{
  "resourceType": "StructureDefinition",
  "id": "encounter-outpatient",
  "url": "http://StructureDefinition.hl7fhir.cn/encounter-outpatient",
  "name": "EncounterOutpatient",
  "title": "门诊",
  "status": "draft",
  "description": "门诊是医疗预防机构为不需要或尚未住院的群众防治疾病的一种方式。包括对病人的诊断治疗（认为必要时收进医院诊治），健康检查和预防接种，孕妇的产前检查，出院病人的随访等工作。为某类疾病专门设立的门诊，称为“专科门诊”，如心脏病、骨伤科等。\r\n门诊通常接诊病情表症较轻的病人，经过门诊医生一整套的诊断手段、辅助检查，给病人得出初步诊断，门诊医生能够对症治疗即给予病人进行治疗，如果门诊医生对病人病情有疑问或诊断为病情较重较急，则将病人收入住院病房，在医院作进一步检查或进行手术或相关的治疗等医疗措施。",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Encounter",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Encounter",
        "path": "Encounter",
        "short": "门诊服务",
        "definition": "患者与医疗保健提供者之间的交互，目的是提供医疗保健服务或评估患者的健康状况。这里确定为门诊服务"
      },
      {
        "id": "Encounter.identifier",
        "path": "Encounter.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "rules": "open"
        },
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Identifier"
            ]
          }
        ]
      },
      {
        "id": "Encounter.identifier:outpatientIdentifier",
        "path": "Encounter.identifier",
        "sliceName": "outpatientIdentifier",
        "short": "门诊号",
        "definition": "门诊编号，作为门诊业务的业务主键。",
        "max": "1"
      },
      {
        "id": "Encounter.identifier:registrationIdentifier",
        "path": "Encounter.identifier",
        "sliceName": "registrationIdentifier",
        "short": "挂号单号",
        "definition": "挂号单的唯一流水编号",
        "max": "1"
      },
      {
        "id": "Encounter.identifier:otherIdentifier",
        "path": "Encounter.identifier",
        "sliceName": "otherIdentifier",
        "short": "其他业务标识符",
        "definition": "其他业务标识符"
      },
      {
        "id": "Encounter.status",
        "path": "Encounter.status",
        "short": "门诊状态",
        "definition": "描述门诊服务的各种状态\r\nplanned | arrived | triaged | in-progress | onleave | finished | cancelled +."
      },
      {
        "id": "Encounter.status.extension",
        "path": "Encounter.status.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Encounter.status.extension:status",
        "path": "Encounter.status.extension",
        "sliceName": "status",
        "short": "门诊状态",
        "definition": "描述门诊服务的各种状态",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/resource-status"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://ValueSet.hl7fhir.cn/encounter-status-vs"
        }
      },
      {
        "id": "Encounter.statusHistory",
        "path": "Encounter.statusHistory",
        "max": "0"
      },
      {
        "id": "Encounter.statusHistory.period",
        "path": "Encounter.statusHistory.period",
        "type": [
          {
            "code": "Period",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Period"
            ]
          }
        ]
      },
      {
        "id": "Encounter.class",
        "path": "Encounter.class",
        "short": "医疗事件分类",
        "definition": "代表病人遭遇分类的概念，如门诊、住院、急诊、家庭健康或因地方差异而产生的其他情况。该出确定为门诊服务",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Coding"
            ]
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "医疗事件分类代码",
          "valueSet": "http://ValueSet.hl7fhir.cn/act-encounter-code"
        }
      },
      {
        "id": "Encounter.classHistory",
        "path": "Encounter.classHistory",
        "max": "0"
      },
      {
        "id": "Encounter.type",
        "path": "Encounter.type",
        "short": "医疗事件特定类型",
        "definition": "描述医疗事件的特定类型，例如，电子邮件咨询，日间手术，熟练的护理，康复）。",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "strength": "example",
          "valueSet": "http://ValueSet.hl7fhir.cn/encounter-type-vs"
        }
      },
      {
        "id": "Encounter.serviceType",
        "path": "Encounter.serviceType",
        "short": "医疗事件的广泛分类",
        "definition": "将提供的服务的广泛分类(如心脏病学)。",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ]
      },
      {
        "id": "Encounter.priority",
        "path": "Encounter.priority",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "strength": "example",
          "description": "优先级",
          "valueSet": "http://ValueSet.hl7fhir.cn/act-priority-vs"
        }
      },
      {
        "id": "Encounter.subject",
        "path": "Encounter.subject",
        "short": "患者",
        "definition": "引用患者信息",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "Encounter.episodeOfCare",
        "path": "Encounter.episodeOfCare",
        "short": "医疗周期",
        "definition": "引用医疗周期资源，有关在一段时间内可能发生相关医疗保健活动的患者与医疗保健提供者的关联的信息。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "Encounter.basedOn",
        "path": "Encounter.basedOn",
        "max": "0",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "Encounter.participant",
        "path": "Encounter.participant",
        "short": "参与的医护人员名单",
        "definition": "负责提供服务的人员列表。"
      },
      {
        "id": "Encounter.participant.type",
        "path": "Encounter.participant.type",
        "short": "参与者角色",
        "definition": "在门诊服务中参与者的角色",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://ValueSet.hl7fhir.cn/encounter-participant-type-vs"
        }
      },
      {
        "id": "Encounter.participant.period",
        "path": "Encounter.participant.period",
        "short": "参与者参与的时间段",
        "type": [
          {
            "code": "Period",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Period"
            ]
          }
        ]
      },
      {
        "id": "Encounter.participant.individual",
        "path": "Encounter.participant.individual",
        "short": "参与者",
        "definition": "以引用方式关联参与者",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "Encounter.appointment",
        "path": "Encounter.appointment",
        "short": "预约或者挂号信息",
        "definition": "引用预约和挂号信息",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "Encounter.period",
        "path": "Encounter.period",
        "short": "就诊时间",
        "definition": "门诊就诊时间段",
        "type": [
          {
            "code": "Period",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Period"
            ]
          }
        ]
      },
      {
        "id": "Encounter.length",
        "path": "Encounter.length",
        "max": "0"
      },
      {
        "id": "Encounter.reasonCode",
        "path": "Encounter.reasonCode",
        "max": "0",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ]
      },
      {
        "id": "Encounter.reasonReference",
        "path": "Encounter.reasonReference",
        "max": "0",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "Encounter.diagnosis",
        "path": "Encounter.diagnosis",
        "short": "诊断",
        "definition": "与此相关的诊断列表。"
      },
      {
        "id": "Encounter.diagnosis.condition",
        "path": "Encounter.diagnosis.condition",
        "short": "与该门诊有关的诊断或程序",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "Encounter.diagnosis.use",
        "path": "Encounter.diagnosis.use",
        "short": "诊断类型",
        "definition": "该诊断在门诊中的类型",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "诊断类型代码表",
          "valueSet": "http://ValueSet.hl7fhir.cn/diagnosis-role"
        }
      },
      {
        "id": "Encounter.account",
        "path": "Encounter.account",
        "max": "0"
      },
      {
        "id": "Encounter.hospitalization",
        "path": "Encounter.hospitalization",
        "max": "0"
      },
      {
        "id": "Encounter.location",
        "path": "Encounter.location",
        "short": "门诊诊室",
        "definition": "病人在此遭遇期间所处门诊诊室。"
      },
      {
        "id": "Encounter.location.status",
        "path": "Encounter.location.status",
        "short": "患者在该段时段并且在该诊室的状态",
        "definition": "在指定的时间内，参与者在指定地点的存在状态。如果参与者不在该地点，那么该周期将有一个结束日期/时间。计划|活动|保留|完成"
      },
      {
        "id": "Encounter.location.status.extension",
        "path": "Encounter.location.status.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Encounter.location.status.extension:status",
        "path": "Encounter.location.status.extension",
        "sliceName": "status",
        "short": "患者在该段时段并且在该位置的状态",
        "definition": "在指定的时间内，参与者在指定地点的存在状态。如果参与者不在该地点，那么该周期将有一个结束日期/时间。计划|活动|保留|完成",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/resource-status"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://ValueSet.hl7fhir.cn/encounter-location-status-vs"
        }
      },
      {
        "id": "Encounter.location.physicalType",
        "path": "Encounter.location.physicalType",
        "short": "位置的物理形式",
        "definition": "位置的物理形式，例如建筑物、房间、车辆、道路。病床，这里为房间",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "strength": "example",
          "valueSet": "http://ValueSet.hl7fhir.cn/location-physical-type-vs"
        }
      },
      {
        "id": "Encounter.location.period",
        "path": "Encounter.location.period",
        "comment": "周期指定时间范围;使用的上下文将说明整个范围是否适用(例如:“该病人是该医院在此时间范围内的住院病人”)或应用该时间范围中的一个值(例如:“在这两次之间给病人”)。\r\nPeriod不用于持续时间(运行时间的度量)。[时间](datatypes.html #持续时间)。",
        "type": [
          {
            "code": "Period",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Period"
            ]
          }
        ]
      },
      {
        "id": "Encounter.serviceProvider",
        "path": "Encounter.serviceProvider",
        "short": "门诊科室",
        "definition": "这次门诊服务的组织。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "Encounter.partOf",
        "path": "Encounter.partOf",
        "max": "0",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      }
    ]
  }
}