{
  "resourceType": "StructureDefinition",
  "id": "90b4afa0-b57b-42bc-84fe-4634b3c94179",
  "meta": {
    "lastUpdated": "2023-09-06T08:59:11.9888446+00:00"
  },
  "url": "https://simplifier.net/winningtest/surgical-procedure-profile",
  "name": "SurgicalProcedure",
  "title": "手术治疗",
  "status": "draft",
  "date": "2023-09-06T08:59:32.1338851+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": "Procedure",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure.extension:surgerySequence",
        "path": "Procedure.extension",
        "sliceName": "surgerySequence",
        "short": "手术台次",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-surgery-sequence"
            ]
          }
        ]
      },
      {
        "id": "Procedure.extension:surgicalLevel",
        "path": "Procedure.extension",
        "sliceName": "surgicalLevel",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-surgical-level"
            ]
          }
        ]
      },
      {
        "id": "Procedure.extension:surgicalAnesthesia",
        "path": "Procedure.extension",
        "sliceName": "surgicalAnesthesia",
        "short": "手术麻醉代码",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-surgical-anesthesia"
            ]
          }
        ]
      },
      {
        "id": "Procedure.extension:surgicalPosition",
        "path": "Procedure.extension",
        "sliceName": "surgicalPosition",
        "short": "手术体位代码",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-surgical-position"
            ]
          }
        ]
      },
      {
        "id": "Procedure.extension:reoperationPlanned",
        "path": "Procedure.extension",
        "sliceName": "reoperationPlanned",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-reoperation-plan"
            ]
          }
        ]
      },
      {
        "id": "Procedure.extension:surgicalApproach",
        "path": "Procedure.extension",
        "sliceName": "surgicalApproach",
        "short": "手术入路代码",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-surgical-approach"
            ]
          }
        ]
      },
      {
        "id": "Procedure.extension:surgicalIncisionLevel",
        "path": "Procedure.extension",
        "sliceName": "surgicalIncisionLevel",
        "short": "手术切口等级",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-surgical-incision-level"
            ]
          }
        ]
      },
      {
        "id": "Procedure.extension:consecutiveOperation",
        "path": "Procedure.extension",
        "sliceName": "consecutiveOperation",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-consecutive-operation"
            ]
          }
        ]
      },
      {
        "id": "Procedure.instantiatesCanonical",
        "path": "Procedure.instantiatesCanonical",
        "max": "0"
      },
      {
        "id": "Procedure.instantiatesUri",
        "path": "Procedure.instantiatesUri",
        "max": "0"
      },
      {
        "id": "Procedure.basedOn",
        "path": "Procedure.basedOn",
        "short": "手术对应的医嘱",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://simplifier.net/winningtest/surgical-procedure-request-profile"
            ],
            "aggregation": [
              "referenced"
            ]
          }
        ]
      },
      {
        "id": "Procedure.partOf",
        "path": "Procedure.partOf",
        "short": "次级手术关联主手术",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://simplifier.net/winningtest/surgical-procedure-profile"
            ],
            "aggregation": [
              "referenced"
            ]
          }
        ]
      },
      {
        "id": "Procedure.status",
        "path": "Procedure.status",
        "short": "手术状态",
        "definition": "preparation 未开始/准备中\r\nin-progress 手术中\r\nnot-done 手术取消（未开始）\r\non-hold 手术暂停\r\nstopped 手术取消（已开始）\r\ncompleted 手术结束"
      },
      {
        "id": "Procedure.statusReason",
        "path": "Procedure.statusReason",
        "max": "0"
      },
      {
        "id": "Procedure.category",
        "path": "Procedure.category",
        "short": "手术分类",
        "binding": {
          "strength": "required",
          "description": "手术分类代码",
          "valueSet": "urn:oid:1.2.156.112604.1.2.463"
        }
      },
      {
        "id": "Procedure.code",
        "path": "Procedure.code",
        "short": "手术代码",
        "binding": {
          "strength": "preferred",
          "description": "ICD-9手术代码",
          "valueSet": "http://hl7.org/fhir/sid/icd-9-cm"
        }
      },
      {
        "id": "Procedure.code.text",
        "path": "Procedure.code.text",
        "short": "手术名称"
      },
      {
        "id": "Procedure.subject",
        "path": "Procedure.subject",
        "short": "患者",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://simplifier.net/winningtest/patient-profile"
            ],
            "aggregation": [
              "referenced",
              "bundled"
            ]
          }
        ]
      },
      {
        "id": "Procedure.encounter",
        "path": "Procedure.encounter",
        "short": "住院就诊",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Encounter",
              "https://simplifier.net/winningtest/inpatient-encounter-profile"
            ],
            "aggregation": [
              "referenced",
              "bundled"
            ]
          }
        ]
      },
      {
        "id": "Procedure.performed[x]",
        "path": "Procedure.performed[x]",
        "short": "手术日期时间",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Procedure.performed[x].extension:performedDuration",
        "path": "Procedure.performed[x].extension",
        "sliceName": "performedDuration",
        "short": "手术时长",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://simplifier.net/winningtest/extension-performed-duration"
            ]
          }
        ]
      },
      {
        "id": "Procedure.recorder",
        "path": "Procedure.recorder",
        "max": "0"
      },
      {
        "id": "Procedure.asserter",
        "path": "Procedure.asserter",
        "max": "0"
      },
      {
        "id": "Procedure.performer",
        "path": "Procedure.performer",
        "short": "手术人员"
      },
      {
        "id": "Procedure.performer.function",
        "path": "Procedure.performer.function",
        "short": "人员职责",
        "binding": {
          "strength": "required",
          "description": "手术职工类别代码",
          "valueSet": "urn:oid:1.2.156.112604.1.2.8622"
        }
      },
      {
        "id": "Procedure.performer.actor",
        "path": "Procedure.performer.actor",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
            ]
          }
        ]
      },
      {
        "id": "Procedure.performer.actor.identifier",
        "path": "Procedure.performer.actor.identifier",
        "short": "医师标识"
      },
      {
        "id": "Procedure.location",
        "path": "Procedure.location",
        "short": "手术室",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Location",
              "https://simplifier.net/winningtest/room-profile"
            ],
            "aggregation": [
              "referenced",
              "bundled"
            ]
          }
        ]
      },
      {
        "id": "Procedure.reasonCode",
        "path": "Procedure.reasonCode",
        "max": "0"
      },
      {
        "id": "Procedure.reasonReference",
        "path": "Procedure.reasonReference",
        "short": "诊断",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://simplifier.net/winningtest/diagnosis-profile"
            ],
            "aggregation": [
              "referenced",
              "bundled"
            ]
          }
        ]
      },
      {
        "id": "Procedure.bodySite",
        "path": "Procedure.bodySite",
        "short": "手术部位",
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "手术部位代码",
          "valueSet": "urn:oid:1.2.156.112604.1.1.1054"
        }
      },
      {
        "id": "Procedure.outcome",
        "path": "Procedure.outcome",
        "max": "0"
      },
      {
        "id": "Procedure.report",
        "path": "Procedure.report",
        "max": "0"
      },
      {
        "id": "Procedure.complication",
        "path": "Procedure.complication",
        "max": "0"
      },
      {
        "id": "Procedure.complicationDetail",
        "path": "Procedure.complicationDetail",
        "max": "0"
      },
      {
        "id": "Procedure.followUp",
        "path": "Procedure.followUp",
        "max": "0"
      },
      {
        "id": "Procedure.note",
        "path": "Procedure.note",
        "short": "手术说明",
        "max": "1"
      },
      {
        "id": "Procedure.focalDevice",
        "path": "Procedure.focalDevice",
        "max": "0"
      },
      {
        "id": "Procedure.usedReference",
        "path": "Procedure.usedReference",
        "short": "手术过程使用项",
        "definition": "若有substance（code=2522002,表示体外血液)，则为手术用血",
        "max": "1"
      },
      {
        "id": "Procedure.usedCode",
        "path": "Procedure.usedCode",
        "max": "0"
      }
    ]
  }
}