{ "resourceType": "StructureDefinition", "id": "Practitioner", "meta": { "versionId": "16", "lastUpdated": "2022-07-14T09:47:55.636+00:00" }, "url": "http://StructureDefinition.hl7fhir.cn/Practitioner", "name": "Practitioner", "title": "医护人员", "status": "draft", "date": "2020-12-07T02:47:16.3767169+00:00", "publisher": "hl7.Fhir.cn/CW", "description": "直接或间接参与提供医疗健康服务的人员及其从业资格证", "fhirVersion": "4.0.1", "mapping": [ { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "servd", "uri": "http://www.omg.org/spec/ServD/1.0/", "name": "ServD" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" } ], "kind": "resource", "abstract": false, "type": "Practitioner", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Practitioner", "derivation": "constraint", "snapshot": { "element": [ { "id": "Practitioner", "path": "Practitioner", "short": "为提供医疗健康服务担负正式责任的人", "definition": "直接或间接参与提供医疗健康服务的人员", "min": 0, "max": "*", "base": { "path": "Practitioner", "min": 0, "max": "*" }, "constraint": [ { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-3", "severity": "error", "human": "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": "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": "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": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown": "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." } ], "key": "dom-6", "severity": "warning", "human": "A resource should have narrative for robust management", "expression": "text.`div`.exists()", "xpath": "exists(f:text/h:div)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-5", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a security label", "expression": "contained.meta.security.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:security))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "v2", "map": "PRD (as one example)" }, { "identity": "rim", "map": "Role" }, { "identity": "servd", "map": "Provider" } ] }, { "id": "Practitioner.id", "path": "Practitioner.id", "short": "Logical id of this artifact", "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment": "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": 0, "max": "1", "base": { "path": "Resource.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "id" } ], "code": "id" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Practitioner.meta", "path": "Practitioner.meta", "short": "Metadata about the resource", "definition": "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": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.implicitRules", "path": "Practitioner.implicitRules", "short": "A set of rules under which this content was created", "definition": "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": "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": 0, "max": "1", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "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": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Practitioner.language", "path": "Practitioner.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comment": "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": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" } ], "strength": "preferred", "description": "A human language.", "valueSet": "http://hl7.org/fhir/ValueSet/languages" }, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Practitioner.text", "path": "Practitioner.text", "short": "Text summary of the resource, for human interpretation", "definition": "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": "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": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "rim", "map": "Act.text?" } ] }, { "id": "Practitioner.contained", "path": "Practitioner.contained", "short": "Contained, inline Resources", "definition": "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": "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": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.extension", "path": "Practitioner.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "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": "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": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.extension:BriefIntroduction", "path": "Practitioner.extension", "sliceName": "BriefIntroduction", "short": "医务人员简介", "definition": "医务人员简介", "comment": "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": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/BriefIntroduction" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.extension:nationality", "path": "Practitioner.extension", "sliceName": "nationality", "short": "国籍", "definition": "医务人员的国籍", "comment": "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": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/Nationality" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.extension:Ethnicity", "path": "Practitioner.extension", "sliceName": "Ethnicity", "short": "民族", "definition": "中华56个民族", "comment": "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": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/ChineseEthnicity" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.extension:PoliticalAffiliation", "path": "Practitioner.extension", "sliceName": "PoliticalAffiliation", "short": "政治面貌", "definition": "政治面貌的编码及加入日期", "comment": "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": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/politic-affiliation" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.extension:DateStartWork", "path": "Practitioner.extension", "sliceName": "DateStartWork", "short": "参加工作日期", "definition": "描述该人员参加工作的开始日期", "comment": "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": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/date-start-work" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.extension:ISworkForMultiOrg", "path": "Practitioner.extension", "sliceName": "ISworkForMultiOrg", "short": "是否多地点执业医师", "definition": "医师多点执业：是指符合条件的执业医师经卫生行政部门注册后，受聘在两个以上医疗机构执业的行为。", "comment": "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": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/is-work-for-multi-org" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.extension:BriefIntroduction", "path": "Practitioner.extension", "sliceName": "BriefIntroduction", "short": "个人简介", "definition": "科室、医院、医护人员的简要介绍", "comment": "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": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/BriefIntroduction" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.modifierExtension", "path": "Practitioner.modifierExtension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Extensions that cannot be ignored", "definition": "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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": "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": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.identifier", "path": "Practitioner.identifier", "slicing": { "discriminator": [ { "type": "value", "path": "type" } ], "rules": "open" }, "short": "逻辑业务ID", "definition": "医护人员的逻辑业务ID", "comment": "业务ID不是资源服务器上的逻辑ID（非标识主键）", "requirements": "Often, specific identities are assigned for the agent.", "min": 0, "max": "*", "base": { "path": "Practitioner.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier", "profile": [ "http://StructureDefinition.hl7fhir.cn/Identifier" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "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]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PRD-7 (or XCN.1)" }, { "identity": "rim", "map": "./id" }, { "identity": "servd", "map": "./Identifiers" } ] }, { "id": "Practitioner.identifier:identityDocument", "path": "Practitioner.identifier", "sliceName": "identityDocument", "short": "身份证件及其号码", "definition": "用中国法定有效证件来标识具有此角色/岗位的医疗服务人员", "comment": "业务ID不是资源服务器上的逻辑ID（非标识主键）", "requirements": "Often, specific identities are assigned for the agent.", "min": 0, "max": "1", "base": { "path": "Practitioner.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier", "profile": [ "http://StructureDefinition.hl7fhir.cn/Identifier" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "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]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PRD-7 (or XCN.1)" }, { "identity": "rim", "map": "./id" }, { "identity": "servd", "map": "./Identifiers" } ] }, { "id": "Practitioner.identifier:identityDocument.id", "path": "Practitioner.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Practitioner.identifier:identityDocument.extension", "path": "Practitioner.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "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": "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": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.identifier:identityDocument.use", "path": "Practitioner.identifier.use", "label": "用途", "short": "用途", "definition": "使用此标识符的目的，如：通用、正式、临时、备用、曾用等（usual | official | temp | secondary | old ）", "comment": "除非明确提指定为临时的，应用程序会默认一个标识符是永久的。", "requirements": "通过使用此元素，可以允许根据不同的使用场景选择的适当的标识符。", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "如果此元素的值为\"临时的\"，意味着应用程序不应将临时id误认为永久id。", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Practitioner.identifier:identityDocument.type", "path": "Practitioner.identifier.type", "label": "标识类别", "short": "标识符类别", "definition": "用于区别标识符类别的编码，可用来指定特定目的的标识符。", "comment": "此元素一般用于当标识符不能为system提供值时，使用编码来区分标识的含义。 但请注意，此元素在实践中可变性很大、不易控制。所以它仅用作标识符的通用类别，并且不能当作与Identifier.system绑定的1对1的编码来使用。 \r\n另一种常见的用法是对已知标识符(指定了Identifier.system的值)的进一步分类：一些标识符可能分为多个类别。", "requirements": "允许用户在不知道标识符的命名系统时（Identifier.system的值）使用标识符。", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://StructureDefinition.hl7fhir.cn/CodeableConcept" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "待完善，目前暂用身份证件类别，CV02.01.101，整理自《WS 364-2011_卫生信息数据元值域代码》", "valueSet": "http://ValueSet.hl7fhir.cn/identity-document-type-vs" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Practitioner.identifier:identityDocument.system", "path": "Practitioner.identifier.system", "label": "命名系统", "short": "标识符的命名系统", "definition": "指定Identifier.value所属的命名空间域，此域是由一个URI表示的许多值的集合，在此集合中的每一个值（value）都是唯一的，绝不会重复。", "comment": "Identifier.system 的值是区分大小写的", "requirements": "由于有许多属于不同域的标识符集合，我们需要知道某个值（Identifier.value）意义具体是在哪个标识符集合中定义的，就必须由Identifier.system 来确定标识符集合的URI。", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://NamingSystem.hl7fhir.cn/identity-document", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Practitioner.identifier:identityDocument.value", "path": "Practitioner.identifier.value", "label": "标识值", "short": "独一无二的值", "definition": "标识符中通常的具体值，在Identifier.system指定域中是唯一的。", "comment": "如果Identifier.value的值是完整的全球唯一URI（如：urn:oid: 和urn:uuid:），那么Identifier.system的值必须是”urn:ietf:rfc:3986“。Identifier.value的主要用途是对不同命名系统中的标识符进行映射。因此，为了方便对比，可能会对其值进行标准化处理（例如，删除不重要的空白、破折号等）。\r\n如果想显示可读强的文字说明，可以使用Identifier.extention.renderedValue扩展元素。\r\nIdentifier.value是严格区分大小写，除非指定的Identifier.system明确说明在其命名空间域内的值不区分大小写。", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Practitioner.identifier:identityDocument.value.id", "path": "Practitioner.identifier.value.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Practitioner.identifier:identityDocument.value.extension", "path": "Practitioner.identifier.value.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "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": "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": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.identifier:identityDocument.value.extension:display", "path": "Practitioner.identifier.value.extension", "sliceName": "display", "short": "What should be displayed to human (if default is not appropriate)", "definition": "Identifier.value数据类型的值提供另一种显示方式，以便满足易读性、保密性等要求。例如，敏感标识符（如银行卡号）部分被星号遮盖。", "comment": "In some cases, this extension may be present and the value won't be present. For example if the recipient only has permission to see a partially masked view of a value. The rendering may be realm-specific. (E.g. the use of ',' vs. '.' when rendering numbers.).", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/rendered-value" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.identifier:identityDocument.value.value", "path": "Practitioner.identifier.value.value", "representation": [ "xmlAttr" ], "short": "Primitive value for string", "definition": "Primitive value for string", "min": 0, "max": "1", "base": { "path": "string.value", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/regex", "valueString": "[\\r\\n\\t\\u0020-\\uFFFF]*" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "maxLength": 1048576 }, { "id": "Practitioner.identifier:identityDocument.period", "path": "Practitioner.identifier.period", "label": "有效时段", "short": "时段范围", "definition": "由开始和结束时间以及可选时间定义的时间段范围。", "comment": "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": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period", "profile": [ "http://StructureDefinition.hl7fhir.cn/Period" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Practitioner.identifier:identityDocument.assigner", "path": "Practitioner.identifier.assigner", "label": "发布机构", "short": "发布机构", "definition": "管理或发布此标识符的机构", "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://StructureDefinition.hl7fhir.cn/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Practitioner.identifier:practitionerIdentifier", "path": "Practitioner.identifier", "sliceName": "practitionerIdentifier", "short": "业务标识符", "definition": "标识符，唯一且明确地标识某个域中的实体。常用作业务标识符，在不同业务域中的唯一标识ID。在很多场景下可作为交叉索引使用。", "comment": "业务ID不是资源服务器上的逻辑ID（非标识主键）", "requirements": "Often, specific identities are assigned for the agent.", "min": 0, "max": "1", "base": { "path": "Practitioner.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier", "profile": [ "http://StructureDefinition.hl7fhir.cn/Identifier" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "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]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PRD-7 (or XCN.1)" }, { "identity": "rim", "map": "./id" }, { "identity": "servd", "map": "./Identifiers" } ] }, { "id": "Practitioner.identifier:practitionerIdentifier.id", "path": "Practitioner.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Practitioner.identifier:practitionerIdentifier.extension", "path": "Practitioner.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "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": "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": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.identifier:practitionerIdentifier.use", "path": "Practitioner.identifier.use", "label": "用途", "short": "用途", "definition": "使用此标识符的目的，如：通用、正式、临时、备用、曾用等（usual | official | temp | secondary | old ）", "comment": "除非明确提指定为临时的，应用程序会默认一个标识符是永久的。", "requirements": "通过使用此元素，可以允许根据不同的使用场景选择的适当的标识符。", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "如果此元素的值为\"临时的\"，意味着应用程序不应将临时id误认为永久id。", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Practitioner.identifier:practitionerIdentifier.type", "path": "Practitioner.identifier.type", "label": "标识类别", "short": "标识符类别", "definition": "用于区别标识符类别的编码，可用来指定特定目的的标识符。", "comment": "此元素一般用于当标识符不能为system提供值时，使用编码来区分标识的含义。 但请注意，此元素在实践中可变性很大、不易控制。所以它仅用作标识符的通用类别，并且不能当作与Identifier.system绑定的1对1的编码来使用。 \r\n另一种常见的用法是对已知标识符(指定了Identifier.system的值)的进一步分类：一些标识符可能分为多个类别。", "requirements": "允许用户在不知道标识符的命名系统时（Identifier.system的值）使用标识符。", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://StructureDefinition.hl7fhir.cn/CodeableConcept" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "待完善，目前暂用身份证件类别，CV02.01.101，整理自《WS 364-2011_卫生信息数据元值域代码》", "valueSet": "http://ValueSet.hl7fhir.cn/identity-document-type-vs" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Practitioner.identifier:practitionerIdentifier.system", "path": "Practitioner.identifier.system", "label": "命名系统", "short": "标识符的命名系统", "definition": "指定Identifier.value所属的命名空间域，此域是由一个URI表示的许多值的集合，在此集合中的每一个值（value）都是唯一的，绝不会重复。", "comment": "Identifier.system 的值是区分大小写的", "requirements": "由于有许多属于不同域的标识符集合，我们需要知道某个值（Identifier.value）意义具体是在哪个标识符集合中定义的，就必须由Identifier.system 来确定标识符集合的URI。", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://NamingSystem.hl7fhir.cn/practitioner-identifier", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Practitioner.identifier:practitionerIdentifier.value", "path": "Practitioner.identifier.value", "label": "标识值", "short": "独一无二的值", "definition": "标识符中通常的具体值，在Identifier.system指定域中是唯一的。", "comment": "如果Identifier.value的值是完整的全球唯一URI（如：urn:oid: 和urn:uuid:），那么Identifier.system的值必须是”urn:ietf:rfc:3986“。Identifier.value的主要用途是对不同命名系统中的标识符进行映射。因此，为了方便对比，可能会对其值进行标准化处理（例如，删除不重要的空白、破折号等）。\r\n如果想显示可读强的文字说明，可以使用Identifier.extention.renderedValue扩展元素。\r\nIdentifier.value是严格区分大小写，除非指定的Identifier.system明确说明在其命名空间域内的值不区分大小写。", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Practitioner.identifier:practitionerIdentifier.value.id", "path": "Practitioner.identifier.value.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Practitioner.identifier:practitionerIdentifier.value.extension", "path": "Practitioner.identifier.value.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "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": "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": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.identifier:practitionerIdentifier.value.extension:display", "path": "Practitioner.identifier.value.extension", "sliceName": "display", "short": "What should be displayed to human (if default is not appropriate)", "definition": "Identifier.value数据类型的值提供另一种显示方式，以便满足易读性、保密性等要求。例如，敏感标识符（如银行卡号）部分被星号遮盖。", "comment": "In some cases, this extension may be present and the value won't be present. For example if the recipient only has permission to see a partially masked view of a value. The rendering may be realm-specific. (E.g. the use of ',' vs. '.' when rendering numbers.).", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/rendered-value" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.identifier:practitionerIdentifier.value.value", "path": "Practitioner.identifier.value.value", "representation": [ "xmlAttr" ], "short": "Primitive value for string", "definition": "Primitive value for string", "min": 0, "max": "1", "base": { "path": "string.value", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/regex", "valueString": "[\\r\\n\\t\\u0020-\\uFFFF]*" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "maxLength": 1048576 }, { "id": "Practitioner.identifier:practitionerIdentifier.period", "path": "Practitioner.identifier.period", "label": "有效时段", "short": "时段范围", "definition": "由开始和结束时间以及可选时间定义的时间段范围。", "comment": "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": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period", "profile": [ "http://StructureDefinition.hl7fhir.cn/Period" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Practitioner.identifier:practitionerIdentifier.assigner", "path": "Practitioner.identifier.assigner", "label": "发布机构", "short": "发布机构", "definition": "管理或发布此标识符的机构", "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://StructureDefinition.hl7fhir.cn/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Practitioner.identifier:otherIdentifier", "path": "Practitioner.identifier", "sliceName": "otherIdentifier", "short": "其它逻辑业务ID", "definition": "其它标识角色或位置的业务ID", "comment": "业务ID不是资源服务器上的逻辑ID（非标识主键）", "requirements": "Often, specific identities are assigned for the agent.", "min": 0, "max": "*", "base": { "path": "Practitioner.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier", "profile": [ "http://StructureDefinition.hl7fhir.cn/Identifier" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "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]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PRD-7 (or XCN.1)" }, { "identity": "rim", "map": "./id" }, { "identity": "servd", "map": "./Identifiers" } ] }, { "id": "Practitioner.active", "path": "Practitioner.active", "short": "是否有效", "definition": "描述该医护人员是否在用", "comment": "If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.", "requirements": "Need to be able to mark a practitioner record as not to be used because it was created in error.", "min": 0, "max": "1", "base": { "path": "Practitioner.active", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "meaningWhenMissing": "This resource is generally assumed to be active if no value is provided for the active element", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "w5", "map": "FiveWs.status" }, { "identity": "rim", "map": "./statusCode" } ] }, { "id": "Practitioner.name", "path": "Practitioner.name", "short": "医护人员姓名", "definition": "符合中国人使用姓名的习惯，支持曾用名、别名，同时支持全称和姓+名的形式。", "comment": "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": "The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.", "min": 0, "max": "*", "base": { "path": "Practitioner.name", "min": 0, "max": "*" }, "type": [ { "code": "HumanName", "profile": [ "http://StructureDefinition.hl7fhir.cn/ChineseName" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XPN" }, { "identity": "rim", "map": "EN (actually, PN)" }, { "identity": "servd", "map": "ProviderName" }, { "identity": "v2", "map": "XCN Components" }, { "identity": "rim", "map": "./name" }, { "identity": "servd", "map": "./PreferredName (GivenNames, FamilyName, TitleCode)" } ] }, { "id": "Practitioner.telecom", "path": "Practitioner.telecom", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" }, "short": "联系方式", "definition": "联系方式，包括电话、传真、邮件等", "comment": "Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.", "requirements": "Need to know how to reach a practitioner independent to any roles the practitioner may have.", "min": 0, "max": "*", "base": { "path": "Practitioner.telecom", "min": 0, "max": "*" }, "type": [ { "code": "ContactPoint", "profile": [ "http://StructureDefinition.hl7fhir.cn/ContactPoint" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "cpt-2", "severity": "error", "human": "A system is required if a value is provided.", "expression": "value.empty() or system.exists()", "xpath": "not(exists(f:value)) or exists(f:system)", "source": "http://hl7.org/fhir/StructureDefinition/ContactPoint" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XTN" }, { "identity": "rim", "map": "TEL" }, { "identity": "servd", "map": "ContactPoint" }, { "identity": "v2", "map": "PRT-15, STF-10, ROL-12" }, { "identity": "rim", "map": "./telecom" }, { "identity": "servd", "map": "./ContactPoints" } ] }, { "id": "Practitioner.telecom:TelecomPhone", "path": "Practitioner.telecom", "sliceName": "TelecomPhone", "short": "联系电话", "definition": "联系电话", "comment": "Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.", "requirements": "Need to know how to reach a practitioner independent to any roles the practitioner may have.", "min": 0, "max": "1", "base": { "path": "Practitioner.telecom", "min": 0, "max": "*" }, "type": [ { "code": "ContactPoint" } ], "fixedContactPoint": { "system": "phone" }, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "cpt-2", "severity": "error", "human": "A system is required if a value is provided.", "expression": "value.empty() or system.exists()", "xpath": "not(exists(f:value)) or exists(f:system)", "source": "http://hl7.org/fhir/StructureDefinition/ContactPoint" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XTN" }, { "identity": "rim", "map": "TEL" }, { "identity": "servd", "map": "ContactPoint" }, { "identity": "v2", "map": "PRT-15, STF-10, ROL-12" }, { "identity": "rim", "map": "./telecom" }, { "identity": "servd", "map": "./ContactPoints" } ] }, { "id": "Practitioner.telecom:TelecomEmail", "path": "Practitioner.telecom", "sliceName": "TelecomEmail", "short": "电子邮箱", "definition": "电子邮箱", "comment": "Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.", "requirements": "Need to know how to reach a practitioner independent to any roles the practitioner may have.", "min": 0, "max": "*", "base": { "path": "Practitioner.telecom", "min": 0, "max": "*" }, "type": [ { "code": "ContactPoint" } ], "fixedContactPoint": { "system": "email" }, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "cpt-2", "severity": "error", "human": "A system is required if a value is provided.", "expression": "value.empty() or system.exists()", "xpath": "not(exists(f:value)) or exists(f:system)", "source": "http://hl7.org/fhir/StructureDefinition/ContactPoint" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XTN" }, { "identity": "rim", "map": "TEL" }, { "identity": "servd", "map": "ContactPoint" }, { "identity": "v2", "map": "PRT-15, STF-10, ROL-12" }, { "identity": "rim", "map": "./telecom" }, { "identity": "servd", "map": "./ContactPoints" } ] }, { "id": "Practitioner.address", "path": "Practitioner.address", "short": "医护人员地址", "definition": "使用中国行政区划表示的地址（非GPS或经纬度地址）。", "comment": "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": "The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.", "min": 0, "max": "*", "base": { "path": "Practitioner.address", "min": 0, "max": "*" }, "type": [ { "code": "Address", "profile": [ "http://StructureDefinition.hl7fhir.cn/Address" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XAD" }, { "identity": "rim", "map": "AD" }, { "identity": "servd", "map": "Address" }, { "identity": "v2", "map": "ORC-24, STF-11, ROL-11, PRT-14" }, { "identity": "rim", "map": "./addr" }, { "identity": "servd", "map": "./Addresses" } ] }, { "id": "Practitioner.gender", "path": "Practitioner.gender", "short": "生理性别", "definition": "GB/T 2261.1", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Needed to address the person correctly.", "min": 0, "max": "1", "base": { "path": "Practitioner.gender", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "AdministrativeGender" } ], "strength": "required", "description": "生理性别", "valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "STF-5" }, { "identity": "rim", "map": "./administrativeGender" }, { "identity": "servd", "map": "./GenderCode" } ] }, { "id": "Practitioner.gender.id", "path": "Practitioner.gender.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Practitioner.gender.extension", "path": "Practitioner.gender.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "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": "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": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.gender.extension:gender", "path": "Practitioner.gender.extension", "sliceName": "gender", "short": "生理性别", "definition": "描述人的生理性别 遵循标准 GB/T 2261.1", "comment": "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": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/sexual-distinction-of-human" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.gender.value", "path": "Practitioner.gender.value", "representation": [ "xmlAttr" ], "short": "Primitive value for code", "definition": "Primitive value for code", "min": 0, "max": "1", "base": { "path": "string.value", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "code" }, { "url": "http://hl7.org/fhir/StructureDefinition/regex", "valueString": "[^\\s]+(\\s[^\\s]+)*" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "maxLength": 1048576 }, { "id": "Practitioner.birthDate", "path": "Practitioner.birthDate", "short": "出生日期", "definition": "医护人员的出生日期", "requirements": "Needed for identification.", "min": 0, "max": "1", "base": { "path": "Practitioner.birthDate", "min": 0, "max": "1" }, "type": [ { "code": "date" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "STF-6" }, { "identity": "rim", "map": "./birthTime" }, { "identity": "servd", "map": "(not represented in ServD)" } ] }, { "id": "Practitioner.photo", "path": "Practitioner.photo", "slicing": { "discriminator": [ { "type": "value", "path": "title" } ], "rules": "open" }, "short": "照片", "definition": "该医护人员的照片", "comment": "When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as \"Signed Procedure Consent\".", "requirements": "Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.", "min": 0, "max": "*", "base": { "path": "Practitioner.photo", "min": 0, "max": "*" }, "type": [ { "code": "Attachment", "profile": [ "http://StructureDefinition.hl7fhir.cn/Attachment" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "att-1", "severity": "error", "human": "If the Attachment has data, it SHALL have a contentType", "expression": "data.empty() or contentType.exists()", "xpath": "not(exists(f:data)) or exists(f:contentType)", "source": "http://hl7.org/fhir/StructureDefinition/Attachment" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "ED/RP" }, { "identity": "rim", "map": "ED" }, { "identity": "rim", "map": "./subjectOf/ObservationEvent[code=\"photo\"]/value" }, { "identity": "servd", "map": "./ImageURI (only supports the URI reference)" } ] }, { "id": "Practitioner.photo:headPortrait", "path": "Practitioner.photo", "sliceName": "headPortrait", "short": "头像", "definition": "该义务人员头像", "comment": "When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as \"Signed Procedure Consent\".", "requirements": "Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.", "min": 0, "max": "1", "base": { "path": "Practitioner.photo", "min": 0, "max": "*" }, "type": [ { "code": "Attachment" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "att-1", "severity": "error", "human": "If the Attachment has data, it SHALL have a contentType", "expression": "data.empty() or contentType.exists()", "xpath": "not(exists(f:data)) or exists(f:contentType)", "source": "http://hl7.org/fhir/StructureDefinition/Attachment" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "ED/RP" }, { "identity": "rim", "map": "ED" }, { "identity": "rim", "map": "./subjectOf/ObservationEvent[code=\"photo\"]/value" }, { "identity": "servd", "map": "./ImageURI (only supports the URI reference)" } ] }, { "id": "Practitioner.photo:inchPhotos", "path": "Practitioner.photo", "sliceName": "inchPhotos", "short": "寸照", "definition": "该医务人员寸照", "comment": "When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as \"Signed Procedure Consent\".", "requirements": "Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.", "min": 0, "max": "1", "base": { "path": "Practitioner.photo", "min": 0, "max": "*" }, "type": [ { "code": "Attachment" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "att-1", "severity": "error", "human": "If the Attachment has data, it SHALL have a contentType", "expression": "data.empty() or contentType.exists()", "xpath": "not(exists(f:data)) or exists(f:contentType)", "source": "http://hl7.org/fhir/StructureDefinition/Attachment" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "ED/RP" }, { "identity": "rim", "map": "ED" }, { "identity": "rim", "map": "./subjectOf/ObservationEvent[code=\"photo\"]/value" }, { "identity": "servd", "map": "./ImageURI (only supports the URI reference)" } ] }, { "id": "Practitioner.photo:backgroundPhoto", "path": "Practitioner.photo", "sliceName": "backgroundPhoto", "short": "背景图片", "definition": "该医务人员的背景图片", "comment": "When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as \"Signed Procedure Consent\".", "requirements": "Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.", "min": 0, "max": "1", "base": { "path": "Practitioner.photo", "min": 0, "max": "*" }, "type": [ { "code": "Attachment" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "att-1", "severity": "error", "human": "If the Attachment has data, it SHALL have a contentType", "expression": "data.empty() or contentType.exists()", "xpath": "not(exists(f:data)) or exists(f:contentType)", "source": "http://hl7.org/fhir/StructureDefinition/Attachment" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "ED/RP" }, { "identity": "rim", "map": "ED" }, { "identity": "rim", "map": "./subjectOf/ObservationEvent[code=\"photo\"]/value" }, { "identity": "servd", "map": "./ImageURI (only supports the URI reference)" } ] }, { "id": "Practitioner.photo:otherPhoto", "path": "Practitioner.photo", "sliceName": "otherPhoto", "short": "其他照片", "definition": "该医务人员的其他照片信息", "comment": "When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as \"Signed Procedure Consent\".", "requirements": "Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.", "min": 0, "max": "*", "base": { "path": "Practitioner.photo", "min": 0, "max": "*" }, "type": [ { "code": "Attachment" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "att-1", "severity": "error", "human": "If the Attachment has data, it SHALL have a contentType", "expression": "data.empty() or contentType.exists()", "xpath": "not(exists(f:data)) or exists(f:contentType)", "source": "http://hl7.org/fhir/StructureDefinition/Attachment" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "ED/RP" }, { "identity": "rim", "map": "ED" }, { "identity": "rim", "map": "./subjectOf/ObservationEvent[code=\"photo\"]/value" }, { "identity": "servd", "map": "./ImageURI (only supports the URI reference)" } ] }, { "id": "Practitioner.qualification", "path": "Practitioner.qualification", "short": "与卫生健康相关的证书、执照或职称", "definition": "官方证书、培训证、执照、职称，用于授权或证明医疗健康服务人员的资格或能力。授权或以其他方式与医生提供护理有关。例如，医师执业证，授权医生在某区域内行医。", "min": 0, "max": "*", "base": { "path": "Practitioner.qualification", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CER?" }, { "identity": "rim", "map": ".playingEntity.playingRole[classCode=QUAL].code" }, { "identity": "servd", "map": "./Qualifications" } ] }, { "id": "Practitioner.qualification.id", "path": "Practitioner.qualification.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Practitioner.qualification.extension", "path": "Practitioner.qualification.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "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": "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": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.qualification.modifierExtension", "path": "Practitioner.qualification.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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": "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": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.qualification.identifier", "path": "Practitioner.qualification.identifier", "short": "医疗服务人员具有此资格的标识符。", "definition": "此人担任此角色的资格的标识符。", "comment": "业务ID不是资源服务器上的逻辑ID（非标识主键）", "requirements": "Often, specific identities are assigned for the qualification.", "min": 0, "max": "*", "base": { "path": "Practitioner.qualification.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier", "profile": [ "http://StructureDefinition.hl7fhir.cn/Identifier" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "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]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".playingEntity.playingRole[classCode=QUAL].id" } ] }, { "id": "Practitioner.qualification.code", "path": "Practitioner.qualification.code", "short": "资格/证书/职称代码", "definition": "编码形式的资格/职称证书", "comment": "这是表示术语的常用模型，但并不适用于所有的术语。在某些情况下，会直接使用编码，并使用自己的结构来管理描述文本、编码、翻译、元素之间的关系、前协调（预置映射规则）和后协调（映射后置处理）。", "min": 1, "max": "1", "base": { "path": "Practitioner.qualification.code", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://StructureDefinition.hl7fhir.cn/CodeableConcept" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Qualification" } ], "strength": "extensible", "description": "包括执照、证书、资格证、职称在内的值域集", "valueSet": "http://ValueSet.hl7fhir.cn/practitioner-qualification-vs" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": ".playingEntity.playingRole[classCode=QUAL].code" }, { "identity": "servd", "map": "./Qualifications.Value" } ] }, { "id": "Practitioner.qualification.period", "path": "Practitioner.qualification.period", "short": "资格/证书的有效期", "definition": "资格/证书的有效期", "comment": "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。", "requirements": "资格证书通常是规定了有效期限的，并且可以撤销。", "min": 0, "max": "1", "base": { "path": "Practitioner.qualification.period", "min": 0, "max": "1" }, "type": [ { "code": "Period", "profile": [ "http://StructureDefinition.hl7fhir.cn/Period" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "rim", "map": ".playingEntity.playingRole[classCode=QUAL].effectiveTime" }, { "identity": "servd", "map": "./Qualifications.StartDate and ./Qualifications.EndDate" } ] }, { "id": "Practitioner.qualification.issuer", "path": "Practitioner.qualification.issuer", "short": "发证机关", "definition": "规范和颁发资格的组织", "comment": "引用应该是对实际FHIR资源的引用，并且应该是可解析的(允许访问控制、临时不可用等)。解析可以通过从URL检索来实现，也可以在适用的情况下通过资源类型来实现，将绝对引用作为标准URL处理并在本地注册表/存储库中查找它。", "min": 0, "max": "1", "base": { "path": "Practitioner.qualification.issuer", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "profile": [ "http://StructureDefinition.hl7fhir.cn/Reference" ], "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".playingEntity.playingRole[classCode=QUAL].scoper" } ] }, { "id": "Practitioner.communication", "path": "Practitioner.communication", "short": "沟通语言", "definition": "医生可以在患者交流中使用的语言", "comment": "这是表示术语的常用模型，但并不适用于所有的术语。在某些情况下，会直接使用编码，并使用自己的结构来管理描述文本、编码、翻译、元素之间的关系、前协调（预置映射规则）和后协调（映射后置处理）。", "requirements": "Knowing which language a practitioner speaks can help in facilitating communication with patients.", "min": 0, "max": "*", "base": { "path": "Practitioner.communication", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://StructureDefinition.hl7fhir.cn/CodeableConcept" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" } ], "strength": "preferred", "description": "A human language.", "valueSet": "http://hl7.org/fhir/ValueSet/languages" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "PID-15, NK1-20, LAN-2" }, { "identity": "rim", "map": "./languageCommunication" }, { "identity": "servd", "map": "./Languages.LanguageSpokenCode" } ] } ] }, "differential": { "element": [ { "id": "Practitioner", "path": "Practitioner", "short": "为提供医疗健康服务担负正式责任的人", "definition": "直接或间接参与提供医疗健康服务的人员" }, { "id": "Practitioner.extension", "path": "Practitioner.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "Practitioner.extension:BriefIntroduction", "path": "Practitioner.extension", "sliceName": "BriefIntroduction", "short": "医务人员简介", "definition": "医务人员简介", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/BriefIntroduction" ] } ] }, { "id": "Practitioner.extension:nationality", "path": "Practitioner.extension", "sliceName": "nationality", "definition": "医务人员的国籍", "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/Nationality" ] } ] }, { "id": "Practitioner.extension:Ethnicity", "path": "Practitioner.extension", "sliceName": "Ethnicity", "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/ChineseEthnicity" ] } ] }, { "id": "Practitioner.extension:PoliticalAffiliation", "path": "Practitioner.extension", "sliceName": "PoliticalAffiliation", "definition": "政治面貌的编码及加入日期", "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/politic-affiliation" ] } ] }, { "id": "Practitioner.extension:DateStartWork", "path": "Practitioner.extension", "sliceName": "DateStartWork", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/date-start-work" ] } ] }, { "id": "Practitioner.extension:ISworkForMultiOrg", "path": "Practitioner.extension", "sliceName": "ISworkForMultiOrg", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/is-work-for-multi-org" ] } ] }, { "id": "Practitioner.extension:BriefIntroduction", "path": "Practitioner.extension", "sliceName": "BriefIntroduction", "short": "个人简介", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/BriefIntroduction" ] } ] }, { "id": "Practitioner.identifier", "path": "Practitioner.identifier", "slicing": { "discriminator": [ { "type": "value", "path": "type" } ], "rules": "open" }, "short": "逻辑业务ID", "definition": "医护人员的逻辑业务ID", "type": [ { "code": "Identifier", "profile": [ "http://StructureDefinition.hl7fhir.cn/Identifier" ] } ] }, { "id": "Practitioner.identifier:identityDocument", "path": "Practitioner.identifier", "sliceName": "identityDocument", "short": "身份证件及其号码", "definition": "用中国法定有效证件来标识具有此角色/岗位的医疗服务人员", "max": "1", "type": [ { "code": "Identifier", "profile": [ "http://StructureDefinition.hl7fhir.cn/Identifier" ] } ] }, { "id": "Practitioner.identifier:identityDocument.system", "path": "Practitioner.identifier.system", "fixedUri": "http://NamingSystem.hl7fhir.cn/identity-document" }, { "id": "Practitioner.identifier:practitionerIdentifier", "path": "Practitioner.identifier", "sliceName": "practitionerIdentifier", "max": "1", "type": [ { "code": "Identifier", "profile": [ "http://StructureDefinition.hl7fhir.cn/Identifier" ] } ] }, { "id": "Practitioner.identifier:practitionerIdentifier.system", "path": "Practitioner.identifier.system", "fixedUri": "http://NamingSystem.hl7fhir.cn/practitioner-identifier" }, { "id": "Practitioner.identifier:otherIdentifier", "path": "Practitioner.identifier", "sliceName": "otherIdentifier", "short": "其它逻辑业务ID", "definition": "其它标识角色或位置的业务ID", "type": [ { "code": "Identifier", "profile": [ "http://StructureDefinition.hl7fhir.cn/Identifier" ] } ] }, { "id": "Practitioner.active", "path": "Practitioner.active", "short": "是否有效", "definition": "描述该医护人员是否在用" }, { "id": "Practitioner.name", "path": "Practitioner.name", "short": "医护人员姓名", "type": [ { "code": "HumanName", "profile": [ "http://StructureDefinition.hl7fhir.cn/ChineseName" ] } ] }, { "id": "Practitioner.telecom", "path": "Practitioner.telecom", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" }, "type": [ { "code": "ContactPoint", "profile": [ "http://StructureDefinition.hl7fhir.cn/ContactPoint" ] } ] }, { "id": "Practitioner.telecom:TelecomPhone", "path": "Practitioner.telecom", "sliceName": "TelecomPhone", "short": "联系电话", "definition": "联系电话", "max": "1", "fixedContactPoint": { "system": "phone" } }, { "id": "Practitioner.telecom:TelecomEmail", "path": "Practitioner.telecom", "sliceName": "TelecomEmail", "short": "电子邮箱", "definition": "电子邮箱", "fixedContactPoint": { "system": "email" } }, { "id": "Practitioner.address", "path": "Practitioner.address", "short": "医护人员地址", "type": [ { "code": "Address", "profile": [ "http://StructureDefinition.hl7fhir.cn/Address" ] } ] }, { "id": "Practitioner.gender", "path": "Practitioner.gender", "short": "生理性别", "definition": "GB/T 2261.1", "binding": { "strength": "required", "description": "生理性别" } }, { "id": "Practitioner.gender.extension", "path": "Practitioner.gender.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "Practitioner.gender.extension:gender", "path": "Practitioner.gender.extension", "sliceName": "gender", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/sexual-distinction-of-human" ] } ] }, { "id": "Practitioner.birthDate", "path": "Practitioner.birthDate", "short": "出生日期", "definition": "医护人员的出生日期" }, { "id": "Practitioner.photo", "path": "Practitioner.photo", "slicing": { "discriminator": [ { "type": "value", "path": "title" } ], "rules": "open" }, "short": "照片", "definition": "该医护人员的照片", "type": [ { "code": "Attachment", "profile": [ "http://StructureDefinition.hl7fhir.cn/Attachment" ] } ] }, { "id": "Practitioner.photo:headPortrait", "path": "Practitioner.photo", "sliceName": "headPortrait", "short": "头像", "definition": "该义务人员头像", "max": "1" }, { "id": "Practitioner.photo:inchPhotos", "path": "Practitioner.photo", "sliceName": "inchPhotos", "short": "寸照", "definition": "该医务人员寸照", "max": "1" }, { "id": "Practitioner.photo:backgroundPhoto", "path": "Practitioner.photo", "sliceName": "backgroundPhoto", "short": "背景图片", "definition": "该医务人员的背景图片", "max": "1" }, { "id": "Practitioner.photo:otherPhoto", "path": "Practitioner.photo", "sliceName": "otherPhoto", "short": "其他照片", "definition": "该医务人员的其他照片信息" }, { "id": "Practitioner.qualification", "path": "Practitioner.qualification", "short": "与卫生健康相关的证书、执照或职称", "definition": "官方证书、培训证、执照、职称，用于授权或证明医疗健康服务人员的资格或能力。授权或以其他方式与医生提供护理有关。例如，医师执业证，授权医生在某区域内行医。" }, { "id": "Practitioner.qualification.identifier", "path": "Practitioner.qualification.identifier", "short": "医疗服务人员具有此资格的标识符。", "definition": "此人担任此角色的资格的标识符。", "type": [ { "code": "Identifier", "profile": [ "http://StructureDefinition.hl7fhir.cn/Identifier" ] } ] }, { "id": "Practitioner.qualification.code", "path": "Practitioner.qualification.code", "short": "资格/证书/职称代码", "definition": "编码形式的资格/职称证书", "type": [ { "code": "CodeableConcept", "profile": [ "http://StructureDefinition.hl7fhir.cn/CodeableConcept" ] } ], "binding": { "strength": "extensible", "description": "包括执照、证书、资格证、职称在内的值域集", "valueSet": "http://ValueSet.hl7fhir.cn/practitioner-qualification-vs" } }, { "id": "Practitioner.qualification.period", "path": "Practitioner.qualification.period", "short": "资格/证书的有效期", "definition": "资格/证书的有效期", "requirements": "资格证书通常是规定了有效期限的，并且可以撤销。", "type": [ { "code": "Period", "profile": [ "http://StructureDefinition.hl7fhir.cn/Period" ] } ] }, { "id": "Practitioner.qualification.issuer", "path": "Practitioner.qualification.issuer", "short": "发证机关", "definition": "规范和颁发资格的组织", "type": [ { "code": "Reference", "profile": [ "http://StructureDefinition.hl7fhir.cn/Reference" ] } ] }, { "id": "Practitioner.communication", "path": "Practitioner.communication", "short": "沟通语言", "definition": "医生可以在患者交流中使用的语言", "type": [ { "code": "CodeableConcept", "profile": [ "http://StructureDefinition.hl7fhir.cn/CodeableConcept" ] } ] } ] } }