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