{ "resourceType": "StructureDefinition", "id": "c7187944-cc52-4f11-bf77-f94da8f02fc2", "meta": { "lastUpdated": "2024-03-13T08:42:50.3348694+00:00" }, "url": "https://simplifier.net/winningtest/service-charge-item-profile", "name": "ServiceChargeItem", "title": "服务收费项目", "status": "draft", "date": "2024-03-13T08:43:05.6208461+00:00", "fhirVersion": "4.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" } ], "kind": "resource", "abstract": false, "type": "ChargeItem", "baseDefinition": "https://simplifier.net/winningtest/charge-item-profile", "derivation": "constraint", "differential": { "element": [ { "id": "ChargeItem.extension:asGroup", "path": "ChargeItem.extension", "sliceName": "asGroup", "short": "组标志", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-as-group" ] } ] }, { "id": "ChargeItem.extension:sentToInsurance", "path": "ChargeItem.extension", "sliceName": "sentToInsurance", "short": "医保上传状态", "max": "1", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-sent-to-insurance" ] } ] }, { "id": "ChargeItem.extension:chargeType", "path": "ChargeItem.extension", "sliceName": "chargeType", "short": "计费方向", "max": "1", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-charge-type" ] } ] }, { "id": "ChargeItem.extension:requestResource", "path": "ChargeItem.extension", "sliceName": "requestResource", "short": "请求来源", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-request-source" ] } ] }, { "id": "ChargeItem.extension:billingRule", "path": "ChargeItem.extension", "sliceName": "billingRule", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-billing-rule" ] } ], "isModifier": false }, { "id": "ChargeItem.extension:pricingRule", "path": "ChargeItem.extension", "sliceName": "pricingRule", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-pricing-rule" ] } ], "isModifier": false }, { "id": "ChargeItem.identifier:chargingItemId", "path": "ChargeItem.identifier", "sliceName": "chargingItemId", "short": "收费项目标识", "max": "1" }, { "id": "ChargeItem.identifier:chargingItemId.use", "path": "ChargeItem.identifier.use", "max": "0" }, { "id": "ChargeItem.identifier:chargingItemId.type", "path": "ChargeItem.identifier.type", "max": "0" }, { "id": "ChargeItem.identifier:chargingItemId.system", "path": "ChargeItem.identifier.system", "fixedUri": "urn:oid:1.2.156.112604.1.1.3938" }, { "id": "ChargeItem.identifier:chargingItemId.period", "path": "ChargeItem.identifier.period", "max": "0" }, { "id": "ChargeItem.identifier:chargingItemId.assigner", "path": "ChargeItem.identifier.assigner", "max": "0" }, { "id": "ChargeItem.identifier:chargingItemNo", "path": "ChargeItem.identifier", "sliceName": "chargingItemNo", "short": "收费项目编码", "max": "1" }, { "id": "ChargeItem.identifier:chargingItemNo.use", "path": "ChargeItem.identifier.use", "max": "0" }, { "id": "ChargeItem.identifier:chargingItemNo.type", "path": "ChargeItem.identifier.type", "max": "0" }, { "id": "ChargeItem.identifier:chargingItemNo.system", "path": "ChargeItem.identifier.system", "fixedUri": "urn:oid:1.2.156.112604.1.1.3937" }, { "id": "ChargeItem.identifier:chargingItemNo.period", "path": "ChargeItem.identifier.period", "max": "0" }, { "id": "ChargeItem.identifier:chargingItemNo.assigner", "path": "ChargeItem.identifier.assigner", "max": "0" }, { "id": "ChargeItem.definitionCanonical", "path": "ChargeItem.definitionCanonical", "short": "收费项目定义", "definition": "此处使用ChargeItemDefinition.url，该url可以是一个随机生成的urn:uuid。" }, { "id": "ChargeItem.status", "path": "ChargeItem.status", "short": "planned | billable | not-billable | aborted | billed | entered-in-error | unknown | booked | complete", "definition": "未收费使用billable，已收费使用billed，已预约使用booked，已完成使用complete。" }, { "id": "ChargeItem.partOf", "path": "ChargeItem.partOf", "short": "用于收费项目成组关系", "max": "1" }, { "id": "ChargeItem.code.coding", "path": "ChargeItem.code.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" }, "max": "1" }, { "id": "ChargeItem.code.coding:pathologicalChargeItemExternalId", "path": "ChargeItem.code.coding", "sliceName": "pathologicalChargeItemExternalId", "short": "病理收费项目编码（外部）", "definition": "一般由医院以外的病理中心使用的病理收费项目的唯一编码。", "max": "1" }, { "id": "ChargeItem.code.coding:pathologicalChargeItemExternalId.system", "path": "ChargeItem.code.coding.system", "fixedUri": "urn:oid:1.2.156.112604.1.2.116441" }, { "id": "ChargeItem.code.coding:pathologicalChargeItemExternalId.version", "path": "ChargeItem.code.coding.version", "max": "0" }, { "id": "ChargeItem.code.coding:pathologicalChargeItemExternalId.userSelected", "path": "ChargeItem.code.coding.userSelected", "max": "0" }, { "id": "ChargeItem.code.text", "path": "ChargeItem.code.text", "short": "收费项目名称" }, { "id": "ChargeItem.subject", "path": "ChargeItem.subject", "type": [ { "code": "Reference", "targetProfile": [ "https://simplifier.net/winningtest/patient-profile", "https://simplifier.net/winningtest/newborn-profile" ] } ] }, { "id": "ChargeItem.context", "path": "ChargeItem.context", "max": "0" }, { "id": "ChargeItem.occurrence[x]", "path": "ChargeItem.occurrence[x]", "max": "0" }, { "id": "ChargeItem.performer", "path": "ChargeItem.performer", "max": "0" }, { "id": "ChargeItem.performingOrganization", "path": "ChargeItem.performingOrganization", "max": "0" }, { "id": "ChargeItem.requestingOrganization", "path": "ChargeItem.requestingOrganization", "max": "0" }, { "id": "ChargeItem.costCenter", "path": "ChargeItem.costCenter", "max": "0" }, { "id": "ChargeItem.quantity.extension:refundable", "path": "ChargeItem.quantity.extension", "sliceName": "refundable", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-refundable-quantity" ] } ] }, { "id": "ChargeItem.quantity.value", "path": "ChargeItem.quantity.value", "short": "数量" }, { "id": "ChargeItem.quantity.unit", "path": "ChargeItem.quantity.unit", "short": "单位" }, { "id": "ChargeItem.bodysite", "path": "ChargeItem.bodysite", "max": "0" }, { "id": "ChargeItem.factorOverride", "path": "ChargeItem.factorOverride", "max": "0" }, { "id": "ChargeItem.priceOverride", "path": "ChargeItem.priceOverride", "max": "0" }, { "id": "ChargeItem.overrideReason", "path": "ChargeItem.overrideReason", "max": "0" }, { "id": "ChargeItem.enterer", "path": "ChargeItem.enterer", "max": "0" }, { "id": "ChargeItem.enteredDate", "path": "ChargeItem.enteredDate", "max": "0" }, { "id": "ChargeItem.reason", "path": "ChargeItem.reason", "short": "收费/退费原因", "definition": "当用于退费时，这里实际填写的是从HIS来的退费原因编码，因此没有绑定术语。", "max": "1" }, { "id": "ChargeItem.service", "path": "ChargeItem.service", "short": "临床项目", "definition": "此临床项目可以对应检查项目或检验指标，也可以对应检验服务，取决于临床实际开立的服务项目，也即是ServiceRequest对应的code（代表Service）。", "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/Procedure" ], "aggregation": [ "referenced" ] } ] }, { "id": "ChargeItem.service.identifier", "path": "ChargeItem.service.identifier", "short": "临床项目编号/医疗服务标识", "definition": "当作为临床项目编号时，system为urn:oid:1.2.156.112604.1.1.3241：\r\n表示对于外部可识别的临床项目标识，通常称为hisid。\r\n当作为医疗服务标识时，system为urn:oid:1.2.156.112604.1.1.5290：\r\n用于服务类医疗服务标识。" }, { "id": "ChargeItem.service.identifier.use", "path": "ChargeItem.service.identifier.use", "max": "0" }, { "id": "ChargeItem.service.identifier.type", "path": "ChargeItem.service.identifier.type", "max": "0" }, { "id": "ChargeItem.service.identifier.period", "path": "ChargeItem.service.identifier.period", "max": "0" }, { "id": "ChargeItem.service.identifier.assigner", "path": "ChargeItem.service.identifier.assigner", "max": "0" }, { "id": "ChargeItem.product[x]", "path": "ChargeItem.product[x]", "max": "0", "type": [ { "code": "CodeableConcept" } ] }, { "id": "ChargeItem.product[x].coding", "path": "ChargeItem.product[x].coding", "max": "0" }, { "id": "ChargeItem.product[x].coding.system", "path": "ChargeItem.product[x].coding.system", "max": "0" }, { "id": "ChargeItem.account", "path": "ChargeItem.account", "type": [ { "code": "Reference", "targetProfile": [ "https://simplifier.net/winningtest/account-profile" ] } ] }, { "id": "ChargeItem.note", "path": "ChargeItem.note", "max": "0" }, { "id": "ChargeItem.supportingInformation", "path": "ChargeItem.supportingInformation", "max": "0" } ] } }