{
  "resourceType": "StructureDefinition",
  "meta": {
    "lastUpdated": "2024-03-19T02:15:09.8067305+00:00"
  },
  "url": "https://simplifier.net/winningtest/outpatient-encounter-profile",
  "name": "OutpatientEncounter",
  "title": "门（急）诊就诊",
  "status": "draft",
  "date": "2024-03-19T02:15:26.0514974+00:00",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Encounter",
  "baseDefinition": "https://simplifier.net/winningtest/encounter-profile",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Encounter.extension:visitType",
        "path": "Encounter.extension",
        "sliceName": "visitType",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-encounter-visitType"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Encounter.extension:visitStatus",
        "path": "Encounter.extension",
        "sliceName": "visitStatus",
        "short": "就诊状态",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-visit-status"
            ]
          }
        ]
      },
      {
        "id": "Encounter.extension:visitor",
        "path": "Encounter.extension",
        "sliceName": "visitor",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-visitor"
            ]
          }
        ]
      },
      {
        "id": "Encounter.extension:hierarchicalDiagnosis",
        "path": "Encounter.extension",
        "sliceName": "hierarchicalDiagnosis",
        "short": "分级诊疗标志",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-hierarchical-diagnosis"
            ]
          }
        ]
      },
      {
        "id": "Encounter.extension:insuranceClaimReason",
        "path": "Encounter.extension",
        "sliceName": "insuranceClaimReason",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-insurance-claim-reason"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Encounter.extension:priceDeductionType",
        "path": "Encounter.extension",
        "sliceName": "priceDeductionType",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-price-deduction-type"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Encounter.extension:dualReferral",
        "path": "Encounter.extension",
        "sliceName": "dualReferral",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-dual-referral"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Encounter.extension:returnVisit",
        "path": "Encounter.extension",
        "sliceName": "returnVisit",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-return-visit"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Encounter.extension:infectionControlMeassure",
        "path": "Encounter.extension",
        "sliceName": "infectionControlMeassure",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-infection-control-measure"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Encounter.identifier",
        "path": "Encounter.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Encounter.identifier:encounterId",
        "path": "Encounter.identifier",
        "sliceName": "encounterId",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.identifier:encounterId.use",
        "path": "Encounter.identifier.use",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:encounterId.type",
        "path": "Encounter.identifier.type",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:encounterId.system",
        "path": "Encounter.identifier.system",
        "fixedUri": "urn:oid:1.2.156.112604.1.1.2575"
      },
      {
        "id": "Encounter.identifier:encounterId.period",
        "path": "Encounter.identifier.period",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:encounterId.assigner",
        "path": "Encounter.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:registerSeqNo",
        "path": "Encounter.identifier",
        "sliceName": "registerSeqNo",
        "short": "就诊登记流水号",
        "max": "1"
      },
      {
        "id": "Encounter.identifier:registerSeqNo.use",
        "path": "Encounter.identifier.use",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:registerSeqNo.type",
        "path": "Encounter.identifier.type",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:registerSeqNo.system",
        "path": "Encounter.identifier.system",
        "fixedUri": "urn:oid:1.2.156.112604.1.1.3765"
      },
      {
        "id": "Encounter.identifier:registerSeqNo.period",
        "path": "Encounter.identifier.period",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:registerSeqNo.assigner",
        "path": "Encounter.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:triageSeqNo",
        "path": "Encounter.identifier",
        "sliceName": "triageSeqNo",
        "short": "预检/分诊号序",
        "max": "1"
      },
      {
        "id": "Encounter.identifier:triageSeqNo.use",
        "path": "Encounter.identifier.use",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:triageSeqNo.type",
        "path": "Encounter.identifier.type",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:triageSeqNo.system",
        "path": "Encounter.identifier.system",
        "short": "分诊号序",
        "fixedUri": "urn:oid:1.2.156.112604.1.1.3630"
      },
      {
        "id": "Encounter.identifier:triageSeqNo.period",
        "path": "Encounter.identifier.period",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:triageSeqNo.assigner",
        "path": "Encounter.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:internetEncounterNo",
        "path": "Encounter.identifier",
        "sliceName": "internetEncounterNo",
        "short": "互联网就诊单号",
        "max": "1"
      },
      {
        "id": "Encounter.identifier:internetEncounterNo.use",
        "path": "Encounter.identifier.use",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:internetEncounterNo.type",
        "path": "Encounter.identifier.type",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:internetEncounterNo.system",
        "path": "Encounter.identifier.system",
        "fixedUri": "urn:oid:1.2.156.112604.1.1.4695"
      },
      {
        "id": "Encounter.identifier:internetEncounterNo.period",
        "path": "Encounter.identifier.period",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:internetEncounterNo.assigner",
        "path": "Encounter.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:externalId",
        "path": "Encounter.identifier",
        "sliceName": "externalId",
        "short": "外部系统标识"
      },
      {
        "id": "Encounter.identifier:externalId.use",
        "path": "Encounter.identifier.use",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:externalId.type",
        "path": "Encounter.identifier.type",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:externalId.system",
        "path": "Encounter.identifier.system",
        "binding": {
          "strength": "required",
          "description": "外部系统标识类型代码",
          "valueSet": "urn:oid:1.2.156.112604.1.2.106706"
        }
      },
      {
        "id": "Encounter.identifier:externalId.period",
        "path": "Encounter.identifier.period",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:externalId.assigner",
        "path": "Encounter.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:encounterSeqNo",
        "path": "Encounter.identifier",
        "sliceName": "encounterSeqNo",
        "short": "就诊号序",
        "max": "1"
      },
      {
        "id": "Encounter.identifier:encounterSeqNo.use",
        "path": "Encounter.identifier.use",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:encounterSeqNo.type",
        "path": "Encounter.identifier.type",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:encounterSeqNo.system",
        "path": "Encounter.identifier.system",
        "fixedUri": "urn:oid:1.2.156.112604.1.1.3765"
      },
      {
        "id": "Encounter.identifier:encounterSeqNo.period",
        "path": "Encounter.identifier.period",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:encounterSeqNo.assigner",
        "path": "Encounter.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Encounter.statusHistory",
        "path": "Encounter.statusHistory",
        "max": "0"
      },
      {
        "id": "Encounter.class",
        "path": "Encounter.class",
        "short": "就诊类型",
        "binding": {
          "strength": "required",
          "description": "就诊类型代码",
          "valueSet": "urn:oid:1.2.156.112604.1.2.433"
        }
      },
      {
        "id": "Encounter.class.system",
        "path": "Encounter.class.system",
        "max": "0"
      },
      {
        "id": "Encounter.class.version",
        "path": "Encounter.class.version",
        "max": "0"
      },
      {
        "id": "Encounter.class.userSelected",
        "path": "Encounter.class.userSelected",
        "max": "0"
      },
      {
        "id": "Encounter.classHistory",
        "path": "Encounter.classHistory",
        "max": "0"
      },
      {
        "id": "Encounter.type",
        "path": "Encounter.type",
        "max": "0"
      },
      {
        "id": "Encounter.priority",
        "path": "Encounter.priority",
        "short": "分诊级别",
        "binding": {
          "strength": "required",
          "description": "急诊预检分诊级别代码",
          "valueSet": "urn:oid:1.2.156.112604.1.2.96061"
        }
      },
      {
        "id": "Encounter.subject",
        "path": "Encounter.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://simplifier.net/winningtest/patient-profile"
            ],
            "aggregation": [
              "referenced",
              "bundled"
            ]
          }
        ]
      },
      {
        "id": "Encounter.episodeOfCare",
        "path": "Encounter.episodeOfCare",
        "max": "0"
      },
      {
        "id": "Encounter.basedOn",
        "path": "Encounter.basedOn",
        "max": "0"
      },
      {
        "id": "Encounter.participant",
        "path": "Encounter.participant",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Encounter.participant:doctor",
        "path": "Encounter.participant",
        "sliceName": "doctor",
        "short": "医生",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.participant:doctor.type",
        "path": "Encounter.participant.type",
        "fixedCodeableConcept": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/ValueSet/encounter-participant-type",
              "version": "4.0.1",
              "code": "PPRF",
              "display": "primary performer"
            }
          ]
        }
      },
      {
        "id": "Encounter.participant:doctor.individual",
        "path": "Encounter.participant.individual",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://simplifier.net/winningtest/practitioner-role-profile"
            ]
          }
        ]
      },
      {
        "id": "Encounter.appointment",
        "path": "Encounter.appointment",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://simplifier.net/winningtest/outpatient-appointment-profile"
            ]
          }
        ]
      },
      {
        "id": "Encounter.period",
        "path": "Encounter.period",
        "short": "就诊开始和结束时间"
      },
      {
        "id": "Encounter.period.start",
        "path": "Encounter.period.start",
        "short": "接诊时间"
      },
      {
        "id": "Encounter.period.end",
        "path": "Encounter.period.end",
        "short": "结束就诊时间"
      },
      {
        "id": "Encounter.length",
        "path": "Encounter.length",
        "max": "0"
      },
      {
        "id": "Encounter.reasonCode",
        "path": "Encounter.reasonCode",
        "short": "就诊原因代码"
      },
      {
        "id": "Encounter.reasonCode.text",
        "path": "Encounter.reasonCode.text",
        "short": "就诊原因"
      },
      {
        "id": "Encounter.reasonReference",
        "path": "Encounter.reasonReference",
        "max": "0"
      },
      {
        "id": "Encounter.diagnosis",
        "path": "Encounter.diagnosis",
        "short": "诊断"
      },
      {
        "id": "Encounter.diagnosis.condition",
        "path": "Encounter.diagnosis.condition",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://simplifier.net/winningtest/diagnosis-profile",
              "https://simplifier.net/winningtest/medical-insurance-specified-disease-profile"
            ],
            "aggregation": [
              "referenced"
            ]
          }
        ]
      },
      {
        "id": "Encounter.diagnosis.use",
        "path": "Encounter.diagnosis.use",
        "short": "用途",
        "definition": "当code为billing时表示医保病种"
      },
      {
        "id": "Encounter.diagnosis.rank",
        "path": "Encounter.diagnosis.rank",
        "max": "0"
      },
      {
        "id": "Encounter.account",
        "path": "Encounter.account",
        "definition": "判断Account.guarantor下reference为Organization的值是否为空，如果为空为普通患者，否则为挂账患者",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://simplifier.net/winningtest/account-profile"
            ]
          }
        ]
      },
      {
        "id": "Encounter.hospitalization",
        "path": "Encounter.hospitalization",
        "max": "0"
      },
      {
        "id": "Encounter.location",
        "path": "Encounter.location",
        "max": "1"
      },
      {
        "id": "Encounter.location.location",
        "path": "Encounter.location.location",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://simplifier.net/winningtest/clinic-zone-profile"
            ],
            "aggregation": [
              "referenced"
            ]
          }
        ]
      },
      {
        "id": "Encounter.location.status",
        "path": "Encounter.location.status",
        "fixedCode": "planned"
      },
      {
        "id": "Encounter.location.physicalType",
        "path": "Encounter.location.physicalType",
        "fixedCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
              "version": "4.3.0",
              "code": "area",
              "display": "Area"
            }
          ],
          "text": "诊区"
        }
      },
      {
        "id": "Encounter.location.period",
        "path": "Encounter.location.period",
        "max": "0"
      },
      {
        "id": "Encounter.serviceProvider",
        "path": "Encounter.serviceProvider",
        "short": "服务提供方",
        "definition": "通常为挂号科室",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://simplifier.net/winningtest/department-profile"
            ],
            "aggregation": [
              "referenced"
            ]
          }
        ]
      },
      {
        "id": "Encounter.serviceProvider.identifier",
        "path": "Encounter.serviceProvider.identifier",
        "short": "科室id"
      },
      {
        "id": "Encounter.partOf",
        "path": "Encounter.partOf",
        "short": "从属就诊与主体就诊之间的关系",
        "definition": "可用于表示医生每次接诊Encounter（表示部分的）与患者就诊Encounter（表示整体的）之间的关系，部分与整体的结构保持一致。",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://simplifier.net/winningtest/outpatient-encounter-profile"
            ],
            "aggregation": [
              "referenced",
              "bundled"
            ]
          }
        ]
      }
    ]
  }
}