Guia de Implementação do Registro de Regulação Assistencial (RIRA) da RNDS
1.0.0-release - STU1 Brazil bandeira

Guia de Implementação do Registro de Regulação Assistencial (RIRA) da RNDS - Compilação de desenvolvimento local (v1.0.0-release) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas

: Bundle de exemplo do RIRA (Posterior a 2025 com CID-10)

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Bundle/example-rira-posterior-2025-com-cid> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "example-rira-posterior-2025-com-cid"] ;
  fhir:Resource.language [ fhir:value "pt-BR"] ;
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "http://www.saude.gov.br/fhir/r4/NamingSystem/BRRNDS-12345" ] ;
     fhir:Identifier.value [ fhir:value "AMB_271831370_0701172" ]
  ] ;
  fhir:Bundle.type [ fhir:value "document"] ;
  fhir:Bundle.timestamp [ fhir:value "2024-11-18T12:14:01-03:00"^^xsd:dateTime] ;
  fhir:Bundle.entry [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:transient-0" ] ;
     fhir:Bundle.entry.resource <urn:uuid:transient-0>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:transient-1" ] ;
     fhir:Bundle.entry.resource <urn:uuid:transient-1>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:transient-2" ] ;
     fhir:Bundle.entry.resource <urn:uuid:transient-2>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:transient-3" ] ;
     fhir:Bundle.entry.resource <urn:uuid:transient-3>
  ] .

<urn:uuid:transient-0> a fhir:Composition ;
  fhir:Resource.id [ fhir:value "c1256970-5464-403d-99f9-f1ef1d1f81ea"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRegulacaoAssistencial" ;
       fhir:index -1 ;
       fhir:link <http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRegulacaoAssistencial>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "pt-BR"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_c1256970-5464-403d-99f9-f1ef1d1f81ea\"> </a><p class=\"res-header-id\"><b>Narrativa gerada: Composition c1256970-5464-403d-99f9-f1ef1d1f81ea</b></p><a name=\"c1256970-5464-403d-99f9-f1ef1d1f81ea\"> </a><a name=\"hcc1256970-5464-403d-99f9-f1ef1d1f81ea\"> </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-BRRegulacaoAssistencial.html\">Regulação Assistencial</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRTipoDocumento RA}\">Regulação Assistencial</span></p><p><b>category</b>: <span title=\"Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRModalidadeAssistencial 04}\">Atenção Hospitalar</span></p><p><b>date</b>: 2024-11-18</p><p><b>author</b>: Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0</code>/6450091</p><p><b>title</b>: Regulação Assistencial</p><blockquote><p><b>event</b></p><p><b>code</b>: <span title=\"Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRStatusRegulacaoAssistencial pending}\">Pendente</span></p><p><b>period</b>: ?? --&gt; 2024-03-02 14:18:43-0300</p><p><b>detail</b>: </p><ul><li>Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0</code>/6689477</li><li><a href=\"Bundle-example-rira-anterior-2025-com-ciap.html#urn-uuid-transient-2\">ServiceRequest COLONOSCOPIA (COLOSCOPIA)</a></li></ul></blockquote></div>"
  ] ;
  fhir:Composition.status [ fhir:value "final"] ;
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.saude.gov.br/fhir/r4/CodeSystem/BRTipoDocumento" ] ;
       fhir:Coding.code [ fhir:value "RA" ]
     ]
  ] ;
  fhir:Composition.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.saude.gov.br/fhir/r4/CodeSystem/BRModalidadeAssistencial" ] ;
       fhir:Coding.code [ fhir:value "04" ]
     ]
  ] ;
  fhir:Composition.subject [
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0" ] ;
       fhir:Identifier.value [ fhir:value "00574756280" ]
     ]
  ] ;
  fhir:Composition.date [ fhir:value "2024-11-18"^^xsd:date] ;
  fhir:Composition.author [
     fhir:index -1 ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0" ] ;
       fhir:Identifier.value [ fhir:value "6450091" ]
     ]
  ] ;
  fhir:Composition.title [ fhir:value "Regulação Assistencial"] ;
  fhir:Composition.event [
     fhir:index -1 ;
     fhir:Composition.event.code [
       fhir:index -1 ;
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://www.saude.gov.br/fhir/r4/CodeSystem/BRStatusRegulacaoAssistencial" ] ;
         fhir:Coding.code [ fhir:value "pending" ]
       ]
     ] ;
     fhir:Composition.event.period [
       fhir:Period.end [ fhir:value "2024-03-02T14:18:43-03:00"^^xsd:dateTime ]
     ] ;
     fhir:Composition.event.detail [
       fhir:index -1 ;
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0" ] ;
         fhir:Identifier.value [ fhir:value "6689477" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Reference.reference [ fhir:value "urn:uuid:transient-2" ]
     ]
  ] ;
  fhir:Composition.section [
     fhir:index -1 ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:Reference.reference [ fhir:value "urn:uuid:transient-1" ]
     ]
  ] .

<urn:uuid:transient-1> a fhir:Appointment ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRAgendamentoRegulacaoAssistencial" ;
       fhir:index -1 ;
       fhir:link <http://www.saude.gov.br/fhir/r4/StructureDefinition/BRAgendamentoRegulacaoAssistencial>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "pt-BR"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Appointment_null\"> </a><p class=\"res-header-id\"><b>Narrativa gerada: Appointment </b></p><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-BRAgendamentoRegulacaoAssistencial.html\">Agendamento de Regulação Assistencial</a></p></div><p><b>status</b>: Proposed</p><p><b>serviceCategory</b>: <span title=\"Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRModalidadeAssistencial 04}\">Atenção Hospitalar</span></p><p><b>serviceType</b>: <span title=\"Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS 0209010029}\">COLONOSCOPIA (COLOSCOPIA)</span></p><p><b>specialty</b>: <span title=\"Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBO 225225}\">MEDICO CIRURGIAO GERAL</span></p><p><b>appointmentType</b>: <span title=\"Códigos:{http://hl7.org/fhir/request-priority routine}\">Routine</span></p><p><b>reasonReference</b>: <a href=\"Bundle-example-rira-anterior-2025-com-ciap.html#urn-uuid-transient-3\">Condition Fratura: osso da mão/pé</a></p><p><b>created</b>: 2024-03-02 14:18:43-0300</p><p><b>basedOn</b>: <a href=\"Bundle-example-rira-anterior-2025-com-ciap.html#urn-uuid-transient-2\">ServiceRequest COLONOSCOPIA (COLOSCOPIA)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Actor</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRTipoParticipante PCT}\">Paciente</span></td><td>Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0</code>/00574756280</td><td>Accepted</td></tr></table></div>"
  ] ;
  fhir:Appointment.status [ fhir:value "proposed"] ;
  fhir:Appointment.serviceCategory [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.saude.gov.br/fhir/r4/CodeSystem/BRModalidadeAssistencial" ] ;
       fhir:Coding.code [ fhir:value "04" ]
     ]
  ] ;
  fhir:Appointment.serviceType [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS" ] ;
       fhir:Coding.code [ fhir:value "0209010029" ]
     ]
  ] ;
  fhir:Appointment.specialty [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBO" ] ;
       fhir:Coding.code [ fhir:value "225225" ]
     ]
  ] ;
  fhir:Appointment.appointmentType [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/request-priority" ] ;
       fhir:Coding.code [ fhir:value "routine" ]
     ]
  ] ;
  fhir:Appointment.reasonReference [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:transient-3" ]
  ] ;
  fhir:Appointment.created [ fhir:value "2024-03-02T14:18:43-03:00"^^xsd:dateTime] ;
  fhir:Appointment.basedOn [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:transient-2" ]
  ] ;
  fhir:Appointment.participant [
     fhir:index -1 ;
     fhir:Appointment.participant.type [
       fhir:index -1 ;
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://www.saude.gov.br/fhir/r4/CodeSystem/BRTipoParticipante" ] ;
         fhir:Coding.code [ fhir:value "PCT" ]
       ]
     ] ;
     fhir:Appointment.participant.actor [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0" ] ;
         fhir:Identifier.value [ fhir:value "00574756280" ]
       ]
     ] ;
     fhir:Appointment.participant.status [ fhir:value "accepted" ]
  ] .

<urn:uuid:transient-2> a fhir:ServiceRequest ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRequisicaoRegulacaoAssistencial" ;
       fhir:index -1 ;
       fhir:link <http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRequisicaoRegulacaoAssistencial>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "pt-BR"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_null\"> </a><p class=\"res-header-id\"><b>Narrativa gerada: ServiceRequest </b></p><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-BRRequisicaoRegulacaoAssistencial.html\">Requisição de Regulação Assistencial</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>category</b>: <span title=\"Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRModalidadeAssistencial 04}\">Atenção Hospitalar</span></p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS 0209010029}\">COLONOSCOPIA (COLOSCOPIA)</span></p><p><b>subject</b>: Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0</code>/00574756280</p><p><b>authoredOn</b>: 2024-03-02 14:18:43-0300</p><p><b>requester</b>: Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0</code>/6994547</p><p><b>performerType</b>: <span title=\"Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBO 225225}\">MEDICO CIRURGIAO GERAL</span></p><p><b>reasonReference</b>: <a href=\"Bundle-example-rira-anterior-2025-com-ciap.html#urn-uuid-transient-3\">Condition Fratura: osso da mão/pé</a></p></div>"
  ] ;
  fhir:ServiceRequest.status [ fhir:value "active"] ;
  fhir:ServiceRequest.intent [ fhir:value "proposal"] ;
  fhir:ServiceRequest.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.saude.gov.br/fhir/r4/CodeSystem/BRModalidadeAssistencial" ] ;
       fhir:Coding.code [ fhir:value "04" ]
     ]
  ] ;
  fhir:ServiceRequest.priority [ fhir:value "routine"] ;
  fhir:ServiceRequest.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS" ] ;
       fhir:Coding.code [ fhir:value "0209010029" ]
     ]
  ] ;
  fhir:ServiceRequest.subject [
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0" ] ;
       fhir:Identifier.value [ fhir:value "00574756280" ]
     ]
  ] ;
  fhir:ServiceRequest.authoredOn [ fhir:value "2024-03-02T14:18:43-03:00"^^xsd:dateTime] ;
  fhir:ServiceRequest.requester [
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0" ] ;
       fhir:Identifier.value [ fhir:value "6994547" ]
     ]
  ] ;
  fhir:ServiceRequest.performerType [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBO" ] ;
       fhir:Coding.code [ fhir:value "225225" ]
     ]
  ] ;
  fhir:ServiceRequest.reasonReference [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:transient-3" ]
  ] .

<urn:uuid:transient-3> a fhir:Condition ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProblemaDiagnostico" ;
       fhir:index -1 ;
       fhir:link <http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProblemaDiagnostico>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "pt-BR"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_null\"> </a><p class=\"res-header-id\"><b>Narrativa gerada: Condition </b></p><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-BRProblemaDiagnostico.html\">Problema/Diagnóstico</a></p></div><p><b>code</b>: <span title=\"Códigos:{http://www.saude.gov.br/fhir/r4/CodeSystem/BRCID10 K922}\">Hemorragia gastrointestinal, sem outra especificação</span></p><p><b>subject</b>: Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0</code>/00574756280</p></div>"
  ] ;
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.saude.gov.br/fhir/r4/CodeSystem/BRCID10" ] ;
       fhir:Coding.code [ fhir:value "K922" ]
     ]
  ] ;
  fhir:Condition.subject [
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0" ] ;
       fhir:Identifier.value [ fhir:value "00574756280" ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Bundle/example-rira-posterior-2025-com-cid.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Bundle/example-rira-posterior-2025-com-cid.ttl> .