{
  "resourceType": "StructureDefinition",
  "id": "laboratory-routine-observation",
  "meta": {
    "lastUpdated": "2020-12-07T02:06:05.249+00:00"
  },
  "url": "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/laboratory-routine-observation",
  "name": "LaboratoryRoutineObservation",
  "title": "常规检验观察结果",
  "status": "draft",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "sct-concept",
      "uri": "http://snomed.info/conceptdomain",
      "name": "SNOMED CT Concept Domain Binding"
    },
    {
      "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": "sct-attr",
      "uri": "http://snomed.org/attributebinding",
      "name": "SNOMED CT Attribute Binding"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "short": "检验观察结果",
        "definition": "描述实验室常规检验的详细检验结果的反馈，如 生化检验、血液检验、临检检验"
      },
      {
        "id": "Observation.identifier",
        "path": "Observation.identifier",
        "max": "0"
      },
      {
        "id": "Observation.basedOn",
        "path": "Observation.basedOn",
        "short": "所属报告",
        "definition": "该观察结果基于的报告",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "Observation.partOf",
        "path": "Observation.partOf",
        "max": "0"
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "short": "观察的状态",
        "definition": "描述该观察所处于的状态 registered | preliminary | final | amended +"
      },
      {
        "id": "Observation.status.extension",
        "path": "Observation.status.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.status.extension:ststus",
        "path": "Observation.status.extension",
        "sliceName": "ststus",
        "short": "观察状态",
        "definition": "描述该观察所处于的状态",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/resource-status"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/observation-status-vs"
        }
      },
      {
        "id": "Observation.category",
        "path": "Observation.category",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding.system"
            }
          ],
          "rules": "open"
        },
        "short": "检验分类",
        "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": "Observation.category:CategoryCode",
        "path": "Observation.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": "preferred",
          "description": "实验室检验分类代码表",
          "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/laboratoryrequest-category-vs"
        }
      },
      {
        "id": "Observation.category:otherCategory",
        "path": "Observation.category",
        "sliceName": "otherCategory",
        "short": "检验其他分类",
        "definition": "用来描述检验的其他分类信息"
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "short": "检验代码",
        "definition": "描述此检验报告中该项目代码或名称。",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "strength": "example",
          "description": "检验代码",
          "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/procedure-code-vs"
        }
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "short": "患者",
        "definition": "描述被观测的对象，这里是患者信息",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "Observation.focus",
        "path": "Observation.focus",
        "short": "观察焦点",
        "definition": "观察的实际焦点，不是记录的患者代表与患者相关的某物或某人，例如配偶，父母，胎儿或供体。例如，母亲记录中的胎儿观察。观察的重点还可以是现有状况，干预措施，受试者的饮食，受试者的另一观察或身体结构，例如肿瘤或植入的设备。一个示例用例将使用“观察”资源来捕获母亲是否接受过培训以更换孩子的气管造口管。在此示例中，孩子是记录的患者，母亲是重点。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "Observation.encounter",
        "path": "Observation.encounter",
        "short": "进行此观察的医疗保健事件",
        "definition": "进行此观察的医疗保健事件(例如患者和医疗保健提供者交互)。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "short": "临床相关观察时间/时间段",
        "definition": "这里取真实时间作为 观察的时间，不支持时间段和频率",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Observation.issued",
        "path": "Observation.issued",
        "short": "发行时间",
        "definition": "描述该结果发布的时间"
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "short": "观察者",
        "definition": "这里描述谁来做的这一次观察，这里主要指 检验技师。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "Observation.dataAbsentReason",
        "path": "Observation.dataAbsentReason",
        "max": "0",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept"
            ]
          }
        ]
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "short": "检验结果",
        "definition": "对观察值的绝对评估。例如，高，低，正常。",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "检验结果代码表",
          "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/laboratory-observation-interpretation-vs"
        }
      },
      {
        "id": "Observation.note",
        "path": "Observation.note",
        "short": "备注",
        "definition": "对观察或结果的备注信息",
        "type": [
          {
            "code": "Annotation",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Annotation"
            ]
          }
        ]
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite",
        "max": "0"
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "short": "检测方法",
        "definition": "指示用于执行观察的机制。",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept"
            ]
          }
        ]
      },
      {
        "id": "Observation.specimen",
        "path": "Observation.specimen",
        "short": "标本",
        "definition": "描述该检测值使用的标本",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "Observation.device",
        "path": "Observation.device",
        "short": "设备",
        "definition": "描述该检测值检测的设备",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "Observation.referenceRange",
        "path": "Observation.referenceRange",
        "short": "标准值范围",
        "definition": "关于如何通过与正常或推荐范围进行比较来解释该值的指南。"
      },
      {
        "id": "Observation.referenceRange.low",
        "path": "Observation.referenceRange.low",
        "short": "最低值",
        "definition": "参考范围的下限的值。引用范围端点的下界包含该值(例如，引用范围是>=5 - <=9)。如果省略了下限，则认为它是无意义的(例如，参考范围<=2.3)。"
      },
      {
        "id": "Observation.referenceRange.high",
        "path": "Observation.referenceRange.high",
        "short": "最高值",
        "definition": "参考范围的上界值。引用范围端点的上限包含该值(例如，引用范围是>=5 - <=9)。如果省略了最大值，则认为它是无意义的(例如，参考范围是>= 2.3)。"
      },
      {
        "id": "Observation.referenceRange.type",
        "path": "Observation.referenceRange.type",
        "short": "参考范围限定符",
        "definition": "指示它适用于目标参考总体的哪一部分的代码。例如，正常范围或治疗范围。",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept"
            ]
          }
        ]
      },
      {
        "id": "Observation.referenceRange.appliesTo",
        "path": "Observation.referenceRange.appliesTo",
        "max": "0"
      },
      {
        "id": "Observation.referenceRange.age",
        "path": "Observation.referenceRange.age",
        "short": "适用的年龄范围(如相关)",
        "definition": "这个参考范围适用的年龄。如果意思是这样的话，这是新生儿年龄(例如足月的周数)。"
      },
      {
        "id": "Observation.referenceRange.text",
        "path": "Observation.referenceRange.text",
        "short": "观察中的基于文本的引用范围",
        "definition": "观察中的基于文本的参考范围，可在定量范围不适合观察时使用。例如“负数”的参考值或“法线”的列表或表。"
      },
      {
        "id": "Observation.hasMember",
        "path": "Observation.hasMember",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "Observation.derivedFrom",
        "path": "Observation.derivedFrom",
        "short": "属于观察组的相关资源",
        "definition": "表示度量的目标资源，从该度量派生此观察值。例如，计算阴离子间隙或基于超声图像的胎儿测量。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Reference"
            ]
          }
        ]
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "short": "检验明细（如果存在）",
        "definition": "一些观察有多个组件。这些组件观察被表示为共享相同属性的独立代码值对。例如血压测量的收缩压和舒张压组分观察和遗传学的多组分观察。"
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "short": "观察类型(代码/类型)",
        "definition": "描述观察到的情况。有时这被称为观察“代码”，描述的是观察明细的代码。",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept"
            ]
          }
        ]
      },
      {
        "id": "Observation.component.value[x]",
        "path": "Observation.component.value[x]",
        "short": "观察的实际结果",
        "definition": "这里描述实际观察的真实结果值，可以是多种类型，每种类型的数据定义结构不一致，可参阅FHIR 数据类型定义。"
      },
      {
        "id": "Observation.component.dataAbsentReason",
        "path": "Observation.component.dataAbsentReason",
        "max": "0"
      },
      {
        "id": "Observation.component.interpretation",
        "path": "Observation.component.interpretation",
        "short": "检验结果",
        "definition": "对观察值的绝对评估。例如，高，低，正常。",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "检验结果代码表",
          "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/laboratory-observation-interpretation-vs"
        }
      },
      {
        "id": "Observation.component.referenceRange",
        "path": "Observation.component.referenceRange",
        "short": "标准值范围",
        "definition": "关于如何通过与正常或推荐范围进行比较来解释该值的指南。"
      },
      {
        "id": "Observation.component.referenceRange.low",
        "path": "Observation.component.referenceRange.low",
        "short": "最低值",
        "definition": "参考范围的下限的值。引用范围端点的下界包含该值(例如，引用范围是>=5 - <=9)。如果省略了下限，则认为它是无意义的(例如，参考范围<=2.3)。"
      },
      {
        "id": "Observation.component.referenceRange.high",
        "path": "Observation.component.referenceRange.high",
        "short": "最高值",
        "definition": "参考范围的上界值。引用范围端点的上限包含该值(例如，引用范围是>=5 - <=9)。如果省略了最大值，则认为它是无意义的(例如，参考范围是>= 2.3)。"
      },
      {
        "id": "Observation.component.referenceRange.type",
        "path": "Observation.component.referenceRange.type",
        "short": "参考范围限定符",
        "definition": "指示它适用于目标参考总体的哪一部分的代码。例如，正常范围或治疗范围。",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/CodeableConcept"
            ]
          }
        ]
      },
      {
        "id": "Observation.component.referenceRange.appliesTo",
        "path": "Observation.component.referenceRange.appliesTo",
        "max": "0"
      },
      {
        "id": "Observation.component.referenceRange.age",
        "path": "Observation.component.referenceRange.age",
        "definition": "这个参考范围适用的年龄。如果意思是这样的话，这是新生儿年龄(例如足月的周数)。"
      },
      {
        "id": "Observation.component.referenceRange.text",
        "path": "Observation.component.referenceRange.text",
        "short": "观察中的基于文本的引用范围",
        "definition": "观察中的基于文本的参考范围，可在定量范围不适合观察时使用。例如“负数”的参考值或“法线”的列表或表。"
      }
    ]
  }
}