{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabDiagnosticReportNote",
  "name": "ReteLabDiagnosticReportNote",
  "status": "draft",
  "fhirVersion": "4.0.1",
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "DiagnosticReport"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "Optional Extensions Element",
        "definition": "Descrive la nota collegata al documento corrispondente campo HL7 secondo specifiche regionali: NTE.\r\nPuò descrivere le seguenti casistiche:\r\n- hashCDA\r\n- hashReferto\r\n- algoritmoHashCDA\r\n- algoritmoHashReferto\r\n- validazioneSchema\r\n- sizeDocumentoReferto\r\n- sizeDocumentoCDA\r\n- linguaggioDocumentoReferto\r\n- linguaggioDocumentoCDA\r\n- versioneXSLT\r\n- consultazioneElettronica\r\n- sezioneFascicolo\r\n- idTipoDocumentoLOINC\r\n- idSetDocumentoPadre\r\n- nVersionePadre\r\n- flagInviareAlSiss\r\n- prioritaNotifica\r\n- idRichiedente\r\n- idErogatore\r\n- retePatologia\r\n- marcaTemporale\r\n- Codici di oscuramento (10,20,30,40,50, autorizzazioneConsultazione)\r\n- NOTEREPERIBILITA\r\n- dceSuppService^dip\r\n- modRef^dip\r\n- idRefertoService^dip\r\n- codici relativi alla tabella \"Tabella SISS - Attributi Specifici\"",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabDiagnosticReportNote",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Annotation"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x].id",
        "path": "Extension.value[x].id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Id della nota",
        "definition": "Corrispondente campo HL7 secondo specifiche regionali:  NTE-4.\r\n\r\nPossibili valori: \r\n- hashCDA\r\n- hashReferto\r\n- algoritmoHashCDA\r\n- algoritmoHashReferto\r\n- validazioneSchema\r\n- sizeDocumentoReferto\r\n- sizeDocumentoCDA\r\n- linguaggioDocumentoReferto\r\n- linguaggioDocumentoCDA\r\n- versioneXSLT\r\n- consultazioneElettronica\r\n- sezioneFascicolo\r\n- idTipoDocumentoLOINC\r\n- idSetDocumentoPadre\r\n- nVersionePadre\r\n- flagInviareAlSiss\r\n- prioritaNotifica\r\n- idRichiedente\r\n- idErogatore\r\n- retePatologia\r\n- marcaTemporale\r\n- Codici di oscuramento (10,20,30,40,50, autorizzazioneConsultazione)\r\n- NOTEREPERIBILITA\r\n- dceSuppService^dip\r\n- modRef^dip\r\n- idRefertoService^dip\r\n- codici relativi alla tabella \"Tabella SISS - Attributi Specifici\"",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.value[x].extension",
        "path": "Extension.value[x].extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x].author[x]",
        "path": "Extension.value[x].author[x]",
        "short": "Individual responsible for the annotation",
        "definition": "The individual responsible for making the annotation.",
        "comment": "Organization is used when there's no need for specific attribution as to who made the comment.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Annotation.author[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          },
          {
            "code": "string"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.participant[typeCode=AUT].role"
          }
        ]
      },
      {
        "id": "Extension.value[x].time",
        "path": "Extension.value[x].time",
        "short": "When the annotation was made",
        "definition": "Indicates when this particular annotation was made.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Annotation.time",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.effectiveTime"
          }
        ]
      },
      {
        "id": "Extension.value[x].text",
        "path": "Extension.value[x].text",
        "short": "Testo della nota",
        "definition": "Corrispondente campo HL7 secondo specifiche regionali:  NTE.3",
        "comment": "Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Annotation.text",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.text"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "definition": "Descrive la nota collegata al documento corrispondente campo HL7 secondo specifiche regionali: NTE.\r\nPuò descrivere le seguenti casistiche:\r\n- hashCDA\r\n- hashReferto\r\n- algoritmoHashCDA\r\n- algoritmoHashReferto\r\n- validazioneSchema\r\n- sizeDocumentoReferto\r\n- sizeDocumentoCDA\r\n- linguaggioDocumentoReferto\r\n- linguaggioDocumentoCDA\r\n- versioneXSLT\r\n- consultazioneElettronica\r\n- sezioneFascicolo\r\n- idTipoDocumentoLOINC\r\n- idSetDocumentoPadre\r\n- nVersionePadre\r\n- flagInviareAlSiss\r\n- prioritaNotifica\r\n- idRichiedente\r\n- idErogatore\r\n- retePatologia\r\n- marcaTemporale\r\n- Codici di oscuramento (10,20,30,40,50, autorizzazioneConsultazione)\r\n- NOTEREPERIBILITA\r\n- dceSuppService^dip\r\n- modRef^dip\r\n- idRefertoService^dip\r\n- codici relativi alla tabella \"Tabella SISS - Attributi Specifici\""
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "fixedUri": "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabDiagnosticReportNote"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "type": [
          {
            "code": "Annotation"
          }
        ]
      },
      {
        "id": "Extension.value[x].id",
        "path": "Extension.value[x].id",
        "short": "Id della nota",
        "definition": "Corrispondente campo HL7 secondo specifiche regionali:  NTE-4.\r\n\r\nPossibili valori: \r\n- hashCDA\r\n- hashReferto\r\n- algoritmoHashCDA\r\n- algoritmoHashReferto\r\n- validazioneSchema\r\n- sizeDocumentoReferto\r\n- sizeDocumentoCDA\r\n- linguaggioDocumentoReferto\r\n- linguaggioDocumentoCDA\r\n- versioneXSLT\r\n- consultazioneElettronica\r\n- sezioneFascicolo\r\n- idTipoDocumentoLOINC\r\n- idSetDocumentoPadre\r\n- nVersionePadre\r\n- flagInviareAlSiss\r\n- prioritaNotifica\r\n- idRichiedente\r\n- idErogatore\r\n- retePatologia\r\n- marcaTemporale\r\n- Codici di oscuramento (10,20,30,40,50, autorizzazioneConsultazione)\r\n- NOTEREPERIBILITA\r\n- dceSuppService^dip\r\n- modRef^dip\r\n- idRefertoService^dip\r\n- codici relativi alla tabella \"Tabella SISS - Attributi Specifici\""
      },
      {
        "id": "Extension.value[x].text",
        "path": "Extension.value[x].text",
        "short": "Testo della nota",
        "definition": "Corrispondente campo HL7 secondo specifiche regionali:  NTE.3"
      }
    ]
  }
}