<StructureDefinition xmlns="http://hl7.org/fhir">
  <meta>
    <lastUpdated value="2024-03-19T02:15:09.8067305+00:00" />
  </meta>
  <url value="https://simplifier.net/winningtest/outpatient-encounter-profile" />
  <name value="OutpatientEncounter" />
  <title value="门（急）诊就诊" />
  <status value="draft" />
  <date value="2024-03-19T02:15:26.0514974+00:00" />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="workflow" />
    <uri value="http://hl7.org/fhir/workflow" />
    <name value="Workflow Pattern" />
  </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="Encounter" />
  <baseDefinition value="https://simplifier.net/winningtest/encounter-profile" />
  <derivation value="constraint" />
  <differential>
    <element id="Encounter.extension:visitType">
      <path value="Encounter.extension" />
      <sliceName value="visitType" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-encounter-visitType" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Encounter.extension:visitStatus">
      <path value="Encounter.extension" />
      <sliceName value="visitStatus" />
      <short value="就诊状态" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-visit-status" />
      </type>
    </element>
    <element id="Encounter.extension:visitor">
      <path value="Encounter.extension" />
      <sliceName value="visitor" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-visitor" />
      </type>
    </element>
    <element id="Encounter.extension:hierarchicalDiagnosis">
      <path value="Encounter.extension" />
      <sliceName value="hierarchicalDiagnosis" />
      <short value="分级诊疗标志" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-hierarchical-diagnosis" />
      </type>
    </element>
    <element id="Encounter.extension:insuranceClaimReason">
      <path value="Encounter.extension" />
      <sliceName value="insuranceClaimReason" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-insurance-claim-reason" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Encounter.extension:priceDeductionType">
      <path value="Encounter.extension" />
      <sliceName value="priceDeductionType" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-price-deduction-type" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Encounter.extension:dualReferral">
      <path value="Encounter.extension" />
      <sliceName value="dualReferral" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-dual-referral" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Encounter.extension:returnVisit">
      <path value="Encounter.extension" />
      <sliceName value="returnVisit" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-return-visit" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Encounter.extension:infectionControlMeassure">
      <path value="Encounter.extension" />
      <sliceName value="infectionControlMeassure" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-infection-control-measure" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Encounter.identifier">
      <path value="Encounter.identifier" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Encounter.identifier:encounterId">
      <path value="Encounter.identifier" />
      <sliceName value="encounterId" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Encounter.identifier:encounterId.use">
      <path value="Encounter.identifier.use" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:encounterId.type">
      <path value="Encounter.identifier.type" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:encounterId.system">
      <path value="Encounter.identifier.system" />
      <fixedUri value="urn:oid:1.2.156.112604.1.1.2575" />
    </element>
    <element id="Encounter.identifier:encounterId.period">
      <path value="Encounter.identifier.period" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:encounterId.assigner">
      <path value="Encounter.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:registerSeqNo">
      <path value="Encounter.identifier" />
      <sliceName value="registerSeqNo" />
      <short value="就诊登记流水号" />
      <max value="1" />
    </element>
    <element id="Encounter.identifier:registerSeqNo.use">
      <path value="Encounter.identifier.use" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:registerSeqNo.type">
      <path value="Encounter.identifier.type" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:registerSeqNo.system">
      <path value="Encounter.identifier.system" />
      <fixedUri value="urn:oid:1.2.156.112604.1.1.3765" />
    </element>
    <element id="Encounter.identifier:registerSeqNo.period">
      <path value="Encounter.identifier.period" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:registerSeqNo.assigner">
      <path value="Encounter.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:triageSeqNo">
      <path value="Encounter.identifier" />
      <sliceName value="triageSeqNo" />
      <short value="预检/分诊号序" />
      <max value="1" />
    </element>
    <element id="Encounter.identifier:triageSeqNo.use">
      <path value="Encounter.identifier.use" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:triageSeqNo.type">
      <path value="Encounter.identifier.type" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:triageSeqNo.system">
      <path value="Encounter.identifier.system" />
      <short value="分诊号序" />
      <fixedUri value="urn:oid:1.2.156.112604.1.1.3630" />
    </element>
    <element id="Encounter.identifier:triageSeqNo.period">
      <path value="Encounter.identifier.period" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:triageSeqNo.assigner">
      <path value="Encounter.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:internetEncounterNo">
      <path value="Encounter.identifier" />
      <sliceName value="internetEncounterNo" />
      <short value="互联网就诊单号" />
      <max value="1" />
    </element>
    <element id="Encounter.identifier:internetEncounterNo.use">
      <path value="Encounter.identifier.use" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:internetEncounterNo.type">
      <path value="Encounter.identifier.type" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:internetEncounterNo.system">
      <path value="Encounter.identifier.system" />
      <fixedUri value="urn:oid:1.2.156.112604.1.1.4695" />
    </element>
    <element id="Encounter.identifier:internetEncounterNo.period">
      <path value="Encounter.identifier.period" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:internetEncounterNo.assigner">
      <path value="Encounter.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:externalId">
      <path value="Encounter.identifier" />
      <sliceName value="externalId" />
      <short value="外部系统标识" />
    </element>
    <element id="Encounter.identifier:externalId.use">
      <path value="Encounter.identifier.use" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:externalId.type">
      <path value="Encounter.identifier.type" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:externalId.system">
      <path value="Encounter.identifier.system" />
      <binding>
        <strength value="required" />
        <description value="外部系统标识类型代码" />
        <valueSet value="urn:oid:1.2.156.112604.1.2.106706" />
      </binding>
    </element>
    <element id="Encounter.identifier:externalId.period">
      <path value="Encounter.identifier.period" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:externalId.assigner">
      <path value="Encounter.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:encounterSeqNo">
      <path value="Encounter.identifier" />
      <sliceName value="encounterSeqNo" />
      <short value="就诊号序" />
      <max value="1" />
    </element>
    <element id="Encounter.identifier:encounterSeqNo.use">
      <path value="Encounter.identifier.use" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:encounterSeqNo.type">
      <path value="Encounter.identifier.type" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:encounterSeqNo.system">
      <path value="Encounter.identifier.system" />
      <fixedUri value="urn:oid:1.2.156.112604.1.1.3765" />
    </element>
    <element id="Encounter.identifier:encounterSeqNo.period">
      <path value="Encounter.identifier.period" />
      <max value="0" />
    </element>
    <element id="Encounter.identifier:encounterSeqNo.assigner">
      <path value="Encounter.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="Encounter.statusHistory">
      <path value="Encounter.statusHistory" />
      <max value="0" />
    </element>
    <element id="Encounter.class">
      <path value="Encounter.class" />
      <short value="就诊类型" />
      <binding>
        <strength value="required" />
        <description value="就诊类型代码" />
        <valueSet value="urn:oid:1.2.156.112604.1.2.433" />
      </binding>
    </element>
    <element id="Encounter.class.system">
      <path value="Encounter.class.system" />
      <max value="0" />
    </element>
    <element id="Encounter.class.version">
      <path value="Encounter.class.version" />
      <max value="0" />
    </element>
    <element id="Encounter.class.userSelected">
      <path value="Encounter.class.userSelected" />
      <max value="0" />
    </element>
    <element id="Encounter.classHistory">
      <path value="Encounter.classHistory" />
      <max value="0" />
    </element>
    <element id="Encounter.type">
      <path value="Encounter.type" />
      <max value="0" />
    </element>
    <element id="Encounter.priority">
      <path value="Encounter.priority" />
      <short value="分诊级别" />
      <binding>
        <strength value="required" />
        <description value="急诊预检分诊级别代码" />
        <valueSet value="urn:oid:1.2.156.112604.1.2.96061" />
      </binding>
    </element>
    <element id="Encounter.subject">
      <path value="Encounter.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://simplifier.net/winningtest/patient-profile" />
        <aggregation value="referenced" />
        <aggregation value="bundled" />
      </type>
    </element>
    <element id="Encounter.episodeOfCare">
      <path value="Encounter.episodeOfCare" />
      <max value="0" />
    </element>
    <element id="Encounter.basedOn">
      <path value="Encounter.basedOn" />
      <max value="0" />
    </element>
    <element id="Encounter.participant">
      <path value="Encounter.participant" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="type" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Encounter.participant:doctor">
      <path value="Encounter.participant" />
      <sliceName value="doctor" />
      <short value="医生" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Encounter.participant:doctor.type">
      <path value="Encounter.participant.type" />
      <fixedCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/ValueSet/encounter-participant-type" />
          <version value="4.0.1" />
          <code value="PPRF" />
          <display value="primary performer" />
        </coding>
      </fixedCodeableConcept>
    </element>
    <element id="Encounter.participant:doctor.individual">
      <path value="Encounter.participant.individual" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://simplifier.net/winningtest/practitioner-role-profile" />
      </type>
    </element>
    <element id="Encounter.appointment">
      <path value="Encounter.appointment" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://simplifier.net/winningtest/outpatient-appointment-profile" />
      </type>
    </element>
    <element id="Encounter.period">
      <path value="Encounter.period" />
      <short value="就诊开始和结束时间" />
    </element>
    <element id="Encounter.period.start">
      <path value="Encounter.period.start" />
      <short value="接诊时间" />
    </element>
    <element id="Encounter.period.end">
      <path value="Encounter.period.end" />
      <short value="结束就诊时间" />
    </element>
    <element id="Encounter.length">
      <path value="Encounter.length" />
      <max value="0" />
    </element>
    <element id="Encounter.reasonCode">
      <path value="Encounter.reasonCode" />
      <short value="就诊原因代码" />
    </element>
    <element id="Encounter.reasonCode.text">
      <path value="Encounter.reasonCode.text" />
      <short value="就诊原因" />
    </element>
    <element id="Encounter.reasonReference">
      <path value="Encounter.reasonReference" />
      <max value="0" />
    </element>
    <element id="Encounter.diagnosis">
      <path value="Encounter.diagnosis" />
      <short value="诊断" />
    </element>
    <element id="Encounter.diagnosis.condition">
      <path value="Encounter.diagnosis.condition" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://simplifier.net/winningtest/diagnosis-profile" />
        <targetProfile value="https://simplifier.net/winningtest/medical-insurance-specified-disease-profile" />
        <aggregation value="referenced" />
      </type>
    </element>
    <element id="Encounter.diagnosis.use">
      <path value="Encounter.diagnosis.use" />
      <short value="用途" />
      <definition value="当code为billing时表示医保病种" />
    </element>
    <element id="Encounter.diagnosis.rank">
      <path value="Encounter.diagnosis.rank" />
      <max value="0" />
    </element>
    <element id="Encounter.account">
      <path value="Encounter.account" />
      <definition value="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 value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://simplifier.net/winningtest/account-profile" />
      </type>
    </element>
    <element id="Encounter.hospitalization">
      <path value="Encounter.hospitalization" />
      <max value="0" />
    </element>
    <element id="Encounter.location">
      <path value="Encounter.location" />
      <max value="1" />
    </element>
    <element id="Encounter.location.location">
      <path value="Encounter.location.location" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://simplifier.net/winningtest/clinic-zone-profile" />
        <aggregation value="referenced" />
      </type>
    </element>
    <element id="Encounter.location.status">
      <path value="Encounter.location.status" />
      <fixedCode value="planned" />
    </element>
    <element id="Encounter.location.physicalType">
      <path value="Encounter.location.physicalType" />
      <fixedCodeableConcept>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/location-physical-type" />
          <version value="4.3.0" />
          <code value="area" />
          <display value="Area" />
        </coding>
        <text value="诊区" />
      </fixedCodeableConcept>
    </element>
    <element id="Encounter.location.period">
      <path value="Encounter.location.period" />
      <max value="0" />
    </element>
    <element id="Encounter.serviceProvider">
      <path value="Encounter.serviceProvider" />
      <short value="服务提供方" />
      <definition value="通常为挂号科室" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://simplifier.net/winningtest/department-profile" />
        <aggregation value="referenced" />
      </type>
    </element>
    <element id="Encounter.serviceProvider.identifier">
      <path value="Encounter.serviceProvider.identifier" />
      <short value="科室id" />
    </element>
    <element id="Encounter.partOf">
      <path value="Encounter.partOf" />
      <short value="从属就诊与主体就诊之间的关系" />
      <definition value="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 value="Reference" />
        <targetProfile value="https://simplifier.net/winningtest/outpatient-encounter-profile" />
        <aggregation value="referenced" />
        <aggregation value="bundled" />
      </type>
    </element>
  </differential>
</StructureDefinition>