Árvore de páginas

Versões comparadas

Chave

  • Esta linha foi adicionada.
  • Esta linha foi removida.
  • A formatação mudou.

...

  • Acessar o SIGAPLS menu Atualizações > SIP Gerencial > Natureza de Saúde e realizar o cadastro das naturezas de saúde do SIP. A tabela abaixo é apenas um exemplo de como as naturezas devem ficar ao término do cadastro:

    BF0_CODSUPBF0_CODIGOBF0_DESCRIBF0_CLASSEBF0_NIVELBF0_IMPRIMBF0_IDADE1BF0_IDADE2BF0_SEXOBF0_BENEFBF0_DESSIP
           A      CONSULTAS MEDICAS                                                                         1110999
    1consultasMedicas                                            
    A      A1     Consultas medicas ambulatoriais                                                           2210999
    1consultasMedicasAmb                                         
    A1     A11    Alergia e Imunologia                                                                      2310999
    1alergiaImunologia                                           
    A1     A12    Angiologia                                                                                2310999
    1angiologia                                                  
    A1     A13    Cardiologia                                                                               2310999
    1cardiologia                                                 
    A1     A14    Cirurgia geral                                                                            2310999
    1cirurgiaGeral                                               
    A1     A15    Clinica medica                                                                            2310999
    1clinicaMedica                                               
    A1     A16    Dermatologia                                                                              2310999
    1dermatologia                                                
    A1     A17    Endocrinologia                                                                            2310999
    1endocrinologia                                              
    A1     A18    Gastroenterologia                                                                         2310999
    1gastroenterologia                                           
    A1     A19    Geriatria                                                                                 2310999
    1geriatria                                                   
    A1     A110   Ginecologia e Obstetricia                                                                 2310999
    1GinecologiaObstetricia                                      
    A1     A111   Hematologia                                                                               2310999
    1hematologia                                                 
    A1     A112   Mastologia                                                                                2310999
    1mastologia                                                  
    A1     A113   Nefrologia                                                                                2310999
    1nefrologia                                                  
    A1     A114   Neurocirurgia                                                                             2310999
    1neurocirurgia                                               
    A1     A115   Neurologia                                                                                2310999
    1neurologia                                                  
    A1     A116   Oftalmologia                                                                              2310999
    1oftalmologia                                                
    A1     A117   Oncologia                                                                                 2310999
    1oncologia                                                   
    A1     A118   Otorrinolaringologia                                                                      2310999
    1otorrinolaringologia                                        
    A1     A119   Pediatria                                                                                 2310999
    1pediatria                                                   
    A1     A120   Proctologia                                                                               2310999
    1proctologia                                                 
    A1     A121   Psiquiatria                                                                               2310999
    1psiquiatria                                                 
    A1     A122   Reumatologia                                                                              2310999
    1reumatologia                                                
    A1     A123   Tisiopneumologia                                                                          2310999
    1tisiopneumologia                                            
    A1     A124   Traumatologia-ortopedia                                                                   2310999
    1traumatologiaOrtopedica                                     
    A1     A125   Urologia                                                                                  2310999
    1urologia                                                    
    A      A2     Consultas medicas em Pronto Socorro                                                       1210999
    1consultaMedProntSoc                                         
           B      OUTROS ATENDIMENTOS AMBULATORIAIS                                                         1110999
    1outrosAtendAmb                                              
    B      B1     Consultas/sessoes com Fisioterapeuta                                                      2210999
    1consultaSessaoFisio                                         
    B      B2     Consultas/sessoes com Fonoaudiologo                                                       2210999
    1consultaSessaoFono                                          
    B      B3     Consultas/sessoes com Nutricionista                                                       2210999
    1consultaSessaoNutri                                         
    B      B4     Consultas/sessoes com Terapeuta ocupacional                                               2210999
    1consultaSessaoTerap                                         
    B      B5     Consultas/sessoes com Psicologo                                                           2210999
    1consultaSessaoPsico                                         
           C      EXAMES                                                                                    1110999
    1exames                                                      
    C      C1     Ressonancia magnetica                                                                     2210999
    1ressonanciaMagnet                                           
    C      C2     Tomografia computadorizada                                                                2210999
    1tomografiaComputa                                           
    C      C3     Procedimento diagnostico em citopatologia cervico-vaginal oncotica em mulheres de 25 a 59 221255921procedDiagnCitopat                                          
    C      C4     Densitometria ossea – qualquer segmento                                                   2210999
    1densitometriaOssea                                          
    C      C5     Ecodopplercardiograma transtoracico                                                       2210999
    1ecodopplerTranstora                                         
    C      C6     Broncoscopia com ou sem biopsia                                                           2210999
    1broncoscopiabiopsia                                         
    C      C7     Endoscopia digestiva alta                                                                 2210999
    1endoscopiaDigestiva                                         
    C      C8     Colonoscopia                                                                              2210999
    1colonoscopia                                                
    C      C9     Holter de 24 horas                                                                        2210999
    1holter24h                                                   
    C      C10    Mamografia convencional e digital                                                         2210999
    1mamografiaConvDig                                           
    C10    C101   Mamografia em mulheres de 50 a 69 anos                                                    231506921mamografia50a69                                             
    C      C11    Cintilografia miocardica                                                                  2210999
    1cintilografiaMiocard                                        
    C      C12    Cintilografia renal dinamica                                                              2210999
    1cintilografiaRenal                                          
    C      C13    Hemoglobina glicada                                                                       2210999
    1hemoglobinaGlicada                                          
    C      C14    Pesquisa de sangue oculto nas fezes                                                       2210999
    1pesqSangueOculto                                            
    C      C15    Radiografia                                                                               2210999
    1radiografia                                                 
    C      C16    Teste ergometrico                                                                         2210999
    1testeErgometrico                                            
    C      C17    Ultra-sonografia diagnostica de abdome total                                              2210999
    1ultraSonAbdoTotal                                           
    C      C18    Ultra-sonografia diagnostica de abdome inferior                                           2210999
    1ultraSonAbdoInfer                                           
    C      C19    Ultra-sonografia diagnostica de abdome superior                                           2210999
    1ultraSonAbdoSuper                                           
    C      C20    Ultra-sonografia obstetrica morfologica                                                   2210999
    1ultraSonObstMorfo                                           
           D      TERAPIAS                                                                                  1110999
    1terapias                                                    
    D      D1     Transfusao ambulatorial                                                                   2210999
    1transfusaoAmbulatorial                                      
    D      D2     Quimioterapia sistemica                                                                   2210999
    1quimioSistemica                                             
    D      D3     Radioterapia megavoltagem                                                                 2210999
    1
    radioterapiaMegavolt                                        
    radioterapiaMegavolt                                        
    D      D4     Hemodialise aguda                                                                         2210999
    1hemodialiseAguda                                            
    D      D5     Hemodialise cronica                                                                       2210999
    1hemodialiseCronica                                          
    D      D6     Implante de dispositivo intrauterino – DIU                                                2210999
    1implanteDispIntrauterino                                    
           E      INTERNACOES                                                                               1110999
    1internacoes                                                 
    E      E11     Clinica                                                                                   2210999
    1clinica                                                     
    E      E12     Cirurgica                                                                                 2210999
    1cirurgica                                                   
    E12     E121    Cirurgia bariatrica                                                                       2310999
    1cirurgiaBariatrica                                          
    E12     E122    Laqueadura tubaria                                                                        2310999
    1laqueaduraTubaria                                           
    E12     E123    Vasectomia                                                                                2310999
    1vasectomia                                                  
    E12     E124    Fratura de femur (60 anos ou mais)                                                        23160999
    1fraturaFemur60                                              
    E12     E125    Revisao de artroplastia                                                                   2310999
    1revisaoArtroplastia                                         
    E12     E126    Implante de CDI (cardio desfibrilador implantavel)                                        2310999
    1implanteCdi                                                 
    E12     E127    Implantacao de marcapasso                                                                 2310999
    1implantacaoMarcap                                           
    E      E13     Obstetrica                                                                                2210999
    1obstetrica                                                  
    E3     E131    Parto normal                                                                              2310999
    1partoNormal                                                 
    E3     E132    Parto cesareo                                                                             2310999
    1partoCesareo                                                
    E1E14     Pediatrica                                                                                2210999
    1pediatrica                                                  
    E14     E141    Internacao de 0 a 5 anos de idade por doencas respiratorias                               23105
    1internacaoRespira                                           
    E14     E142    Internacao em UTI no periodo neonatal                                                     231028
    1internacaoUtiNeo                                            
    E142    E1421   Internacoes em UTI no periodo neonatal por ate 48 horas                                   23106
    1internacoesUtiNeo48                                         
    E1   E15     Psiquiatrica                                                                              2210999
    1psiquiatrica                                                
    E15     E151    Hospitalar                                                                                2310999
    1hospitalar                                                  
    E15     E152    Hospital-dia                                                                              2210999
    1hospitalDia                                                 
    E152    E1521   Hospital-dia para saude mental                                                            2310999
    1hospitalSaudeMental                                         
    E15     E153    Domiciliar                                                                                2310999
    1domiciliar                                                  
           F      CAUSAS SELECIONADAS DE INTERNACAO                                                         1110999
    1causaSelecInterna                                           
    F      F1     Neoplasias                                                                                2210999
    1neoplasias                                                  
    F1     F11    Cancer de mama feminino                                                                   2310999
    1cancerMamaFem                                               
    F11    F111   Tratamento cirurgico de cancer de mama feminino                                           2310999
    1tratCirurgCancerMam                                         
    F1     F12    Cancer de colo de utero                                                                   2310999
    1cancerColoUtero                                             
    F12    F121   Tratamento cirurgico de cancer de colo de utero                                           2310999
    1tratCirurgCancerColo                                        
    F1     F13    Cancer de colon e reto                                                                    2310999
    1cancerColonReto                                             
    F13    F131   Tratamento cirurgico de cancer de colon e reto                                            2310999
    1tratCirurgCancerColoReto                                    
    F1     F14    Cancer de prostata                                                                        2310999
    1cancerProstata                                              
    F14    F141   Tratamento cirurgico de cancer de prostata                                                2310999
    1tratCirurgCancerProst                                       
    F      F2     Diabetes mellitus                                                                         2210999
    1diabetesMellitus                                            
    F      F3     Doencas do aparelho circulatorio                                                          2210999
    1doencasAparelhoCirc                                         
    F3     F31    Infarto agudo do miocardio                                                                2310999
    1infartoAgudoMiocardio                                       
    F3     F32    Doencas hipertensivas                                                                     2310999
    1doencasHipertensivas                                        
    F3     F33    Insuficiencia cardiaca congestiva                                                         2310999
    1insuficienciaCardCong                                       
    F3     F34    Doencas cerebrovasculares                                                                 2310999
    1doencasCerebrovasc                                          
    F34    F341   Acidente vascular cerebral                                                                2310999
    1acidenteVascularCere                                        
    F      F4     Doencas do aparelho respiratorio                                                          2210999
    1doencasAparelhoResp                                         
    F4     F41    Doenca pulmonar obstrutiva cronica                                                        2310999
    1doencaPulmoObstrCron                                        
    F      F5     Causas externas                                                                           2210999
    1causasExternas                                              
           G      NASCIDO VIVO                                                                              1110999
    1nascidoVivo                                                 
           H      DEMAIS DESPESAS MEDICOHOSPITALARES                                                        1110999
    1demaisDespMedHosp                                           
           I      PROCEDIMENTOS ODONTOLOGICOS                                                               1110999
    1procedimentosOdonto                                         
    I      I1     Consultas odontologicas iniciais                                                          2210999
    1consultasOdontoInic                                         
    I      I2     Exames radiograficos                                                                      2210999
    1examesRadiograficos                                         
    I      I3     Procedimentos preventivos                                                                 2210999
    1procedimentosPrevent                                        
    I3     I31    Atividade educativa individual                                                            2310999
    1atividadeEduIndividual                                      
    I3     I32    Aplicacao topica profissional de fluor por hemi-arcada                                    2310999
    1aplicTopProfFluorHemi                                       
    I3     I33    Selante por elemento dentario (menores de 12 anos)                                        231012
    1selanteElemDentario                                         
    I      I4     Raspagem supra-gengival por hemiarcada (12 anos ou mais)                                  22112999
    1raspSupraGengHemi                                           
    I      I5     Restauracao em dentes deciduos por elemento (menores de 12 anos)                          221012
    1restauraDenteDeciduo                                        
    I      I6     Restauracao em dentes permanentes por elemento (12 anos ou mais)                          22112999
    1restauraDentePerma                                          
    I7     I7     Exodontias simples de permanentes (12 anos ou mais)                                       22112999
    1exodontiasSimplesPer                                        
    I      I8     Tratamento endodontico concluido em dentes deciduos por elemento (menores de 12 anos)     221012
    1trataEndoConclDentesD                                       
    I      I9     Tratamento endodontico concluido em dentes permanentes por elemento (12 anos ou mais)     22112999
    1trataEndoConclDentesP                                       
    I      I10    Proteses odontologicas                                                                    2310999
    1protesesOdontologicas                                       
    I      I11    Proteses odontologicas unitarias (Coroa Total e Restauracao Metalica Fundida)             2310999
    1protesesOdontoUnitarias                                     
  • Análise de especialidades médicas
    • As especialidades médicas (BAQ) precisam ter uma classificação SIP para consulta. Olhar na tabela BAQ se existe pelo menos uma especialidade com o campo BAQ_ESPSP2 preenchido para cada classificação de consulta (A11 até A125) conforme planilha em anexo. Essa regra é um alerta, pois a operadora pode não ter atendimento dessas especialidades. De qualquer forma, é indicado ter pelo menos uma especialidade para cada classificação.
  • Análise de classificação de procedimentos
    • Nenhum procedimento (BR8) pode ter o campo BR8_CLASIP ou BR8_CLASP2 igual a 'A'
    • Pelo menos 1 procedimento deve ter o campo BR8_CLASIP igual a 'B' e campo BR8_FCAREN igual a '1'
    • Pelo menos 1 procedimento deve ter o campo BR8_CLASIP igual a 'C' e campo BR8_FCAREN igual a '1'
    • Pelo menos 1 procedimento deve ter o campo BR8_CLASIP igual a 'D' e campo BR8_FCAREN igual a '1'
    • Pelo menos 1 procedimento deve ter o campo BR8_CLASP2 igual a 'E141' e campo BR8_FCAREN igual a '1'
    • Para operadoras com planos odontológicos: Pelo menos 1 procedimento deve ter o campo BR8_CLASIP igual a 'I' e campo BR8_FCAREN igual a '1'
  • Verificar se os procedimentos descritos na tabela De x Para TUSS estão com a classificação correta conforme planilha anexa.
  • Verificar se os procedimentos descritos na tabela De x Para TUSS estão com a classificação correta conforme planilha anexa.Corrigir os que estiverem errados conforme a tabela em questão (Aba classificação de procedimentos).

...