<status value="draft" /> <date value="2019-12-11T06:30:42.2804849Z" /> <publisher value="hl7fhir.cn" /> <description value="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 value="4.0.0" /> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="cda" /> <uri value="http://hl7.org/v3/cda" /> <name value="CDA (R2)" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="loinc" /> <uri value="http://loinc.org" /> <name value="LOINC code for the element" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Patient" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient" /> <derivation value="constraint" /> <snapshot> <element id="Patient"> <path value="Patient" /> <short value="接受医疗健康服务的个人或动物" /> <definition value="接受医疗健康服务个人的人口学信息或动物的管理信息。" /> <alias value="SubjectOfCare Client Resident" /> <min value="0" /> <max value="*" /> <base> <path value="Patient" /> <min value="0" /> <max value="*" /> </base> <constraint> <key value="dom-2" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" /> <expression value="contained.contained.empty()" /> <xpath value="not(parent::f:contained and f:contained)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-4" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" /> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-3" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" /> <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" /> <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." /> </extension> <key value="dom-6" /> <severity value="warning" /> <human value="A resource should have narrative for robust management" /> <expression value="text.`div`.exists()" /> <xpath value="exists(f:text/h:div)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-5" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a security label" /> <expression value="contained.meta.security.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:security))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <mapping> <identity value="rim" /> <map value="Entity. Role, or Act" /> </mapping> <mapping> <identity value="rim" /> <map value="Patient[classCode=PAT]" /> </mapping> <mapping> <identity value="cda" /> <map value="ClinicalDocument.recordTarget.patientRole" /> </mapping> </element> <element id="Patient.id"> <path value="Patient.id" /> <short value="Logical id of this artifact" /> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." /> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <isSummary value="true" /> </element> <element id="Patient.meta"> <path value="Patient.meta" /> <short value="Metadata about the resource" /> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.meta" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Meta" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.implicitRules"> <path value="Patient.implicitRules" /> <short value="A set of rules under which this content was created" /> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." /> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.implicitRules" /> <min value="0" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Patient.language"> <path value="Patient.language" /> <short value="Language of the resource content" /> <definition value="The base language in which the resource is written." /> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.language" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language" /> </extension> <strength value="preferred" /> <description value="A human language." /> <valueSet value="http://hl7.org/fhir/ValueSet/languages" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Patient.text"> <path value="Patient.text" /> <short value="Text summary of the resource, for human interpretation" /> <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." /> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later." /> <alias value="narrative" /> <alias value="html" /> <alias value="xhtml" /> <alias value="display" /> <min value="0" /> <max value="1" /> <base> <path value="DomainResource.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Narrative" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="Act.text?" /> </mapping> </element> <element id="Patient.contained"> <path value="Patient.contained" /> <short value="Contained, inline Resources" /> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." /> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." /> <alias value="inline resources" /> <alias value="anonymous resources" /> <alias value="contained resources" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.contained" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Resource" /> </type> <mapping> <identity value="rim" /> <map value="Entity. Role, or Act" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.extension"> <path value="Patient.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.modifierExtension"> <path value="Patient.modifierExtension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Extensions that cannot be ignored" /> <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.modifierExtension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="true" /> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.identifier"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Patient.identifier" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> <short value="患者交叉索引" /> <definition value="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 value="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 value="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。" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.identifier" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Identifier" /> <profile value="http://StructureDefinition.hl7fhir.cn/Identifier" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" /> </mapping> <mapping> <identity value="rim" /> <map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" /> </mapping> <mapping> <identity value="servd" /> <map value="Identifier" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.identifier" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-3" /> </mapping> <mapping> <identity value="rim" /> <map value="id" /> </mapping> <mapping> <identity value="cda" /> <map value=".id" /> </mapping> </element> <element id="Patient.active"> <path value="Patient.active" /> <short value="是否为活动记录" /> <definition value="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 value="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 value="需要能够将错误创建的记录标记为不使用（False)。" /> <min value="0" /> <max value="1" /> <base> <path value="Patient.active" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <meaningWhenMissing value="如果没有为active元素提供值，则默认假定此资源是活动的" /> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="此元素值为fasle时，意味着此记录应被视为无效" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.status" /> </mapping> <mapping> <identity value="rim" /> <map value="statusCode" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.name"> <path value="Patient.name" /> <short value="姓名" /> <definition value="符合中国人使用姓名的习惯，支持曾用名、别名，同时支持全称和姓+名的形式。" /> <comment value="患者可能在不同时期有多个不同用途的名字。对动物名字仍然是一个HumanName数据类型，因为它是由人类指定和使用的，并且具有相同的模式。" /> <requirements value="Need to be able to track the patient by multiple names. Examples are your official name and a partner name." /> <min value="0" /> <max value="*" /> <base> <path value="Patient.name" /> <min value="0" /> <max value="*" /> </base> <type> <code value="HumanName" /> <profile value="http://StructureDefinition.hl7fhir.cn/ChineseName" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="XPN" /> </mapping> <mapping> <identity value="rim" /> <map value="EN (actually, PN)" /> </mapping> <mapping> <identity value="servd" /> <map value="ProviderName" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-5, PID-9" /> </mapping> <mapping> <identity value="rim" /> <map value="name" /> </mapping> <mapping> <identity value="cda" /> <map value=".patient.name" /> </mapping> </element> <element id="Patient.telecom"> <path value="Patient.telecom" /> <short value="电话号码" /> <definition value="电话号码，包括手机或座机" /> <comment value="A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone)." /> <requirements value="People have (primary) ways to contact them in some way such as phone, email." /> <min value="0" /> <max value="*" /> <base> <path value="Patient.telecom" /> <min value="0" /> <max value="*" /> </base> <type> <code value="ContactPoint" /> <profile value="http://StructureDefinition.hl7fhir.cn/Telephone" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="cpt-2" /> <severity value="error" /> <human value="A system is required if a value is provided." /> <expression value="value.empty() or system.exists()" /> <xpath value="not(exists(f:value)) or exists(f:system)" /> <source value="http://hl7.org/fhir/StructureDefinition/ContactPoint" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="XTN" /> </mapping> <mapping> <identity value="rim" /> <map value="TEL" /> </mapping> <mapping> <identity value="servd" /> <map value="ContactPoint" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-13, PID-14, PID-40" /> </mapping> <mapping> <identity value="rim" /> <map value="telecom" /> </mapping> <mapping> <identity value="cda" /> <map value=".telecom" /> </mapping> </element> <element id="Patient.gender"> <path value="Patient.gender" /> <short value="性别" /> <definition value="生理性别 GB/T 2261.1" /> <comment value="The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex." /> <requirements value="Needed for identification of the individual, in combination with (at least) name and birth date." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.gender" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AdministrativeGender" /> </extension> <strength value="required" /> <description value="GB/T 2261.1" /> <valueSet value="http://ValueSet.hl7fhir.cn/physiological-gender-vs" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-8" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" /> </mapping> <mapping> <identity value="cda" /> <map value=".patient.administrativeGenderCode" /> </mapping> </element> <element id="Patient.birthDate"> <path value="Patient.birthDate" /> <short value="出生日期" /> <definition value="患者的出生年月日" /> <comment value="At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems)." /> <requirements value="Age of the individual drives many clinical processes." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.birthDate" /> <min value="0" /> <max value="1" /> </base> <type> <code value="date" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-7" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime" /> </mapping> <mapping> <identity value="cda" /> <map value=".patient.birthTime" /> </mapping> <mapping> <identity value="loinc" /> <map value="21112-8" /> </mapping> </element> <element id="Patient.deceased[x]"> <path value="Patient.deceased[x]" /> <short value="是否死亡" /> <definition value="指示患者是否死亡，若已亡故，可指定亡故日期" /> <comment value="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 value="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。" /> <min value="0" /> <max value="1" /> <base> <path value="Patient.deceased[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <type> <code value="dateTime" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="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。" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-30 (bool) and PID-29 (datetime)" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.address"> <path value="Patient.address" /> <short value="地址" /> <definition value="使用中国行政区划表示的地址（非GPS或经纬度地址）。" /> <comment value="注：此地址是用来描述行政管理目的地址或邮政编码，不是用来描述绝对地理坐标。" /> <requirements value="May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification." /> <min value="0" /> <max value="*" /> <base> <path value="Patient.address" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Address" /> <profile value="http://StructureDefinition.hl7fhir.cn/Address" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="XAD" /> </mapping> <mapping> <identity value="rim" /> <map value="AD" /> </mapping> <mapping> <identity value="servd" /> <map value="Address" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-11" /> </mapping> <mapping> <identity value="rim" /> <map value="addr" /> </mapping> <mapping> <identity value="cda" /> <map value=".addr" /> </mapping> </element> <element id="Patient.maritalStatus"> <path value="Patient.maritalStatus" /> <short value="婚姻状况" /> <definition value="患者最近的婚姻（民事）状态。GB/T 2261.2" /> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <requirements value="Most, if not all systems capture it." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.maritalStatus" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MaritalStatus" /> </extension> <strength value="required" /> <description value="GB/T 2261.2" /> <valueSet value="http://ValueSet.hl7fhir.cn/marital-status-vs" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-16" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN]/maritalStatusCode" /> </mapping> <mapping> <identity value="cda" /> <map value=".patient.maritalStatusCode" /> </mapping> </element> <element id="Patient.multipleBirth[x]"> <path value="Patient.multipleBirth[x]" /> <short value="多胞胎" /> <definition value="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 value="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 value="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。" /> <min value="0" /> <max value="1" /> <base> <path value="Patient.multipleBirth[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <type> <code value="integer" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-24 (bool), PID-25 (integer)" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.photo"> <path value="Patient.photo" /> <short value="照片" /> <definition value="患者的照片" /> <comment value="指南: * 使用证件照而非临床照片. * 将尺寸限制为缩略图. * 尽量限制图像所占用的存储大小以便资源更新。" /> <requirements value="建议使用存储在身份证、居民健康卡或医保卡的照片" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.photo" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Attachment" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="att-1" /> <severity value="error" /> <human value="If the Attachment has data, it SHALL have a contentType" /> <expression value="data.empty() or contentType.exists()" /> <xpath value="not(exists(f:data)) or exists(f:contentType)" /> <source value="http://hl7.org/fhir/StructureDefinition/Attachment" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="ED/RP" /> </mapping> <mapping> <identity value="rim" /> <map value="ED" /> </mapping> <mapping> <identity value="v2" /> <map value="OBX-5 - needs a profile" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.contact"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"> <valueString value="Contact" /> </extension> <path value="Patient.contact" /> <short value="联系人" /> <definition value="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 value="包括各种联系人：家庭成员、业务联系人、监护人、护理人员。不适用于登记血统和家庭关系以外的使用有联系。" /> <requirements value="Need to track people you can contact about the patient." /> <min value="0" /> <max value="*" /> <base> <path value="Patient.contact" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="pat-1" /> <severity value="error" /> <human value="SHALL at least contain a contact's details or a reference to an organization" /> <expression value="name.exists() or telecom.exists() or address.exists() or organization.exists()" /> <xpath value="exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)" /> <source value="http://hl7.org/fhir/StructureDefinition/Patient" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.contact.id"> <path value="Patient.contact.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Patient.contact.extension"> <path value="Patient.contact.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.contact.modifierExtension"> <path value="Patient.contact.modifierExtension" /> <short value="Extensions that cannot be ignored even if unrecognized" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." /> <alias value="extensions" /> <alias value="user content" /> <alias value="modifiers" /> <min value="0" /> <max value="*" /> <base> <path value="BackboneElement.modifierExtension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="true" /> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.contact.relationship"> <path value="Patient.contact.relationship" /> <short value="联系人关系" /> <definition value="患者与此联系人的关系" /> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <requirements value="Used to determine which contact person is the most relevant to approach, depending on circumstances." /> <min value="0" /> <max value="*" /> <base> <path value="Patient.contact.relationship" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ContactRelationship" /> </extension> <strength value="extensible" /> <description value="联系人关系" /> <valueSet value="http://ValueSet.hl7fhir.cn/contact-relationship-vs" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="NK1-7, NK1-3" /> </mapping> <mapping> <identity value="rim" /> <map value="code" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.contact.name"> <path value="Patient.contact.name" /> <short value="联系人姓名" /> <definition value="联系人姓名" /> <comment value="Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely." /> <requirements value="Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.contact.name" /> <min value="0" /> <max value="1" /> </base> <type> <code value="HumanName" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="XPN" /> </mapping> <mapping> <identity value="rim" /> <map value="EN (actually, PN)" /> </mapping> <mapping> <identity value="servd" /> <map value="ProviderName" /> </mapping> <mapping> <identity value="v2" /> <map value="NK1-2" /> </mapping> <mapping> <identity value="rim" /> <map value="name" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.contact.telecom"> <path value="Patient.contact.telecom" /> <short value="电话号码" /> <definition value="电话号码，包括手机或座机" /> <comment value="Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification." /> <requirements value="People have (primary) ways to contact them in some way such as phone, email." /> <min value="0" /> <max value="*" /> <base> <path value="Patient.contact.telecom" /> <min value="0" /> <max value="*" /> </base> <type> <code value="ContactPoint" /> <profile value="http://StructureDefinition.hl7fhir.cn/Telephone" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="cpt-2" /> <severity value="error" /> <human value="A system is required if a value is provided." /> <expression value="value.empty() or system.exists()" /> <xpath value="not(exists(f:value)) or exists(f:system)" /> <source value="http://hl7.org/fhir/StructureDefinition/ContactPoint" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="XTN" /> </mapping> <mapping> <identity value="rim" /> <map value="TEL" /> </mapping> <mapping> <identity value="servd" /> <map value="ContactPoint" /> </mapping> <mapping> <identity value="v2" /> <map value="NK1-5, NK1-6, NK1-40" /> </mapping> <mapping> <identity value="rim" /> <map value="telecom" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.contact.address"> <path value="Patient.contact.address" /> <short value="地址" /> <definition value="使用中国行政区划表示的地址（非GPS或经纬度地址）。" /> <comment value="注：此地址是用来描述行政管理目的地址或邮政编码，不是用来描述绝对地理坐标。" /> <requirements value="Need to keep track where the contact person can be contacted per postal mail or visited." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.contact.address" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Address" /> <profile value="http://StructureDefinition.hl7fhir.cn/Address" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="XAD" /> </mapping> <mapping> <identity value="rim" /> <map value="AD" /> </mapping> <mapping> <identity value="servd" /> <map value="Address" /> </mapping> <mapping> <identity value="v2" /> <map value="NK1-4" /> </mapping> <mapping> <identity value="rim" /> <map value="addr" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.contact.gender"> <path value="Patient.contact.gender" /> <short value="性别" /> <definition value="生理性别 GB/T 2261.1" /> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" /> <requirements value="Needed to address the person correctly." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.contact.gender" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AdministrativeGender" /> </extension> <strength value="required" /> <description value="GB/T 2261.1" /> <valueSet value="http://ValueSet.hl7fhir.cn/physiological-gender-vs" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="NK1-15" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.contact.organization"> <path value="Patient.contact.organization" /> <short value="Organization that is associated with the contact" /> <definition value="Organization on behalf of which the contact is acting or for which the contact is working." /> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." /> <requirements value="For guardians or business related contacts, the organization is relevant." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.contact.organization" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://StructureDefinition.hl7fhir.cn/Organization" /> </type> <condition value="ele-1" /> <condition value="pat-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="v2" /> <map value="NK1-13, NK1-30, NK1-31, NK1-32, NK1-41" /> </mapping> <mapping> <identity value="rim" /> <map value="scoper" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.contact.period"> <path value="Patient.contact.period" /> <short value="时段范围" /> <definition value="由开始和结束时间以及可选时间定义的时间段范围。" /> <comment value="注意是时间段Period数据类型，而非持续时间Duration数据类型。结束时间应总是晚于开始时间。" /> <min value="0" /> <max value="1" /> <base> <path value="Patient.contact.period" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Period" /> <profile value="http://StructureDefinition.hl7fhir.cn/Period" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="per-1" /> <severity value="error" /> <human value="If present, start SHALL have a lower value than end" /> <expression value="start.hasValue().not() or end.hasValue().not() or (start <= end)" /> <xpath value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))" /> <source value="http://hl7.org/fhir/StructureDefinition/Period" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="DR" /> </mapping> <mapping> <identity value="rim" /> <map value="IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]" /> </mapping> <mapping> <identity value="rim" /> <map value="effectiveTime" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.communication"> <path value="Patient.communication" /> <short value="A language which may be used to communicate with the patient about his or her health" /> <definition value="A language which may be used to communicate with the patient about his or her health." /> <comment value="If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required." /> <requirements value="If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest." /> <min value="0" /> <max value="0" /> <base> <path value="Patient.communication" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="LanguageCommunication" /> </mapping> <mapping> <identity value="cda" /> <map value="patient.languageCommunication" /> </mapping> </element> <element id="Patient.communication.id"> <path value="Patient.communication.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Patient.communication.extension"> <path value="Patient.communication.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.communication.modifierExtension"> <path value="Patient.communication.modifierExtension" /> <short value="Extensions that cannot be ignored even if unrecognized" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." /> <alias value="extensions" /> <alias value="user content" /> <alias value="modifiers" /> <min value="0" /> <max value="*" /> <base> <path value="BackboneElement.modifierExtension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="true" /> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.communication.language"> <path value="Patient.communication.language" /> <short value="The language which can be used to communicate with the patient about his or her health" /> <definition value="The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English." /> <comment value="The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type." /> <requirements value="Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect." /> <min value="1" /> <max value="1" /> <base> <path value="Patient.communication.language" /> <min value="1" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language" /> </extension> <strength value="preferred" /> <description value="A human language." /> <valueSet value="http://hl7.org/fhir/ValueSet/languages" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-15, LAN-2" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code" /> </mapping> <mapping> <identity value="cda" /> <map value=".languageCode" /> </mapping> </element> <element id="Patient.communication.preferred"> <path value="Patient.communication.preferred" /> <short value="Language preference indicator" /> <definition value="Indicates whether or not the patient prefers this language (over other languages he masters up a certain level)." /> <comment value="This language is specifically identified for communicating healthcare information." /> <requirements value="People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.communication.preferred" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-15" /> </mapping> <mapping> <identity value="rim" /> <map value="preferenceInd" /> </mapping> <mapping> <identity value="cda" /> <map value=".preferenceInd" /> </mapping> </element> <element id="Patient.generalPractitioner"> <path value="Patient.generalPractitioner" /> <short value="Patient's nominated primary care provider" /> <definition value="患者提名的初诊提供者" /> <comment value="This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type." /> <alias value="careProvider" /> <min value="0" /> <max value="0" /> <base> <path value="Patient.generalPractitioner" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="v2" /> <map value="PD1-4" /> </mapping> <mapping> <identity value="rim" /> <map value="subjectOf.CareEvent.performer.AssignedEntity" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.managingOrganization"> <path value="Patient.managingOrganization" /> <short value="管理机构" /> <definition value="保管此患者病历的组织机构" /> <comment value="There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association)." /> <requirements value="Need to know who recognizes this patient record, manages and updates it." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.managingOrganization" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://StructureDefinition.hl7fhir.cn/Organization" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="rim" /> <map value="scoper" /> </mapping> <mapping> <identity value="cda" /> <map value=".providerOrganization" /> </mapping> </element> <element id="Patient.link"> <path value="Patient.link" /> <short value="关联人" /> <definition value="链接到与此患者相关的另一个患者资源或相关人员" /> <comment value="链接的患者记录不一定是相互链接的。" /> <requirements value="两个用途： 1、链接没有及时发现的重复患者记录 2、链接分布式服务器上的相关患者信息。" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.link" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="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。" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="outboundLink" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.link.id"> <path value="Patient.link.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Patient.link.extension"> <path value="Patient.link.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.link.modifierExtension"> <path value="Patient.link.modifierExtension" /> <short value="Extensions that cannot be ignored even if unrecognized" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." /> <alias value="extensions" /> <alias value="user content" /> <alias value="modifiers" /> <min value="0" /> <max value="*" /> <base> <path value="BackboneElement.modifierExtension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="true" /> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.link.other"> <path value="Patient.link.other" /> <short value="关联记录" /> <definition value="链接所指向的其他相关患者资源" /> <comment value="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" /> <min value="1" /> <max value="1" /> <base> <path value="Patient.link.other" /> <min value="1" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy"> <valueBoolean value="false" /> </extension> <code value="Reference" /> <targetProfile value="http://StructureDefinition.hl7fhir.cn/Patient" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-3, MRG-1" /> </mapping> <mapping> <identity value="rim" /> <map value="id" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.link.type"> <path value="Patient.link.type" /> <short value="关系类别" /> <definition value="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）" /> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" /> <min value="1" /> <max value="1" /> <base> <path value="Patient.link.type" /> <min value="1" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="LinkType" /> </extension> <strength value="required" /> <description value="此患者与另一患者资源之间关系" /> <valueSet value="http://hl7.org/fhir/ValueSet/link-type|4.0.1" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="typeCode" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> </snapshot> <differential> <element id="Patient"> <path value="Patient" /> <short value="接受医疗健康服务的个人或动物" /> <definition value="接受医疗健康服务个人的人口学信息或动物的管理信息。" /> </element> <element id="Patient.identifier"> <path value="Patient.identifier" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> <short value="患者交叉索引" /> <definition value="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 value="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 value="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 value="Identifier" /> <profile value="http://StructureDefinition.hl7fhir.cn/Identifier" /> </type> </element> <element id="Patient.active"> <path value="Patient.active" /> <short value="是否为活动记录" /> <definition value="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 value="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 value="需要能够将错误创建的记录标记为不使用（False)。" /> <meaningWhenMissing value="如果没有为active元素提供值，则默认假定此资源是活动的" /> <isModifierReason value="此元素值为fasle时，意味着此记录应被视为无效" /> </element> <element id="Patient.name"> <path value="Patient.name" /> <type> <code value="HumanName" /> <profile value="http://StructureDefinition.hl7fhir.cn/ChineseName" /> </type> </element> <element id="Patient.telecom"> <path value="Patient.telecom" /> <type> <code value="ContactPoint" /> <profile value="http://StructureDefinition.hl7fhir.cn/Telephone" /> </type> </element> <element id="Patient.gender"> <path value="Patient.gender" /> <short value="性别" /> <definition value="生理性别 GB/T 2261.1" /> <binding> <strength value="required" /> <description value="GB/T 2261.1" /> <valueSet value="http://ValueSet.hl7fhir.cn/physiological-gender-vs" /> </binding> </element> <element id="Patient.birthDate"> <path value="Patient.birthDate" /> <short value="出生日期" /> <definition value="患者的出生年月日" /> </element> <element id="Patient.deceased[x]"> <path value="Patient.deceased[x]" /> <short value="是否死亡" /> <definition value="指示患者是否死亡，若已亡故，可指定亡故日期" /> <comment value="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 value="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 value="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。" /> </element> <element id="Patient.address"> <path value="Patient.address" /> <type> <code value="Address" /> <profile value="http://StructureDefinition.hl7fhir.cn/Address" /> </type> </element> <element id="Patient.maritalStatus"> <path value="Patient.maritalStatus" /> <short value="婚姻状况" /> <definition value="患者最近的婚姻（民事）状态。GB/T 2261.2" /> <binding> <strength value="required" /> <description value="GB/T 2261.2" /> <valueSet value="http://ValueSet.hl7fhir.cn/marital-status-vs" /> </binding> </element> <element id="Patient.multipleBirth[x]"> <path value="Patient.multipleBirth[x]" /> <short value="多胞胎" /> <definition value="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 value="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 value="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。" /> </element> <element id="Patient.photo"> <path value="Patient.photo" /> <short value="照片" /> <definition value="患者的照片" /> <comment value="指南: * 使用证件照而非临床照片. * 将尺寸限制为缩略图. * 尽量限制图像所占用的存储大小以便资源更新。" /> <requirements value="建议使用存储在身份证、居民健康卡或医保卡的照片" /> </element> <element id="Patient.contact"> <path value="Patient.contact" /> <short value="联系人" /> <definition value="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 value="包括各种联系人：家庭成员、业务联系人、监护人、护理人员。不适用于登记血统和家庭关系以外的使用有联系。" /> </element> <element id="Patient.contact.relationship"> <path value="Patient.contact.relationship" /> <short value="联系人关系" /> <definition value="患者与此联系人的关系" /> <binding> <strength value="extensible" /> <description value="联系人关系" /> <valueSet value="http://ValueSet.hl7fhir.cn/contact-relationship-vs" /> </binding> </element> <element id="Patient.contact.name"> <path value="Patient.contact.name" /> <short value="联系人姓名" /> <definition value="联系人姓名" /> </element> <element id="Patient.contact.telecom"> <path value="Patient.contact.telecom" /> <type> <code value="ContactPoint" /> <profile value="http://StructureDefinition.hl7fhir.cn/Telephone" /> </type> </element> <element id="Patient.contact.address"> <path value="Patient.contact.address" /> <type> <code value="Address" /> <profile value="http://StructureDefinition.hl7fhir.cn/Address" /> </type> </element> <element id="Patient.contact.gender"> <path value="Patient.contact.gender" /> <short value="性别" /> <definition value="生理性别 GB/T 2261.1" /> <binding> <strength value="required" /> <description value="GB/T 2261.1" /> <valueSet value="http://ValueSet.hl7fhir.cn/physiological-gender-vs" /> </binding> </element> <element id="Patient.contact.organization"> <path value="Patient.contact.organization" /> <type> <code value="Reference" /> <targetProfile value="http://StructureDefinition.hl7fhir.cn/Organization" /> </type> </element> <element id="Patient.contact.period"> <path value="Patient.contact.period" /> <type> <code value="Period" /> <profile value="http://StructureDefinition.hl7fhir.cn/Period" /> </type> </element> <element id="Patient.communication"> <path value="Patient.communication" /> <max value="0" /> </element> <element id="Patient.generalPractitioner"> <path value="Patient.generalPractitioner" /> <definition value="患者提名的初诊提供者" /> <max value="0" /> </element> <element id="Patient.managingOrganization"> <path value="Patient.managingOrganization" /> <short value="管理机构" /> <definition value="保管此患者病历的组织机构" /> <type> <code value="Reference" /> <targetProfile value="http://StructureDefinition.hl7fhir.cn/Organization" /> </type> </element> <element id="Patient.link"> <path value="Patient.link" /> <short value="关联人" /> <definition value="链接到与此患者相关的另一个患者资源或相关人员" /> <comment value="链接的患者记录不一定是相互链接的。" /> <requirements value="两个用途： 1、链接没有及时发现的重复患者记录 2、链接分布式服务器上的相关患者信息。" /> <isModifierReason value="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。" /> </element> <element id="Patient.link.other"> <path value="Patient.link.other" /> <short value="关联记录" /> <definition value="链接所指向的其他相关患者资源" /> <comment value="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> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy"> <valueBoolean value="false" /> </extension> <code value="Reference" /> <targetProfile value="http://StructureDefinition.hl7fhir.cn/Patient" /> </type> </element> <element id="Patient.link.type"> <path value="Patient.link.type" /> <short value="关系类别" /> <definition value="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 value="required" /> <description value="此患者与另一患者资源之间关系" /> </binding> </element> </differential> </StructureDefinition>