Name	Flags	Card.	Type	Description & Constraints
Procedure			GrupoProcedimento
Slices for bodySite		1..6	CodeableConcept	Dente e região da boca Slice: Unordered, Open by value:coding.system
bodySite:dente		0..1	CodeableConcept	Dados do dente Binding: Dente (required)
coding		1..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-28
bodySite:faceDente		0..5	CodeableConcept	Dados da face do dente Binding: face de dente (required)
coding		1..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-32
bodySite:regiaoBoca		0..1	CodeableConcept	Dados da região da boca Binding: região da boca (required)
coding		1..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-42
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Procedure.bodySite:dente	required	Dente (a valid code from Tabela 28 - Dentes)
Procedure.bodySite:faceDente	required	FaceDente (a valid code from Tabela 32 - Faces do dente)
Procedure.bodySite:regiaoBoca	required	RegiaoBoca (a valid code from Tabela 42 - Regiões da boca)

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	GrupoProcedimento	Dados
implicitRules	?!Σ	0..1	uri	Regras implícitas deste perfil
modifierExtension	?!	0..*	Extension	Conjuntos de campos adicionais que são extensões ao modelo de informação e não podem ser ignorados
Slices for identifier	Σ	1..*	Identifier	Identificador Slice: Unordered, Open by value:system
identifier:guia-operadora	Σ	0..1	Identifier	Identificador da guia de operadora
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Identificador da guia de operadora Fixed Value: https://fhir.ans.gov.br/sid/numero-guia-operadora
value	Σ	1..1	string	Identificador da guia de operadora Example General: 123456
identifier:guia-prestador	Σ	0..*	Identifier	Identificador da guia de prestador
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Identificador da guia de prestador Fixed Value: https://fhir.ans.gov.br/sid/numero-guia-prestador
value	Σ	1..1	string	Identificador da guia de prestador Example General: 123456
identifier:identificacao-reembolso	Σ	0..*	Identifier	Identificador de reembolso
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Identificador de reembolso Fixed Value: https://fhir.ans.gov.br/sid/numero-identificacao-reembolso
value	Σ	1..1	string	Identificador da guia de prestador Example General: 123456
basedOn	Σ	1..*	Reference(Grupo de Requisição de Serviços | Grupo de Requisições de serviços odontológicos)	Plano de cuidado, requisição de serviço ou requisição de medicamento que remete a essa requisição
status	?!Σ	1..1	code	Status Binding: EventStatus (required): A code specifying the state of the procedure. Fixed Value: completed
code	Σ	1..1	CodeableConcept	Conceito codificável que classifica o procedimento requisitado Binding: Grupo de Procedimentos (required): Conceito codificável que classifica o grupo de procedimentos
subject	Σ	1..1	Reference(Paciente)	Paciente ao qual a realização do procedimento foi requisitada
performed[x]	Σ	1..1		Momento em que o procedimento foi realizado
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
performer	Σ	1..*	BackboneElement	Profissional executante do procedimento
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Estabelecimento de Saúde | Profissional prestador do serviço | Papel do Profissional)	Profissional executante do procedimento
Slices for bodySite	Σ	1..6	CodeableConcept	Dente e região da boca Slice: Unordered, Open by value:coding.system Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
bodySite:dente	Σ	0..1	CodeableConcept	Dados do dente Binding: Dente (required)
coding	Σ	1..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-28
bodySite:faceDente	Σ	0..5	CodeableConcept	Dados da face do dente Binding: face de dente (required)
coding	Σ	1..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-32
bodySite:regiaoBoca	Σ	0..1	CodeableConcept	Dados da região da boca Binding: região da boca (required)
coding	Σ	1..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-42
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Procedure.identifier:guia-operadora.use	required	IdentifierUse
Procedure.identifier:guia-prestador.use	required	IdentifierUse
Procedure.identifier:identificacao-reembolso.use	required	IdentifierUse
Procedure.status	required	Fixed Value: completed
Procedure.code	required	GrupoProcedimento
Procedure.bodySite	example	SNOMEDCTBodyStructures
Procedure.bodySite:dente	required	Dente (a valid code from Tabela 28 - Dentes)
Procedure.bodySite:faceDente	required	FaceDente (a valid code from Tabela 32 - Faces do dente)
Procedure.bodySite:regiaoBoca	required	RegiaoBoca (a valid code from Tabela 42 - Regiões da boca)

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	GrupoProcedimento	Dados
id	Σ	0..1	id	Identificador lógico ou físico
meta	Σ	0..1	Meta	Elemento de metadados para identificações adicionais do Recurso
implicitRules	?!Σ	0..1	uri	Regras implícitas deste perfil
language		0..1	code	Conceito codificável que classifica o idioma Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Texto livre que descreve a história de forma legível para seres humanos
contained		0..*	Resource	Outras informações que não existem por si só e só existem por dependência
extension		0..*	Extension	Conjunto de campos adicionais que são extensões ao modelo de informação
modifierExtension	?!	0..*	Extension	Conjuntos de campos adicionais que são extensões ao modelo de informação e não podem ser ignorados
Slices for identifier	Σ	1..*	Identifier	Identificador Slice: Unordered, Open by value:system
identifier:guia-operadora	Σ	0..1	Identifier	Identificador da guia de operadora
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Identificador da guia de operadora Fixed Value: https://fhir.ans.gov.br/sid/numero-guia-operadora
value	Σ	1..1	string	Identificador da guia de operadora Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:guia-prestador	Σ	0..*	Identifier	Identificador da guia de prestador
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Identificador da guia de prestador Fixed Value: https://fhir.ans.gov.br/sid/numero-guia-prestador
value	Σ	1..1	string	Identificador da guia de prestador Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:identificacao-reembolso	Σ	0..*	Identifier	Identificador de reembolso
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Identificador de reembolso Fixed Value: https://fhir.ans.gov.br/sid/numero-identificacao-reembolso
value	Σ	1..1	string	Identificador da guia de prestador Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	URL que remete ao protocolo em que o evento foi embasado
instantiatesUri	Σ	0..*	uri	URI que remete ao protocolo em que o evento foi embasado
basedOn	Σ	1..*	Reference(Grupo de Requisição de Serviços | Grupo de Requisições de serviços odontológicos)	Plano de cuidado, requisição de serviço ou requisição de medicamento que remete a essa requisição
status	?!Σ	1..1	code	Status Binding: EventStatus (required): A code specifying the state of the procedure. Fixed Value: completed
statusReason	Σ	0..1	CodeableConcept	Razão pela qual não há status para a realização do procedimento Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..1	CodeableConcept	Categoria Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
code	Σ	1..1	CodeableConcept	Conceito codificável que classifica o procedimento requisitado Binding: Grupo de Procedimentos (required): Conceito codificável que classifica o grupo de procedimentos
subject	Σ	1..1	Reference(Paciente)	Paciente ao qual a realização do procedimento foi requisitada
encounter	Σ	0..1	Reference(Contato Assistencial)	Atendimento em que o procedimento foi requisitado
performed[x]	Σ	1..1		Momento em que o procedimento foi realizado
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	Σ	0..1	Reference(Profissional prestador do serviço)	Quem registrou o procedimento
asserter	Σ	0..1	Reference(Paciente)	Quem garante a realização do procedimento
performer	Σ	1..*	BackboneElement	Profissional executante do procedimento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Função do profissional executante do procedimento Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	Σ	1..1	Reference(Estabelecimento de Saúde | Profissional prestador do serviço | Papel do Profissional)	Profissional executante do procedimento
onBehalfOf		0..1	Reference(Estabelecimento de Saúde)	Órgão ou entidade em nome do qual o estabelecimento executante do procedimento atua
location	Σ	0..1	Reference(Location)	Local onde foi requisitada a realização do procedimento
reasonCode	Σ	0..*	CodeableConcept	Conceito codificável que classifica a razão pela qual o procedimento foi requisitado Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Condição, Resultado de Exame Laboratorial ou Documento Clínico que motivaram a solicitação do procedimento
Slices for bodySite	Σ	1..6	CodeableConcept	Dente e região da boca Slice: Unordered, Open by value:coding.system Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
bodySite:dente	Σ	0..1	CodeableConcept	Dados do dente Binding: Dente (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-28
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
bodySite:faceDente	Σ	0..5	CodeableConcept	Dados da face do dente Binding: face de dente (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-32
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
bodySite:regiaoBoca	Σ	0..1	CodeableConcept	Dados da região da boca Binding: região da boca (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-42
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
outcome	Σ	0..1	CodeableConcept	Conceito codificável que classifica o resultado da realização do procedimento Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Laudo ou documento clínico do resultado do procedimento
complication		0..*	CodeableConcept	Conceito codificável que classifica a complicação ocorrida depois do procedumento Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	Condição clíniica da complicação
followUp		0..*	CodeableConcept	Conceito codificável que classifica como deve ser o acompanhamento do paciente pós-procedimento. Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Anotações adicionais sobre a requisição do procedimento
focalDevice		0..*	BackboneElement	Descrição do implante colocado durante a realização do procedimento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device | Medication | Substance)	Dispositivo, Medicação ou Substância utilizada durante a realização do procedimento
usedCode		0..*	CodeableConcept	Conceito cdificável que classifica os itens utilizados durante a realização do procedimento Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Procedure.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Procedure.identifier:guia-operadora.use	required	IdentifierUse
Procedure.identifier:guia-operadora.type	extensible	Identifier Type Codes
Procedure.identifier:guia-prestador.use	required	IdentifierUse
Procedure.identifier:guia-prestador.type	extensible	Identifier Type Codes
Procedure.identifier:identificacao-reembolso.use	required	IdentifierUse
Procedure.identifier:identificacao-reembolso.type	extensible	Identifier Type Codes
Procedure.status	required	Fixed Value: completed
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT)
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT)
Procedure.code	required	GrupoProcedimento
Procedure.performer.function	example	ProcedurePerformerRoleCodes
Procedure.reasonCode	example	ProcedureReasonCodes
Procedure.bodySite	example	SNOMEDCTBodyStructures
Procedure.bodySite:dente	required	Dente (a valid code from Tabela 28 - Dentes)
Procedure.bodySite:faceDente	required	FaceDente (a valid code from Tabela 32 - Faces do dente)
Procedure.bodySite:regiaoBoca	required	RegiaoBoca (a valid code from Tabela 42 - Regiões da boca)
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT)
Procedure.complication	example	Condition/Problem/DiagnosisCodes
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes
Procedure.usedCode	example	FHIRDeviceTypes

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 1 element (6 nested mandatory elements)
Fixed Value: 3 elements

Slices

This structure defines the following Slices:

• The element Procedure.bodySite is sliced based on the value of value:coding.system

Name	Flags	Card.	Type	Description & Constraints
Procedure			GrupoProcedimento
Slices for bodySite		1..6	CodeableConcept	Dente e região da boca Slice: Unordered, Open by value:coding.system
bodySite:dente		0..1	CodeableConcept	Dados do dente Binding: Dente (required)
coding		1..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-28
bodySite:faceDente		0..5	CodeableConcept	Dados da face do dente Binding: face de dente (required)
coding		1..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-32
bodySite:regiaoBoca		0..1	CodeableConcept	Dados da região da boca Binding: região da boca (required)
coding		1..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-42
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Procedure.bodySite:dente	required	Dente (a valid code from Tabela 28 - Dentes)
Procedure.bodySite:faceDente	required	FaceDente (a valid code from Tabela 32 - Faces do dente)
Procedure.bodySite:regiaoBoca	required	RegiaoBoca (a valid code from Tabela 42 - Regiões da boca)

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	GrupoProcedimento	Dados
implicitRules	?!Σ	0..1	uri	Regras implícitas deste perfil
modifierExtension	?!	0..*	Extension	Conjuntos de campos adicionais que são extensões ao modelo de informação e não podem ser ignorados
Slices for identifier	Σ	1..*	Identifier	Identificador Slice: Unordered, Open by value:system
identifier:guia-operadora	Σ	0..1	Identifier	Identificador da guia de operadora
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Identificador da guia de operadora Fixed Value: https://fhir.ans.gov.br/sid/numero-guia-operadora
value	Σ	1..1	string	Identificador da guia de operadora Example General: 123456
identifier:guia-prestador	Σ	0..*	Identifier	Identificador da guia de prestador
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Identificador da guia de prestador Fixed Value: https://fhir.ans.gov.br/sid/numero-guia-prestador
value	Σ	1..1	string	Identificador da guia de prestador Example General: 123456
identifier:identificacao-reembolso	Σ	0..*	Identifier	Identificador de reembolso
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Identificador de reembolso Fixed Value: https://fhir.ans.gov.br/sid/numero-identificacao-reembolso
value	Σ	1..1	string	Identificador da guia de prestador Example General: 123456
basedOn	Σ	1..*	Reference(Grupo de Requisição de Serviços | Grupo de Requisições de serviços odontológicos)	Plano de cuidado, requisição de serviço ou requisição de medicamento que remete a essa requisição
status	?!Σ	1..1	code	Status Binding: EventStatus (required): A code specifying the state of the procedure. Fixed Value: completed
code	Σ	1..1	CodeableConcept	Conceito codificável que classifica o procedimento requisitado Binding: Grupo de Procedimentos (required): Conceito codificável que classifica o grupo de procedimentos
subject	Σ	1..1	Reference(Paciente)	Paciente ao qual a realização do procedimento foi requisitada
performed[x]	Σ	1..1		Momento em que o procedimento foi realizado
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
performer	Σ	1..*	BackboneElement	Profissional executante do procedimento
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Estabelecimento de Saúde | Profissional prestador do serviço | Papel do Profissional)	Profissional executante do procedimento
Slices for bodySite	Σ	1..6	CodeableConcept	Dente e região da boca Slice: Unordered, Open by value:coding.system Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
bodySite:dente	Σ	0..1	CodeableConcept	Dados do dente Binding: Dente (required)
coding	Σ	1..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-28
bodySite:faceDente	Σ	0..5	CodeableConcept	Dados da face do dente Binding: face de dente (required)
coding	Σ	1..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-32
bodySite:regiaoBoca	Σ	0..1	CodeableConcept	Dados da região da boca Binding: região da boca (required)
coding	Σ	1..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-42
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Procedure.identifier:guia-operadora.use	required	IdentifierUse
Procedure.identifier:guia-prestador.use	required	IdentifierUse
Procedure.identifier:identificacao-reembolso.use	required	IdentifierUse
Procedure.status	required	Fixed Value: completed
Procedure.code	required	GrupoProcedimento
Procedure.bodySite	example	SNOMEDCTBodyStructures
Procedure.bodySite:dente	required	Dente (a valid code from Tabela 28 - Dentes)
Procedure.bodySite:faceDente	required	FaceDente (a valid code from Tabela 32 - Faces do dente)
Procedure.bodySite:regiaoBoca	required	RegiaoBoca (a valid code from Tabela 42 - Regiões da boca)

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	GrupoProcedimento	Dados
id	Σ	0..1	id	Identificador lógico ou físico
meta	Σ	0..1	Meta	Elemento de metadados para identificações adicionais do Recurso
implicitRules	?!Σ	0..1	uri	Regras implícitas deste perfil
language		0..1	code	Conceito codificável que classifica o idioma Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Texto livre que descreve a história de forma legível para seres humanos
contained		0..*	Resource	Outras informações que não existem por si só e só existem por dependência
extension		0..*	Extension	Conjunto de campos adicionais que são extensões ao modelo de informação
modifierExtension	?!	0..*	Extension	Conjuntos de campos adicionais que são extensões ao modelo de informação e não podem ser ignorados
Slices for identifier	Σ	1..*	Identifier	Identificador Slice: Unordered, Open by value:system
identifier:guia-operadora	Σ	0..1	Identifier	Identificador da guia de operadora
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Identificador da guia de operadora Fixed Value: https://fhir.ans.gov.br/sid/numero-guia-operadora
value	Σ	1..1	string	Identificador da guia de operadora Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:guia-prestador	Σ	0..*	Identifier	Identificador da guia de prestador
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Identificador da guia de prestador Fixed Value: https://fhir.ans.gov.br/sid/numero-guia-prestador
value	Σ	1..1	string	Identificador da guia de prestador Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:identificacao-reembolso	Σ	0..*	Identifier	Identificador de reembolso
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Identificador de reembolso Fixed Value: https://fhir.ans.gov.br/sid/numero-identificacao-reembolso
value	Σ	1..1	string	Identificador da guia de prestador Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	URL que remete ao protocolo em que o evento foi embasado
instantiatesUri	Σ	0..*	uri	URI que remete ao protocolo em que o evento foi embasado
basedOn	Σ	1..*	Reference(Grupo de Requisição de Serviços | Grupo de Requisições de serviços odontológicos)	Plano de cuidado, requisição de serviço ou requisição de medicamento que remete a essa requisição
status	?!Σ	1..1	code	Status Binding: EventStatus (required): A code specifying the state of the procedure. Fixed Value: completed
statusReason	Σ	0..1	CodeableConcept	Razão pela qual não há status para a realização do procedimento Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..1	CodeableConcept	Categoria Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
code	Σ	1..1	CodeableConcept	Conceito codificável que classifica o procedimento requisitado Binding: Grupo de Procedimentos (required): Conceito codificável que classifica o grupo de procedimentos
subject	Σ	1..1	Reference(Paciente)	Paciente ao qual a realização do procedimento foi requisitada
encounter	Σ	0..1	Reference(Contato Assistencial)	Atendimento em que o procedimento foi requisitado
performed[x]	Σ	1..1		Momento em que o procedimento foi realizado
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	Σ	0..1	Reference(Profissional prestador do serviço)	Quem registrou o procedimento
asserter	Σ	0..1	Reference(Paciente)	Quem garante a realização do procedimento
performer	Σ	1..*	BackboneElement	Profissional executante do procedimento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Função do profissional executante do procedimento Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	Σ	1..1	Reference(Estabelecimento de Saúde | Profissional prestador do serviço | Papel do Profissional)	Profissional executante do procedimento
onBehalfOf		0..1	Reference(Estabelecimento de Saúde)	Órgão ou entidade em nome do qual o estabelecimento executante do procedimento atua
location	Σ	0..1	Reference(Location)	Local onde foi requisitada a realização do procedimento
reasonCode	Σ	0..*	CodeableConcept	Conceito codificável que classifica a razão pela qual o procedimento foi requisitado Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Condição, Resultado de Exame Laboratorial ou Documento Clínico que motivaram a solicitação do procedimento
Slices for bodySite	Σ	1..6	CodeableConcept	Dente e região da boca Slice: Unordered, Open by value:coding.system Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
bodySite:dente	Σ	0..1	CodeableConcept	Dados do dente Binding: Dente (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-28
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
bodySite:faceDente	Σ	0..5	CodeableConcept	Dados da face do dente Binding: face de dente (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-32
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
bodySite:regiaoBoca	Σ	0..1	CodeableConcept	Dados da região da boca Binding: região da boca (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ans.gov.br/CodeSystem/tuss-42
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
outcome	Σ	0..1	CodeableConcept	Conceito codificável que classifica o resultado da realização do procedimento Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Laudo ou documento clínico do resultado do procedimento
complication		0..*	CodeableConcept	Conceito codificável que classifica a complicação ocorrida depois do procedumento Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	Condição clíniica da complicação
followUp		0..*	CodeableConcept	Conceito codificável que classifica como deve ser o acompanhamento do paciente pós-procedimento. Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Anotações adicionais sobre a requisição do procedimento
focalDevice		0..*	BackboneElement	Descrição do implante colocado durante a realização do procedimento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device | Medication | Substance)	Dispositivo, Medicação ou Substância utilizada durante a realização do procedimento
usedCode		0..*	CodeableConcept	Conceito cdificável que classifica os itens utilizados durante a realização do procedimento Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Procedure.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Procedure.identifier:guia-operadora.use	required	IdentifierUse
Procedure.identifier:guia-operadora.type	extensible	Identifier Type Codes
Procedure.identifier:guia-prestador.use	required	IdentifierUse
Procedure.identifier:guia-prestador.type	extensible	Identifier Type Codes
Procedure.identifier:identificacao-reembolso.use	required	IdentifierUse
Procedure.identifier:identificacao-reembolso.type	extensible	Identifier Type Codes
Procedure.status	required	Fixed Value: completed
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT)
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT)
Procedure.code	required	GrupoProcedimento
Procedure.performer.function	example	ProcedurePerformerRoleCodes
Procedure.reasonCode	example	ProcedureReasonCodes
Procedure.bodySite	example	SNOMEDCTBodyStructures
Procedure.bodySite:dente	required	Dente (a valid code from Tabela 28 - Dentes)
Procedure.bodySite:faceDente	required	FaceDente (a valid code from Tabela 32 - Faces do dente)
Procedure.bodySite:regiaoBoca	required	RegiaoBoca (a valid code from Tabela 42 - Regiões da boca)
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT)
Procedure.complication	example	Condition/Problem/DiagnosisCodes
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes
Procedure.usedCode	example	FHIRDeviceTypes

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 1 element (6 nested mandatory elements)
Fixed Value: 3 elements

Slices

This structure defines the following Slices:

• The element Procedure.bodySite is sliced based on the value of value:coding.system