{ "resourceType": "StructureDefinition", "id": "family-doctor-contract", "meta": { "lastUpdated": "2020-12-07T01:56:43.779+00:00" }, "url": "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/family-doctor-contract", "name": "FamilyDoctorContract", "title": "家庭医生签约", "status": "draft", "description": "该资源描述家庭医生和患者家庭进行签约家庭医生服务的具体约定资源，包含服务周期，合同，服务项目，服务计划等。", "fhirVersion": "4.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" } ], "kind": "resource", "abstract": false, "type": "CarePlan", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/CarePlan", "derivation": "constraint", "differential": { "element": [ { "id": "CarePlan", "path": "CarePlan", "short": "家庭医生签约", "definition": "描述家庭医生签约的全部信息。包括家庭签约和个人签约" }, { "id": "CarePlan.extension", "path": "CarePlan.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "CarePlan.extension:health-payment", "path": "CarePlan.extension", "sliceName": "health-payment", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/health-payment" ] } ] }, { "id": "CarePlan.extension:medicare-payment", "path": "CarePlan.extension", "sliceName": "medicare-payment", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/medicare-payment" ] } ] }, { "id": "CarePlan.extension:self-payment", "path": "CarePlan.extension", "sliceName": "self-payment", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/self-payment" ] } ] }, { "id": "CarePlan.identifier", "path": "CarePlan.identifier", "slicing": { "discriminator": [ { "type": "value", "path": "type" } ], "rules": "open" }, "type": [ { "code": "Identifier", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Identifier" ] } ] }, { "id": "CarePlan.identifier:careplan-serial-Identifier", "path": "CarePlan.identifier", "sliceName": "careplan-serial-Identifier", "short": "签约流水号", "definition": "签约唯一标识号", "max": "1" }, { "id": "CarePlan.instantiatesCanonical", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.instantiatesCanonical", "max": "0" }, { "id": "CarePlan.instantiatesUri", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.instantiatesUri", "max": "0" }, { "id": "CarePlan.basedOn", "path": "CarePlan.basedOn", "max": "0", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.replaces", "path": "CarePlan.replaces", "max": "0", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.partOf", "path": "CarePlan.partOf", "max": "0", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.status", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.status", "short": "签约状态", "definition": "描述签约的状态信息，如draft | active | on-hold | revoked | completed | entered-in-error | unknown" }, { "id": "CarePlan.status.extension", "path": "CarePlan.status.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "CarePlan.status.extension:status", "path": "CarePlan.status.extension", "sliceName": "status", "short": "签约状态", "definition": "签约状态", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/resource-status" ] } ], "binding": { "strength": "required", "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/care-plan-status-vs" } }, { "id": "CarePlan.intent", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.intent", "short": "签约意图", "definition": "指示与计划相关的权限/意图级别，以及护理计划在工作流链中的位置。\r\nproposal | plan | order | option" }, { "id": "CarePlan.intent.extension", "path": "CarePlan.intent.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "CarePlan.intent.extension:intent", "path": "CarePlan.intent.extension", "sliceName": "intent", "short": "签约意图", "definition": "签约意图", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/request-intent" ] } ], "binding": { "strength": "required", "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/care-plan-intent-vs" } }, { "id": "CarePlan.category", "path": "CarePlan.category", "slicing": { "discriminator": [ { "type": "value", "path": "coding.system" } ], "rules": "open" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept" ] } ] }, { "id": "CarePlan.category:Signed-type", "path": "CarePlan.category", "sliceName": "Signed-type", "short": "签约类型", "definition": "1：个人签约；2：家庭签约", "max": "1", "binding": { "strength": "example", "description": "签约类型代码表", "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/Signed-type-vs" } }, { "id": "CarePlan.category:Signed-channel", "path": "CarePlan.category", "sliceName": "Signed-channel", "short": "签约渠道", "definition": "1：诊间；2：公卫推荐；3：直接录入；4：续约；5：网上自助签约；9：其他", "max": "1", "binding": { "strength": "example", "description": "签约渠道代码表", "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/Signed-channel-vs" } }, { "id": "CarePlan.category:Service-package", "path": "CarePlan.category", "sliceName": "Service-package", "short": "签约服务包", "definition": "签约服务包信息.", "binding": { "strength": "example", "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/Service-package-vs" } }, { "id": "CarePlan.category:Crowd-type", "path": "CarePlan.category", "sliceName": "Crowd-type", "short": "签约人群标签", "definition": "01：老年人；02：残疾人；03：计生扶贫对象；04：贫困人口；05：0到6岁儿童；06：高血压；07：糖尿病；08：脑卒中；09：孕产妇；10：结核病；11：失独家庭；12：重性精神疾病；99：其他", "binding": { "strength": "example", "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/Crowd-type-vs" } }, { "id": "CarePlan.title", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.title", "short": "签约标题", "definition": "该签约的标题信息，数据不能大于1M" }, { "id": "CarePlan.description", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.description", "short": "签约详细信息", "definition": "文字描述签约的详细信息。" }, { "id": "CarePlan.subject", "path": "CarePlan.subject", "short": "签约主题", "definition": "签约主题信息，包括个人或者家庭", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.encounter", "path": "CarePlan.encounter", "max": "0", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.period", "path": "CarePlan.period", "short": "服务周期", "definition": "描述该签约单的有效日期", "type": [ { "code": "Period", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Period" ] } ] }, { "id": "CarePlan.period.start", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.period.start", "short": "签约生效日期", "definition": "签约生效日期" }, { "id": "CarePlan.period.end", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.period.end", "short": "签约结束日期", "definition": "签约结束日期" }, { "id": "CarePlan.created", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.created", "short": "签约日期", "definition": "签订该签约单的具体日期" }, { "id": "CarePlan.author", "path": "CarePlan.author", "short": "签约人", "definition": "描述签订该合约的人，这里通常指定患者代表。", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.contributor", "path": "CarePlan.contributor", "short": "签约医生", "definition": "确定提供护理计划内容的个人", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.careTeam", "path": "CarePlan.careTeam", "short": "签约团队", "definition": "签约团队", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.addresses", "path": "CarePlan.addresses", "max": "0", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.supportingInfo", "path": "CarePlan.supportingInfo", "max": "0", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.goal", "path": "CarePlan.goal", "max": "0", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.activity", "path": "CarePlan.activity", "short": "服务计划", "definition": "确定作为计划的一部分而发生的计划操作。例如，要使用的药物，要进行的实验室测试，自我监测，教育等等。" }, { "id": "CarePlan.activity.outcomeCodeableConcept", "path": "CarePlan.activity.outcomeCodeableConcept", "max": "0", "type": [ { "code": "CodeableConcept", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept" ] } ] }, { "id": "CarePlan.activity.outcomeReference", "path": "CarePlan.activity.outcomeReference", "short": "计划执行的结果", "definition": "活动产生的结果或行动的细节。", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.activity.progress", "path": "CarePlan.activity.progress", "short": "步骤的备注", "definition": "关于活动状态/进度的评论", "type": [ { "code": "Annotation", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Annotation" ] } ] }, { "id": "CarePlan.activity.reference", "path": "CarePlan.activity.reference", "short": "特定资源中定义的活动详细信息", "definition": "特定资源中定义的活动详细信息" }, { "id": "CarePlan.activity.detail", "path": "CarePlan.activity.detail", "short": "活动明细信息", "definition": "活动明细信息" }, { "id": "CarePlan.activity.detail.kind", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.activity.detail.kind", "short": "服务的类型", "definition": "服务的类型" }, { "id": "CarePlan.activity.detail.instantiatesCanonical", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.activity.detail.instantiatesCanonical", "max": "0" }, { "id": "CarePlan.activity.detail.instantiatesUri", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.activity.detail.instantiatesUri", "max": "0" }, { "id": "CarePlan.activity.detail.code", "path": "CarePlan.activity.detail.code", "type": [ { "code": "CodeableConcept", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept" ] } ] }, { "id": "CarePlan.activity.detail.code.coding", "path": "CarePlan.activity.detail.code.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" } }, { "id": "CarePlan.activity.detail.code.coding:service-package", "path": "CarePlan.activity.detail.code.coding", "sliceName": "service-package", "short": "服务包", "definition": "服务包", "max": "1", "binding": { "strength": "required", "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/service-package-vs" } }, { "id": "CarePlan.activity.detail.code.coding:service-details", "path": "CarePlan.activity.detail.code.coding", "sliceName": "service-details", "short": "服务项目明细编码", "definition": "服务项目明细编码", "binding": { "strength": "required", "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/service-details-vs" } }, { "id": "CarePlan.activity.detail.reasonCode", "path": "CarePlan.activity.detail.reasonCode", "max": "0", "type": [ { "code": "CodeableConcept", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept" ] } ] }, { "id": "CarePlan.activity.detail.reasonReference", "path": "CarePlan.activity.detail.reasonReference", "max": "0", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.activity.detail.goal", "path": "CarePlan.activity.detail.goal", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.activity.detail.status", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.activity.detail.status", "short": "计划状态", "definition": "确定具体活动正在取得的进展。\r\nnot-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error" }, { "id": "CarePlan.activity.detail.statusReason", "path": "CarePlan.activity.detail.statusReason", "max": "0", "type": [ { "code": "CodeableConcept", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept" ] } ] }, { "id": "CarePlan.activity.detail.doNotPerform", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.activity.detail.doNotPerform", "short": "取消执行标志", "definition": "取消执行标志" }, { "id": "CarePlan.activity.detail.scheduled[x]", "path": "CarePlan.activity.detail.scheduled[x]", "type": [ { "code": "Timing" } ] }, { "id": "CarePlan.activity.detail.scheduled[x].event", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.activity.detail.scheduled[x].event", "short": "服务时间", "definition": "服务时间" }, { "id": "CarePlan.activity.detail.scheduled[x].code", "path": "CarePlan.activity.detail.scheduled[x].code", "short": "服务频次", "definition": "服务频次" }, { "id": "CarePlan.activity.detail.location", "path": "CarePlan.activity.detail.location", "max": "0", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.activity.detail.performer", "path": "CarePlan.activity.detail.performer", "short": "计划服务医生", "definition": "计划服务医生", "type": [ { "code": "Reference", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference" ] } ] }, { "id": "CarePlan.activity.detail.product[x]", "path": "CarePlan.activity.detail.product[x]", "max": "0" }, { "id": "CarePlan.activity.detail.dailyAmount", "path": "CarePlan.activity.detail.dailyAmount", "max": "0" }, { "id": "CarePlan.activity.detail.quantity", "path": "CarePlan.activity.detail.quantity", "max": "0" }, { "id": "CarePlan.activity.detail.description", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "CarePlan.activity.detail.description", "short": "服务内容", "definition": "服务内容文字描述" }, { "id": "CarePlan.note", "path": "CarePlan.note", "short": "合同", "definition": "合同以备注的形式提交。", "type": [ { "code": "Annotation", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Annotation" ] } ] } ] } }