Fatia: Não ordenado, Aberto por type:$this
coding:referenceCode	Σ	0..1	Coding	Código nas terminologias do SUS (Tabela SUS ou TUSS) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (preferred)
coding:localCode	Σ	0..1	Coding	Código local do exame (procedimento)
subject	Σ	1..1	Reference(Paciente)	Individual or Entity the service is ordered for
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	Σ	0..1	Reference(Contato Assistencial)	Encounter in which the request was created
requester	Σ	0..1	Reference(Practitioner | Organization)	Who/what is requesting service
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 (required)
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
ServiceRequest.contained:practitionerContained.qualification.code	example	v2.0360.2.7(a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 From a norma FHIR
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From a norma FHIR
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From a norma FHIR
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From a norma FHIR
ServiceRequest.category:category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From a norma FHIR
ServiceRequest.code	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.orderDetail	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.orderDetail.coding:referenceCode	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.reasonCode	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	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	ServiceRequest	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	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	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()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Differential View

This structure is derived from ServiceRequest

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
ServiceRequest			ServiceRequest
Fatias para contained		0..1	Resource	Contained, inline Resources Fatia: Não ordenado, Aberto por pattern:$this
contained:practitionerContained		0..1	Practitioner	Profissional
id		0..1	string	Logical id of this artifact Valor fixo: practitioner
meta		0..0
implicitRules		0..0
language		0..0
text		0..0
contained		0..0
Fatias para identifier		0..*	Identifier	An identifier for the person as this agent Fatia: Não ordenado, Aberto por pattern:$this
identifier:cns		0..1	Identifier	An identifier for the person as this agent
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.236
value		1..1	string	CNS do profissional
period		0..0
assigner		0..0
identifier:cpf		0..1	Identifier	An identifier for the person as this agent
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.237
value		1..1	string	CPF do profissional
period		0..0
assigner		0..0
identifier:registroProfissional		0..1	Identifier	An identifier for the person as this agent
use		0..0
type		0..0
system		1..1	uri	Namespace para registros de identificação civil Valor fixo: urn:oid:2.16.840.1.113883.13.243
value		1..1	string	Número do registro
period		0..0
assigner
display		1..1	string	Text alternative for the resource
active		0..0
telecom		0..0
address		0..0
gender		0..0
birthDate		0..0
photo		0..0
qualification		0..0
communication		0..0
contained:organizationContained		0..1	Organization	Organização
id		0..1	string	Logical id of this artifact Valor fixo: organization
meta		0..0
implicitRules		0..0
language		0..0
text		0..0
contained		0..0
Fatias para identifier		0..*	Identifier	Identifies this organization across multiple systems Fatia: Não ordenado, Aberto por pattern:$this
identifier:cnes		0..1	Identifier	Identifies this organization across multiple systems
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.36
value		1..1	string	CNES da organização
period		0..0
assigner		0..0
active		0..0
type		0..0
telecom		0..0
address		0..0
partOf		0..0
contact		0..0
endpoint		0..0
Fatias para identifier		1..1	Identifier	Identifiers assigned to this order Fatia: Não ordenado, Aberto por pattern:system
identifier:localIdentifier		1..1	Identifier	Identificador do registro no sistema de origem
use		0..0
type		0..0
system		1..1	uri	Identificador único do sistema de origem
value		1..1	string	Identificador do registro no sistema de origem
period		0..0
assigner		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..0
replaces		0..0
Fatias para category		0..*	CodeableConcept	Classification of service Fatia: Não ordenado, Aberto por pattern:$this
category:category		0..1	CodeableConcept	Classification of service
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Valor fixo: https://fhir.ecoinfo.ipes.tech/fhir/CodeSystem/ServiceRequestCategory
version		0..0
code		1..1	code	Symbol in syntax defined by the system Valor fixo: SADT
display		0..1	string	Representation defined by the system Valor fixo: Serviço Auxiliar de Diagnóstico ou Terapia
userSelected		0..0
text		0..0
doNotPerform		0..0
code		0..1	CodeableConcept	Código(s) do(s) exame(s) solicitado(s) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (preferred)
orderDetail		0..*	CodeableConcept	Código dos exames solicitados Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (preferred)
Fatias para coding		0..*	Coding	Code defined by a terminology system Fatia: Não ordenado, Aberto por type:$this
coding:referenceCode		0..1	Coding	Código nas terminologias do SUS (Tabela SUS ou TUSS) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (preferred)
userSelected		0..0
coding:localCode		0..1	Coding	Código local do exame (procedimento)
quantity[x]		0..0
subject		1..1	Reference(Paciente)	Individual or Entity the service is ordered for
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0
identifier		0..0
display		0..0
encounter		0..1	Reference(Contato Assistencial)	Encounter in which the request was created
requester		0..1	Reference(Practitioner | Organization)	Who/what is requesting service
reasonCode		0..*	CodeableConcept	Explanation/Justification for procedure or service Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 (required)
Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho	Conformidade	Conjunto de valores	URI
ServiceRequest.code	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.orderDetail	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.orderDetail.coding:referenceCode	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.reasonCode	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10

Snapshot View

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: prr-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
Fatias para contained		0..1	Resource	Contained, inline Resources Fatia: Não ordenado, Aberto por pattern:$this
contained:practitionerContained		0..1	Practitioner	Profissional
id	Σ	0..1	string	Logical id of this artifact Valor fixo: practitioner
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Fatias para identifier	Σ	0..*	Identifier	An identifier for the person as this agent Fatia: Não ordenado, Aberto por pattern:$this
identifier:cns	Σ	0..1	Identifier	An identifier for the person as this agent
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:2.16.840.1.113883.13.236
value	Σ	1..1	string	CNS do profissional Exemplo General: 123456
identifier:cpf	Σ	0..1	Identifier	An identifier for the person as this agent
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:2.16.840.1.113883.13.237
value	Σ	1..1	string	CPF do profissional Exemplo General: 123456
identifier:registroProfissional	Σ	0..1	Identifier	An identifier for the person as this agent
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	Namespace para registros de identificação civil Valor fixo: urn:oid:2.16.840.1.113883.13.243
value	Σ	1..1	string	Número do registro Exemplo General: 123456
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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
display	Σ	1..1	string	Text alternative for the resource
name	Σ	0..*	HumanName	The name(s) associated with the practitioner
contained:organizationContained		0..1	Organization	Organização
id	Σ	0..1	string	Logical id of this artifact Valor fixo: organization
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:$this
identifier:cnes	ΣC	0..1	Identifier	Identifies this organization across multiple systems
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system	Σ	1..1	uri	The namespace for the identifier value Valor fixo: urn:oid:2.16.840.1.113883.13.36
value	Σ	1..1	string	CNES da organização Exemplo General: 123456
name	ΣC	0..1	string	Name used for the organization
alias		0..*	string	A list of alternate names that the organization is known as, or was known as in the past
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Fatias para identifier	Σ	1..1	Identifier	Identifiers assigned to this order Fatia: Não ordenado, Aberto por pattern:system
identifier:localIdentifier	Σ	1..1	Identifier	Identificador do registro no sistema de origem
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system	Σ	1..1	uri	Identificador único do sistema de origem Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identificador do registro no sistema de origem Exemplo General: 123456
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Vínculo: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Vínculo: RequestIntent (required): The kind of service request.
Fatias para category	Σ	0..*	CodeableConcept	Classification of service Fatia: Não ordenado, Aberto por pattern:$this Vínculo: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:category	Σ	0..1	CodeableConcept	Classification of service Vínculo: ServiceRequestCategoryCodes (example): Classification of the requested service.
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 Valor fixo: https://fhir.ecoinfo.ipes.tech/fhir/CodeSystem/ServiceRequestCategory
code	Σ	1..1	code	Symbol in syntax defined by the system Valor fixo: SADT
display	Σ	0..1	string	Representation defined by the system Valor fixo: Serviço Auxiliar de Diagnóstico ou Terapia
priority	Σ	0..1	code	routine | urgent | asap | stat Vínculo: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
code	Σ	0..1	CodeableConcept	Código(s) do(s) exame(s) solicitado(s) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (preferred)
orderDetail	ΣC	0..*	CodeableConcept	Código dos exames solicitados Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (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
Fatias para coding	Σ	0..*	Coding	Code defined by a terminology system Fatia: Não ordenado, Aberto por type:$this
coding:referenceCode	Σ	0..1	Coding	Código nas terminologias do SUS (Tabela SUS ou TUSS) Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais (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	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
coding:localCode	Σ	0..1	Coding	Código local do exame (procedimento)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Paciente)	Individual or Entity the service is ordered for
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	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	Σ	0..1	Reference(Contato Assistencial)	Encounter in which the request was created
occurrence[x]	Σ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Vínculo: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	Σ	0..1	dateTime	Date request signed
requester	Σ	0..1	Reference(Practitioner | Organization)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Vínculo: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Vínculo: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 (required)
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
ServiceRequest.contained:practitionerContained.identifier:registroProfissional.assigner.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From a norma FHIR
ServiceRequest.contained:practitionerContained.qualification.code	example	v2.0360.2.7(a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 From a norma FHIR
ServiceRequest.contained:organizationContained.contact.purpose	extensible	ContactEntityType http://hl7.org/fhir/ValueSet/contactentity-type From a norma FHIR
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From a norma FHIR
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From a norma FHIR
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From a norma FHIR
ServiceRequest.category:category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From a norma FHIR
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 From a norma FHIR
ServiceRequest.code	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.orderDetail	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.orderDetail.coding:referenceCode	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From a norma FHIR
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From a norma FHIR
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	required	https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10 https://terminologia.saude.gov.br/fhir/ValueSet/BRCID10
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From a norma FHIR

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	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	ServiceRequest	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	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	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()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

This structure is derived from ServiceRequest

Resumo

Obrigatório: 5 elementos(12 aninhado obrigatoriamente elementos)
Fixo: 9 elementos
Proibido: 57 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

• Paciente (https://fhir.ecoinfo.ipes.tech/fhir/StructureDefinition/PatientBRIPES)
• Contato Assistencial (https://fhir.ecoinfo.ipes.tech/fhir/StructureDefinition/EncounterBRIPES)

Fatias

Esta estrutura define os seguintes Slices:

• The element 1 is sliced based on the value of ServiceRequest.contained
• The element 1 is sliced based on the value of ServiceRequest.contained.identifier
• The element 1 is sliced based on the value of ServiceRequest.identifier
• The element 1 is sliced based on the value of ServiceRequest.category
• The element 1 is sliced based on the value of ServiceRequest.orderDetail.coding