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