|
<POOR_IN200901UV xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" ITSVersion="XML_1.0" xmlns="urn:hl7-org:v3" xsi:schemaLocation="urn:hl7-org:v3 ../multicacheschemas/POOR_IN200901UV.xsd">
|
|
<id root="2.16.156.10011.2.5.1.1" extension="2AD79662055BDBD1E063C10ABEC0FC80"/>
|
|
<creationTime value="20250104083844"/>
|
|
<interactionId root="2.16.156.10011.2.5.1.2" extension="POOR_IN200901UV"/>
|
|
<processingCode code="P"/>
|
|
<processingModeCode/>
|
|
<acceptAckCode code="AL"/>
|
|
<receiver typeCode="RCV">
|
|
<device classCode="DEV" determinerCode="INSTANCE">
|
|
<id>
|
|
<item root="2.16.156.10011.2.5.1.3" extension="ECG"/>
|
|
</id>
|
|
</device>
|
|
</receiver>
|
|
<sender typeCode="SND">
|
|
<device classCode="DEV" determinerCode="INSTANCE">
|
|
<id>
|
|
<item root="2.16.156.10011.2.5.1.3" extension="H01"/>
|
|
</id>
|
|
</device>
|
|
</sender>
|
|
<controlActProcess classCode="CACT" moodCode="EVN">
|
|
<subject typeCode="SUBJ">
|
|
<observationRequest classCode="OBS" moodCode="RQO">
|
|
<id>
|
|
<!--电子申请单编号-->
|
|
<item root="2.16.156.10011.1.24" extension="100205770"/>
|
|
</id>
|
|
<code/>
|
|
<!-- 申请单详细内容 -->
|
|
<text value="已扣费"/>
|
|
<!-- 必须项未使用 -->
|
|
<statusCode code="1"/>
|
|
<statusName code="已扣费"/>
|
|
<!--申请单有效日期时间-->
|
|
<effectiveTime xsi:type="IVL_TS">
|
|
<low value="20250104"/>
|
|
<high value="20251031"/>
|
|
</effectiveTime>
|
|
<!--优先级别-->
|
|
<priorityCode code="N">
|
|
<displayName value="普通"/>
|
|
<originalText>
|
|
<!--@value急诊标识：1急诊 0平诊-->
|
|
<description value="0"/>
|
|
</originalText>
|
|
</priorityCode>
|
|
<methodCode>
|
|
<!--检查类型编码 -->
|
|
<item code="E" codeSystem="2.16.156.10011.2.5.1.16">
|
|
<!--检查类型名称 -->
|
|
<displayName value="皮肤和结缔组织"/>
|
|
</item>
|
|
</methodCode>
|
|
<author typeCode="AUT">
|
|
<!-- 开单时间 -->
|
|
<time value="20250104083400"/>
|
|
<!--申请单开立者签名-->
|
|
<signatureText value="田玲"/>
|
|
<assignedEntity classCode="ASSIGNED">
|
|
<!--开单医生编码 -->
|
|
<id>
|
|
<item extension="690200" root="2.16.156.10011.1.4"/>
|
|
</id>
|
|
<!--开单医生姓名 -->
|
|
<assignedPerson determinerCode="INSTANCE" classCode="PSN">
|
|
<name xsi:type="BAG_EN">
|
|
<item>
|
|
<part value="田玲"/>
|
|
</item>
|
|
</name>
|
|
</assignedPerson>
|
|
<!-- 申请科室信息 -->
|
|
<representedOrganization determinerCode="INSTANCE" classCode="ORG">
|
|
<!--申请科室编码 必须项已使用 -->
|
|
<id>
|
|
<item extension="10600" root="2.16.156.10011.1.26"/>
|
|
</id>
|
|
<!--申请科室名称 -->
|
|
<name xsi:type="BAG_EN">
|
|
<item>
|
|
<part value="健康管理部"/>
|
|
</item>
|
|
</name>
|
|
</representedOrganization>
|
|
</assignedEntity>
|
|
</author>
|
|
<verifier typeCode="VRF">
|
|
<!--审核日期时间 -->
|
|
<time value="20250104083400"/>
|
|
<assignedEntity classCode="ASSIGNED">
|
|
<!--审核者编码 -->
|
|
<id>
|
|
<item extension="" root="2.16.156.10011.1.4"/>
|
|
</id>
|
|
<assignedPerson determinerCode="INSTANCE" classCode="PSN">
|
|
<!--审核者姓名 -->
|
|
<name xsi:type="BAG_EN">
|
|
<item>
|
|
<part value=""/>
|
|
</item>
|
|
</name>
|
|
</assignedPerson>
|
|
</assignedEntity>
|
|
</verifier>
|
|
<!--单据费用信息 -->
|
|
<coverage>
|
|
<coverageRecord>
|
|
<id>
|
|
<!--@extension单据总费用，root为固定值 -->
|
|
<item root="2.16.156.10011.1.42" extension=""/>
|
|
</id>
|
|
</coverageRecord>
|
|
</coverage>
|
|
<pertinentInformation typeCode="SUBJ " contextConductionInd="true">
|
|
<organizer classCode="CONTAINER" moodCode="EVN">
|
|
<component typeCode="COMP">
|
|
<observation classCode="OBS" moodCode="EVN">
|
|
<!--第二个@value值为既往病史内容,@code为固定值-->
|
|
<code code="01">
|
|
<originalText value="既往病史"/>
|
|
</code>
|
|
<value xsi:type="ST" value=""/>
|
|
</observation>
|
|
</component>
|
|
<component typeCode="COMP">
|
|
<observation classCode="OBS" moodCode="EVN">
|
|
<!--第二个@value值为主诉内容,@code为固定值-->
|
|
<code code="02">
|
|
<originalText value="主诉"/>
|
|
</code>
|
|
<value xsi:type="ST" value=""/>
|
|
</observation>
|
|
</component>
|
|
<component typeCode="COMP">
|
|
<observation classCode="OBS" moodCode="EVN">
|
|
<!--第二个@value值为检查原因内容,@code为固定值-->
|
|
<code code="03">
|
|
<originalText value="检查原因"/>
|
|
</code>
|
|
<value xsi:type="ST" value=""/>
|
|
</observation>
|
|
</component>
|
|
<component typeCode="COMP">
|
|
<observation classCode="OBS" moodCode="EVN">
|
|
<!--第二个@value值为辅助检查内容,@code为固定值-->
|
|
<code code="04">
|
|
<originalText value="辅助检查"/>
|
|
</code>
|
|
<value xsi:type="ST" value=""/>
|
|
</observation>
|
|
</component>
|
|
<component typeCode="COMP">
|
|
<observation classCode="OBS" moodCode="EVN">
|
|
<!--第二个@value值为注意事项内 容,@code为固定值-->
|
|
<code code="05">
|
|
<originalText value="注意事项"/>
|
|
</code>
|
|
<value xsi:type="ST" value=""/>
|
|
</observation>
|
|
</component>
|
|
<component typeCode="COMP">85
|
|
<observation classCode="OBS" moodCode="EVN">
|
|
<!--第二个@value值为现病史内容,@code为固定值-->
|
|
<code code="06">
|
|
<originalText value="现病史"/>
|
|
</code>
|
|
<value xsi:type="ST" value=""/>
|
|
</observation>
|
|
</component>
|
|
<component typeCode="COMP">
|
|
<observation classCode="OBS" moodCode="EVN">
|
|
<!--第二个@value值为体格检查内容,@code为固定值-->
|
|
<code code="07">
|
|
<originalText value="体格检查"/>
|
|
</code>
|
|
<value xsi:type="ST" value=""/>
|
|
</observation>
|
|
</component>
|
|
<component typeCode="COMP">
|
|
<observation classCode="OBS" moodCode="EVN">
|
|
<!--第二个@value值为临床印象内容,@code为固定值-->
|
|
<code code="08">
|
|
<originalText value="临床印象"/>
|
|
</code>
|
|
<value xsi:type="ST" value=""/>
|
|
</observation>
|
|
</component>
|
|
</organizer>
|
|
</pertinentInformation>
|
|
<!-- 多个检验项目循环component2 -->
|
|
<component2>
|
|
<observationRequest classCode="OBS" moodCode="RQO">
|
|
<id>
|
|
<!--医嘱ID-->
|
|
<item root="2.16.156.10011.1.28" extension="114827"/>
|
|
</id>
|
|
<!--检验项目编码 必须项已使用 -->
|
|
<code code="101060">
|
|
<!--检验项目名称 -->
|
|
<displayName value="心电图检查"/>
|
|
</code>
|
|
<!-- 必须项未使用 -->
|
|
<statusCode/>
|
|
<methodCode>
|
|
<!--检查方式编码 -->
|
|
<item code="E" codeSystem="2.16.156.10011.2.3.2.47" codeSystemName="检查方式代码表">
|
|
<!--检查方式名称 -->
|
|
<displayName value="皮肤和结缔组织"/>
|
|
</item>
|
|
<!--检查类型编码 -->
|
|
<item code="E">
|
|
<!--检查类型名称 -->
|
|
<displayName value=""/>
|
|
</item>
|
|
</methodCode>
|
|
<!--检查部位编码 -->
|
|
<targetSiteCode>
|
|
<item code="">
|
|
<!--检查部位名称 -->
|
|
<displayName value=""/>
|
|
</item>
|
|
</targetSiteCode>
|
|
<!--执行科室 -->
|
|
<location typeCode="LOC">
|
|
<!-- 执行时间 -->
|
|
<time>
|
|
<any value=""/>
|
|
</time>
|
|
<serviceDeliveryLocation classCode="SDLOC">
|
|
<serviceProviderOrganization determinerCode="INSTANCE" classCode="ORG">
|
|
<!--执行科室编码 -->
|
|
<id>
|
|
<item extension="6030001" root="2.16.156.10011.1.26"/>
|
|
</id>
|
|
<!-- 执行科室名称 -->
|
|
<name xsi:type="DSET_EN">
|
|
<item>
|
|
<part value="心电图室 "/>
|
|
</item>
|
|
</name>
|
|
</serviceProviderOrganization>
|
|
</serviceDeliveryLocation>
|
|
</location>
|
|
<pertinentInformation typeCode="PERT" contextConductionInd="false">
|
|
<observation classCode="OBS" moodCode="EVN">
|
|
<!--@value项目数量,code为固定值 -->
|
|
<code code="01">
|
|
<displayName value="1"/>
|
|
</code>
|
|
</observation>
|
|
</pertinentInformation>
|
|
<!--项目单价,typeCode、 contextConductionInd、 classCode、 moodCode为固定值 -->
|
|
<pertinentInformation typeCode="PERT" contextConductionInd="false">
|
|
<observation classCode="OBS" moodCode="EVN">
|
|
<!--@value项目数量,code为固定值 -->
|
|
<code code="02">
|
|
<displayName value="18"/>
|
|
</code>
|
|
</observation>
|
|
</pertinentInformation>
|
|
</observationRequest>
|
|
</component2>
|
|
<subjectOf6 contextConductionInd="false">
|
|
<!-- 必须项 未使用 default=false -->
|
|
<seperatableInd value="false"/>
|
|
<!--申请注意事项 -->
|
|
<annotation>
|
|
<text value=""/>
|
|
<statusCode code="completed"/>
|
|
<author>
|
|
<assignedEntity classCode="ASSIGNED"/>
|
|
</author>
|
|
</annotation>
|
|
</subjectOf6>
|
|
<componentOf1 contextConductionInd="false" typeCode="COMP">
|
|
<!--就诊 -->
|
|
<encounter classCode="ENC" moodCode="EVN">
|
|
<id>
|
|
<!--@extension就诊次数,root为固定值-->
|
|
<item extension="1" root="2.16.156.10011.2.5.1.8"/>
|
|
<!--@extension就诊流水号,root为固定值-->
|
|
<item extension="153137001" root="2.16.156.10011.2.5.1.9"/>
|
|
</id>
|
|
<!--就诊类别代码-->
|
|
<code code="8" codeSystem="2.16.156.10011.2.3.1.271" codeSystemName="患者类型代码表">
|
|
<displayName value="体检"/>
|
|
</code>
|
|
<!--必须项未使用 -->
|
|
<statusCode/>
|
|
<!--@value就诊时间 -->
|
|
<effectiveTime>
|
|
<low value="20250104083844"/>
|
|
</effectiveTime>
|
|
<!--病人 必须项未使用 -->
|
|
<subject typeCode="SBJ">
|
|
<patient classCode="PAT">
|
|
<id>
|
|
<!-- @extension域ID,@root为固定值 -->
|
|
<item root="2.16.156.10011.2.5.1.5" extension="1"/>
|
|
<!-- 患者ID -->
|
|
<item root="2.16.156.10011.2.5.1.4" extension="3002278382"/>
|
|
<!--门急诊号-->
|
|
<item root="2.16.156.10011.1.11" extension="153137001"/>
|
|
<!--住院号-->
|
|
<item root="2.16.156.10011.1.12" extension=""/>
|
|
<!-- @extension病案号， root为固定值 -->
|
|
<item root="2.16.156.10011.1.13" extension=""/>
|
|
</id>
|
|
<!--个人信息 必须项已使用 -->
|
|
<patientPerson classCode="PSN">
|
|
<!--身份证号-->
|
|
<id>
|
|
<item root="2.16.156.10011.1.3" extension="153137001"/>
|
|
<item root="2.16.156.10011.2.5.1.6" extension="153137001"/>
|
|
</id>
|
|
<idCategory code="01" codeSystem="2.16.156.10011.2.3.1.1" codeSystemName="01">
|
|
<displayName value="居民身份证"/>
|
|
</idCategory>
|
|
<!--姓名-->
|
|
<name xsi:type="DSET_EN">
|
|
<item>
|
|
<part value="刘翠坡"/>
|
|
</item>
|
|
</name>
|
|
<!--联系电话-->
|
|
<telecom xsi:type="DSET_TEL">
|
|
<item value="16699465580"/>
|
|
</telecom>
|
|
<!--性别-->
|
|
<administrativeGenderCode code="1" codeSystem="2.16.156.10011.2.3.3.4" codeSystemName="生理性别代码表（GB/T 2261.1）">
|
|
<displayName value="男"/>
|
|
</administrativeGenderCode>
|
|
<!--出生日期 -->
|
|
<birthTime value="19801211">
|
|
<!--年龄 -->
|
|
<originalText value="44"/>
|
|
</birthTime>
|
|
<!--联系地址-->
|
|
<addr xsi:type="LIST_AD">
|
|
<item>
|
|
<!--非结构化地址（完整地址描述） -->
|
|
<part type="SAL" value=""/>
|
|
<!--地址-省（自治区、直辖市） -->
|
|
<part type="STA" value=""/>
|
|
<!--地址-市（地区） -->
|
|
<part type="CTY" value=""/>
|
|
<!--地址-县（区） -->
|
|
<part type="CNT" value=""/>
|
|
<!-- 地址-乡（镇、街道办事处） -->
|
|
<part type="STB" value=""/>
|
|
<!-- 地址-村（街、路、弄等） -->
|
|
<part type="STR" value=""/>
|
|
<!-- 地址-门牌号码 -->
|
|
<part type="BNR" value=""/>
|
|
<!-- 邮政编码-->
|
|
<part type="ZIP" value=""/>
|
|
</item>
|
|
</addr>
|
|
<!--出生地-->
|
|
<birthplace>
|
|
<birthplace>
|
|
<desc value=""/>
|
|
</birthplace>
|
|
</birthplace>
|
|
<!--公民身份 -->
|
|
<asCitizen>
|
|
<!--所属国家 -->
|
|
<politicalNation>
|
|
<!--国籍编码 -->
|
|
<code code="" codeSystem="2.16.156.10011.2.3.3.1">
|
|
<!--国家 -->
|
|
<displayName value=""/>
|
|
</code>
|
|
</politicalNation>
|
|
</asCitizen>
|
|
<!--婚姻状况-->
|
|
<maritalStatusCode code="" codeSystem="2.16.156.10011.2.3.3.5">
|
|
<displayName value=""/>
|
|
</maritalStatusCode>
|
|
<!--民族-->
|
|
<ethnicGroupCode>
|
|
<item code="" codeSystem="2.16.156.10011.2.3.3.3">
|
|
<displayName value=""/>
|
|
</item>
|
|
</ethnicGroupCode>
|
|
<!--职业类别代码-->
|
|
<asEmployee classCode="EMP">
|
|
<occupationCode code="" codeSystem="2.16.156.10011.2.3.3.7">
|
|
<displayName value=""/>
|
|
</occupationCode>
|
|
<employerOrganization classCode="ORG" determinerCode="INSTANCE">
|
|
<!--工作单位名称-->
|
|
<name xsi:type="LIST_EN">
|
|
<item>
|
|
<part value=""/>
|
|
</item>
|
|
</name>
|
|
<contactParty classCode="CON">
|
|
<!--工作联系电话-->
|
|
<telecom xsi:type="DSET_TEL">
|
|
<item value="16699465580"/>
|
|
</telecom>
|
|
</contactParty>
|
|
</employerOrganization>
|
|
</asEmployee>
|
|
<asOtherIDs classCode="PAT">
|
|
<!--就诊卡号-->
|
|
<id>
|
|
<item root="2.16.156.10011.2.5.1.6" extension="153137001" identifierName=""/>
|
|
</id>
|
|
<!--健康卡号-->
|
|
<id>
|
|
<item root="2.16.156.10011.1.19" extension="" identifierName=""/>
|
|
</id>
|
|
<scopingOrganization classCode="ORG" determinerCode="INSTANCE">
|
|
<!--健康卡发放机构代码-->
|
|
<id>
|
|
<item root="2.16.156.10011.1.5" extension="ZY00000001"/>
|
|
</id>
|
|
</scopingOrganization>
|
|
</asOtherIDs>
|
|
<asOtherIDs classCode="PAT">
|
|
<!--城乡居民健康档案编号-->
|
|
<id>
|
|
<item root="2.16.156.10011.1.2" extension=""/>
|
|
</id>
|
|
<scopingOrganization classCode="ORG" determinerCode="INSTANCE">
|
|
<!--建档医疗机构组织机构代码-->
|
|
<id>
|
|
<item root="2.16.156.10011.1.5" extension="ZY00000001"/>
|
|
</id>
|
|
</scopingOrganization>
|
|
</asOtherIDs>
|
|
<!--联系人-->
|
|
<personalRelationship>
|
|
<code code="家庭关系代码" codeSystem="2.16.156.10011.2.3.3.8" codeSystemName="家庭关系代码">
|
|
<displayName value="家庭关系描述"/>
|
|
</code>
|
|
<!--联系人电话-->
|
|
<telecom xsi:type="DSET_TEL">
|
|
<item value="16699465580"/>
|
|
</telecom>
|
|
<relationshipHolder1 classCode="PSN" determinerCode="INSTANCE">
|
|
<!--联系人姓名-->
|
|
<name xsi:type="LIST_EN">
|
|
<item>
|
|
<part value=""/>
|
|
</item>
|
|
</name>
|
|
</relationshipHolder1>
|
|
</personalRelationship>
|
|
</patientPerson>
|
|
<!--医疗保险信息-->
|
|
<coveredPartyOf typeCode="COV">
|
|
<coverageRecord classCode="COV" moodCode="EVN">
|
|
<beneficiary typeCode="BEN">
|
|
<beneficiary classCode="MBR">
|
|
<!-- @code医疗保险类别代码,@root为固定值 -->
|
|
<code code="S" codeSystem="2.16.156.10011.2.3.1.248" codeSystemName="医疗保险类别代码">
|
|
<!-- @value医疗保险类别描述 -->
|
|
<displayName value="自费"/>
|
|
</code>
|
|
</beneficiary>
|
|
</beneficiary>
|
|
</coverageRecord>
|
|
</coveredPartyOf>
|
|
</patient>
|
|
</subject>
|
|
<!--住院位置-->
|
|
<location typeCode="LOC">
|
|
<time/>
|
|
<serviceDeliveryLocation classCode="SDLOC">
|
|
<location classCode="PLC" determinerCode="INSTANCE">
|
|
<!--DE01.00.026.00 病床号-->
|
|
<id>
|
|
<item extension=""/>
|
|
</id>
|
|
<name xsi:type="BAG_EN">
|
|
<item use="IDE">
|
|
<part value=""/>
|
|
</item>
|
|
</name>
|
|
<asLocatedEntityPartOf classCode="LOCE">
|
|
<location classCode="PLC" determinerCode="INSTANCE">
|
|
<!--DE01.00.019.00 病房号-->
|
|
<id>
|
|
<item extension=""/>
|
|
</id>
|
|
<name xsi:type="BAG_EN">
|
|
<item use="IDE">
|
|
<part value=""/>
|
|
</item>
|
|
</name>
|
|
</location>
|
|
</asLocatedEntityPartOf>
|
|
</location>
|
|
<serviceProviderOrganization classCode="ORG" determinerCode="INSTANCE">
|
|
<!--DE08.10.026.00 科室名称-->
|
|
<id>
|
|
<item extension="10600"/>
|
|
</id>
|
|
<name xsi:type="BAG_EN">
|
|
<item use="IDE">
|
|
<part value="健康管理部"/>
|
|
</item>
|
|
</name>
|
|
<asOrganizationPartOf classCode="PART">
|
|
<!-- DE08.10.054.00 病区名称 -->
|
|
<wholeOrganization classCode="ORG" determinerCode="INSTANCE">
|
|
<id>
|
|
<item extension=""/>
|
|
</id>
|
|
<name xsi:type="BAG_EN">
|
|
<item use="IDE">
|
|
<part value=" "/>
|
|
</item>
|
|
</name>
|
|
</wholeOrganization>
|
|
</asOrganizationPartOf>
|
|
</serviceProviderOrganization>
|
|
</serviceDeliveryLocation>
|
|
</location>
|
|
<!--诊断(检查申请原因) -->
|
|
<pertinentInformation1 typeCode="PERT">
|
|
<observationDx classCode="OBS" moodCode="EVN">
|
|
<!--诊断类别编码 必须项已使用 -->
|
|
<code code="1" codeSystem="2.16.156.10011.2.5.1.10">
|
|
<!--诊断类别名称 -->
|
|
<displayName value="门诊诊断"/>
|
|
</code>
|
|
<!-- 必须项未使用 -->
|
|
<statusCode code="active"/>
|
|
<!--诊断日期 -->
|
|
<effectiveTime>
|
|
<any value="20120506"/>
|
|
</effectiveTime>
|
|
<!-- 疾病编码 必须项已使用 -->
|
|
<value code="Z00.001 " codeSystem="2.16.156.10011.2.3.3.11">
|
|
<!-- 疾病名称 -->
|
|
<displayName value="健康查体 "/>
|
|
</value>
|
|
</observationDx>
|
|
</pertinentInformation1>
|
|
</encounter>
|
|
</componentOf1>
|
|
</observationRequest>
|
|
</subject>
|
|
</controlActProcess>
|
|
</POOR_IN200901UV>
|