Guia de Implementação do Projeto de Padronização e Qualificação dos Dados Assistenciais da Saúde Suplementar (PQDAS)
202309 - CI Build
Guia de Implementação do Projeto de Padronização e Qualificação dos Dados Assistenciais da Saúde Suplementar (PQDAS)
202309 - CI Build
Guia de Implementação do Projeto de Padronização e Qualificação dos Dados Assistenciais da Saúde Suplementar (PQDAS) - Local Development build (v202309). See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="efc9ee1c-1fa3-49f5-9df9-1c8984c14694"/>
<type value="transaction"/>
<timestamp value="2019-03-20T09:54:08-03:00"/>
<entry>
<fullUrl value="urn:uuid:2e45a07a-8d35-4a7c-b9b9-18e55d864906"/>
<resource>
<Patient>
<meta>
<profile
value="https://fhir.ans.gov.br/StructureDefinition/paciente"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</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">Profile: <a href="StructureDefinition-paciente.html">Paciente</a></p></div><p><b>identifier</b>: id: <a href="https://rnds.gointerop.com/NamingSystem-cns.html">CNS</a>#700500707677157, id: <a href="https://rnds.gointerop.com/NamingSystem-cpf.html">CPF</a>#33718709520</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1965-06-28</p><p><b>address</b>: 315780 </p></div>
</text>
<identifier>
<system value="http://rnds.saude.gov.br/fhir/r4/NamingSystem/cns"/>
<value value="700500707677157"/>
</identifier>
<identifier>
<system value="http://rnds.saude.gov.br/fhir/r4/NamingSystem/cpf"/>
<value value="33718709520"/>
</identifier>
<gender value="female"/>
<birthDate value="1965-06-28"/>
<address>
<city value="315780"/>
</address>
</Patient>
</resource>
<request>
<method value="POST"/>
<url value="Patient"/>
<ifNoneExist
value="identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cns|700500707677157"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:a53c1340-5f3c-4f1d-9507-869f79fa5d3d"/>
<resource>
<Organization>
<meta>
<profile
value="https://fhir.ans.gov.br/StructureDefinition/operadora"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</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">Profile: <a href="StructureDefinition-operadora.html">Operadora de plano privado de assistência à saúde</a></p></div><p><b>identifier</b>: id: <a href="NamingSystem-registro-ans.html">Registro ANS</a>#361011</p></div>
</text>
<identifier>
<system value="https://fhir.ans.gov.br/sid/registro-ans"/>
<value value="361011"/>
</identifier>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
<ifNoneExist
value="identifier=https://fhir.ans.gov.br/sid/registro-ans|361011"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea"/>
<resource>
<Organization>
<meta>
<profile
value="https://fhir.ans.gov.br/StructureDefinition/estabelecimento-saude"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</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">Profile: <a href="StructureDefinition-estabelecimento-saude.html">Estabelecimento de Saúde</a></p></div><p><b>identifier</b>: id: 09140440000119, id: <a href="https://rnds.gointerop.com/NamingSystem-cnes.html">CNES</a>#6609732</p><p><b>address</b>: 315780 </p></div>
</text>
<identifier>
<system value="http://rnds.saude.gov.br/fhir/r4/NamingSystem/cnpj"/>
<value value="09140440000119"/>
</identifier>
<identifier>
<system value="http://rnds.saude.gov.br/fhir/r4/NamingSystem/cnes"/>
<value value="6609732"/>
</identifier>
<address>
<city value="315780"/>
</address>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
<ifNoneExist
value="identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cnpj|09140440000119"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:16ea92a6-f9ab-400f-8488-8ff2cd9626da"/>
<resource>
<Practitioner>
<meta>
<profile
value="https://fhir.ans.gov.br/StructureDefinition/profissional"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Practitioner</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">Profile: <a href="StructureDefinition-profissional.html">Profissional prestador do serviço</a></p></div><p><b>identifier</b>: id: 09140440000119, id: <a href="https://rnds.gointerop.com/NamingSystem-cnes.html">CNES</a>#6609732</p><p><b>address</b>: 315780 </p></div>
</text>
<identifier>
<system value="http://rnds.saude.gov.br/fhir/r4/NamingSystem/cnpj"/>
<value value="09140440000119"/>
</identifier>
<identifier>
<system value="http://rnds.saude.gov.br/fhir/r4/NamingSystem/cnes"/>
<value value="6609732"/>
</identifier>
<address>
<city value="315780"/>
</address>
</Practitioner>
</resource>
<request>
<method value="POST"/>
<url value="Practitioner"/>
<ifNoneExist
value="identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cnpj|09140440000119"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:2724c044-e477-4b1c-b5f2-7d70932d2d36"/>
<resource>
<PractitionerRole>
<meta>
<profile
value="https://fhir.ans.gov.br/StructureDefinition/papel-profissional"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: PractitionerRole</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">Profile: <a href="StructureDefinition-papel-profissional.html">Papel do Profissional</a></p></div><p><b>practitioner</b>: <a href="#urnuuid16ea92a6-f9ab-400f-8488-8ff2cd9626da">See above (urn:uuid:16ea92a6-f9ab-400f-8488-8ff2cd9626da)</a></p><p><b>organization</b>: <a href="#urnuuida0bdc6bc-bfd8-4126-bf79-3231b82786ea">See above (urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea)</a></p></div>
</text>
<practitioner>
<reference value="urn:uuid:16ea92a6-f9ab-400f-8488-8ff2cd9626da"/>
</practitioner>
<organization>
<reference value="urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea"/>
</organization>
</PractitionerRole>
</resource>
<request>
<method value="POST"/>
<url value="PractitionerRole"/>
<ifNoneExist
value="practitioner.identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cnpj|09140440000119&organization.identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cnpj|09140440000119"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:4259f028-450d-4a54-97eb-309238c629b7"/>
<resource>
<Encounter>
<meta>
<profile
value="https://fhir.ans.gov.br/StructureDefinition/contato-assistencial-spsadt"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Encounter</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">Profile: <a href="StructureDefinition-contato-assistencial-spsadt.html">Contato Assistencial de SPSADT</a></p></div><p><b>identifier</b>: id: <a href="NamingSystem-numero-guia-operadora.html">guiaOperadora</a>#TESTESPSADT_221111, id: <a href="NamingSystem-numero-guia-prestador.html">guiaPrestador</a>#TESTESPSADT_221111, id: <a href="NamingSystem-numero-guia-internacao.html">NumeroGuiaInternacao</a>#TESTE_INT_221111</p><p><b>status</b>: finished</p><p><b>class</b>: Ambulatorial (Details: https://fhir.ans.gov.br/CodeSystem/tuss-76 code 01 = 'Ambulatorial', stated as 'null')</p><p><b>type</b>: Consulta <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-50.html">Tabela 50 - Tipo de atendimento</a>#04)</span></p><p><b>serviceType</b>: Pré-natal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-52.html">Tabela 52 - Tipo de consulta</a>#3)</span></p><p><b>priority</b>: Eletivo <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-23.html">Tabela 23 - Caráter do atendimento</a>#1)</span></p><p><b>subject</b>: <a href="#urnuuid2e45a07a-8d35-4a7c-b9b9-18e55d864906">See above (urn:uuid:2e45a07a-8d35-4a7c-b9b9-18e55d864906)</a></p><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style="display: none">*</td><td>Alta com previsão de retorno para acompanhamento do paciente <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-39.html">Tabela 39 - Motivo de encerramento</a>#15)</span></td></tr></table><p><b>serviceProvider</b>: <a href="#urnuuida0bdc6bc-bfd8-4126-bf79-3231b82786ea">See above (urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea)</a></p></div>
</text>
<identifier>
<system value="https://fhir.ans.gov.br/sid/numero-guia-operadora"/>
<value value="TESTESPSADT_221111"/>
</identifier>
<identifier>
<system value="https://fhir.ans.gov.br/sid/numero-guia-prestador"/>
<value value="TESTESPSADT_221111"/>
</identifier>
<identifier>
<system value="https://fhir.ans.gov.br/sid/numero-guia-internacao"/>
<value value="TESTE_INT_221111"/>
</identifier>
<status value="finished"/>
<class>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-76"/>
<code value="01"/>
</class>
<type>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-50"/>
<code value="04"/>
</coding>
</type>
<serviceType>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-52"/>
<code value="3"/>
</coding>
</serviceType>
<priority>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-23"/>
<code value="1"/>
</coding>
</priority>
<subject>
<reference value="urn:uuid:2e45a07a-8d35-4a7c-b9b9-18e55d864906"/>
</subject>
<hospitalization>
<dischargeDisposition>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-39"/>
<code value="15"/>
</coding>
</dischargeDisposition>
</hospitalization>
<serviceProvider>
<reference value="urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea"/>
</serviceProvider>
</Encounter>
</resource>
<request>
<method value="POST"/>
<url value="Encounter"/>
<ifNoneExist
value="identifier=https://fhir.ans.gov.br/sid/numero-guia-operadora|TESTESPSADT_221111&identifier=https://fhir.ans.gov.br/sid/numero-guia-prestador|TESTESPSADT_221111&subject.identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cns|700500707677157"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:94bdc5fa-a7ec-4c99-bbc8-79e73abb5881"/>
<resource>
<ServiceRequest>
<meta>
<profile
value="https://fhir.ans.gov.br/StructureDefinition/requisicao"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: 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">Profile: <a href="StructureDefinition-requisicao.html">Requisição de Serviço</a></p></div><p><b>identifier</b>: id: <a href="NamingSystem-numero-guia-operadora.html">guiaOperadora</a>#TESTESPSADT_221111, id: <a href="NamingSystem-numero-guia-prestador.html">guiaPrestador</a>#TESTESPSADT_221111</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>code</b>: ANATOMIA PATOLÓGICA E CITOPATOLOGIA <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-63.html">Tabela 63 - Grupos de procedimentos e itens assistenciais para envio para ANS</a>#001)</span></p><p><b>quantity</b>: 3</p><p><b>subject</b>: <a href="#urnuuid2e45a07a-8d35-4a7c-b9b9-18e55d864906">See above (urn:uuid:2e45a07a-8d35-4a7c-b9b9-18e55d864906)</a></p><p><b>occurrence</b>: 2018-08-03</p><p><b>authoredOn</b>: 2018-08-01</p><p><b>requester</b>: <a href="#urnuuida53c1340-5f3c-4f1d-9507-869f79fa5d3d">See above (urn:uuid:a53c1340-5f3c-4f1d-9507-869f79fa5d3d)</a></p><p><b>performer</b>: <a href="#urnuuida0bdc6bc-bfd8-4126-bf79-3231b82786ea">See above (urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea)</a></p><p><b>insurance</b>: <a href="#urnuuidc4607cf7-d1a4-4044-b2dd-f05abc138fb9">See above (urn:uuid:c4607cf7-d1a4-4044-b2dd-f05abc138fb9)</a></p></div>
</text>
<identifier>
<system value="https://fhir.ans.gov.br/sid/numero-guia-operadora"/>
<value value="TESTESPSADT_221111"/>
</identifier>
<identifier>
<system value="https://fhir.ans.gov.br/sid/numero-guia-prestador"/>
<value value="TESTESPSADT_221111"/>
</identifier>
<status value="completed"/>
<intent value="order"/>
<code>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-63"/>
<code value="001"/>
</coding>
</code>
<quantityQuantity>
<value value="3"/>
</quantityQuantity>
<subject>
<reference value="urn:uuid:2e45a07a-8d35-4a7c-b9b9-18e55d864906"/>
</subject>
<occurrenceDateTime value="2018-08-03"/>
<authoredOn value="2018-08-01"/>
<requester>
<reference value="urn:uuid:a53c1340-5f3c-4f1d-9507-869f79fa5d3d"/>
</requester>
<performer>
<reference value="urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea"/>
</performer>
<insurance>
<reference value="urn:uuid:c4607cf7-d1a4-4044-b2dd-f05abc138fb9"/>
</insurance>
</ServiceRequest>
</resource>
<request>
<method value="POST"/>
<url value="ServiceRequest"/>
<ifNoneExist
value="identifier=https://fhir.ans.gov.br/sid/numero-guia-operadora|TESTESPSADT_221111&identifier=https://fhir.ans.gov.br/sid/numero-guia-prestador|TESTESPSADT_221111&requester.identifier=https://fhir.ans.gov.br/sid/registro-ans|361011&performer.identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cnes|6609732&subject.identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cns|700500707677157&code=https://fhir.ans.gov.br/CodeSystem/tuss-63|001"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:2e0b5f47-b2af-4669-8fee-77e31c47ca21"/>
<resource>
<Procedure>
<meta>
<profile
value="https://fhir.ans.gov.br/StructureDefinition/procedimento"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Procedure</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">Profile: <a href="StructureDefinition-procedimento.html">Procedimento realizado</a></p></div><p><b>identifier</b>: id: <a href="NamingSystem-numero-guia-operadora.html">guiaOperadora</a>#TESTESPSADT_221111, id: <a href="NamingSystem-numero-guia-prestador.html">guiaPrestador</a>#TESTESPSADT_221111</p><p><b>basedOn</b>: <a href="#urnuuid94bdc5fa-a7ec-4c99-bbc8-79e73abb5881">See above (urn:uuid:94bdc5fa-a7ec-4c99-bbc8-79e73abb5881)</a></p><p><b>status</b>: completed</p><p><b>code</b>: ANATOMIA PATOLÓGICA E CITOPATOLOGIA <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-63.html">Tabela 63 - Grupos de procedimentos e itens assistenciais para envio para ANS</a>#001)</span></p><p><b>subject</b>: <a href="#urnuuid2e45a07a-8d35-4a7c-b9b9-18e55d864906">See above (urn:uuid:2e45a07a-8d35-4a7c-b9b9-18e55d864906)</a></p><p><b>performed</b>: 2018-08-03</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="#urnuuida0bdc6bc-bfd8-4126-bf79-3231b82786ea">See above (urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea)</a></td></tr></table></div>
</text>
<identifier>
<system value="https://fhir.ans.gov.br/sid/numero-guia-operadora"/>
<value value="TESTESPSADT_221111"/>
</identifier>
<identifier>
<system value="https://fhir.ans.gov.br/sid/numero-guia-prestador"/>
<value value="TESTESPSADT_221111"/>
</identifier>
<basedOn>
<reference value="urn:uuid:94bdc5fa-a7ec-4c99-bbc8-79e73abb5881"/>
</basedOn>
<status value="completed"/>
<code>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-63"/>
<code value="001"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:2e45a07a-8d35-4a7c-b9b9-18e55d864906"/>
</subject>
<performedDateTime value="2018-08-03"/>
<performer>
<actor>
<reference value="urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea"/>
</actor>
</performer>
</Procedure>
</resource>
<request>
<method value="POST"/>
<url value="Procedure"/>
<ifNoneExist
value="identifier=https://fhir.ans.gov.br/sid/numero-guia-operadora|TESTESPSADT_221111&identifier=https://fhir.ans.gov.br/sid/numero-guia-prestador|TESTESPSADT_221111&performer.identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cnes|6609732&subject.identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cns|700500707677157&code=https://fhir.ans.gov.br/CodeSystem/tuss-63|001"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:c06038e6-7408-4cd3-937e-bad56687e5ac"/>
<resource>
<InsurancePlan>
<meta>
<profile
value="https://fhir.ans.gov.br/StructureDefinition/plano-saude"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: InsurancePlan</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">Profile: <a href="StructureDefinition-plano-saude.html">Plano de Saúde</a></p></div><p><b>identifier</b>: id: <a href="NamingSystem-registro-rps-scpa.html">Registro ANS</a>#437257023</p><p><b>ownedBy</b>: <a href="#urnuuida53c1340-5f3c-4f1d-9507-869f79fa5d3d">See above (urn:uuid:a53c1340-5f3c-4f1d-9507-869f79fa5d3d)</a></p></div>
</text>
<identifier>
<system value="https://fhir.ans.gov.br/sid/registro-rps-scpa"/>
<value value="437257023"/>
</identifier>
<ownedBy>
<reference value="urn:uuid:a53c1340-5f3c-4f1d-9507-869f79fa5d3d"/>
</ownedBy>
</InsurancePlan>
</resource>
<request>
<method value="POST"/>
<url value="InsurancePlan"/>
<ifNoneExist
value="identifier=https://fhir.ans.gov.br/sid/registro-rps-scpa|437257023&owned-by.identifier=https://fhir.ans.gov.br/sid/registro-ans|361011"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:d298ff17-134d-4170-b5e9-7c835554e121"/>
<resource>
<Coverage>
<meta>
<profile
value="https://fhir.ans.gov.br/StructureDefinition/cobertura"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Coverage</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">Profile: <a href="StructureDefinition-cobertura.html">Cobertura</a></p></div><p><b>identifier</b>: id: <a href="NamingSystem-registro-rps-scpa.html">Registro ANS</a>#437257023</p><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href="#urnuuida53c1340-5f3c-4f1d-9507-869f79fa5d3d">See above (urn:uuid:a53c1340-5f3c-4f1d-9507-869f79fa5d3d)</a></p><p><b>beneficiary</b>: <a href="#urnuuid2e45a07a-8d35-4a7c-b9b9-18e55d864906">See above (urn:uuid:2e45a07a-8d35-4a7c-b9b9-18e55d864906)</a></p><p><b>payor</b>: <a href="#urnuuida53c1340-5f3c-4f1d-9507-869f79fa5d3d">See above (urn:uuid:a53c1340-5f3c-4f1d-9507-869f79fa5d3d)</a></p></div>
</text>
<identifier>
<system value="https://fhir.ans.gov.br/sid/registro-rps-scpa"/>
<value value="437257023"/>
</identifier>
<status value="active"/>
<policyHolder>
<reference value="urn:uuid:a53c1340-5f3c-4f1d-9507-869f79fa5d3d"/>
</policyHolder>
<beneficiary>
<reference value="urn:uuid:2e45a07a-8d35-4a7c-b9b9-18e55d864906"/>
</beneficiary>
<payor>
<reference value="urn:uuid:a53c1340-5f3c-4f1d-9507-869f79fa5d3d"/>
</payor>
</Coverage>
</resource>
<request>
<method value="POST"/>
<url value="Coverage"/>
<ifNoneExist
value="identifier=https://fhir.ans.gov.br/sid/registro-rps-scpa|437257023&beneficiary.identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cns|700500707677157&payor.identifier=https://fhir.ans.gov.br/sid/registro-ans|361011&policy-holder.identifier=https://fhir.ans.gov.br/sid/registro-ans|361011"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:78f9c56e-547c-4cc4-811d-561329296fc8"/>
<resource>
<Claim>
<meta>
<profile
value="https://fhir.ans.gov.br/StructureDefinition/guia-spsadt"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Claim</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">Profile: <a href="StructureDefinition-guia-spsadt.html">Guia de SPSADT</a></p></div><p><b>Versão do componente de comunicação para o envio de dados para a ANS</b>: 1.03.00</p><p><b>Versão do componente de comunicação utilizada pelo prestador</b>: 024</p><p><b>Indicador de recém-nascido</b>: N</p><p><b>Forma de Envio</b>: Webservice <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-70.html">Tabela 70 - Forma de envio de padrão</a>#3)</span></p><p><b>Operatora Intermediária</b>: id: <a href="NamingSystem-registro-ans.html">Registro ANS</a>#005711</p><p><b>Tipo de contato assistencial da Operatora Intermediária</b>: Atendimento eventual <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-71.html">Tabela 71 - Tipo de atendimento por operadora intermediária</a>#1)</span></p><p><b>Origem da guia</b>: Rede Contratada, referenciada ou credenciada <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-40.html">Tabela 40 - Origem da guia</a>#1)</span></p><p><b>Competência</b>: 2018-08-06</p><p><b>Data de processamento da guia</b>: 2018-08-08</p><p><b>identifier</b>: id: <a href="NamingSystem-numero-guia-internacao.html">NumeroGuiaInternacao</a>#TESTE_INT_221111, id: <a href="NamingSystem-numero-guia-operadora.html">guiaOperadora</a>#TESTESPSADT_221111, id: <a href="NamingSystem-numero-guia-prestador.html">guiaPrestador</a>#TESTESPSADT_221111, id: <a href="NamingSystem-numero-lote.html">Número de lote da operadora</a>#3, id: <a href="NamingSystem-numero-guia-internacao.html">NumeroGuiaInternacao</a>#TESTE_INT_221111</p><p><b>status</b>: active</p><p><b>type</b>: SP/SADT <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-54.html">Tabela 54 - Tipo de guia</a>#2)</span></p><p><b>subType</b>: Pré-natal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-52.html">Tabela 52 - Tipo de consulta</a>#3)</span></p><p><b>use</b>: claim</p><p><b>patient</b>: <a href="#urnuuid2e45a07a-8d35-4a7c-b9b9-18e55d864906">See above (urn:uuid:2e45a07a-8d35-4a7c-b9b9-18e55d864906)</a></p><p><b>created</b>: 2018-08-02</p><p><b>insurer</b>: <a href="#urnuuida53c1340-5f3c-4f1d-9507-869f79fa5d3d">See above (urn:uuid:a53c1340-5f3c-4f1d-9507-869f79fa5d3d)</a></p><p><b>provider</b>: <a href="#urnuuida0bdc6bc-bfd8-4126-bf79-3231b82786ea">See above (urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea)</a></p><p><b>priority</b>: Normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-processpriority.html">Process Priority Codes</a>#normal)</span></p><h3>Procedures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Date</b></td><td><b>Procedure[x]</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>2018-08-03</td><td><a href="#urnuuid2e0b5f47-b2af-4669-8fee-77e31c47ca21">See above (urn:uuid:2e0b5f47-b2af-4669-8fee-77e31c47ca21)</a></td></tr></table><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td><td><b>ClaimResponse</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td><a href="#urnuuidd298ff17-134d-4170-b5e9-7c835554e121">See above (urn:uuid:d298ff17-134d-4170-b5e9-7c835554e121)</a></td><td><a href="#urnuuidc4607cf7-d1a4-4044-b2dd-f05abc138fb9">See above (urn:uuid:c4607cf7-d1a4-4044-b2dd-f05abc138fb9)</a></td></tr></table><h3>Accidents</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Date</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>2018-08-03</td><td>Não Acidente <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-36.html">Tabela 36 - Indicador de acidente</a>#9)</span></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: ANATOMIA PATOLÓGICA E CITOPATOLOGIA <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-63.html">Tabela 63 - Grupos de procedimentos e itens assistenciais para envio para ANS</a>#001)</span></p><p><b>serviced</b>: 2018-08-03</p><p><b>quantity</b>: 3 UN</p><h3>UnitPrices</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>750</td><td>BRL</td></tr></table><h3>Nets</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td></tr><tr><td style="display: none">*</td><td>750</td></tr></table></blockquote><h3>Totals</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>750</td><td>BRL</td></tr></table></div>
</text>
<extension
url="https://fhir.ans.gov.br/StructureDefinition/versao-padrao">
<valueString value="1.03.00"/>
</extension>
<extension
url="https://fhir.ans.gov.br/StructureDefinition/versao-tiss-prestador">
<valueString value="024"/>
</extension>
<extension
url="https://fhir.ans.gov.br/StructureDefinition/indicacao-recem-nato">
<valueString value="N"/>
</extension>
<extension
url="https://fhir.ans.gov.br/StructureDefinition/forma-envio">
<valueCodeableConcept>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-70"/>
<code value="3"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://fhir.ans.gov.br/StructureDefinition/operadora-intermediaria">
<valueIdentifier>
<system value="https://fhir.ans.gov.br/sid/registro-ans"/>
<value value="005711"/>
</valueIdentifier>
</extension>
<extension
url="https://fhir.ans.gov.br/StructureDefinition/tipo-atendimento-operadora-intermediaria">
<valueCodeableConcept>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-71"/>
<code value="1"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://fhir.ans.gov.br/StructureDefinition/origem-guia">
<valueCodeableConcept>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-40"/>
<code value="1"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://fhir.ans.gov.br/StructureDefinition/data-protocolo-cobranca">
<valueDateTime value="2018-08-06"/>
</extension>
<extension
url="https://fhir.ans.gov.br/StructureDefinition/data-processamento">
<valueDateTime value="2018-08-08"/>
</extension>
<identifier>
<system value="https://fhir.ans.gov.br/sid/numero-guia-internacao"/>
<value value="TESTE_INT_221111"/>
</identifier>
<identifier>
<system value="https://fhir.ans.gov.br/sid/numero-guia-operadora"/>
<value value="TESTESPSADT_221111"/>
</identifier>
<identifier>
<system value="https://fhir.ans.gov.br/sid/numero-guia-prestador"/>
<value value="TESTESPSADT_221111"/>
</identifier>
<identifier>
<system value="https://fhir.ans.gov.br/sid/numero-lote"/>
<value value="3"/>
</identifier>
<identifier>
<system value="https://fhir.ans.gov.br/sid/numero-guia-internacao"/>
<value value="TESTE_INT_221111"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-54"/>
<code value="2"/>
</coding>
</type>
<subType>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-52"/>
<code value="3"/>
</coding>
</subType>
<use value="claim"/>
<patient>
<reference value="urn:uuid:2e45a07a-8d35-4a7c-b9b9-18e55d864906"/>
</patient>
<created value="2018-08-02"/>
<insurer>
<reference value="urn:uuid:a53c1340-5f3c-4f1d-9507-869f79fa5d3d"/>
</insurer>
<provider>
<reference value="urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea"/>
</provider>
<priority>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/processpriority"/>
<code value="normal"/>
</coding>
</priority>
<procedure>
<sequence value="1"/>
<date value="2018-08-03"/>
<procedureReference>
<reference value="urn:uuid:2e0b5f47-b2af-4669-8fee-77e31c47ca21"/>
</procedureReference>
</procedure>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>
<reference value="urn:uuid:d298ff17-134d-4170-b5e9-7c835554e121"/>
</coverage>
<claimResponse>
<reference value="urn:uuid:c4607cf7-d1a4-4044-b2dd-f05abc138fb9"/>
</claimResponse>
</insurance>
<accident>
<date value="2018-08-03"/>
<type>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-36"/>
<code value="9"/>
</coding>
</type>
</accident>
<item>
<sequence value="1"/>
<productOrService>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-63"/>
<code value="001"/>
</coding>
</productOrService>
<servicedDate value="2018-08-03"/>
<quantity>
<value value="3"/>
<unit value="UN"/>
</quantity>
<unitPrice>
<value value="750"/>
<currency value="BRL"/>
</unitPrice>
<net>
<value value="750"/>
</net>
</item>
<total>
<value value="750"/>
<currency value="BRL"/>
</total>
</Claim>
</resource>
<request>
<method value="POST"/>
<url value="Claim"/>
<ifNoneExist
value="identifier=https://fhir.ans.gov.br/sid/numero-guia-operadora|TESTESPSADT_221111&identifier=https://fhir.ans.gov.br/sid/numero-guia-prestador|TESTESPSADT_221111&identifier=https://fhir.ans.gov.br/sid/numero-lote|3&patient.identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cns|700500707677157&insurer.identifier=https://fhir.ans.gov.br/sid/registro-ans|361011&provider.identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cnes|6609732"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:c4607cf7-d1a4-4044-b2dd-f05abc138fb9"/>
<resource>
<ClaimResponse>
<meta>
<profile
value="https://fhir.ans.gov.br/StructureDefinition/resposta-guia"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ClaimResponse</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">Profile: <a href="StructureDefinition-resposta-guia.html">RespostaGuia</a></p></div><p><b>identifier</b>: id: <a href="NamingSystem-numero-guia-operadora.html">guiaOperadora</a>#TESTESPSADT_221111, id: <a href="NamingSystem-numero-guia-prestador.html">guiaPrestador</a>#TESTESPSADT_221111, id: <a href="NamingSystem-numero-lote.html">Número de lote da operadora</a>#3</p><p><b>status</b>: active</p><p><b>type</b>: SP/SADT <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-54.html">Tabela 54 - Tipo de guia</a>#2)</span></p><p><b>use</b>: claim</p><p><b>patient</b>: <a href="#urnuuid2e45a07a-8d35-4a7c-b9b9-18e55d864906">See above (urn:uuid:2e45a07a-8d35-4a7c-b9b9-18e55d864906)</a></p><p><b>created</b>: 2018-08-01</p><p><b>insurer</b>: <a href="#urnuuida53c1340-5f3c-4f1d-9507-869f79fa5d3d">See above (urn:uuid:a53c1340-5f3c-4f1d-9507-869f79fa5d3d)</a></p><p><b>requestor</b>: <a href="#urnuuida0bdc6bc-bfd8-4126-bf79-3231b82786ea">See above (urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea)</a></p><p><b>request</b>: <a href="#urnuuid78f9c56e-547c-4cc4-811d-561329296fc8">See above (urn:uuid:78f9c56e-547c-4cc4-811d-561329296fc8)</a></p><p><b>outcome</b>: complete</p><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: Submitted Amount <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-adjudication.html">Adjudication Value Codes</a>#submitted)</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>750</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: Eligible Amount <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-adjudication.html">Adjudication Value Codes</a>#eligible)</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>750</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: CoPay <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-adjudication.html">Adjudication Value Codes</a>#copay)</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>0</td><td>BRL</td></tr></table></blockquote></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Valor informado <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-adjudication.html">Adjudication Value Codes</a>#submitted)</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>750</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Valor processado <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>750</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Valor total pago procedimentos <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>750</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Valor total diarias <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>0</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Valor total taxas <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>0</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Valor total materiais <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>0</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Valor total opme <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>0</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Valor total medicamentos <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>750</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Valor total glosa guia <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>0</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Valor pago guia <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-adjudication.html">Adjudication Value Codes</a>#benefit)</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>750</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Valor pago fornecedores <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>45.55</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Valor pago tabela propria <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>0</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Valor pago coparticipação <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-adjudication.html">Adjudication Value Codes</a>#copay)</span></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>0</td><td>BRL</td></tr></table></blockquote><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td><a href="#urnuuidd298ff17-134d-4170-b5e9-7c835554e121">See above (urn:uuid:d298ff17-134d-4170-b5e9-7c835554e121)</a></td></tr></table></div>
</text>
<identifier>
<system value="https://fhir.ans.gov.br/sid/numero-guia-operadora"/>
<value value="TESTESPSADT_221111"/>
</identifier>
<identifier>
<system value="https://fhir.ans.gov.br/sid/numero-guia-prestador"/>
<value value="TESTESPSADT_221111"/>
</identifier>
<identifier>
<system value="https://fhir.ans.gov.br/sid/numero-lote"/>
<value value="3"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-54"/>
<code value="2"/>
</coding>
</type>
<use value="claim"/>
<patient>
<reference value="urn:uuid:2e45a07a-8d35-4a7c-b9b9-18e55d864906"/>
</patient>
<created value="2018-08-01"/>
<insurer>
<reference value="urn:uuid:a53c1340-5f3c-4f1d-9507-869f79fa5d3d"/>
</insurer>
<requestor>
<reference value="urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea"/>
</requestor>
<request>
<reference value="urn:uuid:78f9c56e-547c-4cc4-811d-561329296fc8"/>
</request>
<outcome value="complete"/>
<item>
<itemSequence value="1"/>
<adjudication>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
</coding>
</category>
<amount>
<value value="750"/>
<currency value="BRL"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligible"/>
</coding>
</category>
<amount>
<value value="750"/>
<currency value="BRL"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="copay"/>
</coding>
</category>
<amount>
<value value="0"/>
<currency value="BRL"/>
</amount>
</adjudication>
</item>
<total>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
</coding>
<text value="Valor informado"/>
</category>
<amount>
<value value="750"/>
<currency value="BRL"/>
</amount>
</total>
<total>
<category>
<text value="Valor processado"/>
</category>
<amount>
<value value="750"/>
<currency value="BRL"/>
</amount>
</total>
<total>
<category>
<text value="Valor total pago procedimentos"/>
</category>
<amount>
<value value="750"/>
<currency value="BRL"/>
</amount>
</total>
<total>
<category>
<text value="Valor total diarias"/>
</category>
<amount>
<value value="0"/>
<currency value="BRL"/>
</amount>
</total>
<total>
<category>
<text value="Valor total taxas"/>
</category>
<amount>
<value value="0"/>
<currency value="BRL"/>
</amount>
</total>
<total>
<category>
<text value="Valor total materiais"/>
</category>
<amount>
<value value="0"/>
<currency value="BRL"/>
</amount>
</total>
<total>
<category>
<text value="Valor total opme"/>
</category>
<amount>
<value value="0"/>
<currency value="BRL"/>
</amount>
</total>
<total>
<category>
<text value="Valor total medicamentos"/>
</category>
<amount>
<value value="750"/>
<currency value="BRL"/>
</amount>
</total>
<total>
<category>
<text value="Valor total glosa guia"/>
</category>
<amount>
<value value="0"/>
<currency value="BRL"/>
</amount>
</total>
<total>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="benefit"/>
</coding>
<text value="Valor pago guia"/>
</category>
<amount>
<value value="750"/>
<currency value="BRL"/>
</amount>
</total>
<total>
<category>
<text value="Valor pago fornecedores"/>
</category>
<amount>
<value value="45.55"/>
<currency value="BRL"/>
</amount>
</total>
<total>
<category>
<text value="Valor pago tabela propria"/>
</category>
<amount>
<value value="0"/>
<currency value="BRL"/>
</amount>
</total>
<total>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="copay"/>
</coding>
<text value="Valor pago coparticipação"/>
</category>
<amount>
<value value="0"/>
<currency value="BRL"/>
</amount>
</total>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>
<reference value="urn:uuid:d298ff17-134d-4170-b5e9-7c835554e121"/>
</coverage>
</insurance>
</ClaimResponse>
</resource>
<request>
<method value="POST"/>
<url value="ClaimResponse"/>
<ifNoneExist
value="identifier=https://fhir.ans.gov.br/sid/numero-guia-operadora|TESTESPSADT_221111&identifier=https://fhir.ans.gov.br/sid/numero-guia-prestador|TESTESPSADT_221111&identifier=https://fhir.ans.gov.br/sid/numero-lote|3&patient.identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cns|700500707677157&insurer.identifier=https://fhir.ans.gov.br/sid/registro-ans|361011&requestor.identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cnes|6609732"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:b544a264-a2f7-4eed-92fb-62f03a7a47b4"/>
<resource>
<PaymentReconciliation>
<meta>
<profile
value="https://fhir.ans.gov.br/StructureDefinition/reconciliacao-pagamento"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: PaymentReconciliation</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">Profile: <a href="StructureDefinition-reconciliacao-pagamento.html">Reconciliação de Pagamento (e modelos de remuneração)</a></p></div><p><b>status</b>: active</p><p><b>created</b>: 2018-08-04</p><p><b>paymentIssuer</b>: <a href="#urnuuida53c1340-5f3c-4f1d-9507-869f79fa5d3d">See above (urn:uuid:a53c1340-5f3c-4f1d-9507-869f79fa5d3d)</a></p><p><b>requestor</b>: <a href="#urnuuida0bdc6bc-bfd8-4126-bf79-3231b82786ea">See above (urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea)</a></p><p><b>outcome</b>: complete</p><p><b>paymentDate</b>: 2018-08-07</p><h3>PaymentAmounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>750</td><td>BRL</td></tr></table><blockquote><p><b>detail</b></p><p><b>type</b>: Por procedimento (Fee for Service) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-79.html">Tabela 79 - Modelos de Remuneração entre Operadoras e Prestadores</a>#01)</span></p><p><b>request</b>: <a href="#urnuuid78f9c56e-547c-4cc4-811d-561329296fc8">See above (urn:uuid:78f9c56e-547c-4cc4-811d-561329296fc8)</a></p><p><b>submitter</b>: <a href="#urnuuida0bdc6bc-bfd8-4126-bf79-3231b82786ea">See above (urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea)</a></p><p><b>response</b>: <a href="#urnuuidc4607cf7-d1a4-4044-b2dd-f05abc138fb9">See above (urn:uuid:c4607cf7-d1a4-4044-b2dd-f05abc138fb9)</a></p><p><b>date</b>: 2018-08-07</p><p><b>payee</b>: <a href="#urnuuida0bdc6bc-bfd8-4126-bf79-3231b82786ea">See above (urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea)</a></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>100</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>detail</b></p><p><b>type</b>: Pacote <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-79.html">Tabela 79 - Modelos de Remuneração entre Operadoras e Prestadores</a>#02)</span></p><p><b>request</b>: <a href="#urnuuid78f9c56e-547c-4cc4-811d-561329296fc8">See above (urn:uuid:78f9c56e-547c-4cc4-811d-561329296fc8)</a></p><p><b>submitter</b>: <a href="#urnuuida0bdc6bc-bfd8-4126-bf79-3231b82786ea">See above (urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea)</a></p><p><b>response</b>: <a href="#urnuuidc4607cf7-d1a4-4044-b2dd-f05abc138fb9">See above (urn:uuid:c4607cf7-d1a4-4044-b2dd-f05abc138fb9)</a></p><p><b>date</b>: 2018-08-07</p><p><b>payee</b>: <a href="#urnuuida0bdc6bc-bfd8-4126-bf79-3231b82786ea">See above (urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea)</a></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>200</td><td>BRL</td></tr></table></blockquote><blockquote><p><b>detail</b></p><p><b>type</b>: Orçamentação <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-tuss-79.html">Tabela 79 - Modelos de Remuneração entre Operadoras e Prestadores</a>#03)</span></p><p><b>request</b>: <a href="#urnuuid78f9c56e-547c-4cc4-811d-561329296fc8">See above (urn:uuid:78f9c56e-547c-4cc4-811d-561329296fc8)</a></p><p><b>submitter</b>: <a href="#urnuuida0bdc6bc-bfd8-4126-bf79-3231b82786ea">See above (urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea)</a></p><p><b>response</b>: <a href="#urnuuidc4607cf7-d1a4-4044-b2dd-f05abc138fb9">See above (urn:uuid:c4607cf7-d1a4-4044-b2dd-f05abc138fb9)</a></p><p><b>date</b>: 2018-08-07</p><p><b>payee</b>: <a href="#urnuuida0bdc6bc-bfd8-4126-bf79-3231b82786ea">See above (urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea)</a></p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>200</td><td>BRL</td></tr></table></blockquote></div>
</text>
<status value="active"/>
<created value="2018-08-04"/>
<paymentIssuer>
<reference value="urn:uuid:a53c1340-5f3c-4f1d-9507-869f79fa5d3d"/>
</paymentIssuer>
<requestor>
<reference value="urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea"/>
</requestor>
<outcome value="complete"/>
<paymentDate value="2018-08-07"/>
<paymentAmount>
<value value="750"/>
<currency value="BRL"/>
</paymentAmount>
<detail>
<type>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-79"/>
<code value="01"/>
</coding>
</type>
<request>
<reference value="urn:uuid:78f9c56e-547c-4cc4-811d-561329296fc8"/>
</request>
<submitter>
<reference value="urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea"/>
</submitter>
<response>
<reference value="urn:uuid:c4607cf7-d1a4-4044-b2dd-f05abc138fb9"/>
</response>
<date value="2018-08-07"/>
<payee>
<reference value="urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea"/>
</payee>
<amount>
<value value="100"/>
<currency value="BRL"/>
</amount>
</detail>
<detail>
<type>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-79"/>
<code value="02"/>
</coding>
</type>
<request>
<reference value="urn:uuid:78f9c56e-547c-4cc4-811d-561329296fc8"/>
</request>
<submitter>
<reference value="urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea"/>
</submitter>
<response>
<reference value="urn:uuid:c4607cf7-d1a4-4044-b2dd-f05abc138fb9"/>
</response>
<date value="2018-08-07"/>
<payee>
<reference value="urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea"/>
</payee>
<amount>
<value value="200"/>
<currency value="BRL"/>
</amount>
</detail>
<detail>
<type>
<coding>
<system value="https://fhir.ans.gov.br/CodeSystem/tuss-79"/>
<code value="03"/>
</coding>
</type>
<request>
<reference value="urn:uuid:78f9c56e-547c-4cc4-811d-561329296fc8"/>
</request>
<submitter>
<reference value="urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea"/>
</submitter>
<response>
<reference value="urn:uuid:c4607cf7-d1a4-4044-b2dd-f05abc138fb9"/>
</response>
<date value="2018-08-07"/>
<payee>
<reference value="urn:uuid:a0bdc6bc-bfd8-4126-bf79-3231b82786ea"/>
</payee>
<amount>
<value value="200"/>
<currency value="BRL"/>
</amount>
</detail>
</PaymentReconciliation>
</resource>
<request>
<method value="POST"/>
<url value="PaymentReconciliation"/>
<ifNoneExist
value="request.identifier=https://fhir.ans.gov.br/sid/numero-guia-operadora|TESTESPSADT_221111&request.identifier=https://fhir.ans.gov.br/sid/numero-guia-prestador|TESTESPSADT_221111&response.identifier=https://fhir.ans.gov.br/sid/numero-guia-operadora|TESTESPSADT_221111&response.identifier=https://fhir.ans.gov.br/sid/numero-guia-prestador|TESTESPSADT_221111&payment-issuer.identifier=https://fhir.ans.gov.br/sid/registro-ans|361011&requestor.identifier=http://rnds.saude.gov.br/fhir/r4/NamingSystem/cnes|6609732"/>
</request>
</entry>
</Bundle>
IG © 2019+ Agência Nacional de Saúde Suplementar (ANS). Package br.gov.ans.fhir#202309 based on FHIR 4.0.1. Generated 2023-11-24
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