<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="c7187944-cc52-4f11-bf77-f94da8f02fc2" />
  <meta>
    <lastUpdated value="2024-03-13T08:42:50.3348694+00:00" />
  </meta>
  <url value="https://simplifier.net/winningtest/service-charge-item-profile" />
  <name value="ServiceChargeItem" />
  <title value="服务收费项目" />
  <status value="draft" />
  <date value="2024-03-13T08:43:05.6208461+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="v2" />
    <uri value="http://hl7.org/v2" />
    <name value="HL7 v2 Mapping" />
  </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>
  <kind value="resource" />
  <abstract value="false" />
  <type value="ChargeItem" />
  <baseDefinition value="https://simplifier.net/winningtest/charge-item-profile" />
  <derivation value="constraint" />
  <differential>
    <element id="ChargeItem.extension:asGroup">
      <path value="ChargeItem.extension" />
      <sliceName value="asGroup" />
      <short value="组标志" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-as-group" />
      </type>
    </element>
    <element id="ChargeItem.extension:sentToInsurance">
      <path value="ChargeItem.extension" />
      <sliceName value="sentToInsurance" />
      <short value="医保上传状态" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-sent-to-insurance" />
      </type>
    </element>
    <element id="ChargeItem.extension:chargeType">
      <path value="ChargeItem.extension" />
      <sliceName value="chargeType" />
      <short value="计费方向" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-charge-type" />
      </type>
    </element>
    <element id="ChargeItem.extension:requestResource">
      <path value="ChargeItem.extension" />
      <sliceName value="requestResource" />
      <short value="请求来源" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-request-source" />
      </type>
    </element>
    <element id="ChargeItem.extension:billingRule">
      <path value="ChargeItem.extension" />
      <sliceName value="billingRule" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-billing-rule" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="ChargeItem.extension:pricingRule">
      <path value="ChargeItem.extension" />
      <sliceName value="pricingRule" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-pricing-rule" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="ChargeItem.identifier:chargingItemId">
      <path value="ChargeItem.identifier" />
      <sliceName value="chargingItemId" />
      <short value="收费项目标识" />
      <max value="1" />
    </element>
    <element id="ChargeItem.identifier:chargingItemId.use">
      <path value="ChargeItem.identifier.use" />
      <max value="0" />
    </element>
    <element id="ChargeItem.identifier:chargingItemId.type">
      <path value="ChargeItem.identifier.type" />
      <max value="0" />
    </element>
    <element id="ChargeItem.identifier:chargingItemId.system">
      <path value="ChargeItem.identifier.system" />
      <fixedUri value="urn:oid:1.2.156.112604.1.1.3938" />
    </element>
    <element id="ChargeItem.identifier:chargingItemId.period">
      <path value="ChargeItem.identifier.period" />
      <max value="0" />
    </element>
    <element id="ChargeItem.identifier:chargingItemId.assigner">
      <path value="ChargeItem.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="ChargeItem.identifier:chargingItemNo">
      <path value="ChargeItem.identifier" />
      <sliceName value="chargingItemNo" />
      <short value="收费项目编码" />
      <max value="1" />
    </element>
    <element id="ChargeItem.identifier:chargingItemNo.use">
      <path value="ChargeItem.identifier.use" />
      <max value="0" />
    </element>
    <element id="ChargeItem.identifier:chargingItemNo.type">
      <path value="ChargeItem.identifier.type" />
      <max value="0" />
    </element>
    <element id="ChargeItem.identifier:chargingItemNo.system">
      <path value="ChargeItem.identifier.system" />
      <fixedUri value="urn:oid:1.2.156.112604.1.1.3937" />
    </element>
    <element id="ChargeItem.identifier:chargingItemNo.period">
      <path value="ChargeItem.identifier.period" />
      <max value="0" />
    </element>
    <element id="ChargeItem.identifier:chargingItemNo.assigner">
      <path value="ChargeItem.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="ChargeItem.definitionCanonical">
      <path value="ChargeItem.definitionCanonical" />
      <short value="收费项目定义" />
      <definition value="此处使用ChargeItemDefinition.url，该url可以是一个随机生成的urn:uuid。" />
    </element>
    <element id="ChargeItem.status">
      <path value="ChargeItem.status" />
      <short value="planned | billable | not-billable | aborted | billed | entered-in-error | unknown | booked | complete" />
      <definition value="未收费使用billable，已收费使用billed，已预约使用booked，已完成使用complete。" />
    </element>
    <element id="ChargeItem.partOf">
      <path value="ChargeItem.partOf" />
      <short value="用于收费项目成组关系" />
      <max value="1" />
    </element>
    <element id="ChargeItem.code.coding">
      <path value="ChargeItem.code.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <max value="1" />
    </element>
    <element id="ChargeItem.code.coding:pathologicalChargeItemExternalId">
      <path value="ChargeItem.code.coding" />
      <sliceName value="pathologicalChargeItemExternalId" />
      <short value="病理收费项目编码（外部）" />
      <definition value="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 value="1" />
    </element>
    <element id="ChargeItem.code.coding:pathologicalChargeItemExternalId.system">
      <path value="ChargeItem.code.coding.system" />
      <fixedUri value="urn:oid:1.2.156.112604.1.2.116441" />
    </element>
    <element id="ChargeItem.code.coding:pathologicalChargeItemExternalId.version">
      <path value="ChargeItem.code.coding.version" />
      <max value="0" />
    </element>
    <element id="ChargeItem.code.coding:pathologicalChargeItemExternalId.userSelected">
      <path value="ChargeItem.code.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="ChargeItem.code.text">
      <path value="ChargeItem.code.text" />
      <short value="收费项目名称" />
    </element>
    <element id="ChargeItem.subject">
      <path value="ChargeItem.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://simplifier.net/winningtest/patient-profile" />
        <targetProfile value="https://simplifier.net/winningtest/newborn-profile" />
      </type>
    </element>
    <element id="ChargeItem.context">
      <path value="ChargeItem.context" />
      <max value="0" />
    </element>
    <element id="ChargeItem.occurrence[x]">
      <path value="ChargeItem.occurrence[x]" />
      <max value="0" />
    </element>
    <element id="ChargeItem.performer">
      <path value="ChargeItem.performer" />
      <max value="0" />
    </element>
    <element id="ChargeItem.performingOrganization">
      <path value="ChargeItem.performingOrganization" />
      <max value="0" />
    </element>
    <element id="ChargeItem.requestingOrganization">
      <path value="ChargeItem.requestingOrganization" />
      <max value="0" />
    </element>
    <element id="ChargeItem.costCenter">
      <path value="ChargeItem.costCenter" />
      <max value="0" />
    </element>
    <element id="ChargeItem.quantity.extension:refundable">
      <path value="ChargeItem.quantity.extension" />
      <sliceName value="refundable" />
      <type>
        <code value="Extension" />
        <profile value="https://simplifier.net/winningtest/extension-refundable-quantity" />
      </type>
    </element>
    <element id="ChargeItem.quantity.value">
      <path value="ChargeItem.quantity.value" />
      <short value="数量" />
    </element>
    <element id="ChargeItem.quantity.unit">
      <path value="ChargeItem.quantity.unit" />
      <short value="单位" />
    </element>
    <element id="ChargeItem.bodysite">
      <path value="ChargeItem.bodysite" />
      <max value="0" />
    </element>
    <element id="ChargeItem.factorOverride">
      <path value="ChargeItem.factorOverride" />
      <max value="0" />
    </element>
    <element id="ChargeItem.priceOverride">
      <path value="ChargeItem.priceOverride" />
      <max value="0" />
    </element>
    <element id="ChargeItem.overrideReason">
      <path value="ChargeItem.overrideReason" />
      <max value="0" />
    </element>
    <element id="ChargeItem.enterer">
      <path value="ChargeItem.enterer" />
      <max value="0" />
    </element>
    <element id="ChargeItem.enteredDate">
      <path value="ChargeItem.enteredDate" />
      <max value="0" />
    </element>
    <element id="ChargeItem.reason">
      <path value="ChargeItem.reason" />
      <short value="收费/退费原因" />
      <definition value="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 value="1" />
    </element>
    <element id="ChargeItem.service">
      <path value="ChargeItem.service" />
      <short value="临床项目" />
      <definition value="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 value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure" />
        <aggregation value="referenced" />
      </type>
    </element>
    <element id="ChargeItem.service.identifier">
      <path value="ChargeItem.service.identifier" />
      <short value="临床项目编号/医疗服务标识" />
      <definition value="当作为临床项目编号时，system为urn:oid:1.2.156.112604.1.1.3241：&#xD;&#xA;表示对于外部可识别的临床项目标识，通常称为hisid。&#xD;&#xA;当作为医疗服务标识时，system为urn:oid:1.2.156.112604.1.1.5290：&#xD;&#xA;用于服务类医疗服务标识。" />
    </element>
    <element id="ChargeItem.service.identifier.use">
      <path value="ChargeItem.service.identifier.use" />
      <max value="0" />
    </element>
    <element id="ChargeItem.service.identifier.type">
      <path value="ChargeItem.service.identifier.type" />
      <max value="0" />
    </element>
    <element id="ChargeItem.service.identifier.period">
      <path value="ChargeItem.service.identifier.period" />
      <max value="0" />
    </element>
    <element id="ChargeItem.service.identifier.assigner">
      <path value="ChargeItem.service.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="ChargeItem.product[x]">
      <path value="ChargeItem.product[x]" />
      <max value="0" />
      <type>
        <code value="CodeableConcept" />
      </type>
    </element>
    <element id="ChargeItem.product[x].coding">
      <path value="ChargeItem.product[x].coding" />
      <max value="0" />
    </element>
    <element id="ChargeItem.product[x].coding.system">
      <path value="ChargeItem.product[x].coding.system" />
      <max value="0" />
    </element>
    <element id="ChargeItem.account">
      <path value="ChargeItem.account" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://simplifier.net/winningtest/account-profile" />
      </type>
    </element>
    <element id="ChargeItem.note">
      <path value="ChargeItem.note" />
      <max value="0" />
    </element>
    <element id="ChargeItem.supportingInformation">
      <path value="ChargeItem.supportingInformation" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>