{ "resourceType": "StructureDefinition", "id": "Patient", "meta": { "lastUpdated": "2020-12-07T02:46:22.806+00:00" }, "url": "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Patient", "name": "Patient", "title": "患者", "status": "draft", "date": "2019-12-11T06:30:42.2804849Z", "publisher": "hl7fhir.cn", "description": "接受医疗健康服务的个人或动物，医疗过程是以患者为中心的。对交叉索进行中国本地化约定", "fhirVersion": "4.0.0", "mapping": [ { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "cda", "uri": "http://hl7.org/v3/cda", "name": "CDA (R2)" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "loinc", "uri": "http://loinc.org", "name": "LOINC code for the element" } ], "kind": "resource", "abstract": false, "type": "Patient", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient", "derivation": "constraint", "differential": { "element": [ { "id": "Patient", "path": "Patient", "short": "接受医疗健康服务的个人或动物", "definition": "接受医疗健康服务个人的人口学信息或动物的管理信息。" }, { "id": "Patient.extension", "path": "Patient.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "Patient.extension:Ethnicity", "path": "Patient.extension", "sliceName": "Ethnicity", "short": "民族类别", "type": [ { "code": "Extension", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/ChineseEthnicity" ] } ] }, { "id": "Patient.extension:Nationality", "path": "Patient.extension", "sliceName": "Nationality", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Nationality" ] } ] }, { "id": "Patient.extension:DegreeOfEducation", "path": "Patient.extension", "sliceName": "DegreeOfEducation", "type": [ { "code": "Extension", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/degree-of-education" ] } ] }, { "id": "Patient.extension:Occupations", "path": "Patient.extension", "sliceName": "Occupations", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/occupations" ] } ] }, { "id": "Patient.extension:PersonStatus", "path": "Patient.extension", "sliceName": "PersonStatus", "type": [ { "code": "Extension", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/person-status" ] } ] }, { "id": "Patient.extension:PoliticalAffiliation", "path": "Patient.extension", "sliceName": "PoliticalAffiliation", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/politic-affiliation" ] } ] }, { "id": "Patient.identifier", "path": "Patient.identifier", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" }, "short": "患者交叉索引", "definition": "患者交叉索引，可以通过各种不同的业务标识符交叉检索到此患者", "comment": "若通过业务标识符如一卡通号或住院号来表示，则system中应指定医院uri的值，否则跨院检索会有问题", "requirements": "患者总会被分配特定的业务标识符。此本地规则中预置了对身份证、医保卡、健康卡的支持。", "type": [ { "code": "Identifier", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Identifier" ] } ] }, { "id": "Patient.identifier:identityDocument", "path": "Patient.identifier", "sliceName": "identityDocument", "short": "身份证件及其号码", "definition": "用中国法定有效证件来标识患者", "max": "1" }, { "id": "Patient.identifier:identityDocument.type", "path": "Patient.identifier.type", "short": "身份证件类别", "definition": "标识身份的证件类别，如身份证、户口簿、驾照等", "binding": { "strength": "extensible", "description": "CV02.01.101，整理自《WS 364-2011_卫生信息数据元值域代码》", "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/identity-document-type-vs" } }, { "id": "Patient.identifier:otherIdentifier", "path": "Patient.identifier", "sliceName": "otherIdentifier", "short": "其他业务标识符", "definition": "其它标识患者的业务ID" }, { "id": "Patient.active", "path": "Patient.active", "short": "是否为活动记录", "definition": "此患者记录是否可使用的活动记录。许多系统使用此属性将患者标记为非当前患者，例如根据组织的业务规则在一段时间内未就诊的患者。 它通常用于筛选有效患者记录，排除不活动的患者。 死亡的病人也可能被标记为不活动，但在死亡后的一段时间内病历可能还在使用，可以认为是活动的。", "comment": "如果某个患者记录A处于非活动状态并被链接到另一个处于活动状态的患者记录B，则后来对患者记录的更新应在B上进行。", "requirements": "需要能够将错误创建的记录标记为不使用（False)。", "meaningWhenMissing": "如果没有为active元素提供值，则默认假定此资源是活动的", "isModifierReason": "此元素值为fasle时，意味着此记录应被视为无效" }, { "id": "Patient.name", "path": "Patient.name", "label": "姓名", "short": "患者姓名", "definition": "符合中国人使用姓名的习惯，支持曾用名、别名，同时支持\"全名\"和\"姓+名\"的形式。", "type": [ { "code": "HumanName", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/ChineseName" ] } ] }, { "id": "Patient.telecom", "path": "Patient.telecom", "definition": "电话号码，包括手机或座机。", "type": [ { "code": "ContactPoint", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Telephone" ] } ] }, { "id": "Patient.gender", "path": "Patient.gender", "short": "性别", "definition": "生理性别 GB/T 2261.1", "binding": { "strength": "required", "description": "GB/T 2261.1", "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/physiological-gender-vs" } }, { "id": "Patient.gender.extension", "path": "Patient.gender.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "Patient.gender.extension:genser", "path": "Patient.gender.extension", "sliceName": "genser", "definition": "描述人的生理性别 遵循标准 GB/T 2261.1", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/sexual-distinction-of-human" ] } ], "binding": { "strength": "required", "description": "GB/T 2261.1", "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/physiological-gender-vs" } }, { "id": "Patient.birthDate", "path": "Patient.birthDate", "short": "出生日期", "definition": "患者的出生年月日" }, { "id": "Patient.deceased[x]", "path": "Patient.deceased[x]", "short": "是否死亡", "definition": "指示患者是否死亡，若已亡故，可指定亡故日期", "comment": "如果实例中没有值，则表示没有声明该个人是否已死亡。大多数系统都会默认为未死亡。", "requirements": "病人死亡的事实会影响临床程序。此外，在人际沟通和关系管理中，有必要知道这个人是否还活着。", "isModifierReason": "一旦患者被标记为已死亡，则适合对此患者执行的操作可能会显著不同。" }, { "id": "Patient.address", "path": "Patient.address", "definition": "使用中国行政区划表示的地址 （非GPS或经纬度地址）。", "type": [ { "code": "Address", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Address" ] } ] }, { "id": "Patient.maritalStatus", "path": "Patient.maritalStatus", "short": "婚姻状况", "definition": "患者最近的婚姻（民事）状态。GB/T 2261.2", "binding": { "strength": "required", "description": "GB/T 2261.2", "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/marital-status-vs" } }, { "id": "Patient.multipleBirth[x]", "path": "Patient.multipleBirth[x]", "short": "多胞胎", "definition": "填写布尔值用于说明患者是否为多胞胎中的一员；填写整数值则表明患者在多胞胎中的实际出生顺序。", "comment": "填写整数值，表示的是患者在多胞胎中的实际出生顺序编号。例如，三胞胎中第2个出生者为valueInteger=2，第三个出生者为valueInteger=3。如果用布尔值填写，则3个患者的此元素都应该填写value boolean=true（未指明顺序）。", "requirements": "用于排除多胞胎的歧义，特别是在医护人员未能与患者见面的时，可使用此字段确定长幼顺序。" }, { "id": "Patient.photo", "path": "Patient.photo", "short": "照片", "definition": "患者的照片", "comment": "指南:\n* 使用证件照而非临床照片.\n* 将尺寸限制为缩略图.\n* 尽量限制图像所占用的存储大小以便资源更新。", "requirements": "建议使用存储在身份证、居民健康卡或医保卡的照片" }, { "id": "Patient.contact", "path": "Patient.contact", "short": "联系人", "definition": "可以联系到患者的其它人，如紧急联系人、配偶、亲属、朋友、担保人等", "comment": "包括各种联系人：家庭成员、业务联系人、监护人、照护人员。不适用于登记血统和家庭关系以外的使用有联系。" }, { "id": "Patient.contact.relationship", "path": "Patient.contact.relationship", "short": "联系人关系", "definition": "患者与此联系人的关系", "binding": { "strength": "extensible", "description": "联系人关系", "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/family-relationship-vs" } }, { "id": "Patient.contact.name", "path": "Patient.contact.name", "short": "联系人姓名", "definition": "联系人姓名", "type": [ { "code": "HumanName", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/ChineseName" ] } ] }, { "id": "Patient.contact.telecom", "path": "Patient.contact.telecom", "short": "联系人电话号码", "definition": "联系人电话号码，包括手机或座机.", "type": [ { "code": "ContactPoint", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Telephone" ] } ] }, { "id": "Patient.contact.address", "path": "Patient.contact.address", "definition": "使用中国行政区划表示的地址 （非GPS或经纬度地址）。", "type": [ { "code": "Address", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Address" ] } ] }, { "id": "Patient.contact.gender", "path": "Patient.contact.gender", "short": "性 别", "definition": "生理 性别 GB/T 2261.1", "binding": { "strength": "required", "description": "GB/T 2261.1", "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/physiological-gender-vs" } }, { "id": "Patient.contact.gender.extension", "path": "Patient.contact.gender.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "Patient.contact.gender.extension:contactgenser", "path": "Patient.contact.gender.extension", "sliceName": "contactgenser", "short": "生理 性别", "definition": "描述人的生理性别 遵循标准 GB/T 2261.1", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/sexual-distinction-of-human" ] } ], "binding": { "strength": "required", "description": "GB/T 2261.1", "valueSet": "http://fhir.scwjxx.cn/Sichuan/ValueSet/physiological-gender-vs" } }, { "id": "Patient.contact.organization", "path": "Patient.contact.organization", "short": "与联系人相关的组织", "definition": "联系人所代表的组织或联系人工作的组织。", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Organization" ] } ] }, { "id": "Patient.contact.period", "path": "Patient.contact.period", "type": [ { "code": "Period", "profile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Period" ] } ] }, { "id": "Patient.communication", "path": "Patient.communication", "max": "0" }, { "id": "Patient.generalPractitioner", "path": "Patient.generalPractitioner", "definition": "患者提名的初诊提供者", "max": "0" }, { "id": "Patient.managingOrganization", "path": "Patient.managingOrganization", "short": "管理机构", "definition": "保管此患者病历的组织机构", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Organization" ] } ] }, { "id": "Patient.link", "path": "Patient.link", "short": "关联人", "definition": "链接到与此患者相关的另一个患者资源或相关人员", "comment": "链接的患者记录不一定是相互链接的。", "requirements": "两个用途：\r\n1、链接没有及时发现的重复患者记录\r\n2、链接分布式服务器上的相关患者信息。", "isModifierReason": "当link.type值为“replaced-by”时，说明主患者资源应该使用引用的患者而不是此患者记录。" }, { "id": "Patient.link.other", "path": "Patient.link.other", "short": "关联记录", "definition": "链接所指向的其他相关患者资源", "comment": "仅用于关联疑似同一患者的记录。去掉了对相关人资源(RelatedPerson)的链接", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.scwjxx.cn/Sichuan/StructureDefinition/Patient" ] } ] }, { "id": "Patient.link.type", "path": "Patient.link.type", "short": "关系类别", "definition": "此患者与另一患者资源之间的关系，包括被替代、替代、引用、参见（replaced-by | replaces | refer | seealso）", "binding": { "strength": "required", "description": "此患者与另一患者资源之间关系" } } ] } }