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 CIAP-2)

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{
  "resourceType" : "Bundle",
  "id" : "example-rira-posterior-2025-com-ciap",
  "language" : "pt-BR",
  "identifier" : {
    "system" : "http://www.saude.gov.br/fhir/r4/NamingSystem/BRRNDS-12345",
    "value" : "AMB_271831370_0701172"
  },
  "type" : "document",
  "timestamp" : "2024-11-18T12:14:01-03:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:transient-0",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "c1256970-5464-403d-99f9-f1ef1d1f81ea",
        "meta" : {
          "profile" : [
            🔗 "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRegulacaoAssistencial"
          ]
        },
        "language" : "pt-BR",
        "text" : {
          "status" : "generated",
          "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>"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://www.saude.gov.br/fhir/r4/CodeSystem/BRTipoDocumento",
              "code" : "RA"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://www.saude.gov.br/fhir/r4/CodeSystem/BRModalidadeAssistencial",
                "code" : "04"
              }
            ]
          }
        ],
        "subject" : {
          "identifier" : {
            "system" : "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0",
            "value" : "708165325093340"
          }
        },
        "date" : "2024-11-18",
        "author" : [
          {
            "identifier" : {
              "system" : "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0",
              "value" : "6450091"
            }
          }
        ],
        "title" : "Regulação Assistencial",
        "event" : [
          {
            "code" : [
              {
                "coding" : [
                  {
                    "system" : "http://www.saude.gov.br/fhir/r4/CodeSystem/BRStatusRegulacaoAssistencial",
                    "code" : "pending"
                  }
                ]
              }
            ],
            "period" : {
              "end" : "2024-03-02T14:18:43-03:00"
            },
            "detail" : [
              {
                "identifier" : {
                  "system" : "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0",
                  "value" : "6689477"
                }
              },
              {
                "reference" : "urn:uuid:transient-2"
              }
            ]
          }
        ],
        "section" : [
          {
            "entry" : [
              {
                "reference" : "urn:uuid:transient-1"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:transient-1",
      "resource" : {
        "resourceType" : "Appointment",
        "meta" : {
          "profile" : [
            🔗 "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRAgendamentoRegulacaoAssistencial"
          ]
        },
        "language" : "pt-BR",
        "text" : {
          "status" : "generated",
          "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>/708165325093340</td><td>Accepted</td></tr></table></div>"
        },
        "status" : "proposed",
        "serviceCategory" : [
          {
            "coding" : [
              {
                "system" : "http://www.saude.gov.br/fhir/r4/CodeSystem/BRModalidadeAssistencial",
                "code" : "04"
              }
            ]
          }
        ],
        "serviceType" : [
          {
            "coding" : [
              {
                "system" : "http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS",
                "code" : "0209010029"
              }
            ]
          }
        ],
        "specialty" : [
          {
            "coding" : [
              {
                "system" : "http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBO",
                "code" : "225225"
              }
            ]
          }
        ],
        "appointmentType" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/request-priority",
              "code" : "routine"
            }
          ]
        },
        "reasonReference" : [
          {
            "reference" : "urn:uuid:transient-3"
          }
        ],
        "created" : "2024-03-02T14:18:43-03:00",
        "basedOn" : [
          {
            "reference" : "urn:uuid:transient-2"
          }
        ],
        "participant" : [
          {
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://www.saude.gov.br/fhir/r4/CodeSystem/BRTipoParticipante",
                    "code" : "PCT"
                  }
                ]
              }
            ],
            "actor" : {
              "identifier" : {
                "system" : "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0",
                "value" : "708165325093340"
              }
            },
            "status" : "accepted"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:transient-2",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "meta" : {
          "profile" : [
            🔗 "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRequisicaoRegulacaoAssistencial"
          ]
        },
        "language" : "pt-BR",
        "text" : {
          "status" : "generated",
          "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>/708165325093340</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>"
        },
        "status" : "active",
        "intent" : "proposal",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://www.saude.gov.br/fhir/r4/CodeSystem/BRModalidadeAssistencial",
                "code" : "04"
              }
            ]
          }
        ],
        "priority" : "routine",
        "code" : {
          "coding" : [
            {
              "system" : "http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS",
              "code" : "0209010029"
            }
          ]
        },
        "subject" : {
          "identifier" : {
            "system" : "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0",
            "value" : "708165325093340"
          }
        },
        "authoredOn" : "2024-03-02T14:18:43-03:00",
        "requester" : {
          "identifier" : {
            "system" : "http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0",
            "value" : "6994547"
          }
        },
        "performerType" : {
          "coding" : [
            {
              "system" : "http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBO",
              "code" : "225225"
            }
          ]
        },
        "reasonReference" : [
          {
            "reference" : "urn:uuid:transient-3"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:transient-3",
      "resource" : {
        "resourceType" : "Condition",
        "meta" : {
          "profile" : [
            🔗 "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProblemaDiagnostico"
          ]
        },
        "language" : "pt-BR",
        "text" : {
          "status" : "generated",
          "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/BRCIAP2 P77}\">Suicídio/tentativa de suicídio</span></p><p><b>subject</b>: Identifier: <code>http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0</code>/708165325093340</p></div>"
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://www.saude.gov.br/fhir/r4/CodeSystem/BRCIAP2",
              "code" : "P77"
            }
          ]
        },
        "subject" : {
          "identifier" : {
            "system" : "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0",
            "value" : "708165325093340"
          }
        }
      }
    }
  ]
}