{ "resourceType": "StructureDefinition", "id": "3580abc4-2584-4221-a66d-4f32ea65da61", "meta": { "lastUpdated": "2024-04-24T03:50:14.274143+00:00" }, "url": "https://simplifier.net/winningtest/service-request-profile", "name": "ServiceRequest", "title": "服务申请", "status": "draft", "date": "2024-04-24T03:50:30.4664352+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" }, { "identity": "quick", "uri": "http://siframework.org/cqf", "name": "Quality Improvement and Clinical Knowledge (QUICK)" } ], "kind": "resource", "abstract": false, "type": "ServiceRequest", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "derivation": "constraint", "differential": { "element": [ { "id": "ServiceRequest.text", "path": "ServiceRequest.text", "short": "医嘱项内容" }, { "id": "ServiceRequest.extension:clinicalSummary", "path": "ServiceRequest.extension", "sliceName": "clinicalSummary", "short": "临床摘要", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-clinical-summary" ] } ] }, { "id": "ServiceRequest.extension:clinicalTrial", "path": "ServiceRequest.extension", "sliceName": "clinicalTrial", "short": "临床试验标志", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-clinical-trial" ] } ] }, { "id": "ServiceRequest.extension:clinicalTrialMedicineBlindCode", "path": "ServiceRequest.extension", "sliceName": "clinicalTrialMedicineBlindCode", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-clinical-trial-medicine-blind-code" ] } ], "isModifier": false }, { "id": "ServiceRequest.extension:gcpProject", "path": "ServiceRequest.extension", "sliceName": "gcpProject", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-gcp-project" ] } ], "isModifier": false }, { "id": "ServiceRequest.extension:clinicalTrialVisitNo", "path": "ServiceRequest.extension", "sliceName": "clinicalTrialVisitNo", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-clinical-trial-visit-no" ] } ], "isModifier": false }, { "id": "ServiceRequest.extension:urgent", "path": "ServiceRequest.extension", "sliceName": "urgent", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-urgent" ] } ] }, { "id": "ServiceRequest.extension:submissionPurpose", "path": "ServiceRequest.extension", "sliceName": "submissionPurpose", "short": "送检目的", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-submission-purpose" ] } ] }, { "id": "ServiceRequest.extension:orderTemplate", "path": "ServiceRequest.extension", "sliceName": "orderTemplate", "short": "医嘱模板", "max": "1", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-order-template" ] } ] }, { "id": "ServiceRequest.extension:electronicSigned", "path": "ServiceRequest.extension", "sliceName": "electronicSigned", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-electronic-signed" ] } ] }, { "id": "ServiceRequest.extension:DRG", "path": "ServiceRequest.extension", "sliceName": "DRG", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-drg" ] } ] }, { "id": "ServiceRequest.extension:orderGenerationSource", "path": "ServiceRequest.extension", "sliceName": "orderGenerationSource", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-order-generation-source" ] } ], "isModifier": false }, { "id": "ServiceRequest.extension:requestSource", "path": "ServiceRequest.extension", "sliceName": "requestSource", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-request-source" ] } ], "isModifier": false }, { "id": "ServiceRequest.extension:preAdmission", "path": "ServiceRequest.extension", "sliceName": "preAdmission", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-pre-admission-flag" ] } ], "isModifier": false }, { "id": "ServiceRequest.extension:authenticationRequired", "path": "ServiceRequest.extension", "sliceName": "authenticationRequired", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-authentication-required" ] } ], "isModifier": false }, { "id": "ServiceRequest.extension:birthControl", "path": "ServiceRequest.extension", "sliceName": "birthControl", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-birth-control" ] } ], "isModifier": false }, { "id": "ServiceRequest.extension:bedside", "path": "ServiceRequest.extension", "sliceName": "bedside", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-bedside" ] } ], "isModifier": false }, { "id": "ServiceRequest.extension:serviceGuidance", "path": "ServiceRequest.extension", "sliceName": "serviceGuidance", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-service-guidance" ] } ], "isModifier": false }, { "id": "ServiceRequest.identifier", "path": "ServiceRequest.identifier", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" } }, { "id": "ServiceRequest.identifier:clinicalOrderId", "path": "ServiceRequest.identifier", "sliceName": "clinicalOrderId", "short": "医嘱标识", "max": "1" }, { "id": "ServiceRequest.identifier:clinicalOrderId.use", "path": "ServiceRequest.identifier.use", "max": "0" }, { "id": "ServiceRequest.identifier:clinicalOrderId.type", "path": "ServiceRequest.identifier.type", "max": "0" }, { "id": "ServiceRequest.identifier:clinicalOrderId.system", "path": "ServiceRequest.identifier.system", "fixedUri": "urn:oid:1.2.156.112604.1.1.801" }, { "id": "ServiceRequest.identifier:clinicalOrderId.period", "path": "ServiceRequest.identifier.period", "max": "0" }, { "id": "ServiceRequest.identifier:clinicalOrderId.assigner", "path": "ServiceRequest.identifier.assigner", "max": "0" }, { "id": "ServiceRequest.identifier:clinicalOrderItemId", "path": "ServiceRequest.identifier", "sliceName": "clinicalOrderItemId", "short": "医嘱项标识", "max": "1" }, { "id": "ServiceRequest.identifier:clinicalOrderItemId.use", "path": "ServiceRequest.identifier.use", "max": "0" }, { "id": "ServiceRequest.identifier:clinicalOrderItemId.type", "path": "ServiceRequest.identifier.type", "max": "0" }, { "id": "ServiceRequest.identifier:clinicalOrderItemId.system", "path": "ServiceRequest.identifier.system", "fixedUri": "urn:oid:1.2.156.112604.1.1.4118" }, { "id": "ServiceRequest.identifier:clinicalOrderItemId.period", "path": "ServiceRequest.identifier.period", "max": "0" }, { "id": "ServiceRequest.identifier:clinicalOrderItemId.assigner", "path": "ServiceRequest.identifier.assigner", "max": "0" }, { "id": "ServiceRequest.identifier:externalId", "path": "ServiceRequest.identifier", "sliceName": "externalId", "short": "外部系统医嘱标识", "max": "1" }, { "id": "ServiceRequest.identifier:externalId.use", "path": "ServiceRequest.identifier.use", "max": "0" }, { "id": "ServiceRequest.identifier:externalId.type", "path": "ServiceRequest.identifier.type", "max": "0" }, { "id": "ServiceRequest.identifier:externalId.system", "path": "ServiceRequest.identifier.system", "fixedUri": "urn:oid:1.2.156.112604.1.2.106314" }, { "id": "ServiceRequest.identifier:externalId.period", "path": "ServiceRequest.identifier.period", "max": "0" }, { "id": "ServiceRequest.identifier:externalId.assigner", "path": "ServiceRequest.identifier.assigner", "max": "0" }, { "id": "ServiceRequest.instantiatesCanonical", "path": "ServiceRequest.instantiatesCanonical", "max": "0" }, { "id": "ServiceRequest.instantiatesUri", "path": "ServiceRequest.instantiatesUri", "max": "0" }, { "id": "ServiceRequest.basedOn", "path": "ServiceRequest.basedOn", "short": "联动源请求", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "http://hl7.org/fhir/StructureDefinition/MedicationRequest" ], "aggregation": [ "referenced" ] } ] }, { "id": "ServiceRequest.replaces", "path": "ServiceRequest.replaces", "max": "0" }, { "id": "ServiceRequest.requisition", "path": "ServiceRequest.requisition", "short": "申请单标识" }, { "id": "ServiceRequest.requisition.extension:requisitionNo", "path": "ServiceRequest.requisition.extension", "sliceName": "requisitionNo", "short": "申请单编号", "max": "1", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-requisition-no" ] } ] }, { "id": "ServiceRequest.requisition.extension:requisitionName", "path": "ServiceRequest.requisition.extension", "sliceName": "requisitionName", "short": "申请单名称", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-requisition-name" ] } ] }, { "id": "ServiceRequest.requisition.use", "path": "ServiceRequest.requisition.use", "max": "0" }, { "id": "ServiceRequest.requisition.type", "path": "ServiceRequest.requisition.type", "max": "0" }, { "id": "ServiceRequest.requisition.system", "path": "ServiceRequest.requisition.system", "short": "申请单标识", "fixedUri": "urn:oid:1.2.156.112604.1.1.4699" }, { "id": "ServiceRequest.requisition.period", "path": "ServiceRequest.requisition.period", "max": "0" }, { "id": "ServiceRequest.requisition.assigner", "path": "ServiceRequest.requisition.assigner", "max": "0" }, { "id": "ServiceRequest.status", "path": "ServiceRequest.status", "fixedCode": "active" }, { "id": "ServiceRequest.category", "path": "ServiceRequest.category", "slicing": { "discriminator": [ { "type": "value", "path": "coding.system" } ], "rules": "open" }, "short": "临床服务类型" }, { "id": "ServiceRequest.category:serviceType", "path": "ServiceRequest.category", "sliceName": "serviceType", "short": "临床服务类型代码", "max": "1", "binding": { "strength": "required", "description": "临床服务类型代码", "valueSet": "urn:oid:1.2.156.112604.1.2.558" } }, { "id": "ServiceRequest.category:orderType", "path": "ServiceRequest.category", "sliceName": "orderType", "short": "医嘱类型代码", "max": "1", "binding": { "strength": "required", "description": "医嘱类型代码", "valueSet": "urn:oid:1.2.156.112604.1.2.1051" } }, { "id": "ServiceRequest.category:serviceClass", "path": "ServiceRequest.category", "sliceName": "serviceClass", "short": "临床服务分类", "max": "1" }, { "id": "ServiceRequest.category:serviceClass.coding", "path": "ServiceRequest.category.coding", "max": "1" }, { "id": "ServiceRequest.category:serviceClass.coding.system", "path": "ServiceRequest.category.coding.system", "fixedUri": "urn:oid:1.2.156.112604.1.1.3829" }, { "id": "ServiceRequest.category:serviceClass.coding.version", "path": "ServiceRequest.category.coding.version", "max": "0" }, { "id": "ServiceRequest.category:serviceClass.coding.code", "path": "ServiceRequest.category.coding.code", "short": "临床服务分类标识" }, { "id": "ServiceRequest.category:serviceClass.coding.display", "path": "ServiceRequest.category.coding.display", "short": "临床服务分类名称" }, { "id": "ServiceRequest.category:serviceClass.coding.userSelected", "path": "ServiceRequest.category.coding.userSelected", "max": "0" }, { "id": "ServiceRequest.category:serviceClass.text", "path": "ServiceRequest.category.text", "max": "0" }, { "id": "ServiceRequest.priority", "path": "ServiceRequest.priority", "max": "0" }, { "id": "ServiceRequest.doNotPerform", "path": "ServiceRequest.doNotPerform", "max": "0" }, { "id": "ServiceRequest.code", "path": "ServiceRequest.code", "short": "服务代码" }, { "id": "ServiceRequest.code.extension:hisid", "path": "ServiceRequest.code.extension", "sliceName": "hisid", "short": "HISID", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-his-id" ] } ] }, { "id": "ServiceRequest.code.extension:hisname", "path": "ServiceRequest.code.extension", "sliceName": "hisname", "short": "his项目名称", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-his-name" ] } ] }, { "id": "ServiceRequest.code.text", "path": "ServiceRequest.code.text", "short": "服务名称" }, { "id": "ServiceRequest.quantity[x]", "path": "ServiceRequest.quantity[x]", "type": [ { "code": "Quantity" } ] }, { "id": "ServiceRequest.subject", "path": "ServiceRequest.subject", "short": "患者", "type": [ { "code": "Reference", "targetProfile": [ "https://simplifier.net/winningtest/patient-profile" ], "aggregation": [ "referenced", "bundled" ] } ] }, { "id": "ServiceRequest.encounter", "path": "ServiceRequest.encounter", "short": "就诊", "type": [ { "code": "Reference", "targetProfile": [ "https://simplifier.net/winningtest/outpatient-encounter-profile", "https://simplifier.net/winningtest/inpatient-encounter-profile" ], "aggregation": [ "referenced" ] } ] }, { "id": "ServiceRequest.occurrence[x]", "path": "ServiceRequest.occurrence[x]", "type": [ { "code": "dateTime" }, { "code": "Period" }, { "code": "Timing", "profile": [ "https://simplifier.net/winningtest/timing-profile" ] } ] }, { "id": "ServiceRequest.asNeeded[x]", "path": "ServiceRequest.asNeeded[x]", "max": "0" }, { "id": "ServiceRequest.authoredOn", "path": "ServiceRequest.authoredOn", "short": "签署日期" }, { "id": "ServiceRequest.requester", "path": "ServiceRequest.requester", "short": "开立医生和科室", "type": [ { "code": "Reference", "targetProfile": [ "https://simplifier.net/winningtest/practitioner-role-profile" ], "aggregation": [ "contained", "bundled" ] } ] }, { "id": "ServiceRequest.performer", "path": "ServiceRequest.performer", "short": "执行科室/执行人", "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "https://simplifier.net/winningtest/department-profile", "https://simplifier.net/winningtest/practitioner-role-profile" ], "aggregation": [ "referenced", "bundled" ] } ] }, { "id": "ServiceRequest.reasonCode", "path": "ServiceRequest.reasonCode", "short": "服务申请原因" }, { "id": "ServiceRequest.reasonReference", "path": "ServiceRequest.reasonReference", "short": "诊断", "type": [ { "code": "Reference", "targetProfile": [ "https://simplifier.net/winningtest/condition-profile", "https://simplifier.net/winningtest/observation-profile", "https://simplifier.net/winningtest/diagnosis-profile", "https://simplifier.net/winningtest/medical-insurance-specified-disease-profile", "https://simplifier.net/winningtest/work-injury-profile" ], "aggregation": [ "contained", "referenced", "bundled" ] } ] }, { "id": "ServiceRequest.insurance", "path": "ServiceRequest.insurance", "short": "医疗保险", "type": [ { "code": "Reference", "targetProfile": [ "https://simplifier.net/winningtest/medical-insurance-profile", "https://simplifier.net/winningtest/chronic-disease-insurance-profile" ], "aggregation": [ "contained", "referenced", "bundled" ] } ] }, { "id": "ServiceRequest.insurance.extension:mandatorySelfPayReason", "path": "ServiceRequest.insurance.extension", "sliceName": "mandatorySelfPayReason", "short": "强制自费原因", "max": "1", "type": [ { "code": "Extension", "profile": [ "https://simplifier.net/winningtest/extension-reason" ] } ], "isModifier": false }, { "id": "ServiceRequest.specimen", "path": "ServiceRequest.specimen", "max": "0" }, { "id": "ServiceRequest.bodySite", "path": "ServiceRequest.bodySite", "slicing": { "discriminator": [ { "type": "value", "path": "coding.system" } ], "rules": "open" }, "short": "人体部位" }, { "id": "ServiceRequest.bodySite:bodySite", "path": "ServiceRequest.bodySite", "sliceName": "bodySite", "short": "人体部位", "binding": { "strength": "extensible", "description": "人体部位代码", "valueSet": "urn:oid:1.2.156.112604.1.2.630" } }, { "id": "ServiceRequest.bodySite:toothStructure", "path": "ServiceRequest.bodySite", "sliceName": "toothStructure", "short": "牙齿结构（牙位）", "binding": { "strength": "extensible", "description": "牙位代码", "valueSet": "urn:oid:1.2.156.112604.1.2.95546" } }, { "id": "ServiceRequest.note", "path": "ServiceRequest.note", "short": "备注", "max": "1" }, { "id": "ServiceRequest.patientInstruction", "path": "ServiceRequest.patientInstruction", "short": "注意事项" }, { "id": "ServiceRequest.relevantHistory", "path": "ServiceRequest.relevantHistory", "short": "请求溯源", "type": [ { "code": "Reference", "targetProfile": [ "https://simplifier.net/winningtest/provenance-profile" ], "aggregation": [ "referenced" ] } ] } ] } }