{ "resourceType": "StructureDefinition", "id": "b69f73be-ac80-4ae1-aabc-e8ad2e8440bb", "meta": { "lastUpdated": "2024-03-27T02:27:57.9203593+00:00" }, "url": "https://simplifier.net/winningtest/medication-request-profile", "name": "MedicationRequest", "title": "药品申请", "status": "draft", "date": "2024-03-27T02:28:21.5073908+00:00", "description": "可作为西药、中成药医嘱的明细。", "fhirVersion": "4.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "script10.6", "uri": "http://ncpdp.org/SCRIPT10_6", "name": "Mapping to NCPDP SCRIPT 10.6" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" } ], "kind": "resource", "abstract": false, "type": "MedicationRequest", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "derivation": "constraint", "differential": { "element": [ { "id": "MedicationRequest.extension:antibioticUsedReasonCode", "path": "MedicationRequest.extension", "sliceName": "antibioticUsedReasonCode", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-antibiotic-used-reason-code" ] } ] }, { "id": "MedicationRequest.extension:allergySkinTestRequired", "path": "MedicationRequest.extension", "sliceName": "allergySkinTestRequired", "short": "皮试标志", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-allergy-skin-test-required" ] } ] }, { "id": "MedicationRequest.extension:selfProvided", "path": "MedicationRequest.extension", "sliceName": "selfProvided", "short": "自备药标志", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-self-provided" ] } ] }, { "id": "MedicationRequest.extension:daySurgery", "path": "MedicationRequest.extension", "sliceName": "daySurgery", "short": "是否日间手术", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-day-surgery" ] } ] }, { "id": "MedicationRequest.extension:specialDisease", "path": "MedicationRequest.extension", "sliceName": "specialDisease", "max": "1", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-special-disease" ] } ] }, { "id": "MedicationRequest.extension:orderTemplate", "path": "MedicationRequest.extension", "sliceName": "orderTemplate", "short": "医嘱模板", "max": "1", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-order-template" ] } ] }, { "id": "MedicationRequest.extension:electronicSigned", "path": "MedicationRequest.extension", "sliceName": "electronicSigned", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-electronic-signed" ] } ] }, { "id": "MedicationRequest.extension:DRG", "path": "MedicationRequest.extension", "sliceName": "DRG", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-drg" ] } ] }, { "id": "MedicationRequest.extension:unusedDisposalAmount", "path": "MedicationRequest.extension", "sliceName": "unusedDisposalAmount", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-unused-disposal-amount" ] } ], "isModifier": false }, { "id": "MedicationRequest.extension:preAdmission", "path": "MedicationRequest.extension", "sliceName": "preAdmission", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-pre-admission-flag" ] } ], "isModifier": false }, { "id": "MedicationRequest.extension:authenticationRequired", "path": "MedicationRequest.extension", "sliceName": "authenticationRequired", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-authentication-required" ] } ], "isModifier": false }, { "id": "MedicationRequest.extension:longTermPrescription", "path": "MedicationRequest.extension", "sliceName": "longTermPrescription", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-long-term-prescription" ] } ], "isModifier": false }, { "id": "MedicationRequest.extension:orderGenerationSource", "path": "MedicationRequest.extension", "sliceName": "orderGenerationSource", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-order-generation-source" ] } ], "isModifier": false }, { "id": "MedicationRequest.extension:clinicalTrial", "path": "MedicationRequest.extension", "sliceName": "clinicalTrial", "short": "临床试验标志", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-clinical-trial" ] } ] }, { "id": "MedicationRequest.extension:clinicalTrialMedicineBlindCode", "path": "MedicationRequest.extension", "sliceName": "clinicalTrialMedicineBlindCode", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-clinical-trial-medicine-blind-code" ] } ], "isModifier": false }, { "id": "MedicationRequest.extension:gcpProject", "path": "MedicationRequest.extension", "sliceName": "gcpProject", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-gcp-project" ] } ], "isModifier": false }, { "id": "MedicationRequest.extension:exceptionalExplanationForClaim", "path": "MedicationRequest.extension", "sliceName": "exceptionalExplanationForClaim", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-exceptional-explanation-for-claim" ] } ], "isModifier": false }, { "id": "MedicationRequest.extension:patientEducationRequired", "path": "MedicationRequest.extension", "sliceName": "patientEducationRequired", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-patient-education-required" ] } ], "isModifier": false }, { "id": "MedicationRequest.extension:rareDiseaseOrderFlag", "path": "MedicationRequest.extension", "sliceName": "rareDiseaseOrderFlag", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-rare-disease-order-flag" ] } ], "isModifier": false }, { "id": "MedicationRequest.identifier", "path": "MedicationRequest.identifier", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" } }, { "id": "MedicationRequest.identifier:clinicalOrderId", "path": "MedicationRequest.identifier", "sliceName": "clinicalOrderId", "short": "医嘱标识", "max": "1" }, { "id": "MedicationRequest.identifier:clinicalOrderId.use", "path": "MedicationRequest.identifier.use", "max": "0" }, { "id": "MedicationRequest.identifier:clinicalOrderId.type", "path": "MedicationRequest.identifier.type", "max": "0" }, { "id": "MedicationRequest.identifier:clinicalOrderId.system", "path": "MedicationRequest.identifier.system", "fixedUri": "urn:oid:1.2.156.112604.1.1.801" }, { "id": "MedicationRequest.identifier:clinicalOrderId.period", "path": "MedicationRequest.identifier.period", "max": "0" }, { "id": "MedicationRequest.identifier:clinicalOrderId.assigner", "path": "MedicationRequest.identifier.assigner", "max": "0" }, { "id": "MedicationRequest.identifier:clinicalOrderItemId", "path": "MedicationRequest.identifier", "sliceName": "clinicalOrderItemId", "short": "医嘱项标识", "max": "1" }, { "id": "MedicationRequest.identifier:clinicalOrderItemId.use", "path": "MedicationRequest.identifier.use", "max": "0" }, { "id": "MedicationRequest.identifier:clinicalOrderItemId.type", "path": "MedicationRequest.identifier.type", "max": "0" }, { "id": "MedicationRequest.identifier:clinicalOrderItemId.system", "path": "MedicationRequest.identifier.system", "fixedUri": "urn:oid:1.2.156.112604.1.1.4118" }, { "id": "MedicationRequest.identifier:clinicalOrderItemId.period", "path": "MedicationRequest.identifier.period", "max": "0" }, { "id": "MedicationRequest.identifier:clinicalOrderItemId.assigner", "path": "MedicationRequest.identifier.assigner", "max": "0" }, { "id": "MedicationRequest.identifier:psychotropicDrugPrescriptionNo", "path": "MedicationRequest.identifier", "sliceName": "psychotropicDrugPrescriptionNo", "short": "麻醉和一类精神药品处方编号", "definition": "麻醉药品、第一类精神药品的专用处方编号。", "max": "1" }, { "id": "MedicationRequest.status", "path": "MedicationRequest.status", "fixedCode": "active" }, { "id": "MedicationRequest.statusReason", "path": "MedicationRequest.statusReason", "short": "当前状态原因" }, { "id": "MedicationRequest.intent", "path": "MedicationRequest.intent", "fixedCode": "order" }, { "id": "MedicationRequest.category", "path": "MedicationRequest.category", "slicing": { "discriminator": [ { "type": "value", "path": "coding.system" } ], "rules": "open" } }, { "id": "MedicationRequest.category:orderCategory", "path": "MedicationRequest.category", "sliceName": "orderCategory", "short": "长临医嘱分类", "max": "1", "binding": { "strength": "required", "description": "长临医嘱", "valueSet": "urn:oid:1.2.156.112604.1.2.430" } }, { "id": "MedicationRequest.doNotPerform", "path": "MedicationRequest.doNotPerform", "short": "不需要执行", "definition": "用于指示药房不需要发药（也即不需要冻结库存）" }, { "id": "MedicationRequest.reported[x]", "path": "MedicationRequest.reported[x]", "max": "0", "type": [ { "code": "Reference" } ] }, { "id": "MedicationRequest.reported[x].type", "path": "MedicationRequest.reported[x].type", "fixedUri": "PractitionerRole" }, { "id": "MedicationRequest.medication[x]", "path": "MedicationRequest.medication[x]", "short": "药品商品", "type": [ { "code": "Reference", "targetProfile": [ "https://simplifier.net/winningtest/medication-profile" ], "aggregation": [ "referenced" ] } ] }, { "id": "MedicationRequest.subject", "path": "MedicationRequest.subject", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ] } ] }, { "id": "MedicationRequest.supportingInformation", "path": "MedicationRequest.supportingInformation", "max": "0" }, { "id": "MedicationRequest.authoredOn", "path": "MedicationRequest.authoredOn", "short": "开立/申请日期时间" }, { "id": "MedicationRequest.requester", "path": "MedicationRequest.requester", "short": "开立/申请医生", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ], "aggregation": [ "contained" ] } ] }, { "id": "MedicationRequest.requester.type", "path": "MedicationRequest.requester.type", "fixedUri": "PactitionerRole" }, { "id": "MedicationRequest.performer", "path": "MedicationRequest.performer", "short": "执行科室/执行人", "definition": "当此属性引用Patient时，表示患者自理服药", "type": [ { "code": "Reference", "targetProfile": [ "https://simplifier.net/winningtest/department-profile", "https://simplifier.net/winningtest/patient-profile" ], "aggregation": [ "bundled" ] } ] }, { "id": "MedicationRequest.recorder", "path": "MedicationRequest.recorder", "max": "0" }, { "id": "MedicationRequest.reasonCode.coding", "path": "MedicationRequest.reasonCode.coding", "short": "退费原因编码" }, { "id": "MedicationRequest.reasonCode.coding.system", "path": "MedicationRequest.reasonCode.coding.system", "max": "0" }, { "id": "MedicationRequest.reasonCode.coding.version", "path": "MedicationRequest.reasonCode.coding.version", "max": "0" }, { "id": "MedicationRequest.reasonCode.coding.display", "path": "MedicationRequest.reasonCode.coding.display", "max": "0" }, { "id": "MedicationRequest.reasonCode.coding.userSelected", "path": "MedicationRequest.reasonCode.coding.userSelected", "max": "0" }, { "id": "MedicationRequest.reasonCode.text", "path": "MedicationRequest.reasonCode.text", "short": "退费原因内容" }, { "id": "MedicationRequest.reasonReference", "path": "MedicationRequest.reasonReference", "short": "诊断", "type": [ { "code": "Reference", "targetProfile": [ "https://simplifier.net/winningtest/diagnosis-profile", "https://simplifier.net/winningtest/medical-insurance-specified-disease-profile", "https://simplifier.net/winningtest/work-injury-profile" ], "aggregation": [ "contained", "referenced", "bundled" ] } ] }, { "id": "MedicationRequest.instantiatesCanonical", "path": "MedicationRequest.instantiatesCanonical", "max": "0" }, { "id": "MedicationRequest.instantiatesUri", "path": "MedicationRequest.instantiatesUri", "max": "0" }, { "id": "MedicationRequest.basedOn", "path": "MedicationRequest.basedOn", "short": "联动源请求", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ], "aggregation": [ "referenced" ] } ] }, { "id": "MedicationRequest.groupIdentifier", "path": "MedicationRequest.groupIdentifier", "short": "处方标识" }, { "id": "MedicationRequest.groupIdentifier.extension:groupNo", "path": "MedicationRequest.groupIdentifier.extension", "sliceName": "groupNo", "max": "1", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-group-no" ] } ] }, { "id": "MedicationRequest.groupIdentifier.use", "path": "MedicationRequest.groupIdentifier.use", "max": "0" }, { "id": "MedicationRequest.groupIdentifier.type", "path": "MedicationRequest.groupIdentifier.type", "max": "0" }, { "id": "MedicationRequest.groupIdentifier.system", "path": "MedicationRequest.groupIdentifier.system", "short": "处方标识", "fixedUri": "urn:oid:1.2.156.112604.1.1.3571" }, { "id": "MedicationRequest.groupIdentifier.period", "path": "MedicationRequest.groupIdentifier.period", "max": "0" }, { "id": "MedicationRequest.groupIdentifier.assigner", "path": "MedicationRequest.groupIdentifier.assigner", "max": "0" }, { "id": "MedicationRequest.courseOfTherapyType", "path": "MedicationRequest.courseOfTherapyType", "short": "长期或临时医嘱", "definition": "continuous表示长期医嘱，acute表示临时医嘱。" }, { "id": "MedicationRequest.insurance", "path": "MedicationRequest.insurance", "short": "医疗保险", "type": [ { "code": "Reference", "targetProfile": [ "https://simplifier.net/winningtest/medical-insurance-profile", "https://simplifier.net/winningtest/chronic-disease-insurance-profile" ], "aggregation": [ "contained", "bundled" ] } ] }, { "id": "MedicationRequest.insurance.extension:mandatorySelfPayReason", "path": "MedicationRequest.insurance.extension", "sliceName": "mandatorySelfPayReason", "short": "强制自费原因", "max": "1", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-reason" ] } ], "isModifier": false }, { "id": "MedicationRequest.note", "path": "MedicationRequest.note", "max": "1" }, { "id": "MedicationRequest.dosageInstruction", "path": "MedicationRequest.dosageInstruction", "slicing": { "discriminator": [ { "type": "exists", "path": "text" } ], "description": "使用text区分院内用药", "rules": "open" }, "short": "用药指南", "min": 1, "type": [ { "code": "Dosage", "profile": [ "https://simplifier.net/winningtest/dosage-profile" ] } ] }, { "id": "MedicationRequest.dosageInstruction:dosageInstruction", "path": "MedicationRequest.dosageInstruction", "sliceName": "dosageInstruction", "short": "用药指南", "max": "1", "type": [ { "code": "Dosage", "profile": [ "https://simplifier.net/winningtest/dosage-profile" ] } ] }, { "id": "MedicationRequest.dosageInstruction:dosageInstructionInHospital", "path": "MedicationRequest.dosageInstruction", "sliceName": "dosageInstructionInHospital", "short": "院内用药指南", "max": "1", "type": [ { "code": "Dosage", "profile": [ "https://simplifier.net/winningtest/dosage-profile" ] } ] }, { "id": "MedicationRequest.dispenseRequest", "path": "MedicationRequest.dispenseRequest", "short": "发药请求" }, { "id": "MedicationRequest.dispenseRequest.extension:thirdPartyDispense", "path": "MedicationRequest.dispenseRequest.extension", "sliceName": "thirdPartyDispense", "short": "外送标志", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-third-party-dispense" ] } ] }, { "id": "MedicationRequest.dispenseRequest.extension:externalProvision", "path": "MedicationRequest.dispenseRequest.extension", "sliceName": "externalProvision", "short": "外配标志", "comment": "当医生开立的西药药品不从院内药房发药，而由其它药房发药时，则应将此属性设置为true，同时dispenseRequest.performer仍可给出发药药房，但此药房不发药。", "max": "1", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-external-provision" ] } ] }, { "id": "MedicationRequest.dispenseRequest.extension:redispenseReason", "path": "MedicationRequest.dispenseRequest.extension", "sliceName": "redispenseReason", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-redispense-reason" ] } ] }, { "id": "MedicationRequest.dispenseRequest.initialFill", "path": "MedicationRequest.dispenseRequest.initialFill", "short": "首次供药", "max": "0" }, { "id": "MedicationRequest.dispenseRequest.dispenseInterval", "path": "MedicationRequest.dispenseRequest.dispenseInterval", "max": "0" }, { "id": "MedicationRequest.dispenseRequest.validityPeriod", "path": "MedicationRequest.dispenseRequest.validityPeriod", "max": "0" }, { "id": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "path": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "max": "0" }, { "id": "MedicationRequest.dispenseRequest.quantity", "path": "MedicationRequest.dispenseRequest.quantity", "short": "发药数量", "min": 1 }, { "id": "MedicationRequest.dispenseRequest.quantity.value", "path": "MedicationRequest.dispenseRequest.quantity.value", "short": "发药数量" }, { "id": "MedicationRequest.dispenseRequest.quantity.system", "path": "MedicationRequest.dispenseRequest.quantity.system", "max": "0" }, { "id": "MedicationRequest.dispenseRequest.quantity.code", "path": "MedicationRequest.dispenseRequest.quantity.code", "short": "发药单位", "binding": { "strength": "required", "description": "包装单位代码", "valueSet": "urn:oid:1.2.156.112604.1.2.551" } }, { "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator", "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator", "max": "0" }, { "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.unit", "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.unit", "fixedString": "天" }, { "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.system", "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.system", "max": "0" }, { "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration.code", "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration.code", "max": "0" }, { "id": "MedicationRequest.dispenseRequest.performer", "path": "MedicationRequest.dispenseRequest.performer", "short": "发药药房", "type": [ { "code": "Reference", "targetProfile": [ "https://simplifier.net/winningtest/department-profile" ], "aggregation": [ "contained", "bundled" ] } ] }, { "id": "MedicationRequest.dispenseRequest.performer.type", "path": "MedicationRequest.dispenseRequest.performer.type", "fixedUri": "Organization" }, { "id": "MedicationRequest.dispenseRequest.performer.identifier", "path": "MedicationRequest.dispenseRequest.performer.identifier", "short": "药房标识" }, { "id": "MedicationRequest.substitution", "path": "MedicationRequest.substitution", "max": "0" }, { "id": "MedicationRequest.priorPrescription", "path": "MedicationRequest.priorPrescription", "max": "0" }, { "id": "MedicationRequest.detectedIssue", "path": "MedicationRequest.detectedIssue", "max": "0" }, { "id": "MedicationRequest.eventHistory", "path": "MedicationRequest.eventHistory", "max": "0" } ] } }