{
  "resourceType": "StructureDefinition",
  "id": "laboratory-request",
  "meta": {
    "lastUpdated": "2020-12-07T02:05:50.264+00:00"
  },
  "url": "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/laboratory-request",
  "name": "LaboratoryRequest",
  "title": "实验室检验申请",
  "status": "draft",
  "description": "描述医院内 临床医生对患者提交实验室检验申请的资源。",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "quick",
      "uri": "http://siframework.org/cqf",
      "name": "Quality Improvement and Clinical Knowledge (QUICK)"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "ServiceRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "ServiceRequest",
        "path": "ServiceRequest",
        "short": "检验申请",
        "definition": "描述医院内 临床医生对患者提交实验室检验申请的资源。"
      },
      {
        "id": "ServiceRequest.identifier",
        "path": "ServiceRequest.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "rules": "open"
        },
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Identifier"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.identifier:laboratoryIdentifier",
        "path": "ServiceRequest.identifier",
        "sliceName": "laboratoryIdentifier",
        "short": "检验申请单编号",
        "definition": "检验申请单标识符，唯一且明确检验申请。常用作业务标识符，唯一标识ID。可作为交叉索引使用。",
        "max": "1"
      },
      {
        "id": "ServiceRequest.identifier:otherIdentifier",
        "path": "ServiceRequest.identifier",
        "sliceName": "otherIdentifier",
        "short": "其他编码",
        "definition": "检验申请单其他业务编码"
      },
      {
        "id": "ServiceRequest.instantiatesCanonical",
        "path": "ServiceRequest.instantiatesCanonical",
        "short": "实例化FHIR协议或定义",
        "max": "0"
      },
      {
        "id": "ServiceRequest.instantiatesUri",
        "path": "ServiceRequest.instantiatesUri",
        "max": "0"
      },
      {
        "id": "ServiceRequest.basedOn",
        "path": "ServiceRequest.basedOn",
        "short": "基于主体",
        "definition": "按此要求完成的计划/提议/订单。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.replaces",
        "path": "ServiceRequest.replaces",
        "max": "0"
      },
      {
        "id": "ServiceRequest.requisition",
        "path": "ServiceRequest.requisition",
        "short": "服务组标识符",
        "definition": "该标识符可以描述 一个服务组标识。代表组合或组标识符。",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Identifier"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.status",
        "path": "ServiceRequest.status",
        "short": "检验申请单状态",
        "definition": "检验申请单状态\r\ndraft | active | on-hold | revoked | completed | entered-in-error | unknown"
      },
      {
        "id": "ServiceRequest.status.extension",
        "path": "ServiceRequest.status.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "ServiceRequest.status.extension:status",
        "path": "ServiceRequest.status.extension",
        "sliceName": "status",
        "short": "检验申请单状态",
        "definition": "描述检验申请单的各种状态",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/resource-status"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/request-status-vs"
        }
      },
      {
        "id": "ServiceRequest.intent",
        "path": "ServiceRequest.intent",
        "short": "申请意图",
        "definition": "描述该申请的意图\r\nproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option"
      },
      {
        "id": "ServiceRequest.intent.extension",
        "path": "ServiceRequest.intent.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "ServiceRequest.intent.extension:intent",
        "path": "ServiceRequest.intent.extension",
        "sliceName": "intent",
        "definition": "描述该申请的意图\r\nproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/request-intent"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/request-intent-vs"
        }
      },
      {
        "id": "ServiceRequest.category",
        "path": "ServiceRequest.category",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding.system"
            }
          ],
          "rules": "open"
        },
        "short": "检验申请分类",
        "definition": "为搜索、排序和显示目的而对服务进行分类的代码。如：生化检验、凝血检验",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.category:CategoryCode",
        "path": "ServiceRequest.category",
        "sliceName": "CategoryCode",
        "short": "实验室检验分类代码",
        "definition": "为搜索、排序和显示目的而对服务进行分类的代码。如：生化检验、凝血检验",
        "max": "1",
        "binding": {
          "strength": "example",
          "description": "实验室检验分类代码表",
          "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/laboratoryrequest-category-vs"
        }
      },
      {
        "id": "ServiceRequest.category:otherCategory",
        "path": "ServiceRequest.category",
        "sliceName": "otherCategory",
        "short": "检验其他分类",
        "definition": "其他报告分类"
      },
      {
        "id": "ServiceRequest.priority",
        "path": "ServiceRequest.priority",
        "short": "优先级",
        "definition": "描述处理 该请求的速度 routine | urgent | asap | stat"
      },
      {
        "id": "ServiceRequest.priority.extension",
        "path": "ServiceRequest.priority.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "ServiceRequest.priority.extension:priority",
        "path": "ServiceRequest.priority.extension",
        "sliceName": "priority",
        "short": "优先级",
        "definition": "描述处理 该请求的速度 routine | urgent | asap | stat",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/request-priority"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "description": "优先级",
          "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/request-priority-vs"
        }
      },
      {
        "id": "ServiceRequest.doNotPerform",
        "path": "ServiceRequest.doNotPerform",
        "short": "是否取消",
        "definition": "如果记录表示不应该执行服务/过程，则将此设置为true。",
        "max": "0"
      },
      {
        "id": "ServiceRequest.code",
        "path": "ServiceRequest.code",
        "short": "检验代码",
        "definition": "标识检验服务的代码",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "strength": "example",
          "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/procedure-code-vs"
        }
      },
      {
        "id": "ServiceRequest.orderDetail",
        "path": "ServiceRequest.orderDetail",
        "short": "检验明细",
        "definition": "关于 检验服务的细节和说明。比如检验的明细项目。\r\n关于服务的其他细节和说明。例如，导尿管的订单可能会有外置或留置导尿管的订单细节，或者绷带的订单可能需要额外的说明说明如何使用绷带。",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "strength": "example",
          "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/laboratoryrequest-orderdetail-vs"
        }
      },
      {
        "id": "ServiceRequest.quantity[x]",
        "path": "ServiceRequest.quantity[x]",
        "short": "服务数量",
        "definition": "被请求的服务可以是一个数量",
        "max": "0"
      },
      {
        "id": "ServiceRequest.subject",
        "path": "ServiceRequest.subject",
        "short": "订购服务的个人或实体",
        "definition": "对谁执行服务。这通常是指病人，但也可以在动物、一组人或动物、透析仪等设备，甚至是位置(通常用于环境扫描)上提出请求",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.encounter",
        "path": "ServiceRequest.encounter",
        "short": "医疗事件",
        "definition": "提供关于发出此请求的医疗事件",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.occurrence[x]",
        "path": "ServiceRequest.occurrence[x]",
        "short": "执行日期",
        "definition": "该申请执行的时间或者时间段或者频率。"
      },
      {
        "id": "ServiceRequest.asNeeded[x]",
        "path": "ServiceRequest.asNeeded[x]",
        "short": "服务条件",
        "definition": "如果 选择 CodeableConcept类型，则它指示执行该服务的先决条件。例如“疼痛”、“突然发作”等等。",
        "max": "0"
      },
      {
        "id": "ServiceRequest.authoredOn",
        "path": "ServiceRequest.authoredOn",
        "short": "实验室检验申请日期",
        "definition": "该实验室检验申请的创建日期"
      },
      {
        "id": "ServiceRequest.requester",
        "path": "ServiceRequest.requester",
        "short": "下达申请者",
        "definition": "发起请求并负责激活请求的个人。通常指下达申请的医生",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.performerType",
        "path": "ServiceRequest.performerType",
        "short": "执行者类型",
        "definition": "执行请求的服务人员的类型。",
        "max": "0",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.performer",
        "path": "ServiceRequest.performer",
        "short": "执行者",
        "definition": "执行所请求的服务所需的执行者。例如，外科医生、皮肤病理学家、内窥镜医生等等。",
        "max": "0",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.locationCode",
        "path": "ServiceRequest.locationCode",
        "short": "请求的位置编码",
        "definition": "程序应该以编码或自由文本形式实际发生的首选位置。例如在家或护理日托中心。",
        "max": "0",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.locationReference",
        "path": "ServiceRequest.locationReference",
        "short": "请求的位置",
        "definition": "对过程实际应该发生的首选位置的引用。例如CT3检查室",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.reasonCode",
        "path": "ServiceRequest.reasonCode",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding.system"
            }
          ],
          "rules": "open"
        },
        "short": "服务理由代码",
        "definition": "以编码或文本形式描述请求此服务的解释或理由。这通常是为了计费。\"",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.reasonCode:DiagnoseCode",
        "path": "ServiceRequest.reasonCode",
        "sliceName": "DiagnoseCode",
        "short": "诊断信息",
        "definition": "该患者的诊断编码信息 ICD-10",
        "max": "1",
        "binding": {
          "strength": "example",
          "description": "诊断疾病或诊断的鉴别。",
          "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/condition-code-vs"
        }
      },
      {
        "id": "ServiceRequest.reasonCode:ChiefComplaint",
        "path": "ServiceRequest.reasonCode",
        "sliceName": "ChiefComplaint",
        "short": "主诉信息",
        "definition": "描述该患者的主诉信息",
        "max": "1",
        "binding": {
          "strength": "example",
          "description": "卫生信息数据元目录",
          "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/health-data-element-dictionary-vs"
        }
      },
      {
        "id": "ServiceRequest.reasonCode:ChiefComplaint.coding",
        "path": "ServiceRequest.reasonCode.coding",
        "fixedCoding": {
          "code": "DE04.01.119.00"
        }
      },
      {
        "id": "ServiceRequest.reasonCode:ChiefComplaint.coding.display",
        "path": "ServiceRequest.reasonCode.coding.display",
        "fixedString": "主诉"
      },
      {
        "id": "ServiceRequest.reasonCode:PreviousHistory",
        "path": "ServiceRequest.reasonCode",
        "sliceName": "PreviousHistory",
        "short": "症状（既往史）",
        "definition": "描述患者的症状（既往史）信息。",
        "max": "1",
        "binding": {
          "strength": "example",
          "description": "卫生信息数据元目录",
          "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/health-data-element-dictionary-vs"
        }
      },
      {
        "id": "ServiceRequest.reasonCode:PreviousHistory.coding",
        "path": "ServiceRequest.reasonCode.coding",
        "fixedCoding": {
          "code": "DE04.01.117.00"
        }
      },
      {
        "id": "ServiceRequest.reasonCode:otherReasonCode",
        "path": "ServiceRequest.reasonCode",
        "sliceName": "otherReasonCode",
        "short": "其他理由代码",
        "definition": "以编码或文本形式描述请求此服务的解释或理由"
      },
      {
        "id": "ServiceRequest.reasonReference",
        "path": "ServiceRequest.reasonReference",
        "short": "服务理由",
        "definition": "以资源链接的形式描述请求此服务的解释或理由。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.insurance",
        "path": "ServiceRequest.insurance",
        "short": "相关保险",
        "definition": "交付所请求的服务可能需要的保险计划、覆盖范围扩展、预先授权和/或预先决定。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.supportingInfo",
        "path": "ServiceRequest.supportingInfo",
        "short": "更多临床信息",
        "definition": "关于病人或标本的其他临床信息，可能影响服务。这些信息包括诊断、临床结果和其他观察结果。在实验室订货中，这些通常被称为“订单输入问题(AOEs)”。这包括生产者明确要求的观察(补充)，以提供完成订单所需的上下文或支持信息。例如，报告用于血气测量的吸入氧气量。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.specimen",
        "path": "ServiceRequest.specimen",
        "short": "标本",
        "definition": "实验室程序将使用的一个或多个标本",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.bodySite",
        "path": "ServiceRequest.bodySite",
        "max": "0"
      },
      {
        "id": "ServiceRequest.note",
        "path": "ServiceRequest.note",
        "short": "备注",
        "definition": "关于服务请求的任何其他注释和评论。例如，内部账单注释。",
        "type": [
          {
            "code": "Annotation",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Annotation"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.patientInstruction",
        "path": "ServiceRequest.patientInstruction",
        "short": "患者引导",
        "definition": "用病人或消费者能理解的术语编写的说明书。"
      },
      {
        "id": "ServiceRequest.relevantHistory",
        "path": "ServiceRequest.relevantHistory",
        "short": "请求来源",
        "definition": "请求历史记录中的关键事件。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      }
    ]
  }
}