Guia de implementação do Sumário Internacional do Paciente: Release 1 - BR Realm | STU1
1.0.0 - STU1
Guia de implementação do Sumário Internacional do Paciente: Release 1 - BR Realm | STU1
1.0.0 - STU1
This page is part of the IPS Brasil (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_560ad9c9-2057-40fe-8996-e43bd91f617a"> </a>Title: International Patient Summary from Brazil, code: http://loinc.org#60591-5, status: generated, confidentiality: N</div>
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<title value="Section Problems"/>
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<div xmlns="http://www.w3.org/1999/xhtml">Lista de problemas de saúde atuais e passados do paciente.</div>
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<title value="Current Medication"/>
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<system value="http://loinc.org"/>
<code value="10160-0"/>
<display value="History of Medication use Narrative"/>
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<div xmlns="http://www.w3.org/1999/xhtml">Lista de medicamentos que o paciente está utilizando atualmente.</div>
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<reference value="urn:uuid:40386463-e1c7-46d4-92c7-b65ace40fa41"/>
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<title value="Allergies and Intolerances"/>
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<text value="Alergias e intolerâncias"/>
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<div xmlns="http://www.w3.org/1999/xhtml">Registro de alergias e intolerâncias do paciente, incluindo alergia à penicilina.</div>
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<div xmlns="http://www.w3.org/1999/xhtml">Resultados de exames laboratoriais e diagnósticos relevantes.</div>
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<title value="Immunizations"/>
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<system value="http://loinc.org"/>
<code value="11369-6"/>
<display value="History of Immunization Narrative"/>
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<div xmlns="http://www.w3.org/1999/xhtml">Histórico de imunizações recebidas pelo paciente.</div>
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<reference value="urn:uuid:714819de-cd07-4423-94ea-7057504a2cc8"/>
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<div xmlns="http://www.w3.org/1999/xhtml">Histórico de procedimentos realizados pelo paciente, incluindo consultas e intervenções médicas.</div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_31024c66-483a-4c80-b182-157ee133ca96"> </a><p class="res-header-id"><b>Narrativa gerada: Organization 31024c66-483a-4c80-b182-157ee133ca96</b></p><a name="31024c66-483a-4c80-b182-157ee133ca96"> </a><a name="hc31024c66-483a-4c80-b182-157ee133ca96"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Perfil: <a href="StructureDefinition-OrganizationBRIPS.html">OrganizationBRIPSversão: null1.0.0)</a></p></div><p><b>identifier</b>: <code>http://rnds.saude.gov.br/fhir/r4/NamingSystem/cnes</code>/7654321</p><p><b>name</b>: Consultório Dr. José Silva</p></div>
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<name value="Consultório Dr. José Silva"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_498615d6-279f-4883-b4e2-e32f86f75aa1"> </a><p class="res-header-id"><b>Narrativa gerada: AllergyIntolerance 498615d6-279f-4883-b4e2-e32f86f75aa1</b></p><a name="498615d6-279f-4883-b4e2-e32f86f75aa1"> </a><a name="hc498615d6-279f-4883-b4e2-e32f86f75aa1"> </a><p><b>clinicalStatus</b>: <span title="Códigos:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}">Active</span></p><p><b>code</b>: <span title="Códigos:{http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips no-allergy-info}">No information about allergies</span></p><p><b>patient</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-b1997888-85fd-41b6-bf94-6242cf3c8265">Bundle: identifier = UUID:234c1054-83a7-4adf-9387-b673b96664d5; type = document; timestamp = 2025-05-09 15:27:33+0000</a></p></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_b1997888-85fd-41b6-bf94-6242cf3c8265"> </a><p class="res-header-id"><b>Narrativa gerada: Patient b1997888-85fd-41b6-bf94-6242cf3c8265</b></p><a name="b1997888-85fd-41b6-bf94-6242cf3c8265"> </a><a name="hcb1997888-85fd-41b6-bf94-6242cf3c8265"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">A ser enriquecido pelo CADSUS (sem género declarado), DoB: ( http://rnds.saude.gov.br/fhir/r4/NamingSystem/cpf#12345678901)</p><hr/></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_c5771fd6-63a6-4a3b-936c-22146d2be9d5"> </a><p class="res-header-id"><b>Narrativa gerada: Condition c5771fd6-63a6-4a3b-936c-22146d2be9d5</b></p><a name="c5771fd6-63a6-4a3b-936c-22146d2be9d5"> </a><a name="hcc5771fd6-63a6-4a3b-936c-22146d2be9d5"> </a><p><b>clinicalStatus</b>: <span title="Códigos:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Códigos:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span></p><p><b>code</b>: <span title="Códigos:{http://snomed.info/sct 443694000}">Diabetes mellitus tipo 2 não controlada</span></p><p><b>subject</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-b1997888-85fd-41b6-bf94-6242cf3c8265">Bundle: identifier = UUID:234c1054-83a7-4adf-9387-b673b96664d5; type = document; timestamp = 2025-05-09 15:27:33+0000</a></p></div>
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<MedicationStatement>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_40386463-e1c7-46d4-92c7-b65ace40fa41"> </a><p class="res-header-id"><b>Narrativa gerada: MedicationStatement 40386463-e1c7-46d4-92c7-b65ace40fa41</b></p><a name="40386463-e1c7-46d4-92c7-b65ace40fa41"> </a><a name="hc40386463-e1c7-46d4-92c7-b65ace40fa41"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-e8076935-bd85-4be3-a0a0-7349b972b130">Bundle: identifier = UUID:234c1054-83a7-4adf-9387-b673b96664d5; type = document; timestamp = 2025-05-09 15:27:33+0000</a></p><p><b>subject</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-b1997888-85fd-41b6-bf94-6242cf3c8265">Bundle: identifier = UUID:234c1054-83a7-4adf-9387-b673b96664d5; type = document; timestamp = 2025-05-09 15:27:33+0000</a></p><blockquote><p><b>dosage</b></p><p><b>text</b>: 10 mg/day</p><p><b>timing</b>: Uma vez por 1 day</p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>10 mg<span style="background: LightGoldenRodYellow"> (Detalhes: UCUM códigomg = 'mg')</span></td></tr></table></blockquote></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_3ece2664-c963-4627-9592-16e524706929"> </a><p class="res-header-id"><b>Narrativa gerada: Observation 3ece2664-c963-4627-9592-16e524706929</b></p><a name="3ece2664-c963-4627-9592-16e524706929"> </a><a name="hc3ece2664-c963-4627-9592-16e524706929"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Códigos:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Códigos:{http://loinc.org 2160-0}">Hemoglobina</span></p><p><b>subject</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-b1997888-85fd-41b6-bf94-6242cf3c8265">Bundle: identifier = UUID:234c1054-83a7-4adf-9387-b673b96664d5; type = document; timestamp = 2025-05-09 15:27:33+0000</a></p><p><b>effective</b>: 2025-04-02 10:36:48-0300</p><p><b>performer</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-31024c66-483a-4c80-b182-157ee133ca96">Bundle: identifier = UUID:234c1054-83a7-4adf-9387-b673b96664d5; type = document; timestamp = 2025-05-09 15:27:33+0000</a></p></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_5aaaf460-6fc0-4097-9e05-574367284450"> </a><p class="res-header-id"><b>Narrativa gerada: Observation 5aaaf460-6fc0-4097-9e05-574367284450</b></p><a name="5aaaf460-6fc0-4097-9e05-574367284450"> </a><a name="hc5aaaf460-6fc0-4097-9e05-574367284450"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Códigos:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Códigos:{http://loinc.org 85337-4}">Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain</span></p><p><b>subject</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-b1997888-85fd-41b6-bf94-6242cf3c8265">Bundle: identifier = UUID:234c1054-83a7-4adf-9387-b673b96664d5; type = document; timestamp = 2025-05-09 15:27:33+0000</a></p><p><b>effective</b>: 2020-04-22 19:20:00+0200</p><p><b>performer</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-31024c66-483a-4c80-b182-157ee133ca96">Bundle: identifier = UUID:234c1054-83a7-4adf-9387-b673b96664d5; type = document; timestamp = 2025-05-09 15:27:33+0000</a></p></div>
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<display
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_14d1729d-16c7-45a2-be7f-bc17f261ce85"> </a><p class="res-header-id"><b>Narrativa gerada: Observation 14d1729d-16c7-45a2-be7f-bc17f261ce85</b></p><a name="14d1729d-16c7-45a2-be7f-bc17f261ce85"> </a><a name="hc14d1729d-16c7-45a2-be7f-bc17f261ce85"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Códigos:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Códigos:{http://loinc.org 8310-5}">Temperatura Corporal</span></p><p><b>subject</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-b1997888-85fd-41b6-bf94-6242cf3c8265">Ana Beatriz Oliveira</a></p><p><b>effective</b>: 2025-04-03 16:50:39-0300</p><p><b>issued</b>: 2025-04-03 16:55:39-0300</p><p><b>performer</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-d3b61455-f432-48f0-b83b-ba825922d735">Maria Clara</a></p><p><b>value</b>: 36.5 °C<span style="background: LightGoldenRodYellow"> (Detalhes: UCUM códigoCel = 'Cel')</span></p><p><b>interpretation</b>: <span title="Códigos:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}">Normal</span></p><p><b>bodySite</b>: <span title="Códigos:{http://snomed.info/sct 74262004}">Oral cavity</span></p><p><b>method</b>: <span title="Códigos:{http://snomed.info/sct 89003005}">Oral temperature taking</span></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>36.1 °C<span style="background: LightGoldenRodYellow"> (Detalhes: UCUM códigoCel = 'Cel')</span></td><td>37.2 °C<span style="background: LightGoldenRodYellow"> (Detalhes: UCUM códigoCel = 'Cel')</span></td></tr></table></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8310-5"/>
<display value="Bdy temp"/>
</coding>
<text value="Temperatura Corporal"/>
</code>
<subject>
<reference value="urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265"/>
<display value="Ana Beatriz Oliveira"/>
</subject>
<effectiveDateTime value="2025-04-03T16:50:39-03:00"/>
<issued value="2025-04-03T16:55:39-03:00"/>
<performer>
<reference value="urn:uuid:d3b61455-f432-48f0-b83b-ba825922d735"/>
<display value="Maria Clara"/>
</performer>
<valueQuantity>
<value value="36.5"/>
<unit value="°C"/>
<system value="http://unitsofmeasure.org"/>
<code value="Cel"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="N"/>
<display value="Normal"/>
</coding>
</interpretation>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="74262004"/>
<display value="Oral cavity"/>
</coding>
</bodySite>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="89003005"/>
<display value="Oral temperature taking"/>
</coding>
</method>
<referenceRange>
<low>
<value value="36.1"/>
<unit value="°C"/>
<system value="http://unitsofmeasure.org"/>
<code value="Cel"/>
</low>
<high>
<value value="37.2"/>
<unit value="°C"/>
<system value="http://unitsofmeasure.org"/>
<code value="Cel"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:12813e0a-e0f8-4318-9e2a-2eced2470876"/>
<resource>
<Observation>
<id value="12813e0a-e0f8-4318-9e2a-2eced2470876"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_12813e0a-e0f8-4318-9e2a-2eced2470876"> </a><p class="res-header-id"><b>Narrativa gerada: Observation 12813e0a-e0f8-4318-9e2a-2eced2470876</b></p><a name="12813e0a-e0f8-4318-9e2a-2eced2470876"> </a><a name="hc12813e0a-e0f8-4318-9e2a-2eced2470876"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Códigos:{http://terminology.hl7.org/CodeSystem/observation-category imaging}">Imaging</span></p><p><b>code</b>: <span title="Códigos:{http://loinc.org 79103-8}">CT Abdomen W contrast IV</span></p><p><b>subject</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-b1997888-85fd-41b6-bf94-6242cf3c8265">Bundle: identifier = UUID:234c1054-83a7-4adf-9387-b673b96664d5; type = document; timestamp = 2025-05-09 15:27:33+0000</a></p><p><b>effective</b>: 1995-06-08</p><p><b>performer</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-31024c66-483a-4c80-b182-157ee133ca96">Bundle: identifier = UUID:234c1054-83a7-4adf-9387-b673b96664d5; type = document; timestamp = 2025-05-09 15:27:33+0000</a></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="imaging"/>
<display value="Imaging"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="79103-8"/>
<display value="CT Abdomen W contrast IV"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265"/>
</subject>
<effectiveDateTime value="1995-06-08"/>
<performer>
<reference value="urn:uuid:31024c66-483a-4c80-b182-157ee133ca96"/>
</performer>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:bebecb29-e907-4d6f-9690-c82ca7e1ae55"/>
<resource>
<Observation>
<id value="bebecb29-e907-4d6f-9690-c82ca7e1ae55"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_bebecb29-e907-4d6f-9690-c82ca7e1ae55"> </a><p class="res-header-id"><b>Narrativa gerada: Observation bebecb29-e907-4d6f-9690-c82ca7e1ae55</b></p><a name="bebecb29-e907-4d6f-9690-c82ca7e1ae55"> </a><a name="hcbebecb29-e907-4d6f-9690-c82ca7e1ae55"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Códigos:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Códigos:{http://loinc.org 106875-8}">Perceived stress scale-10 [PSS-10]</span></p><p><b>subject</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-b1997888-85fd-41b6-bf94-6242cf3c8265">Bundle: identifier = UUID:234c1054-83a7-4adf-9387-b673b96664d5; type = document; timestamp = 2025-05-09 15:27:33+0000</a></p><p><b>effective</b>: 2025-04-03 10:00:00-0300</p><p><b>performer</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-31024c66-483a-4c80-b182-157ee133ca96">Bundle: identifier = UUID:234c1054-83a7-4adf-9387-b673b96664d5; type = document; timestamp = 2025-05-09 15:27:33+0000</a></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="106875-8"/>
<display value="Perceived stress scale-10 [PSS-10]"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265"/>
</subject>
<effectiveDateTime value="2025-04-03T10:00:00-03:00"/>
<performer>
<reference value="urn:uuid:31024c66-483a-4c80-b182-157ee133ca96"/>
</performer>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:714819de-cd07-4423-94ea-7057504a2cc8"/>
<resource>
<Immunization>
<id value="714819de-cd07-4423-94ea-7057504a2cc8"/>
<meta>
<profile
value="https://ips.saude.gov.br/fhir/StructureDefinition/ImmunizationBRIPS|1.0.0"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Immunization_714819de-cd07-4423-94ea-7057504a2cc8"> </a><p class="res-header-id"><b>Narrativa gerada: Immunization 714819de-cd07-4423-94ea-7057504a2cc8</b></p><a name="714819de-cd07-4423-94ea-7057504a2cc8"> </a><a name="hc714819de-cd07-4423-94ea-7057504a2cc8"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Perfil: <a href="StructureDefinition-ImmunizationBRIPS.html">ImmunizationBRIPSversão: null1.0.0)</a></p></div><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title="Códigos:{http://snomed.info/sct 1181000221105}">Vacina gripe sazonal</span></p><p><b>patient</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-b1997888-85fd-41b6-bf94-6242cf3c8265">Bundle: identifier = UUID:234c1054-83a7-4adf-9387-b673b96664d5; type = document; timestamp = 2025-05-09 15:27:33+0000</a></p><p><b>occurrence</b>: 2024-06-01 14:30:00+0000</p><p><b>primarySource</b>: true</p><p><b>lotNumber</b>: 12345AB</p><p><b>expirationDate</b>: 2024-12-31</p><p><b>site</b>: <span title="Códigos:{http://snomed.info/sct 46862004}">Glúteo máximo</span></p><p><b>route</b>: <span title="Códigos:{http://standardterms.edqm.eu 20035000}">intramusculuar</span></p><p><b>doseQuantity</b>: 0.3 mL<span style="background: LightGoldenRodYellow"> (Detalhes: UCUM códigomL = 'mL')</span></p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><span title="Códigos:{https://terminologia.saude.gov.br/fhir/CodeSystem/BRCBO 223505}">ENFERMEIRO</span></td><td><a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-d3b61455-f432-48f0-b83b-ba825922d735">Maria Clara</a></td></tr></table><p><b>reasonCode</b>: <span title="Códigos:{http://snomed.info/sct 429060002}">Procedimento obrigatório para o profissional</span></p><h3>ProtocolApplieds</h3><table class="grid"><tr><td style="display: none">-</td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Códigos:{http://snomed.info/sct 6142004}">influenza</span></td><td>1</td></tr></table></div>
</text>
<status value="completed"/>
<vaccineCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1181000221105"/>
<display value="Influenza virus antigen only vaccine product"/>
</coding>
<text value="Vacina gripe sazonal"/>
</vaccineCode>
<patient>
<reference value="urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265"/>
</patient>
<occurrenceDateTime value="2024-06-01T14:30:00Z"/>
<primarySource value="true"/>
<lotNumber value="12345AB"/>
<expirationDate value="2024-12-31"/>
<site>
<coding>
<system value="http://snomed.info/sct"/>
<code value="46862004"/>
<display value="Buttock"/>
</coding>
<text value="Glúteo máximo"/>
</site>
<route>
<coding>
<system value="http://standardterms.edqm.eu"/>
<code value="20035000"/>
<display value="Intramuscular use"/>
</coding>
<text value="intramusculuar"/>
</route>
<doseQuantity>
<value value="0.3"/>
<unit value="mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
</doseQuantity>
<performer>
<function>
<coding>
<system
value="https://terminologia.saude.gov.br/fhir/CodeSystem/BRCBO"/>
<code value="223505"/>
<display value="ENFERMEIRO"/>
</coding>
</function>
<actor>
<reference value="urn:uuid:d3b61455-f432-48f0-b83b-ba825922d735"/>
<display value="Maria Clara"/>
</actor>
</performer>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="429060002"/>
<display value="Procedure to meet occupational requirement"/>
</coding>
<text value="Procedimento obrigatório para o profissional"/>
</reasonCode>
<protocolApplied>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="6142004"/>
<display value="Influenza (disorder)"/>
</coding>
<text value="influenza"/>
</targetDisease>
<doseNumberString value="1"/>
</protocolApplied>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:d3b61455-f432-48f0-b83b-ba825922d735"/>
<resource>
<Practitioner>
<id value="d3b61455-f432-48f0-b83b-ba825922d735"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_d3b61455-f432-48f0-b83b-ba825922d735"> </a><p class="res-header-id"><b>Narrativa gerada: Practitioner d3b61455-f432-48f0-b83b-ba825922d735</b></p><a name="d3b61455-f432-48f0-b83b-ba825922d735"> </a><a name="hcd3b61455-f432-48f0-b83b-ba825922d735"> </a><p><b>identifier</b>: Número do Cartão Nacional de Saúde/987654321098765 (utilização: official, )</p><p><b>active</b>: true</p><p><b>name</b>: Maria Clara Oliveira (Official)</p><p><b>telecom</b>: <a href="tel:+552198765-4321">+55 21 98765-4321</a>, <a href="mailto:maria.oliveira@example.com">maria.oliveira@example.com</a></p><p><b>address</b>: Av. Central, 456, Bairro Centro, Rio de Janeiro, RJ, 20000-000(work)</p><h3>Qualifications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Identifier</b></td><td><b>Code</b></td><td><b>Period</b></td><td><b>Issuer</b></td></tr><tr><td style="display: none">*</td><td><code>https://saude.gov.br/fhir/sid/cns</code>/225125789542376</td><td><span title="Códigos:{https://terminologia.saude.gov.br/fhir/CodeSystem/BRCBO 225125}">MEDICO CLINICO</span></td><td>2010-01-01 --> (em curso)</td><td><a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-31024c66-483a-4c80-b182-157ee133ca96">Consultório Dr. José Silva</a></td></tr></table></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="HC"/>
<display value="Health Card Number"/>
</coding>
<text value="Número do Cartão Nacional de Saúde"/>
</type>
<system value="https://saude.gov.br/fhir/sid/cns"/>
<value value="987654321098765"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Oliveira"/>
<given value="Maria"/>
<given value="Clara"/>
</name>
<telecom>
<system value="phone"/>
<value value="+55 21 98765-4321"/>
<use value="work"/>
</telecom>
<telecom>
<system value="email"/>
<value value="maria.oliveira@example.com"/>
<use value="work"/>
</telecom>
<address>
<use value="work"/>
<type value="both"/>
<text
value="Av. Central, 456, Bairro Centro, Rio de Janeiro, RJ, 20000-000"/>
<line value="Av. Central, 456"/>
<city value="Rio de Janeiro"/>
<state value="RJ"/>
<postalCode value="20000-000"/>
<country value="BR"/>
</address>
<qualification>
<identifier>
<system value="https://saude.gov.br/fhir/sid/cns"/>
<value value="225125789542376"/>
</identifier>
<code>
<coding>
<system
value="https://terminologia.saude.gov.br/fhir/CodeSystem/BRCBO"/>
<code value="225125"/>
<display value="MEDICO CLINICO"/>
</coding>
</code>
<period>
<start value="2010-01-01"/>
</period>
<issuer>
<reference value="urn:uuid:31024c66-483a-4c80-b182-157ee133ca96"/>
<display value="Consultório Dr. José Silva"/>
</issuer>
</qualification>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2d7b5358-19aa-4f21-b7c5-9260ed832c6c"/>
<resource>
<Procedure>
<id value="2d7b5358-19aa-4f21-b7c5-9260ed832c6c"/>
<meta>
<profile
value="https://ips.saude.gov.br/fhir/StructureDefinition/ProcedureBRIPS|1.0.0"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_2d7b5358-19aa-4f21-b7c5-9260ed832c6c"> </a><p class="res-header-id"><b>Narrativa gerada: Procedure 2d7b5358-19aa-4f21-b7c5-9260ed832c6c</b></p><a name="2d7b5358-19aa-4f21-b7c5-9260ed832c6c"> </a><a name="hc2d7b5358-19aa-4f21-b7c5-9260ed832c6c"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Perfil: <a href="StructureDefinition-ProcedureBRIPS.html">ProcedureBRIPSversão: null1.0.0)</a></p></div><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Códigos:{https://fhir.ans.gov.br/CodeSystem/tuss-50 04}">Consulta</span></p><p><b>code</b>: <span title="Códigos:{http://snomed.info/sct 185349003}">Consulta com clínico geral</span></p><p><b>subject</b>: <a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-b1997888-85fd-41b6-bf94-6242cf3c8265">Ana Beatriz Oliveira</a></p><p><b>performed</b>: 2024-03-15 09:00:00-0300 --> 2024-03-15 09:30:00-0300</p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-234c1054-83a7-4adf-9387-b673b96664d5.html#urn-uuid-d3b61455-f432-48f0-b83b-ba825922d735">Dra. Maria Clara</a></td></tr></table><p><b>reasonCode</b>: <span title="Códigos:{http://hl7.org/fhir/sid/icd-10 I10}">Hipertensão essencial</span></p><p><b>outcome</b>: <span title="Códigos:">Paciente estável e orientado</span></p><p><b>note</b>: </p><blockquote><div><p>Paciente orientado a manter dieta balanceada e atividade física regular.</p>
</div></blockquote></div>
</text>
<status value="completed"/>
<category>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-50"/>
<code value="04"/>
<display value="Consulta"/>
</coding>
<text value="Consulta"/>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="185349003"/>
<display value="Encounter for check up (procedure)"/>
</coding>
<text value="Consulta com clínico geral"/>
</code>
<subject>
<reference value="urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265"/>
<display value="Ana Beatriz Oliveira"/>
</subject>
<performedPeriod>
<start value="2024-03-15T09:00:00-03:00"/>
<end value="2024-03-15T09:30:00-03:00"/>
</performedPeriod>
<performer>
<actor>
<reference value="urn:uuid:d3b61455-f432-48f0-b83b-ba825922d735"/>
<display value="Dra. Maria Clara"/>
</actor>
</performer>
<reasonCode>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="I10"/>
<display value="Essential (primary) hypertension"/>
</coding>
<text value="Hipertensão essencial"/>
</reasonCode>
<outcome>
<text value="Paciente estável e orientado"/>
</outcome>
<note>
<text
value="Paciente orientado a manter dieta balanceada e atividade física regular."/>
</note>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e8076935-bd85-4be3-a0a0-7349b972b130"/>
<resource>
<Medication>
<id value="e8076935-bd85-4be3-a0a0-7349b972b130"/>
<text>
<status value="generated"/>
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