<?xml version="1.0" encoding="ISO-8859-1"?> <schema xmlns:ds="http://www.w3.org/2000/09/xmldsig#" xmlns="http://www.w3.org/2001/XMLSchema" xmlns:ans="http://www.ans.gov.br/padroes/tiss/schemas" targetNamespace="http://www.ans.gov.br/padroes/tiss/schemas" elementFormDefault="qualified"> <!--VERS�O TISS 3.01.01 - TissGuiasv3_01_00--> <!--<include schemaLocation="http://www.ans.gov.br/padroes/tiss/schemas/tissSimpleTypesV3_00_00.xsd"/> <include schemaLocation="http://www.ans.gov.br/padroes/tiss/schemas/tissComplexTypesV3_00_00.xsd"/>--> <include schemaLocation="tissAssinaturaDigital_v1.01.xsd"/> <include schemaLocation="tissSimpleTypesV3_02_00.xsd"/> <include schemaLocation="tissComplexTypesV3_02_00.xsd"/> <!--<complexType name="ctm_anexoLote"> <sequence> <element name="numeroLote" type="ans:st_texto12"/> <element name="anexosClinicos"> <complexType> <choice> <element name="solicitacaoQuimioterapia" type="ans:ctm_anexoSolicitacaoQuimio"/> <element name="solicitacaoRadioterapia" type="ans:ctm_anexoSolicitacaoRadio"/> <element name="solicitacaoOPME" type="ans:ctm_anexoSolicitacaoOPME"/> </choice> </complexType> </element> </sequence> </complexType>--> <!--************************************************ OPME SOLICITA��O ************************************ --> <complexType name="ctm_anexoSolicitacaoOPME"> <sequence> <element name="cabecalhoAnexo" type="ans:ct_anexoCabecalho"/> <element name="dadosBeneficiario" type="ans:ct_beneficiarioDados"/> <element name="profissionalSolicitante" type="ans:ctm_anexoSolicitante"/> <element name="justificativaTecnica" type="ans:st_texto1000"/> <element name="especificacaoMaterial" type="ans:st_texto500" minOccurs="0"/> <element name="opmeSolicitadas"> <complexType> <sequence> <element name="opmeSolicitada" maxOccurs="unbounded"> <complexType> <sequence> <element name="identificacaoOPME" type="ans:ct_procedimentoDados"/> <element name="opcaoFabricante" type="ans:dm_opcaoFabricante"/> <element name="quantidadeSolicitada" type="ans:st_numerico3"/> <element name="valorSolicitado" type="ans:st_decimal10-2" minOccurs="0"/> <element name="registroANVISA" type="ans:st_texto15" minOccurs="0"/> <element name="codigoRefFabricante" type="ans:st_texto60" minOccurs="0"/> <element name="autorizacaoFuncionamento" type="ans:st_texto30" minOccurs="0"/> </sequence> </complexType> </element> </sequence> </complexType> </element> <element name="Observacao" type="ans:st_texto500" minOccurs="0"/> </sequence> </complexType> <!--************************************************ QUIMIOTERAPIA ************************************ --> <complexType name="ctm_anexoSolicitacaoQuimio"> <sequence> <element name="cabecalhoAnexo" type="ans:ct_anexoCabecalho"/> <element name="dadosBeneficiario" type="ans:ct_beneficiarioDados"/> <element name="dadosComplementaresBeneficiario" type="ans:ct_dadosComplementaresBeneficiario"/> <element name="medicoSolicitante" type="ans:ctm_anexoSolicitante"/> <element name="diagnosticoOncologicoQuimioterapia"> <complexType> <sequence> <element name="diagQuimio" type="ans:ct_diagnosticoOncologico"/> <element name="tipoQuimioterapia" type="ans:dm_tipoQuimioterapia"/> <element name="planoTerapeutico" type="ans:st_texto1000"/> </sequence> </complexType> </element> <element name="drogasSolicitadas"> <complexType> <sequence> <element name="drogaSolicitada" type="ans:ct_drogasSolicitadas" maxOccurs="unbounded"/> </sequence> </complexType> </element> <element name="tratamentosAnteriores" minOccurs="0"> <complexType> <sequence> <element name="cirurgia" type="ans:st_texto40" minOccurs="0"/> <element name="datacirurgia" type="ans:st_data" minOccurs="0"/> <element name="areaIrradiada" type="ans:st_texto40" minOccurs="0"/> <element name="dataIrradiacao" type="ans:st_data" minOccurs="0"/> </sequence> </complexType> </element> <element name="numeroCiclos" type="ans:st_numerico2"/> <element name="cicloAtual" type="ans:st_numerico2"/> <element name="intervaloCiclos" type="ans:st_numerico3"/> <element name="observacao" type="ans:st_texto500" minOccurs="0"/> </sequence> </complexType> <!--************************************************ RADIOTERAPIA ************************************ --> <complexType name="ctm_anexoSolicitacaoRadio"> <sequence> <element name="cabecalhoAnexo" type="ans:ct_anexoCabecalho"/> <element name="dadosBeneficiario" type="ans:ct_beneficiarioDados"/> <element name="dadosComplementaresBeneficiario" type="ans:ct_dadosComplementaresBeneficiarioRadio"/> <element name="medicoSolicitante" type="ans:ctm_anexoSolicitante"/> <element name="diagnosticoOncologicoRadio"> <complexType> <sequence> <element name="diagRadio" type="ans:ct_diagnosticoOncologico"/> <element name="diagnosticoImagem" type="ans:dm_diagnosticoImagem" minOccurs="0"/> </sequence> </complexType> </element> <element name="tratamentosAnteriores" minOccurs="0"> <complexType> <sequence> <element name="cirurgia" type="ans:st_texto40" minOccurs="0"/> <element name="datacirurgia" type="ans:st_data" minOccurs="0"/> <element name="quimioterapia" type="ans:st_texto40" minOccurs="0"/> <element name="dataQuimioterapia" type="ans:st_data" minOccurs="0"/> </sequence> </complexType> </element> <element name="procedimentosComplementares"> <complexType> <sequence> <element name="procedimentoComplementar" type="ans:ct_procedimentosComplementares" maxOccurs="unbounded"/> </sequence> </complexType> </element> <element name="numeroCampos" type="ans:st_numerico3"/> <element name="doseCampo" type="ans:st_numerico4"/> <element name="doseTotal" type="ans:st_numerico4"/> <element name="nrDias" type="ans:st_numerico3"/> <element name="dtPrevistaInicio" type="ans:st_data"/> <element name="observacao" type="ans:st_texto500" minOccurs="0"/> </sequence> </complexType> <!--******************************************************** Fim da Radioterapia ***************************************************** --> <complexType name="ctm_anexoSolicitante"> <sequence> <element name="nomeProfissional" type="ans:st_texto70"/> <element name="telefoneProfissional" type="ans:st_texto11"/> <element name="emailProfissional" type="ans:st_texto60" minOccurs="0"/> </sequence> </complexType> <!-- Utilizado na resposta da operadora na autoriza��o de solic prorroga��o de interna��o --> <complexType name="ctm_autorizacaoProrrogacao"> <sequence> <element name="autorizacaoDosServicos" type="ans:ctm_autorizacaoServico"/> <element name="diariasAutorizadas" type="ans:st_numerico2" minOccurs="0"/> <element name="acomodacaoAutorizada" type="ans:dm_tipoAcomodacao" minOccurs="0"/> <element name="justificativaOperadora" type="ans:st_texto500" minOccurs="0"/> </sequence> </complexType> <!-- Utilizado na resposta da operadora na autoriza��o de solicitacao de interna��o --> <complexType name="ctm_autorizacaoInternacao"> <sequence> <element name="autorizacaoDosServicos" type="ans:ctm_autorizacaoServico"/> <element name="dataProvavelAdmissao" type="ans:st_data" minOccurs="0"/> <element name="qtdDiariasAutorizadas" type="ans:st_numerico3" minOccurs="0"/> <element name="tipoAcomodacaoAutorizada" type="ans:dm_tipoAcomodacao" minOccurs="0"/> </sequence> </complexType> <!-- Utilizado na resposta da operadora ao recebimento dos anexo de soliccita��o de OPME --> <complexType name="ctm_autorizacaoOPME"> <sequence> <element name="dadosAutorizacao" type="ans:ct_autorizacaoDados"/> <element name="dadosBeneficiario" type="ans:ct_beneficiarioDados"/> <element name="statusSolicitacao" type="ans:dm_statusSolicitacao"/> <element name="motivosNegativa" minOccurs="0"> <complexType> <sequence> <element name="motivoNegativa" type="ans:ct_motivoGlosa" maxOccurs="unbounded"/> </sequence> </complexType> </element> <element name="prestadorAutorizado" type="ans:ct_contratadoDados" minOccurs="0"/> <element name="servicosAutorizadosOPME" minOccurs="0" maxOccurs="unbounded"> <complexType> <complexContent> <extension base="ans:ct_procedimentoAutorizado"/> </complexContent> </complexType> </element> </sequence> </complexType> <complexType name="ctm_autorizacaoRadio"> <sequence> <element name="dadosAutorizacao" type="ans:ct_autorizacaoDados"/> <element name="numeroCarteira" type="ans:st_texto20"/> <element name="nomeBeneficiario" type="ans:st_texto70"/> <element name="numeroCNS" type="ans:st_texto15" minOccurs="0"/> <element name="statusSolicitacao" type="ans:dm_statusSolicitacao"/> <element name="dadosComplementaresBeneficiario" type="ans:ct_dadosComplementaresBeneficiarioRadio"/> <element name="medicoSolicitante" type="ans:ctm_anexoSolicitante"/> <element name="diagnosticoOncologicoRadio"> <complexType> <sequence> <element name="diagRadio" type="ans:ct_diagnosticoOncologico"/> <element name="diagnosticoImagem" type="ans:dm_diagnosticoImagem" minOccurs="0"/> </sequence> </complexType> </element> <element name="tratamentosAnteriores" minOccurs="0"> <complexType> <sequence> <element name="cirurgia" type="ans:st_texto40" minOccurs="0"/> <element name="datacirurgia" type="ans:st_data" minOccurs="0"/> <element name="quimioterapia" type="ans:st_texto40" minOccurs="0"/> <element name="dataQuimioterapia" type="ans:st_data" minOccurs="0"/> </sequence> </complexType> </element> <element name="procedimentosComplementares"> <complexType> <sequence> <element name="procedimentoComplementar" type="ans:ct_procedimentosComplementares" maxOccurs="unbounded"/> </sequence> </complexType> </element> <element name="numeroCampos" type="ans:st_numerico3"/> <element name="doseCampo" type="ans:st_numerico4"/> <element name="doseTotal" type="ans:st_numerico4"/> <element name="nrDias" type="ans:st_numerico3"/> <element name="dtPrevistaInicio" type="ans:st_data"/> <element name="motivosNegativa" minOccurs="0"> <complexType> <sequence> <element name="motivoNegativa" type="ans:ct_motivoGlosa" maxOccurs="unbounded"/> </sequence> </complexType> </element> </sequence> </complexType> <complexType name="ctm_autorizacaoQuimio"> <sequence> <element name="dadosAutorizacao" type="ans:ct_autorizacaoDados"/> <element name="numeroCarteira" type="ans:st_texto20"/> <element name="statusSolicitacao" type="ans:dm_statusSolicitacao"/> <element name="nomeBeneficiario" type="ans:st_texto70"/> <element name="numeroCNS" type="ans:st_texto15" minOccurs="0"/> <element name="dadosComplementaresBeneficiario" type="ans:ct_dadosComplementaresBeneficiario"/> <element name="medicoSolicitante" type="ans:ctm_anexoSolicitante"/> <element name="diagnosticoOncologicoQuimioterapia"> <complexType> <sequence> <element name="diagQuimio" type="ans:ct_diagnosticoOncologico"/> <element name="tipoQuimioterapia" type="ans:dm_tipoQuimioterapia"/> <element name="planoTerapeutico" type="ans:st_texto1000"/> </sequence> </complexType> </element> <element name="drogasSolicitadas"> <complexType> <sequence> <element name="drogaSolicitada" type="ans:ct_drogasSolicitadas" maxOccurs="unbounded"/> </sequence> </complexType> </element> <element name="tratamentosAnteriores" minOccurs="0"> <complexType> <sequence> <element name="cirurgia" type="ans:st_texto40" minOccurs="0"/> <element name="datacirurgia" type="ans:st_data" minOccurs="0"/> <element name="areaIrradiada" type="ans:st_texto40" minOccurs="0"/> <element name="dataIrradiacao" type="ans:st_data" minOccurs="0"/> </sequence> </complexType> </element> <element name="numeroCiclos" type="ans:st_numerico2"/> <element name="cicloAtual" type="ans:st_numerico2"/> <element name="intervaloCiclos" type="ans:st_numerico3"/> <element name="motivosNegativa" minOccurs="0"> <complexType> <sequence> <element name="motivoNegativa" type="ans:ct_motivoGlosa" maxOccurs="unbounded"/> </sequence> </complexType> </element> </sequence> </complexType> <!-- Utilizado na resposta da operadora na autoriza��o de solic de interna��o e de prorroga��o de interna��o --> <complexType name="ctm_autorizacaoServico"> <sequence> <element name="dadosAutorizacao" type="ans:ct_autorizacaoDados"/> <element name="dadosBeneficiario" type="ans:ct_beneficiarioDados"/> <element name="prestadorAutorizado" minOccurs="0"> <complexType> <sequence> <element name="dadosContratado" type="ans:ct_contratadoDados"/> <element name="cnesContratado" type="ans:st_texto7"/> </sequence> </complexType> </element> <element name="statusSolicitacao" type="ans:dm_statusSolicitacao"/> <element name="motivosNegativa" minOccurs="0"> <complexType> <sequence> <element name="motivoNegativa" type="ans:ct_motivoGlosa" maxOccurs="unbounded"/> </sequence> </complexType> </element> <element name="servicosAutorizados" minOccurs="0"> <complexType> <sequence> <element name="servicoAutorizado" type="ans:ct_procedimentoAutorizado" maxOccurs="unbounded"/> </sequence> </complexType> </element> <element name="observacao" type="ans:st_texto1000" minOccurs="0"/> <element name="autorizacaoQuimio" type="ans:ctm_autorizacaoQuimio" minOccurs="0"/> <element name="autorizacaoRadio" type="ans:ctm_autorizacaoRadio" minOccurs="0"/> </sequence> </complexType> <complexType name="ctm_beneficiarioComunicacao"> <sequence> <element name="dadosBeneficiario" type="ans:ct_beneficiarioDados"/> <element name="dataEvento" type="ans:st_data"/> <element name="tipoEvento" type="ans:dm_tipoEvento"/> <element name="dadosInternacao"> <complexType> <choice> <element name="motivoEncerramento" type="ans:dm_motivoSaida"/> <element name="tipoInternacao" type="ans:dm_tipoInternacao"/> </choice> </complexType> </element> </sequence> </complexType> <complexType name="ctm_beneficiarioComunicacaoRecibo"> <sequence> <element name="statusComunicacao" type="ans:dm_simNao"/> <element name="beneficiarioComunicacao" type="ans:ctm_beneficiarioComunicacao"/> <element name="mensagemErro" type="ans:ct_motivoGlosa" minOccurs="0"/> </sequence> </complexType> <complexType name="ctm_consultaAtendimento"> <sequence> <element name="dataAtendimento" type="ans:st_data"/> <element name="tipoConsulta" type="ans:dm_tipoConsulta"/> <element name="procedimento"> <complexType> <sequence> <element name="codigoTabela" type="ans:dm_tabela"/> <element name="codigoProcedimento" type="ans:st_texto10"/> <element name="valorProcedimento" type="ans:st_decimal8-2"/> </sequence> </complexType> </element> </sequence> </complexType> <!--============================= GUIA DE CONSULTA ===========================--> <complexType name="ctm_consultaGuia"> <sequence> <element name="cabecalhoConsulta" type="ans:ct_guiaCabecalho"/> <element name="numeroGuiaOperadora" type="ans:st_texto20" minOccurs="0"/> <element name="dadosBeneficiario" type="ans:ct_beneficiarioDados"/> <element name="contratadoExecutante"> <complexType> <complexContent> <extension base="ans:ct_contratadoDados"> <sequence> <element name="CNES" type="ans:st_texto7"/> </sequence> </extension> </complexContent> </complexType> </element> <element name="profissionalExecutante" type="ans:ct_contratadoProfissionalDados"/> <element name="indicacaoAcidente" type="ans:dm_indicadorAcidente"/> <element name="dadosAtendimento" type="ans:ctm_consultaAtendimento"/> <element name="observacao" type="ans:st_texto500" minOccurs="0"/> <element name="assinaturaDigitalGuia" type="ans:assinaturaDigital" minOccurs="0"/> </sequence> </complexType> <!--============================= DEMONSTRATIVO DE ANALISE DE CONTA ===========================--> <complexType name="ctm_demonstrativoAnaliseConta"> <sequence> <element name="cabecalhoDemonstrativo" type="ans:ct_demonstrativoCabecalho"/> <element name="dadosPrestador"> <complexType> <sequence> <element name="dadosContratado" type="ans:ct_contratadoDados"/> <element name="CNES" type="ans:st_texto7"/> </sequence> </complexType> </element> <element name="dadosConta"> <complexType> <sequence> <element name="dadosProtocolo" maxOccurs="unbounded"> <complexType> <complexContent> <extension base="ans:ct_contaMedicaResumo"/> </complexContent> </complexType> </element> </sequence> </complexType> </element> <element name="valorInformadoGeral" type="ans:st_decimal10-2"/> <element name="valorProcessadoGeral" type="ans:st_decimal10-2"/> <element name="valorLiberadoGeral" type="ans:st_decimal10-2"/> <element name="valorGlosaGeral" type="ans:st_decimal10-2" minOccurs="0"/> </sequence> </complexType> <!--============================= DEMONSTRATIVO DE PAGAMENTO ===========================--> <complexType name="ctm_demonstrativoPagamento"> <sequence> <element name="cabecalhoDemonstrativo" type="ans:ct_demonstrativoCabecalho"/> <element name="dadosContratado"> <complexType> <sequence> <element name="dadosPrestador" type="ans:ct_contratadoDados"/> <element name="CNES" type="ans:st_texto7"/> </sequence> </complexType> </element> <element name="pagamentos"> <complexType> <sequence> <element name="pagamentosPorData" maxOccurs="unbounded"> <complexType> <sequence> <element name="dadosPagamento" type="ans:ct_pagamentoDados"/> <element name="dadosResumo"> <complexType> <sequence> <element name="relacaoProtocolos" type="ans:ct_dadosResumoDemonstrativo" maxOccurs="unbounded"/> </sequence> </complexType> </element> <element name="totaisBrutosPorData"> <complexType> <sequence> <element name="totalInformadoPorData" type="ans:st_decimal10-2"/> <element name="totalProcessadoPorData" type="ans:st_decimal10-2"/> <element name="totaLiberadoPorData" type="ans:st_decimal10-2"/> <element name="totalGlosaPorData" type="ans:st_decimal10-2"/> </sequence> </complexType> </element> <element name="debitosCreditosPorData" minOccurs="0"> <complexType> <sequence> <element name="debitosCreditos" type="ans:ct_descontos" maxOccurs="unbounded"/> </sequence> </complexType> </element> <element name="totaisLiquidosPorData"> <complexType> <sequence> <element name="totalDebitosPorData" type="ans:st_decimal10-2"/> <element name="totalCreditosPorData" type="ans:st_decimal10-2"/> <element name="liquidoPorData" type="ans:st_decimal10-2"/> </sequence> </complexType> </element> </sequence> </complexType> </element> </sequence> </complexType> </element> <element name="totaisDemonstrativo"> <complexType> <sequence> <element name="totaisBrutosDemonstrativo"> <complexType> <sequence> <element name="valorInformadoBruto" type="ans:st_decimal10-2"/> <element name="valorProcessadoBruto" type="ans:st_decimal10-2"/> <element name="valorLiberadoBruto" type="ans:st_decimal10-2"/> <element name="valorGlosaBruto" type="ans:st_decimal10-2"/> </sequence> </complexType> </element> <element name="debitosCreditosDemonstrativo" type="ans:ct_descontos" minOccurs="0" maxOccurs="unbounded"/> <element name="totaisLiquidosDemonstrativo"> <complexType> <sequence> <element name="totalDebitosDemonstrativo" type="ans:st_decimal10-2"/> <element name="totalCreditosdemonstrativo" type="ans:st_decimal10-2"/> <element name="valorLiberadoDemonstrativo" type="ans:st_decimal10-2"/> </sequence> </complexType> </element> </sequence> </complexType> </element> <element name="observacao" type="ans:st_texto500" minOccurs="0"/> </sequence> </complexType> <!-- estrututra utilizada nos anexos de quimioterapia e radioterapia --> <!--<complexType name="ctm_estadiamento"> <sequence> <element name="tumor" type="ans:dm_tumor"/> <element name="nodulo" type="ans:dm_nodulo"/> <element name="metastase" type="ans:dm_metastase"/> </sequence> </complexType>--> <!-- LOTE DE GUIAS A SER ENVIADO A OPERADORA PELO PRESTADOR --> <complexType name="ctm_guiaLote"> <sequence> <element name="numeroLote" type="ans:st_texto12"/> <element name="guiasTISS"> <complexType> <choice> <element name="guiaSP-SADT" type="ans:ctm_sp-sadtGuia" maxOccurs="100"/> <element name="guiaResumoInternacao" type="ans:ctm_internacaoResumoGuia" maxOccurs="100"/> <element name="guiaHonorarios" type="ans:ctm_honorarioIndividualGuia" maxOccurs="100"/> <element name="guiaConsulta" type="ans:ctm_consultaGuia" maxOccurs="100"/> <element name="guiaOdonto" type="ans:cto_guiaOdontologia" maxOccurs="100"/> </choice> </complexType> </element> </sequence> </complexType> <!--============================= GUIA DE HONORARIO INDIVIDUAL ===========================--> <complexType name="ctm_honorarioIndividualGuia"> <sequence> <element name="cabecalhoGuia" type="ans:ct_guiaCabecalho"/> <element name="guiaSolicInternacao" type="ans:st_texto20"/> <element name="senha" type="ans:st_texto20" minOccurs="0"/> <element name="numeroGuiaOperadora" type="ans:st_texto20" minOccurs="0"/> <!-- dados beneficiario --> <element name="beneficiario"> <complexType> <sequence> <element name="numeroCarteira" type="ans:st_texto20"/> <element name="nomeBeneficiario" type="ans:st_texto70"/> <element name="atendimentoRN" type="ans:dm_simNao"/> </sequence> </complexType> </element> <!-- dados do contratado - onde foi executado o procedimento --> <element name="localContratado"> <complexType> <sequence> <element name="codigoContratado"> <complexType> <choice> <element name="codigoNaOperadora" type="ans:st_texto14"/> <element name="cnpjLocalExecutante" type="ans:st_CNPJ"/> </choice> </complexType> </element> <element name="nomeContratado" type="ans:st_texto70"/> <element name="cnes" type="ans:st_texto7"/> </sequence> </complexType> </element> <element name="dadosContratadoExecutante"> <complexType> <sequence> <element name="codigonaOperadora" type="ans:st_texto14"/> <element name="nomeContratadoExecutante" type="ans:st_texto70"/> <element name="cnesContratadoExecutante" type="ans:st_texto7"/> </sequence> </complexType> </element> <element name="dadosInternacao"> <complexType> <sequence> <element name="dataInicioFaturamento" type="ans:st_data"/> <element name="dataFimFaturamento" type="ans:st_data"/> </sequence> </complexType> </element> <element name="procedimentosRealizados"> <complexType> <sequence> <element name="procedimentoRealizado" type="ans:ct_procedimentoExecutadoHonorIndiv" maxOccurs="unbounded"/> </sequence> </complexType> </element> <element name="observacao" type="ans:st_texto500" minOccurs="0"/> <element name="valorTotalHonorarios" type="ans:st_decimal10-2"/> <element name="dataEmissaoGuia" type="ans:st_data"/> <element name="assinaturaDigitalGuia" type="ans:assinaturaDigital" minOccurs="0"/> </sequence> </complexType> <!-- Fim de honorario individual --> <complexType name="ctm_internacaoDados"> <sequence> <element name="caraterAtendimento" type="ans:dm_caraterAtendimento"/> <element name="tipoFaturamento" type="ans:dm_tipoFaturamento"/> <element name="dataInicioFaturamento" type="ans:st_data"/> <element name="horaInicioFaturamento" type="ans:st_hora"/> <element name="dataFinalFaturamento" type="ans:st_data"/> <element name="horaFinalFaturamento" type="ans:st_hora"/> <element name="tipoInternacao" type="ans:dm_tipoInternacao"/> <element name="regimeInternacao" type="ans:dm_regimeInternacao"/> <!--<element name="qtRNutiNeonatal" type="ans:st_numerico2" minOccurs="0"/> <element name="obitoMulher" type="ans:dm_obitoMulher" minOccurs="0"/> <element name="qtObitoNeonatalPrecoce" type="ans:st_numerico2" minOccurs="0"/> <element name="qtObitoNeonatalTardio" type="ans:st_numerico2" minOccurs="0"/> <element name="qtNascidoVivoTermo" type="ans:st_numerico2" minOccurs="0"/> <element name="qtNascidoMorto" type="ans:st_numerico2" minOccurs="0"/> <element name="qtNascidoPrematuro" type="ans:st_numerico2" minOccurs="0"/>--> <element name="declaracoes" minOccurs="0" maxOccurs="8"> <complexType> <sequence> <element name="declaracaoNascido" type="ans:st_texto11" minOccurs="0"/> <element name="diagnosticoObito" type="ans:st_texto4" minOccurs="0"/> <element name="declaracaoObito" type="ans:st_texto11" minOccurs="0"/> <element name="indicadorDORN" type="ans:dm_simNao" minOccurs="0"/> </sequence> </complexType> </element> </sequence> </complexType> <complexType name="ctm_internacaoDadosSaida"> <sequence> <element name="diagnostico" type="ans:st_texto4" minOccurs="0" maxOccurs="4"/> <element name="indicadorAcidente" type="ans:dm_indicadorAcidente"/> <element name="motivoEncerramento" type="ans:dm_motivoSaida"/> </sequence> </complexType> <!--============================= GUIA DE RESUMO DE INTERNACAO ===========================--> <complexType name="ctm_internacaoResumoGuia"> <sequence> <element name="cabecalhoGuia" type="ans:ct_guiaCabecalho"/> <element name="numeroGuiaSolicitacaoInternacao" type="ans:st_texto20"/> <element name="dadosAutorizacao" type="ans:ct_autorizacaoInternacao"/> <element name="dadosBeneficiario" type="ans:ct_beneficiarioDados"/> <element name="dadosExecutante"> <complexType> <sequence> <element name="contratadoExecutante" type="ans:ct_contratadoDados"/> <element name="CNES" type="ans:st_texto7"/> </sequence> </complexType> </element> <element name="dadosInternacao" type="ans:ctm_internacaoDados"/> <element name="dadosSaidaInternacao" type="ans:ctm_internacaoDadosSaida"/> <element name="procedimentosExecutados" minOccurs="0"> <complexType> <sequence> <element name="procedimentoExecutado" type="ans:ct_procedimentoExecutadoInt" maxOccurs="unbounded"/> </sequence> </complexType> </element> <element name="valorTotal" type="ans:ct_guiaValorTotal"/> <element name="outrasDespesas" type="ans:ct_outrasDespesas" minOccurs="0"/> <element name="observacao" type="ans:st_texto500" minOccurs="0"/> <!-- <element name="relatorioTecnico" type="base64Binary" minOccurs="0"/>--> <element name="assinaturaDigitalGuia" type="ans:assinaturaDigital" minOccurs="0"/> </sequence> </complexType> <!--============================= GUIA DE SOLICITACAO DE INTERNACAO ===========================--> <complexType name="ctm_internacaoSolicitacaoGuia"> <sequence> <element name="registroANS" type="ans:st_registroANS"/> <element name="numeroGuiaPrestador" type="ans:st_texto20"/> <element name="dadosBeneficiario" type="ans:ct_beneficiarioDados"/> <element name="identificacaoSolicitante"> <complexType> <sequence> <element name="dadosDoContratado" type="ans:ct_contratadoDados"/> <element name="dadosProfissionalContratado" type="ans:ct_contratadoProfissionalDados"/> </sequence> </complexType> </element> <element name="dadosHospitalSolicitado"> <complexType> <sequence> <element name="codigoIndicadonaOperadora" type="ans:st_texto14"/> <element name="nomeContratadoIndicado" type="ans:st_texto70"/> <element name="dataSugeridaInternacao" type="ans:st_data"/> </sequence> </complexType> </element> <element name="dadosInternacao"> <complexType> <sequence> <element name="caraterAtendimento" type="ans:dm_caraterAtendimento"/> <element name="tipoInternacao" type="ans:dm_tipoInternacao"/> <element name="regimeInternacao" type="ans:dm_regimeInternacao"/> <element name="qtDiariasSolicitadas" type="ans:st_numerico2"/> <element name="indicadorOPME" type="ans:dm_simNao"/> <element name="indicadorQuimio" type="ans:dm_simNao"/> <element name="indicacaoClinica" type="ans:st_texto500"/> </sequence> </complexType> </element> <element name="hipotesesDiagnosticas"> <complexType> <sequence> <element name="diagnosticoCID" type="ans:st_texto4" minOccurs="0" maxOccurs="4"/> <element name="indicadorAcidente" type="ans:dm_indicadorAcidente"/> </sequence> </complexType> </element> <element name="procedimentosSolicitados" maxOccurs="unbounded"> <complexType> <sequence> <element name="procedimento" type="ans:ct_procedimentoDados"/> <element name="quantidadeSolicitada" type="ans:st_numerico3"/> </sequence> </complexType> </element> <element name="dataSolicitacao" type="ans:st_data"/> <element name="observacao" type="ans:st_texto1000" minOccurs="0"/> <!--<element name="relatorioTecnico" type="base64Binary" minOccurs="0"/>--> <element name="anexoClinico" minOccurs="0"> <complexType> <sequence> <element name="solicitacaoQuimioterapia" type="ans:ctm_anexoSolicitacaoQuimio" minOccurs="0"/> <element name="solicitacaoRadioterapia" type="ans:ctm_anexoSolicitacaoRadio" minOccurs="0"/> <element name="solicitacaoOPME" type="ans:ctm_anexoSolicitacaoOPME" minOccurs="0"/> </sequence> </complexType> </element> </sequence> </complexType> <!-- Fim da solicita��o de interna��o --> <!--============================= GUIA DE SOLICITACAO DE PRORROGA��O DE INTERNACAO ===========================--> <complexType name="ctm_prorrogacaoSolicitacaoGuia"> <sequence> <element name="registroANS" type="ans:st_registroANS"/> <element name="numeroGuiaPrestador" type="ans:st_texto20"/> <element name="nrGuiaReferenciada" type="ans:st_texto20"/> <element name="dadosBeneficiario"> <complexType> <sequence> <element name="numeroCarteira" type="ans:st_texto20"/> <element name="nomeBeneficiario" type="ans:st_texto70"/> <element name="identificadorBeneficiario" type="base64Binary" minOccurs="0"/> </sequence> </complexType> </element> <element name="dadosContratadoSolicitante" type="ans:ct_contratadoDados"/> <element name="dadosProfissionalSolicitante" type="ans:ct_contratadoProfissionalDados"/> <element name="dadosInternacao"> <complexType> <sequence> <element name="qtDiariasAdicionais" type="ans:st_numerico3" minOccurs="0"/> <element name="tipoAcomodacaoSolicitada" type="ans:dm_tipoAcomodacao" minOccurs="0"/> <element name="indicacaoClinica" type="ans:st_texto500"/> </sequence> </complexType> </element> <element name="procedimentosAdicionais" minOccurs="0" maxOccurs="unbounded"> <complexType> <sequence> <element name="procedimento" type="ans:ct_procedimentoDados"/> <element name="quantidadeSolicitada" type="ans:st_numerico3"/> </sequence> </complexType> </element> <element name="anexoClinicoProrrogacao" minOccurs="0"> <complexType> <sequence> <element name="solicitacaoQuimioterapia" type="ans:ctm_anexoSolicitacaoQuimio" minOccurs="0"/> <element name="solicitacaoRadioterapia" type="ans:ctm_anexoSolicitacaoRadio" minOccurs="0"/> <element name="solicitacaoOPME" type="ans:ctm_anexoSolicitacaoOPME" minOccurs="0"/> </sequence> </complexType> </element> <element name="observacao" type="ans:st_texto500" minOccurs="0"/> <!--<element name="relatorioTecnico" type="base64Binary" minOccurs="0"/>--> <element name="dataSolicitacao" type="ans:st_data"/> </sequence> </complexType> <!-- Fim da solicita��o de prorroga��o de interna��o --> <complexType name="ctm_sp-sadtAtendimento"> <sequence> <element name="tipoAtendimento" type="ans:dm_tipoAtendimento"/> <element name="indicacaoAcidente" type="ans:dm_indicadorAcidente"/> <element name="tipoConsulta" type="ans:dm_tipoConsulta" minOccurs="0"/> <element name="motivoEncerramento" type="ans:dm_motivoSaidaObito" minOccurs="0"/> </sequence> </complexType> <!-- estrutura das solicita��es de autoriza��o do prestador para a operadora de sp_sadt, interna��o e prorroga��o --> <complexType name="ctm_solicitacaoLote"> <choice> <element name="solicitacaoSP-SADT" type="ans:ctm_sp-sadtSolicitacaoGuia"/> <element name="solicitacaoInternacao" type="ans:ctm_internacaoSolicitacaoGuia"/> <element name="solicitacaoProrrogacao" type="ans:ctm_prorrogacaoSolicitacaoGuia"/> <element name="solicitacaoOdontologia" type="ans:cto_odontoSolicitacaoGuia"/> </choice> </complexType> <!--============================= GUIA DE SOLICITACAO DE SP E SADT (execu��o) ==============--> <complexType name="ctm_sp-sadtGuia"> <sequence> <element name="cabecalhoGuia"> <complexType> <complexContent> <extension base="ans:ct_guiaCabecalho"> <sequence> <element name="guiaPrincipal" type="ans:st_texto20" minOccurs="0"/> </sequence> </extension> </complexContent> </complexType> </element> <element name="dadosAutorizacao" type="ans:ct_autorizacaoSADT" minOccurs="0"/> <element name="dadosBeneficiario" type="ans:ct_beneficiarioDados"/> <element name="dadosSolicitante"> <complexType> <sequence> <element name="contratadoSolicitante" type="ans:ct_contratadoDados"/> <element name="profissionalSolicitante" type="ans:ct_contratadoProfissionalDados"/> </sequence> </complexType> </element> <element name="dadosSolicitacao"> <complexType> <sequence> <element name="dataSolicitacao" type="ans:st_data" minOccurs="0"/> <element name="caraterAtendimento" type="ans:dm_caraterAtendimento"/> <element name="indicacaoClinica" type="ans:st_texto500" minOccurs="0"/> </sequence> </complexType> </element> <element name="dadosExecutante"> <complexType> <sequence> <element name="contratadoExecutante" type="ans:ct_contratadoDados"/> <element name="CNES" type="ans:st_texto7"/> </sequence> </complexType> </element> <element name="dadosAtendimento" type="ans:ctm_sp-sadtAtendimento"/> <element name="procedimentosExecutados" minOccurs="0"> <complexType> <sequence> <element name="procedimentoExecutado" type="ans:ct_procedimentoExecutadoSadt" maxOccurs="unbounded"/> </sequence> </complexType> </element> <element name="outrasDespesas" type="ans:ct_outrasDespesas" minOccurs="0"/> <element name="observacao" type="ans:st_texto500" minOccurs="0"/> <element name="valorTotal" type="ans:ct_guiaValorTotal"/> <!--<element name="relatorioTecnico" type="base64Binary" minOccurs="0"/>--> <element name="assinaturaDigitalGuia" type="ans:assinaturaDigital" minOccurs="0"/> </sequence> </complexType> <!--============================= GUIA DE SOLICITACAO DE SP E SADT ===========================--> <complexType name="ctm_sp-sadtSolicitacaoGuia"> <sequence> <element name="cabecalhoSolicitacao" type="ans:ct_guiaCabecalho"/> <element name="numeroGuiaPrincipal" type="ans:st_texto20" minOccurs="0"/> <element name="dadosBeneficiario" type="ans:ct_beneficiarioDados"/> <element name="dadosSolicitante"> <complexType> <sequence> <element name="contratadoSolicitante" type="ans:ct_contratadoDados"/> <element name="profissionalSolicitante" type="ans:ct_contratadoProfissionalDados"/> </sequence> </complexType> </element> <element name="caraterAtendimento" type="ans:dm_caraterAtendimento"/> <element name="dataSolicitacao" type="ans:st_data"/> <element name="indicacaoClinica" type="ans:st_texto500" minOccurs="0"/> <element name="procedimentosSolicitados" maxOccurs="unbounded"> <complexType> <sequence> <element name="procedimento" type="ans:ct_procedimentoDados"/> <element name="quantidadeSolicitada" type="ans:st_numerico3"/> </sequence> </complexType> </element> <element name="dadosExecutante" minOccurs="0"> <complexType> <sequence> <element name="codigonaOperadora" type="ans:st_texto14"/> <element name="nomeContratado" type="ans:st_texto70"/> <element name="CNES" type="ans:st_texto7"/> </sequence> </complexType> </element> <element name="anexoClinico" minOccurs="0"> <complexType> <sequence> <element name="solicitacaoQuimioterapia" type="ans:ctm_anexoSolicitacaoQuimio" minOccurs="0"/> <element name="solicitacaoRadioterapia" type="ans:ctm_anexoSolicitacaoRadio" minOccurs="0"/> <element name="solicitacaoOPME" type="ans:ctm_anexoSolicitacaoOPME" minOccurs="0"/> </sequence> </complexType> </element> <element name="observacao" type="ans:st_texto500" minOccurs="0"/> <!-- <element name="relatorioTecnico" type="base64Binary" minOccurs="0"/>--> </sequence> </complexType> <!-- ========================== RECURSO DE GLOSA =========================== --> <complexType name="ctm_recursoGlosa"> <sequence> <element name="registroANS" type="ans:st_registroANS"/> <element name="numeroGuiaRecGlosaPrestador" type="ans:st_texto20"/> <element name="nomeOperadora" type="ans:st_texto70"/> <element name="objetoRecurso" type="ans:dm_objetoRecurso"/> <element name="numeroGuiaRecGlosaOperadora" type="ans:st_texto20" minOccurs="0"/> <element name="dadosContratado" type="ans:ct_contratadoDados"/> <element name="numeroLote" type="ans:st_texto12"/> <element name="numeroProtocolo" type="ans:st_numerico12"/> <element name="opcaoRecurso"> <complexType> <choice> <element name="recursoProtocolo"> <complexType> <sequence> <element name="codigoGlosaProtocolo" type="ans:dm_tipoGlosa"/> <element name="justificativaProtocolo" type="ans:st_texto150"/> </sequence> </complexType> </element> <element name="recursoGuia" maxOccurs="100"> <complexType> <sequence> <element name="numeroGuiaOrigem" type="ans:st_texto20"/> <element name="numeroGuiaOperadora" type="ans:st_texto20" minOccurs="0"/> <element name="senha" type="ans:st_texto20" minOccurs="0"/> <element name="opcaoRecursoGuia"> <complexType> <choice> <element name="recursoGuiaCompleta" maxOccurs="unbounded"> <complexType> <sequence> <element name="codGlosaGuia" type="ans:dm_tipoGlosa"/> <element name="justificativaGuia" type="ans:st_texto150"/> </sequence> </complexType> </element> <element name="itensGuia" maxOccurs="unbounded"> <complexType> <sequence> <element name="dataInicio" type="ans:st_data"/> <element name="dataFim" type="ans:st_data" minOccurs="0"/> <element name="procRecurso" type="ans:ct_procedimentoDados"/> <element name="grauParticipacao" type="ans:dm_grauPart" minOccurs="0"/> <element name="codGlosaItem" type="ans:dm_tipoGlosa"/> <element name="valorRecursado" type="ans:st_decimal8-2"/> <element name="justificativaItem" type="ans:st_texto150"/> </sequence> </complexType> </element> </choice> </complexType> </element> </sequence> </complexType> </element> </choice> </complexType> </element> <element name="valorTotalRecursado" type="ans:st_decimal10-2"/> <element name="dataRecurso" type="ans:st_data"/> </sequence> </complexType> <!-- Utilizado na resposta da operadora na autoriza��o de servi�os da odontologia --> <complexType name="cto_autorizacaoServico"> <sequence> <element name="dadosAutorizacao" type="ans:ct_autorizacaoDados"/> <element name="numeroCarteira" type="ans:st_texto20"/> <element name="nomeBeneficiario" type="ans:st_texto70"/> <element name="numeroCNS" type="ans:st_texto15" minOccurs="0"/> <element name="identificadorBeneficiario" type="base64Binary" minOccurs="0"/> <element name="statusSolicitacao" type="ans:dm_statusSolicitacao"/> <element name="prestadorAutorizado" type="ans:ct_contratadoDados" minOccurs="0"/> <element name="procedimentosAutorizados" minOccurs="0" maxOccurs="unbounded"> <complexType> <sequence> <element name="procSolic" type="ans:ct_procedimentoDados"/> <element name="denteRegiao" minOccurs="0"> <complexType> <choice> <element name="codDente" type="ans:dm_dente"/> <element name="codRegiao" type="ans:dm_regiao"/> </choice> </complexType> </element> <element name="denteFace" type="ans:st_texto5" minOccurs="0"/> <element name="qtdProc" type="ans:st_numerico2"/> <element name="qtdUS" type="ans:st_decimal8-2" minOccurs="0"/> <element name="valorProc" type="ans:st_decimal8-2"/> <element name="valorFranquia" type="ans:st_decimal8-2" minOccurs="0"/> <element name="aut" type="ans:dm_simNao"/> </sequence> </complexType> </element> <element name="motivosNegativa" minOccurs="0"> <complexType> <sequence> <element name="motivoNegativa" type="ans:ct_motivoGlosa" maxOccurs="unbounded"/> </sequence> </complexType> </element> </sequence> </complexType> <!-- ========================= ANEXO ODONTOLOGIA SITUA��O INICIAL ======================= --> <complexType name="cto_anexoSituacaoInicial"> <sequence> <element name="registroANS" type="ans:st_registroANS"/> <element name="numeroGuiaAnexo" type="ans:st_texto20"/> <element name="numeroGuiaReferenciada" type="ans:st_texto20"/> <element name="numeroGuiaOperadora" type="ans:st_texto20" minOccurs="0"/> <element name="nomeBeneficiario" type="ans:st_texto70"/> <element name="numeroCarteira" type="ans:st_texto20"/> <element name="ct_situacaoInicial"> <complexType> <sequence> <element name="situacaoClinica" type="ans:ct_situacaoClinica"/> <element name="doencaPeriodontal" type="ans:st_logico"/> <element name="alteracaoTecidoMole" type="ans:st_logico"/> <element name="observacao" type="ans:st_texto500" minOccurs="0"/> </sequence> </complexType> </element> </sequence> </complexType> <complexType name="cto_anexoSituacaoInicialnaGTO"> <sequence> <element name="numeroGuiaAnexo" type="ans:st_texto20"/> <element name="numeroGuiaReferenciada" type="ans:st_texto20"/> <element name="numeroGuiaOperadora" type="ans:st_texto20" minOccurs="0"/> <element name="ct_situacaoInicial"> <complexType> <sequence> <element name="situacaoClinica" type="ans:ct_situacaoClinica"/> <element name="doencaPeriodontal" type="ans:st_logico" minOccurs="0"/> <element name="alteracaoTecidoMole" type="ans:st_logico" minOccurs="0"/> <element name="observacao" type="ans:st_texto500" minOccurs="0"/> </sequence> </complexType> </element> </sequence> </complexType> <!-- ============= DEMONSTRATIVO PAGAMENTO ODONTOLOGIA ==========================--> <complexType name="cto_demonstrativoOdontologia"> <sequence> <element name="cabecalhoDemonstrativoOdonto"> <complexType> <sequence> <element name="registroANS" type="ans:st_registroANS"/> <element name="numeroDemonstrativo" type="ans:st_texto12"/> <element name="nomeOperadora" type="ans:st_texto70"/> <element name="cnpjOper" type="ans:st_CNPJ"/> <element name="periodoProc"> <complexType> <sequence> <element name="datainicio" type="ans:st_data"/> <element name="datafim" type="ans:st_data"/> </sequence> </complexType> </element> </sequence> </complexType> </element> <element name="dadosPrestador"> <complexType> <sequence> <element name="codigoPrestador" type="ans:st_texto14"/> <element name="nomePrestador" type="ans:st_texto70"/> <element name="cpfCNPJContratado"> <complexType> <choice> <element name="cnpjPrestador" type="ans:st_CNPJ"/> <element name="cpfContratado" type="ans:st_CPF"/> </choice> </complexType> </element> </sequence> </complexType> </element> <!-- PROTOCOLO ===========================================--> <element name="dadosPagamentoPorData" maxOccurs="unbounded"> <complexType> <sequence> <element name="dadosPagamento"> <complexType> <sequence> <element name="dataPagamento" type="ans:st_data"/> <element name="banco" type="ans:st_texto4" minOccurs="0"/> <element name="agencia" type="ans:st_texto7" minOccurs="0"/> <element name="conta" type="ans:st_texto20" minOccurs="0"/> </sequence> </complexType> </element> <element name="protocolos" maxOccurs="unbounded"> <complexType> <sequence> <element name="numeroLote" type="ans:st_texto12"/> <element name="numeroProtocolo" type="ans:st_texto12"/> <element name="dadosPagamentoGuia" maxOccurs="unbounded"> <complexType> <sequence> <element name="numeroGuiaPrestador" type="ans:st_texto20"/> <element name="numeroGuiaOperadora" type="ans:st_texto20" minOccurs="0"/> <element name="recurso" type="ans:dm_simNao"/> <element name="nomeExecutante" type="ans:st_texto70"/> <element name="carteiraBeneficiario" type="ans:st_texto20"/> <element name="nomeBeneficiario" type="ans:st_texto70"/> <!-- PROCEDIMENTOS DA GUIA====================================================--> <element name="dadosPagamento" maxOccurs="unbounded"> <complexType> <sequence> <element name="procedimento" type="ans:ct_procedimentoDados"/> <element name="denteRegiao" minOccurs="0"> <complexType> <choice> <element name="codDente" type="ans:dm_dente"/> <element name="codRegiao" type="ans:dm_regiao"/> </choice> </complexType> </element> <element name="denteFace" type="ans:st_texto5" minOccurs="0"/> <element name="dataRealizacao" type="ans:st_data"/> <element name="qtdProc" type="ans:st_numerico2"/> <element name="valorInformado" type="ans:st_decimal7-2"/> <element name="valorProcessado" type="ans:st_decimal7-2"/> <element name="valorGlosaEstorno" type="ans:st_decimal7-2"/> <element name="valorFranquia" type="ans:st_decimal7-2"/> <element name="valorLiberado" type="ans:st_decimal7-2"/> <element name="codigosGlosa" type="ans:dm_tipoGlosa" minOccurs="0" maxOccurs="unbounded"/> </sequence> </complexType> </element> <element name="observacaoGuia" type="ans:st_texto500" minOccurs="0"/> <element name="valorTotalInformadoGuia" type="ans:st_decimal8-2"/> <element name="valorTotalProcessadoGuia" type="ans:st_decimal8-2"/> <element name="valorTotalGlosaGuia" type="ans:st_decimal8-2"/> <element name="valorTotalFranquiaGuia" type="ans:st_decimal8-2"/> <element name="valorTotalLiberadoGuia" type="ans:st_decimal8-2"/> </sequence> </complexType> </element> <element name="totaisPorProtocolo"> <complexType> <sequence> <element name="valorTotalInformadoPorProtocolo" type="ans:st_decimal10-2"/> <element name="valorTotalProcessadoPorProtocolo" type="ans:st_decimal10-2"/> <element name="valorTotalGlosaPorProtocolo" type="ans:st_decimal10-2"/> <element name="valorTotalFranquiaPorProtocolo" type="ans:st_decimal10-2"/> <element name="valorTotalLiberadoPorProtocolo" type="ans:st_decimal10-2"/> </sequence> </complexType> </element> </sequence> </complexType> </element> <!-- GUIA =================================================================================--> <element name="totaisPorData"> <complexType> <sequence> <element name="valorBrutonformadoPorData" type="ans:st_decimal10-2"/> <element name="valorBrutoProcessadoPorData" type="ans:st_decimal10-2"/> <element name="valorBrutoGlosaPorData" type="ans:st_decimal10-2"/> <element name="valorBrutoFranquiaPorData" type="ans:st_decimal10-2"/> <element name="valorBrutoLiberadoPorData" type="ans:st_decimal10-2"/> </sequence> </complexType> </element> <element name="debCredPorDataPagamento" minOccurs="0"> <complexType> <sequence> <element name="descontos" type="ans:ct_descontos" maxOccurs="unbounded"/> </sequence> </complexType> </element> <element name="totalLiquidoPorData"> <complexType> <sequence> <element name="valorTotalDebitosPorData" type="ans:st_decimal10-2"/> <element name="valorTotalCreditosPorData" type="ans:st_decimal10-2"/> <element name="valorFinalAReceberPorData" type="ans:st_decimal10-2"/> </sequence> </complexType> </element> </sequence> </complexType> </element> <element name="totaisBrutoDemonstrativo"> <complexType> <sequence> <element name="valorInformadoPorDemonstrativoData" type="ans:st_decimal10-2"/> <element name="valorlProcessadoPorDemonstrativo" type="ans:st_decimal10-2"/> <element name="valorlGlosaPorDemonstrativo" type="ans:st_decimal10-2"/> <element name="valoFranquiaPorDemonstrativo" type="ans:st_decimal10-2"/> <element name="valorLiberadoPorDemonstrativo" type="ans:st_decimal10-2"/> </sequence> </complexType> </element> <element name="debCredDemonstrativo" minOccurs="0"> <complexType> <sequence> <element name="descontos" type="ans:ct_descontos" maxOccurs="unbounded"/> </sequence> </complexType> </element> <element name="totalDebitosDemonstativo" type="ans:st_decimal10-2"/> <element name="totalCreditosDemonstrativo" type="ans:st_decimal10-2"/> <element name="valorRecebidoDemonstrativo" type="ans:st_decimal10-2"/> <element name="observacao" type="ans:st_texto500" minOccurs="0"/> </sequence> </complexType> <!--============== GUIA DE TRATAMENTO ODONTOLOGICO - COBRAN�A ===========--> <complexType name="cto_guiaOdontologia"> <sequence> <element name="registroANS" type="ans:st_registroANS"/> <element name="numeroGuiaPrestador" type="ans:st_texto20"/> <element name="numeroGuiaPrincipal" type="ans:st_texto20" minOccurs="0"/> <element name="dataAutorizacao" type="ans:st_data" minOccurs="0"/> <element name="senhaAutorizacao" type="ans:st_texto20" minOccurs="0"/> <element name="validadeSenha" type="ans:st_data" minOccurs="0"/> <element name="numeroGuiaOperadora" type="ans:st_texto20" minOccurs="0"/> <element name="dadosBeneficiario" type="ans:ct_beneficiarioDados"/> <element name="planoBeneficiario" type="ans:st_texto40"/> <element name="nomeEmpresa" type="ans:st_texto40" minOccurs="0"/> <element name="numeroTelefone" type="ans:st_texto11" minOccurs="0"/> <element name="nomeTitular" type="ans:st_texto70" minOccurs="0"/> <element name="dadosProfissionaisResponsaveis"> <complexType> <sequence> <element name="nomeProfSolic" type="ans:st_texto70" minOccurs="0"/> <element name="croSolic" type="ans:st_texto15" minOccurs="0"/> <element name="ufSolic" type="ans:dm_UF" minOccurs="0"/> <element name="cbosSolic" type="ans:dm_CBOS" minOccurs="0"/> <element name="codigoProfExec" type="ans:st_texto14"/> <element name="nomeProfExec" type="ans:st_texto70"/> <element name="croExec" type="ans:st_texto15"/> <element name="ufExec" type="ans:dm_UF"/> <element name="cnesExec" type="ans:st_texto7"/> <element name="nomeProfExec2" type="ans:st_texto70" minOccurs="0"/> <element name="croExec2" type="ans:st_texto15" minOccurs="0"/> <element name="ufExec2" type="ans:dm_UF" minOccurs="0"/> <element name="cbosExec2" type="ans:dm_CBOS"/> </sequence> </complexType> </element> <element name="procedimentosExecutados" maxOccurs="unbounded"> <complexType> <sequence> <element name="procSolic" type="ans:ct_procedimentoDados"/> <element name="denteRegiao" minOccurs="0"> <complexType> <choice> <element name="codDente" type="ans:dm_dente"/> <element name="codRegiao" type="ans:dm_regiao"/> </choice> </complexType> </element> <element name="denteFace" type="ans:st_texto5" minOccurs="0"/> <element name="qtdProc" type="ans:st_numerico2"/> <element name="qtdUS" type="ans:st_decimal8-2" minOccurs="0"/> <element name="valorProc" type="ans:st_decimal8-2"/> <element name="valorFranquia" type="ans:st_decimal8-2" minOccurs="0"/> <element name="autorizado" type="ans:st_logico"/> <element name="dataRealizacao" type="ans:st_data"/> </sequence> </complexType> </element> <element name="dataTerminoTrat" type="ans:st_data" minOccurs="0"/> <element name="tipoAtendimento" type="ans:dm_tipoAtendimentoOdonto"/> <element name="tipoFaturamento" type="ans:dm_tipoFaturamentoOdonto"/> <element name="qtdTotalUS" type="ans:st_decimal8-2" minOccurs="0"/> <element name="valorTotalProc" type="ans:st_decimal10-2"/> <element name="valorTotalFranquia" type="ans:st_decimal10-2" minOccurs="0"/> <element name="observacao" type="ans:st_texto500" minOccurs="0"/> <element name="odontoInicial" type="ans:cto_anexoSituacaoInicialnaGTO" minOccurs="0"/> <element name="assinaturaDigitalGuia" type="ans:assinaturaDigital" minOccurs="0"/> </sequence> </complexType> <!--============== GUIA DE TRATAMENTO ODONTOLOGICO - SOLICITA��O===========--> <complexType name="cto_odontoSolicitacaoGuia"> <sequence> <element name="registroANS" type="ans:st_registroANS"/> <element name="numeroGuiaPrestador" type="ans:st_texto20"/> <!--<element name="dataEmissaoGuia" type="ans:st_data" minOccurs="0"/>--> <element name="numeroGuiaPrincipal" type="ans:st_texto20" minOccurs="0"/> <element name="numeroCarteira" type="ans:st_texto20"/> <element name="nomeBeneficiario" type="ans:st_texto70"/> <element name="atendimentoRN" type="ans:dm_simNao"/> <element name="numeroCNS" type="ans:st_texto15" minOccurs="0"/> <element name="identificadorBeneficiario" type="base64Binary" minOccurs="0"/> <element name="planoBeneficiario" type="ans:st_texto40"/> <element name="nomeEmpresa" type="ans:st_texto40" minOccurs="0"/> <element name="numeroTelefone" type="ans:st_texto20" minOccurs="0"/> <element name="nomeTitular" type="ans:st_texto70" minOccurs="0"/> <element name="dadosProfissionaisResponsaveis"> <complexType> <sequence> <element name="nomeProfSolic" type="ans:st_texto70" minOccurs="0"/> <element name="croSolic" type="ans:st_texto20" minOccurs="0"/> <element name="ufSolic" type="ans:dm_UF" minOccurs="0"/> <element name="cbosSolic" type="ans:dm_CBOS" minOccurs="0"/> <element name="codigoProfExec" type="ans:st_texto14"/> <element name="nomeProfExec" type="ans:st_texto70"/> <element name="croExec" type="ans:st_texto20"/> <element name="ufExec" type="ans:dm_UF"/> <element name="cnesExec" type="ans:st_texto7"/> <element name="nomeProfExec2" type="ans:st_texto70" minOccurs="0"/> <element name="croExec2" type="ans:st_texto20" minOccurs="0"/> <element name="ufExec2" type="ans:dm_UF" minOccurs="0"/> <element name="cbosExec2" type="ans:dm_CBOS"/> </sequence> </complexType> </element> <element name="procedimentosSolicitados" maxOccurs="unbounded"> <complexType> <sequence> <element name="procSolic" type="ans:ct_procedimentoDados"/> <element name="denteRegiao" minOccurs="0"> <complexType> <choice> <element name="codDente" type="ans:dm_dente"/> <element name="codRegiao" type="ans:dm_regiao"/> </choice> </complexType> </element> <element name="denteFace" type="ans:st_texto5" minOccurs="0"/> <element name="qtdProc" type="ans:st_numerico2"/> <element name="qtdUS" type="ans:st_decimal7-2" minOccurs="0"/> <element name="valorProc" type="ans:st_decimal8-2"/> <element name="valorFranquia" type="ans:st_decimal8-2" minOccurs="0"/> <element name="aut" type="ans:dm_simNao" minOccurs="1"/> <element name="dataRealizacao" type="ans:st_data" minOccurs="0"/> </sequence> </complexType> </element> <element name="dataTerminoTrat" type="ans:st_data" minOccurs="0"/> <element name="tipoAtendimento" type="ans:dm_tipoAtendimentoOdonto"/> <element name="qtdTotalUS" type="ans:st_decimal8-2" minOccurs="0"/> <element name="valorTotalProc" type="ans:st_decimal8-2"/> <element name="valorTotalFranquia" type="ans:st_decimal8-2" minOccurs="0"/> <element name="observacao" type="ans:st_texto500" minOccurs="0"/> <element name="odontoInicial" type="ans:cto_anexoSituacaoInicial" minOccurs="0"/> </sequence> </complexType> <!-- ========================== RECURSO DE GLOSA ODONTOLOGIA =========================== --> <complexType name="cto_recursoGlosaOdonto"> <sequence> <element name="registroANS" type="ans:st_registroANS"/> <element name="numeroGuiaRecGlosaPrestador" type="ans:st_texto20"/> <element name="nomeOperadora" type="ans:st_texto70"/> <element name="objetoRecurso" type="ans:dm_objetoRecurso"/> <element name="numeroGuiaRecGlosaOperadora" type="ans:st_texto20" minOccurs="0"/> <element name="dadosContratado" type="ans:ct_contratadoDados"/> <element name="numeroLote" type="ans:st_texto12"/> <element name="numeroProtocolo" type="ans:st_numerico12"/> <element name="opcaoRecurso"> <complexType> <choice> <element name="recursoProtocolo"> <complexType> <sequence> <element name="codigoGlosaProtocolo" type="ans:dm_tipoGlosa"/> <element name="justificativaProtocolo" type="ans:st_texto150"/> </sequence> </complexType> </element> <element name="recursoGuia" maxOccurs="100"> <complexType> <sequence> <element name="numeroGuiaPrestador" type="ans:st_texto20"/> <element name="numeroGuiaOperadora" type="ans:st_texto20" minOccurs="0"/> <element name="senha" type="ans:st_texto20" minOccurs="0"/> <element name="nomeBeneficiario" type="ans:st_texto70"/> <element name="codGlosaGuia" type="ans:dm_tipoGlosa"/> <element name="justificativaGuia" type="ans:st_texto150"/> <element name="recursoProcedimento" minOccurs="0" maxOccurs="unbounded"> <complexType> <sequence> <element name="dataRealizacao" type="ans:st_data"/> <element name="denteRegiao" minOccurs="0"> <complexType> <choice> <element name="codDente" type="ans:dm_dente"/> <element name="codRegiao" type="ans:dm_regiao"/> </choice> </complexType> </element> <element name="denteFace" type="ans:dm_face" minOccurs="0"/> <element name="quantidade" type="ans:st_numerico2"/> <element name="procRecurso" type="ans:ct_procedimentoDados"/> <element name="codGlosaProc" type="ans:dm_tipoGlosa"/> <element name="justificativaProc" type="ans:st_texto150"/> <element name="valorRecursado" type="ans:st_decimal8-2"/> </sequence> </complexType> </element> </sequence> </complexType> </element> </choice> </complexType> </element> <element name="valorTotalRecursado" type="ans:st_decimal10-2"/> <element name="dataRecurso" type="ans:st_data"/> </sequence> </complexType> </schema>