{
  "resourceType": "StructureDefinition",
  "id": "inspect-request",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2020-12-07T02:05:11.594+00:00"
  },
  "url": "http://StructureDefinition.hl7fhir.cn/inspect-request",
  "name": "InspectRequest",
  "title": "检查申请",
  "status": "draft",
  "date": "2020-12-07T02:05:12.157053+00:00",
  "description": "描述医院内 临床医生对患者提交检查申请的资源，包括影像、超声、病理、心电等。",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "quick",
      "uri": "http://siframework.org/cqf",
      "name": "Quality Improvement and Clinical Knowledge (QUICK)"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "ServiceRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "ServiceRequest.identifier",
        "path": "ServiceRequest.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "rules": "open"
        },
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Identifier"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.identifier:inspectIdentifier",
        "path": "ServiceRequest.identifier",
        "sliceName": "inspectIdentifier",
        "short": "检查申请单编号",
        "max": "1"
      },
      {
        "id": "ServiceRequest.identifier:otherIdentifier",
        "path": "ServiceRequest.identifier",
        "sliceName": "otherIdentifier",
        "short": "其他编码",
        "definition": "检查申请单的其他业务编号"
      },
      {
        "id": "ServiceRequest.instantiatesCanonical",
        "path": "ServiceRequest.instantiatesCanonical",
        "max": "1"
      },
      {
        "id": "ServiceRequest.instantiatesUri",
        "path": "ServiceRequest.instantiatesUri",
        "max": "1"
      },
      {
        "id": "ServiceRequest.basedOn",
        "path": "ServiceRequest.basedOn",
        "short": "基于主体",
        "definition": "按此要求完成的计划/提议/订单。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.replaces",
        "path": "ServiceRequest.replaces",
        "max": "0",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.requisition",
        "path": "ServiceRequest.requisition",
        "short": "服务组标识",
        "definition": "该标识符可以描述 一个服务组标识。代表组合或组标识符。",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Identifier"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.status",
        "path": "ServiceRequest.status",
        "short": "检查申请单状态",
        "definition": "检查申请单状态\r\ndraft | active | on-hold | revoked | completed | entered-in-error | unknown"
      },
      {
        "id": "ServiceRequest.status.extension",
        "path": "ServiceRequest.status.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "ServiceRequest.status.extension:status",
        "path": "ServiceRequest.status.extension",
        "sliceName": "status",
        "short": "检查申请单状态",
        "definition": "描述检查申请单的各种状态",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/resource-status"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://ValueSet.hl7fhir.cn/request-status-vs"
        }
      },
      {
        "id": "ServiceRequest.intent",
        "path": "ServiceRequest.intent",
        "short": "申请意图",
        "definition": "描述该申请的意图\r\nproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option"
      },
      {
        "id": "ServiceRequest.intent.extension",
        "path": "ServiceRequest.intent.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "ServiceRequest.intent.extension:intent",
        "path": "ServiceRequest.intent.extension",
        "sliceName": "intent",
        "definition": "描述该申请的意图\r\nproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/request-intent"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://ValueSet.hl7fhir.cn/request-intent-vs"
        }
      },
      {
        "id": "ServiceRequest.category",
        "path": "ServiceRequest.category",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding.code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "ServiceRequest.category:categoryCode",
        "path": "ServiceRequest.category",
        "sliceName": "categoryCode",
        "short": "检查申请的一级分类",
        "definition": "为搜索、排序和显示目的而对服务进行分类的代码。如：CT检查、超声检查，MIR检查",
        "max": "1",
        "binding": {
          "strength": "example",
          "description": "检查分类代码表",
          "valueSet": "http://ValueSet.hl7fhir.cn/inspectrequest-category-vs"
        }
      },
      {
        "id": "ServiceRequest.category:otherCategory",
        "path": "ServiceRequest.category",
        "sliceName": "otherCategory",
        "short": "检查其他分类",
        "definition": "检查申请单的其他维度的分类情况。"
      },
      {
        "id": "ServiceRequest.priority",
        "path": "ServiceRequest.priority",
        "short": "优先级",
        "definition": "描述处理 该请求的速度 routine | urgent | asap | stat"
      },
      {
        "id": "ServiceRequest.priority.extension",
        "path": "ServiceRequest.priority.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "ServiceRequest.priority.extension:priority",
        "path": "ServiceRequest.priority.extension",
        "sliceName": "priority",
        "short": "优先级",
        "definition": "描述处理 该请求的速度",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/request-priority"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.doNotPerform",
        "path": "ServiceRequest.doNotPerform",
        "max": "0"
      },
      {
        "id": "ServiceRequest.code",
        "path": "ServiceRequest.code",
        "short": "检查代码",
        "definition": "标识检查服务的代码",
        "binding": {
          "strength": "example",
          "valueSet": "http://ValueSet.hl7fhir.cn/procedure-code-vs"
        }
      },
      {
        "id": "ServiceRequest.orderDetail",
        "path": "ServiceRequest.orderDetail",
        "short": "检查明细",
        "definition": "关于 检验服务的细节和说明。比如检验的明细项目。\r\n关于服务的其他细节和说明。例如，导尿管的订单可能会有外置或留置导尿管的订单细节，或者绷带的订单可能需要额外的说明说明如何使用绷带。",
        "binding": {
          "strength": "example",
          "valueSet": "http://ValueSet.hl7fhir.cn/inspectrequest-orderdetail-vs"
        }
      },
      {
        "id": "ServiceRequest.quantity[x]",
        "path": "ServiceRequest.quantity[x]",
        "max": "0"
      },
      {
        "id": "ServiceRequest.subject",
        "path": "ServiceRequest.subject",
        "short": "患者信息",
        "definition": "订购服务的个人或实体，对谁执行服务。这通常是指病人，但也可以在动物、一组人或动物、透析仪等设备，甚至是位置(通常用于环境扫描)上提出请求",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.encounter",
        "path": "ServiceRequest.encounter",
        "short": "医疗事件",
        "definition": "提供关于发出此请求的医疗事件",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.occurrence[x]",
        "path": "ServiceRequest.occurrence[x]",
        "short": "执行日期",
        "definition": "该申请执行的时间或者时间段或者频率。",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "ServiceRequest.asNeeded[x]",
        "path": "ServiceRequest.asNeeded[x]",
        "max": "0"
      },
      {
        "id": "ServiceRequest.authoredOn",
        "path": "ServiceRequest.authoredOn",
        "short": "检查申请日期",
        "definition": "该检查申请的创建日期"
      },
      {
        "id": "ServiceRequest.requester",
        "path": "ServiceRequest.requester",
        "short": "下达申请者",
        "definition": "发起请求并负责激活请求的个人。通常指下达申请的医生",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.performerType",
        "path": "ServiceRequest.performerType",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performer",
        "path": "ServiceRequest.performer",
        "max": "0",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.locationCode",
        "path": "ServiceRequest.locationCode",
        "max": "0"
      },
      {
        "id": "ServiceRequest.locationReference",
        "path": "ServiceRequest.locationReference",
        "short": "请求的位置",
        "definition": "对过程实际应该发生的首选位置的引用。例如CT3检查室",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.reasonCode",
        "path": "ServiceRequest.reasonCode",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding.system"
            }
          ],
          "rules": "open"
        },
        "short": "服务里有代码",
        "definition": "以编码或文本形式描述请求此服务的解释或理由。这通常是为了计费。\""
      },
      {
        "id": "ServiceRequest.reasonCode:diagnosecCode",
        "path": "ServiceRequest.reasonCode",
        "sliceName": "diagnosecCode",
        "short": "诊断信息",
        "definition": "该患者的诊断编码信息 ICD-10",
        "max": "1",
        "binding": {
          "strength": "example",
          "description": "诊断疾病或诊断的鉴别。",
          "valueSet": "http://ValueSet.hl7fhir.cn/condition-code-vs"
        }
      },
      {
        "id": "ServiceRequest.reasonCode:chiefComplaint",
        "path": "ServiceRequest.reasonCode",
        "sliceName": "chiefComplaint",
        "short": "主述信息",
        "definition": "描述该患者的主诉信息",
        "max": "1",
        "binding": {
          "strength": "example",
          "description": "卫生信息数据元目录",
          "valueSet": "http://ValueSet.hl7fhir.cn/health-data-element-dictionary-vs"
        }
      },
      {
        "id": "ServiceRequest.reasonCode:chiefComplaint.coding",
        "path": "ServiceRequest.reasonCode.coding",
        "fixedCoding": {
          "code": "DE04.01.119.00"
        }
      },
      {
        "id": "ServiceRequest.reasonCode:previousHistory",
        "path": "ServiceRequest.reasonCode",
        "sliceName": "previousHistory",
        "short": "症状（既往史）",
        "definition": "描述患者的症状（既往史）信息。",
        "max": "1",
        "binding": {
          "strength": "example",
          "description": "卫生信息数据元目录",
          "valueSet": "http://ValueSet.hl7fhir.cn/health-data-element-dictionary-vs"
        }
      },
      {
        "id": "ServiceRequest.reasonCode:previousHistory.coding",
        "path": "ServiceRequest.reasonCode.coding",
        "fixedCoding": {
          "code": "DE04.01.117.00"
        }
      },
      {
        "id": "ServiceRequest.reasonCode:otherReasoncode",
        "path": "ServiceRequest.reasonCode",
        "sliceName": "otherReasoncode",
        "short": "其他理由代码",
        "definition": "以编码或文本形式描述请求此服务的解释或理由"
      },
      {
        "id": "ServiceRequest.reasonReference",
        "path": "ServiceRequest.reasonReference",
        "short": "服务理由",
        "definition": "以资源链接的形式描述请求此服务的解释或理由。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.insurance",
        "path": "ServiceRequest.insurance",
        "short": "相关保险",
        "definition": "交付所请求的服务可能需要的保险计划、覆盖范围扩展、预先授权和/或预先决定。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.supportingInfo",
        "path": "ServiceRequest.supportingInfo",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "rules": "open"
        },
        "short": "更多临床信息",
        "definition": "关于病人或标本的其他临床信息，可能影响服务。这些信息包括诊断、临床结果和其他观察结果。在实验室订货中，这些通常被称为“订单输入问题(AOEs)”。这包括生产者明确要求的观察(补充)，以提供完成订单所需的上下文或支持信息。例如，报告用于血气测量的吸入氧气量。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.supportingInfo:requesterOrganization",
        "path": "ServiceRequest.supportingInfo",
        "sliceName": "requesterOrganization",
        "short": "申请科室",
        "definition": "描述该申请单的申请科室信息。",
        "max": "1"
      },
      {
        "id": "ServiceRequest.supportingInfo:otherSupportingInfo",
        "path": "ServiceRequest.supportingInfo",
        "sliceName": "otherSupportingInfo",
        "short": "其他临床信息",
        "definition": "其他相关的临床的辅助信息"
      },
      {
        "id": "ServiceRequest.specimen",
        "path": "ServiceRequest.specimen",
        "short": "标本信息",
        "definition": "检查程序将使用的一个或多个标本",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.bodySite",
        "path": "ServiceRequest.bodySite",
        "short": "检查部位信息",
        "definition": "应该进行检查的位置。这是人体学部位",
        "binding": {
          "strength": "example",
          "valueSet": "http://ValueSet.hl7fhir.cn/body-site-vs"
        }
      },
      {
        "id": "ServiceRequest.note",
        "path": "ServiceRequest.note",
        "definition": "关于服务请求的任何其他注释和评论。例如，内部账单注释。",
        "type": [
          {
            "code": "Annotation",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Annotation"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.patientInstruction",
        "path": "ServiceRequest.patientInstruction",
        "short": "患者引导",
        "definition": "用病人或消费者能理解的术语编写的说明书。"
      },
      {
        "id": "ServiceRequest.relevantHistory",
        "path": "ServiceRequest.relevantHistory",
        "short": "请求来源",
        "definition": "请求历史记录中的关键事件。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      }
    ]
  }
}