{ "resourceType" : "Bundle", "id" : "234c1054-83a7-4adf-9387-b673b96664d5", "meta" : { "profile" : ["https://ips.saude.gov.br/fhir/StructureDefinition/BundleBRIPS|1.0.0"] }, "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:234c1054-83a7-4adf-9387-b673b96664d5" }, "type" : "document", "timestamp" : "2025-05-09T15:27:33+00:00", "entry" : [{ "fullUrl" : "urn:uuid:560ad9c9-2057-40fe-8996-e43bd91f617a", "resource" : { "resourceType" : "Composition", "id" : "560ad9c9-2057-40fe-8996-e43bd91f617a", "meta" : { "profile" : ["https://ips.saude.gov.br/fhir/StructureDefinition/CompositionBRIPS|1.0.0"] }, "text" : { "status" : "generated", "div" : "
Title: International Patient Summary from Brazil, code: http://loinc.org#60591-5, status: generated, confidentiality: N
" }, "status" : "final", "type" : { "coding" : [{ "system" : "http://loinc.org", "code" : "60591-5", "display" : "Patient summary Document" }] }, "subject" : { "reference" : "urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265" }, "date" : "2024-06-24T14:27:33+00:00", "author" : [{ "reference" : "urn:uuid:31024c66-483a-4c80-b182-157ee133ca96" }], "title" : "International Patient Summary", "confidentiality" : "N", "custodian" : { "reference" : "urn:uuid:31024c66-483a-4c80-b182-157ee133ca96" }, "section" : [{ "title" : "Section Problems", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11450-4", "display" : "Problem list Reported" }] }, "text" : { "status" : "generated", "div" : "
Lista de problemas de saúde atuais e passados do paciente.
" }, "entry" : [{ "reference" : "urn:uuid:c5771fd6-63a6-4a3b-936c-22146d2be9d5" }] }, { "title" : "Current Medication", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10160-0", "display" : "History of Medication use Narrative" }] }, "text" : { "status" : "generated", "div" : "
Lista de medicamentos que o paciente está utilizando atualmente.
" }, "entry" : [{ "reference" : "urn:uuid:40386463-e1c7-46d4-92c7-b65ace40fa41" }] }, { "title" : "Allergies and Intolerances", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "48765-2", "display" : "Allergies and adverse reactions Document" }], "text" : "Alergias e intolerâncias" }, "text" : { "status" : "generated", "div" : "
Registro de alergias e intolerâncias do paciente, incluindo alergia à penicilina.
" }, "entry" : [{ "reference" : "urn:uuid:498615d6-279f-4883-b4e2-e32f86f75aa1" }] }, { "title" : "Results", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "30954-2", "display" : "Relevant Dx tests/lAc data" }] }, "text" : { "status" : "generated", "div" : "
Resultados de exames laboratoriais e diagnósticos relevantes.
" }, "entry" : [{ "reference" : "urn:uuid:3ece2664-c963-4627-9592-16e524706929" }, { "reference" : "urn:uuid:5aaaf460-6fc0-4097-9e05-574367284450" }, { "reference" : "urn:uuid:14d1729d-16c7-45a2-be7f-bc17f261ce85" }, { "reference" : "urn:uuid:12813e0a-e0f8-4318-9e2a-2eced2470876" }, { "reference" : "urn:uuid:bebecb29-e907-4d6f-9690-c82ca7e1ae55" }] }, { "title" : "Immunizations", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11369-6", "display" : "History of Immunization Narrative" }] }, "text" : { "status" : "generated", "div" : "
Histórico de imunizações recebidas pelo paciente.
" }, "entry" : [{ "reference" : "urn:uuid:714819de-cd07-4423-94ea-7057504a2cc8" }] }, { "title" : "History of procedures", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "47519-4", "display" : "Procedures Hx Doc" }] }, "text" : { "status" : "generated", "div" : "
Histórico de procedimentos realizados pelo paciente, incluindo consultas e intervenções médicas.
" }, "entry" : [{ "reference" : "urn:uuid:2d7b5358-19aa-4f21-b7c5-9260ed832c6c" }] }] } }, { "fullUrl" : "urn:uuid:31024c66-483a-4c80-b182-157ee133ca96", "resource" : { "resourceType" : "Organization", "id" : "31024c66-483a-4c80-b182-157ee133ca96", "meta" : { "profile" : ["https://ips.saude.gov.br/fhir/StructureDefinition/OrganizationBRIPS|1.0.0"] }, "text" : { "status" : "generated", "div" : "

Narrativa gerada: Organization 31024c66-483a-4c80-b182-157ee133ca96

Perfil: https://ips.saude.gov.br/fhir/StructureDefinition/OrganizationBRIPS|1.0.0

identifier: NamingSystemCNES/7654321

name: Consultório Dr. José Silva

" }, "identifier" : [{ "system" : "http://rnds.saude.gov.br/fhir/r4/NamingSystem/cnes", "value" : "7654321" }], "name" : "Consultório Dr. José Silva" } }, { "fullUrl" : "urn:uuid:498615d6-279f-4883-b4e2-e32f86f75aa1", "resource" : { "resourceType" : "AllergyIntolerance", "id" : "498615d6-279f-4883-b4e2-e32f86f75aa1", "text" : { "status" : "generated", "div" : "

Narrativa gerada: AllergyIntolerance 498615d6-279f-4883-b4e2-e32f86f75aa1

clinicalStatus: Active

code: No information about allergies

patient: A ser enriquecido pelo CADSUS (sem género declarado), DoB: ( http://rnds.saude.gov.br/fhir/r4/NamingSystem/cpf#NamingSystemCPF#12345678901)

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code" : "active", "display" : "Active" }] }, "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips", "code" : "no-allergy-info", "display" : "No information about allergies" }] }, "patient" : { "reference" : "urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265" } } }, { "fullUrl" : "urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265", "resource" : { "resourceType" : "Patient", "id" : "b1997888-85fd-41b6-bf94-6242cf3c8265", "text" : { "status" : "generated", "div" : "

Narrativa gerada: Patient b1997888-85fd-41b6-bf94-6242cf3c8265

A ser enriquecido pelo CADSUS (sem género declarado), DoB: ( http://rnds.saude.gov.br/fhir/r4/NamingSystem/cpf#NamingSystemCPF#12345678901)

" }, "identifier" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason", "valueCode" : "unknown" }], "system" : "http://rnds.saude.gov.br/fhir/r4/NamingSystem/cpf", "value" : "12345678901" }], "name" : [{ "text" : "A ser enriquecido pelo CADSUS" }], "_birthDate" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason", "valueCode" : "unknown" }] } } }, { "fullUrl" : "urn:uuid:c5771fd6-63a6-4a3b-936c-22146d2be9d5", "resource" : { "resourceType" : "Condition", "id" : "c5771fd6-63a6-4a3b-936c-22146d2be9d5", "text" : { "status" : "generated", "div" : "

Narrativa gerada: Condition c5771fd6-63a6-4a3b-936c-22146d2be9d5

clinicalStatus: Active

verificationStatus: Confirmed

code: Diabetes mellitus tipo 2 não controlada

subject: A ser enriquecido pelo CADSUS (sem género declarado), DoB: ( http://rnds.saude.gov.br/fhir/r4/NamingSystem/cpf#NamingSystemCPF#12345678901)

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "confirmed", "display" : "Confirmed" }] }, "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "443694000", "display" : "Type II diabetes mellitus uncontrolled (finding)" }], "text" : "Diabetes mellitus tipo 2 não controlada" }, "subject" : { "reference" : "urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265" } } }, { "fullUrl" : "urn:uuid:40386463-e1c7-46d4-92c7-b65ace40fa41", "resource" : { "resourceType" : "MedicationStatement", "id" : "40386463-e1c7-46d4-92c7-b65ace40fa41", "text" : { "status" : "generated", "div" : "

Narrativa gerada: MedicationStatement 40386463-e1c7-46d4-92c7-b65ace40fa41

status: Active

medication: Medication Loratadina 10 mg comprimido

subject: A ser enriquecido pelo CADSUS (sem género declarado), DoB: ( http://rnds.saude.gov.br/fhir/r4/NamingSystem/cpf#NamingSystemCPF#12345678901)

dosage

text: 10 mg/day

timing: Uma vez por 1 day

DoseAndRates

-Dose[x]
*10 mg (Detalhes: UCUM códigomg = 'mg')
" }, "status" : "active", "medicationReference" : { "reference" : "urn:uuid:e8076935-bd85-4be3-a0a0-7349b972b130" }, "subject" : { "reference" : "urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265" }, "dosage" : [{ "text" : "10 mg/day", "timing" : { "repeat" : { "frequency" : 1, "period" : 1, "periodUnit" : "d" } }, "doseAndRate" : [{ "doseQuantity" : { "value" : 10, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } }] }] } }, { "fullUrl" : "urn:uuid:3ece2664-c963-4627-9592-16e524706929", "resource" : { "resourceType" : "Observation", "id" : "3ece2664-c963-4627-9592-16e524706929", "text" : { "status" : "generated", "div" : "

Narrativa gerada: Observation 3ece2664-c963-4627-9592-16e524706929

status: Final

category: Laboratory

code: Hemoglobina

subject: A ser enriquecido pelo CADSUS (sem género declarado), DoB: ( http://rnds.saude.gov.br/fhir/r4/NamingSystem/cpf#NamingSystemCPF#12345678901)

effective: 2025-04-02 10:36:48-0300

performer: Organization Consultório Dr. José Silva

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2160-0", "display" : "Creat SerPl-mCnc" }], "text" : "Hemoglobina" }, "subject" : { "reference" : "urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265" }, "effectiveDateTime" : "2025-04-02T10:36:48-03:00", "performer" : [{ "reference" : "urn:uuid:31024c66-483a-4c80-b182-157ee133ca96" }] } }, { "fullUrl" : "urn:uuid:5aaaf460-6fc0-4097-9e05-574367284450", "resource" : { "resourceType" : "Observation", "id" : "5aaaf460-6fc0-4097-9e05-574367284450", "text" : { "status" : "generated", "div" : "

Narrativa gerada: Observation 5aaaf460-6fc0-4097-9e05-574367284450

status: Final

category: Laboratory

code: Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain

subject: A ser enriquecido pelo CADSUS (sem género declarado), DoB: ( http://rnds.saude.gov.br/fhir/r4/NamingSystem/cpf#NamingSystemCPF#12345678901)

effective: 2020-04-22 19:20:00+0200

performer: Organization Consultório Dr. José Silva

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "85337-4", "display" : "Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain" }] }, "subject" : { "reference" : "urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265" }, "effectiveDateTime" : "2020-04-22T19:20:00+02:00", "performer" : [{ "reference" : "urn:uuid:31024c66-483a-4c80-b182-157ee133ca96" }] } }, { "fullUrl" : "urn:uuid:14d1729d-16c7-45a2-be7f-bc17f261ce85", "resource" : { "resourceType" : "Observation", "id" : "14d1729d-16c7-45a2-be7f-bc17f261ce85", "text" : { "status" : "generated", "div" : "

Narrativa gerada: Observation 14d1729d-16c7-45a2-be7f-bc17f261ce85

status: Final

category: Vital Signs

code: Temperatura Corporal

subject: Ana Beatriz Oliveira

effective: 2025-04-03 16:50:39-0300

issued: 2025-04-03 16:55:39-0300

performer: Maria Clara

value: 36.5 °C (Detalhes: UCUM códigoCel = 'Cel')

interpretation: Normal

bodySite: Oral cavity structure (body structure)

method: Oral temperature taking

ReferenceRanges

-LowHigh
*36.1 °C (Detalhes: UCUM códigoCel = 'Cel')37.2 °C (Detalhes: UCUM códigoCel = 'Cel')
" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8310-5", "display" : "Bdy temp" }], "text" : "Temperatura Corporal" }, "subject" : { "reference" : "urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265", "display" : "Ana Beatriz Oliveira" }, "effectiveDateTime" : "2025-04-03T16:50:39-03:00", "issued" : "2025-04-03T16:55:39-03:00", "performer" : [{ "reference" : "urn:uuid:d3b61455-f432-48f0-b83b-ba825922d735", "display" : "Maria Clara" }], "valueQuantity" : { "value" : 36.5, "unit" : "°C", "system" : "http://unitsofmeasure.org", "code" : "Cel" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "N", "display" : "Normal" }] }], "bodySite" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "74262004", "display" : "Oral cavity structure (body structure)" }] }, "method" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "89003005", "display" : "Oral temperature taking" }] }, "referenceRange" : [{ "low" : { "value" : 36.1, "unit" : "°C", "system" : "http://unitsofmeasure.org", "code" : "Cel" }, "high" : { "value" : 37.2, "unit" : "°C", "system" : "http://unitsofmeasure.org", "code" : "Cel" } }] } }, { "fullUrl" : "urn:uuid:12813e0a-e0f8-4318-9e2a-2eced2470876", "resource" : { "resourceType" : "Observation", "id" : "12813e0a-e0f8-4318-9e2a-2eced2470876", "text" : { "status" : "generated", "div" : "

Narrativa gerada: Observation 12813e0a-e0f8-4318-9e2a-2eced2470876

status: Final

category: Imaging

code: CT Abdomen W contrast IV

subject: A ser enriquecido pelo CADSUS (sem género declarado), DoB: ( http://rnds.saude.gov.br/fhir/r4/NamingSystem/cpf#NamingSystemCPF#12345678901)

effective: 1995-06-08

performer: Organization Consultório Dr. José Silva

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "imaging", "display" : "Imaging" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "79103-8", "display" : "CT Abdomen W contrast IV" }] }, "subject" : { "reference" : "urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265" }, "effectiveDateTime" : "1995-06-08", "performer" : [{ "reference" : "urn:uuid:31024c66-483a-4c80-b182-157ee133ca96" }] } }, { "fullUrl" : "urn:uuid:bebecb29-e907-4d6f-9690-c82ca7e1ae55", "resource" : { "resourceType" : "Observation", "id" : "bebecb29-e907-4d6f-9690-c82ca7e1ae55", "text" : { "status" : "generated", "div" : "

Narrativa gerada: Observation bebecb29-e907-4d6f-9690-c82ca7e1ae55

status: Final

category: Vital Signs

code: Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]

subject: A ser enriquecido pelo CADSUS (sem género declarado), DoB: ( http://rnds.saude.gov.br/fhir/r4/NamingSystem/cpf#NamingSystemCPF#12345678901)

effective: 2025-04-03 10:00:00-0300

performer: Organization Consultório Dr. José Silva

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70274-6", "display" : "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]" }] }, "subject" : { "reference" : "urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265" }, "effectiveDateTime" : "2025-04-03T10:00:00-03:00", "performer" : [{ "reference" : "urn:uuid:31024c66-483a-4c80-b182-157ee133ca96" }] } }, { "fullUrl" : "urn:uuid:714819de-cd07-4423-94ea-7057504a2cc8", "resource" : { "resourceType" : "Immunization", "id" : "714819de-cd07-4423-94ea-7057504a2cc8", "meta" : { "profile" : ["https://ips.saude.gov.br/fhir/StructureDefinition/ImmunizationBRIPS|1.0.0"] }, "text" : { "status" : "generated", "div" : "

Narrativa gerada: Immunization 714819de-cd07-4423-94ea-7057504a2cc8

Perfil: https://ips.saude.gov.br/fhir/StructureDefinition/ImmunizationBRIPS|1.0.0

status: Completed

vaccineCode: Vacina gripe sazonal

patient: A ser enriquecido pelo CADSUS (sem género declarado), DoB: ( http://rnds.saude.gov.br/fhir/r4/NamingSystem/cpf#NamingSystemCPF#12345678901)

occurrence: 2024-06-01 14:30:00+0000

primarySource: true

lotNumber: 12345AB

expirationDate: 2024-12-31

site: Glúteo máximo

route: intramusculuar

doseQuantity: 0.3 mL (Detalhes: UCUM códigomL = 'mL')

Performers

-FunctionActor
*ENFERMEIROMaria Clara

reasonCode: Procedimento obrigatório para o profissional

ProtocolApplieds

-TargetDiseaseDoseNumber[x]
*Influenza (disorder)1
" }, "status" : "completed", "vaccineCode" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1181000221105", "display" : "Vaccine product containing only Influenza virus antigen (medicinal product)" }], "text" : "Vacina gripe sazonal" }, "patient" : { "reference" : "urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265" }, "occurrenceDateTime" : "2024-06-01T14:30:00Z", "primarySource" : true, "lotNumber" : "12345AB", "expirationDate" : "2024-12-31", "site" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "46862004", "display" : "Buttock structure (body structure)" }], "text" : "Glúteo máximo" }, "route" : { "coding" : [{ "system" : "http://standardterms.edqm.eu", "code" : "20035000", "display" : "Intramuscular use" }], "text" : "intramusculuar" }, "doseQuantity" : { "value" : 0.3, "unit" : "mL", "system" : "http://unitsofmeasure.org", "code" : "mL" }, "performer" : [{ "function" : { "coding" : [{ "system" : "https://terminologia.saude.gov.br/fhir/CodeSystem/BRCBO", "code" : "223505", "display" : "ENFERMEIRO" }] }, "actor" : { "reference" : "urn:uuid:d3b61455-f432-48f0-b83b-ba825922d735", "display" : "Maria Clara" } }], "reasonCode" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "429060002", "display" : "Procedure to meet occupational requirement (procedure)" }], "text" : "Procedimento obrigatório para o profissional" }], "protocolApplied" : [{ "targetDisease" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "6142004", "display" : "Influenza (disorder)" }], "text" : "Influenza (disorder)" }], "doseNumberString" : "1" }] } }, { "fullUrl" : "urn:uuid:d3b61455-f432-48f0-b83b-ba825922d735", "resource" : { "resourceType" : "Practitioner", "id" : "d3b61455-f432-48f0-b83b-ba825922d735", "text" : { "status" : "generated", "div" : "

Narrativa gerada: Practitioner d3b61455-f432-48f0-b83b-ba825922d735

identifier: Número do Cartão Nacional de Saúde/987654321098765\u00a0(utilização:\u00a0official,\u00a0)

active: true

name: Maria Clara Oliveira (Official)

telecom: +55 21 98765-4321, maria.oliveira@example.com

address: Av. Central, 456, Bairro Centro, Rio de Janeiro, RJ, 20000-000(work)

Qualifications

-IdentifierCodePeriodIssuer
*NamingSystemCNS/225125789542376MEDICO CLINICO2010-01-01 --> (em curso)Consultório Dr. José Silva
" }, "identifier" : [{ "use" : "official", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "HC", "display" : "Health Card Number" }], "text" : "Número do Cartão Nacional de Saúde" }, "system" : "https://saude.gov.br/fhir/sid/cns", "value" : "987654321098765" }], "active" : true, "name" : [{ "use" : "official", "family" : "Oliveira", "given" : ["Maria", "Clara"] }], "telecom" : [{ "system" : "phone", "value" : "+55 21 98765-4321", "use" : "work" }, { "system" : "email", "value" : "maria.oliveira@example.com", "use" : "work" }], "address" : [{ "use" : "work", "type" : "both", "text" : "Av. Central, 456, Bairro Centro, Rio de Janeiro, RJ, 20000-000", "line" : ["Av. Central, 456"], "city" : "Rio de Janeiro", "state" : "RJ", "postalCode" : "20000-000", "country" : "BR" }], "qualification" : [{ "identifier" : [{ "system" : "https://saude.gov.br/fhir/sid/cns", "value" : "225125789542376" }], "code" : { "coding" : [{ "system" : "https://terminologia.saude.gov.br/fhir/CodeSystem/BRCBO", "code" : "225125", "display" : "MEDICO CLINICO" }] }, "period" : { "start" : "2010-01-01" }, "issuer" : { "reference" : "urn:uuid:31024c66-483a-4c80-b182-157ee133ca96", "display" : "Consultório Dr. José Silva" } }] } }, { "fullUrl" : "urn:uuid:2d7b5358-19aa-4f21-b7c5-9260ed832c6c", "resource" : { "resourceType" : "Procedure", "id" : "2d7b5358-19aa-4f21-b7c5-9260ed832c6c", "meta" : { "profile" : ["https://ips.saude.gov.br/fhir/StructureDefinition/ProcedureBRIPS|1.0.0"] }, "text" : { "status" : "generated", "div" : "

Narrativa gerada: Procedure 2d7b5358-19aa-4f21-b7c5-9260ed832c6c

Perfil: https://ips.saude.gov.br/fhir/StructureDefinition/ProcedureBRIPS|1.0.0

status: Completed

category: Consulta

code: Consulta com clínico geral

subject: Ana Beatriz Oliveira

performed: 2024-03-15 09:00:00-0300 --> 2024-03-15 09:30:00-0300

Performers

-Actor
*Dra. Maria Clara

reasonCode: Hipertensão essencial

outcome: Paciente estável e orientado

note:

Paciente orientado a manter dieta balanceada e atividade física regular.

\n
" }, "status" : "completed", "category" : { "coding" : [{ "system" : "https://fhir.ans.gov.br/CodeSystem/tuss-50", "code" : "04", "display" : "Consulta" }], "text" : "Consulta" }, "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "185349003", "display" : "Encounter for check up (procedure)" }], "text" : "Consulta com clínico geral" }, "subject" : { "reference" : "urn:uuid:b1997888-85fd-41b6-bf94-6242cf3c8265", "display" : "Ana Beatriz Oliveira" }, "performedPeriod" : { "start" : "2024-03-15T09:00:00-03:00", "end" : "2024-03-15T09:30:00-03:00" }, "performer" : [{ "actor" : { "reference" : "urn:uuid:d3b61455-f432-48f0-b83b-ba825922d735", "display" : "Dra. Maria Clara" } }], "reasonCode" : [{ "coding" : [{ "system" : "http://hl7.org/fhir/sid/icd-10", "code" : "I10", "display" : "Essential (primary) hypertension" }], "text" : "Hipertensão essencial" }], "outcome" : { "text" : "Paciente estável e orientado" }, "note" : [{ "text" : "Paciente orientado a manter dieta balanceada e atividade física regular." }] } }, { "fullUrl" : "urn:uuid:e8076935-bd85-4be3-a0a0-7349b972b130", "resource" : { "resourceType" : "Medication", "id" : "e8076935-bd85-4be3-a0a0-7349b972b130", "text" : { "status" : "generated", "div" : "

Narrativa gerada: Medication e8076935-bd85-4be3-a0a0-7349b972b130

code: Loratadina 10 mg comprimido

form: Comprimido

" }, "code" : { "coding" : [{ "system" : "https://terminologia.saude.gov.br/fhir/CodeSystem/BRObmCATMAT", "code" : "BR0273466", "display" : "Loratadina 10 mg comprimido" }] }, "form" : { "coding" : [{ "system" : "https://terminologia.saude.gov.br/fhir/CodeSystem/BRUnidadeMedida", "code" : "19", "display" : "Comprimido" }] } } }] }