Guia de implementação do Core do Brasil: Release 1 - BR Realm | STU1
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This page is part of the Core do 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

: Exemplo de procedimento de saúde. - JSON Representation

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{
  "resourceType" : "Procedure",
  "id" : "b0030c23-bd7d-445e-bfe5-020828f7dbaf",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Procedure b0030c23-bd7d-445e-bfe5-020828f7dbaf</b></p><a name=\"b0030c23-bd7d-445e-bfe5-020828f7dbaf\"> </a><a name=\"hcb0030c23-bd7d-445e-bfe5-020828f7dbaf\"> </a><a name=\"b0030c23-bd7d-445e-bfe5-020828f7dbaf-pt-BR\"> </a><p><b>identifier</b>: <code>https://saude.gov.br/fhir/sid/procedure</code>/PROC-12345</p><p><b>status</b>: Completed</p><p><b>statusReason</b>: <span title=\"Codes:{https://terminologia.saude.gov.br/fhir/ValueSet/BRMotivoProcedimentoNaoRealizado 03}\">Procedimento não realizado</span></p><p><b>category</b>: <span title=\"Codes:{https://fhir.ans.gov.br/CodeSystem/tuss-50 04}\">Consulta</span></p><p><b>code</b>: <span title=\"Codes:{https://terminologia.saude.gov.br/fhir/CodeSystem/BRTabelaSUS 0301010064}\">Consulta médica em atenção primária</span></p><p><b>subject</b>: <a href=\"Patient-b2f63a4c-ddaa-4652-8481-ac1ff473104e.html\">João Carlos Silva</a></p><p><b>encounter</b>: <a href=\"Encounter-c6d553d8-cce0-404b-9d1f-eeffbf7fc6df.html\">Ambulatorial</a></p><p><b>performed</b>: 2023-12-12 09:00:00-0300 --&gt; 2023-12-12 10:30:00-0300</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=\"Codes:{http://terminology.hl7.org/CodeSystem/participant-type emergency}\">Emergência</span></td><td><a href=\"Practitioner-d3b61455-f432-48f0-b83b-ba825922d735.html\">Maria Clara</a></td></tr></table><p><b>reasonCode</b>: <span title=\"Codes:{https://terminologia.saude.gov.br/fhir/CodeSystem/BRCID10 I10}\">Hipertensão essencial (primária)</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 480000}\">Sistema Circulatório</span></p><p><b>outcome</b>: <span title=\"Codes:{https://terminologia.saude.gov.br/fhir/CodeSystem/BRDesfechoProcedimento 01}\">Melhora Clínica</span></p><p><b>report</b>: <a href=\"DiagnosticReport/example-report\">Relatório consulta</a></p><p><b>complicationDetail</b>: <a href=\"Condition-91d8d24f-a70d-4ebf-8dea-71cf92ce1bd5.html\">Dispnéia</a></p><p><b>followUp</b>: <span title=\"Codes:\">Consulta de acompanhamento em 2 semanas</span></p><p><b>note</b>: O paciente foi orientado a fazer atividade física.</p></div>"
  },
  "identifier" : [
    {
      "system" : "https://saude.gov.br/fhir/sid/procedure",
      "value" : "PROC-12345"
    }
  ],
  "status" : "completed",
  "statusReason" : {
    "coding" : [
      {
        "system" : "https://terminologia.saude.gov.br/fhir/ValueSet/BRMotivoProcedimentoNaoRealizado",
        "code" : "03",
        "display" : "Procedimento não realizado"
      }
    ]
  },
  "category" : {
    "coding" : [
      {
        "system" : "https://fhir.ans.gov.br/CodeSystem/tuss-50",
        "code" : "04",
        "display" : "Consulta"
      }
    ],
    "text" : "Consulta"
  },
  "code" : {
    "coding" : [
      {
        "system" : "https://terminologia.saude.gov.br/fhir/CodeSystem/BRTabelaSUS",
        "code" : "0301010064",
        "display" : "CONSULTA MÉDICA EM ATENÇÃO PRIMÁRIA"
      }
    ],
    "text" : "Consulta médica em atenção primária"
  },
  "subject" : {
    🔗 "reference" : "Patient/b2f63a4c-ddaa-4652-8481-ac1ff473104e",
    "display" : "João Carlos Silva"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/c6d553d8-cce0-404b-9d1f-eeffbf7fc6df",
    "display" : "Ambulatorial"
  },
  "performedPeriod" : {
    "start" : "2023-12-12T09:00:00-03:00",
    "end" : "2023-12-12T10:30:00-03:00"
  },
  "performer" : [
    {
      "function" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/participant-type",
            "code" : "emergency",
            "display" : "Emergency"
          }
        ],
        "text" : "Emergência"
      },
      "actor" : {
        🔗 "reference" : "Practitioner/d3b61455-f432-48f0-b83b-ba825922d735",
        "display" : "Maria Clara"
      }
    }
  ],
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "https://terminologia.saude.gov.br/fhir/CodeSystem/BRCID10",
          "code" : "I10",
          "display" : "Hipertensão essencial (primária)"
        }
      ],
      "text" : "Hipertensão essencial (primária)"
    }
  ],
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "480000",
          "display" : "Cardiopulmonary circulatory system"
        }
      ],
      "text" : "Sistema Circulatório"
    }
  ],
  "outcome" : {
    "coding" : [
      {
        "system" : "https://terminologia.saude.gov.br/fhir/CodeSystem/BRDesfechoProcedimento",
        "code" : "01",
        "display" : "Melhora Clínica"
      }
    ],
    "text" : "Melhora Clínica"
  },
  "report" : [
    {
      "reference" : "DiagnosticReport/example-report",
      "display" : "Relatório consulta"
    }
  ],
  "complicationDetail" : [
    {
      🔗 "reference" : "Condition/91d8d24f-a70d-4ebf-8dea-71cf92ce1bd5",
      "display" : "Dispnéia"
    }
  ],
  "followUp" : [
    {
      "text" : "Consulta de acompanhamento em 2 semanas"
    }
  ],
  "note" : [
    {
      "text" : "O paciente foi orientado a fazer atividade física."
    }
  ]
}