<StructureDefinition xmlns="http://hl7.org/fhir">
  <url value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabDiagnosticReportNote" />
  <name value="ReteLabDiagnosticReportNote" />
  <status value="draft" />
  <fhirVersion value="4.0.1" />
  <kind value="complex-type" />
  <abstract value="false" />
  <context>
    <type value="element" />
    <expression value="DiagnosticReport" />
  </context>
  <type value="Extension" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
  <derivation value="constraint" />
  <snapshot>
    <element id="Extension">
      <path value="Extension" />
      <short value="Optional Extensions Element" />
      <definition value="Descrive la nota collegata al documento corrispondente campo HL7 secondo specifiche regionali: NTE.&#xD;&#xA;Può descrivere le seguenti casistiche:&#xD;&#xA;- hashCDA&#xD;&#xA;- hashReferto&#xD;&#xA;- algoritmoHashCDA&#xD;&#xA;- algoritmoHashReferto&#xD;&#xA;- validazioneSchema&#xD;&#xA;- sizeDocumentoReferto&#xD;&#xA;- sizeDocumentoCDA&#xD;&#xA;- linguaggioDocumentoReferto&#xD;&#xA;- linguaggioDocumentoCDA&#xD;&#xA;- versioneXSLT&#xD;&#xA;- consultazioneElettronica&#xD;&#xA;- sezioneFascicolo&#xD;&#xA;- idTipoDocumentoLOINC&#xD;&#xA;- idSetDocumentoPadre&#xD;&#xA;- nVersionePadre&#xD;&#xA;- flagInviareAlSiss&#xD;&#xA;- prioritaNotifica&#xD;&#xA;- idRichiedente&#xD;&#xA;- idErogatore&#xD;&#xA;- retePatologia&#xD;&#xA;- marcaTemporale&#xD;&#xA;- Codici di oscuramento (10,20,30,40,50, autorizzazioneConsultazione)&#xD;&#xA;- NOTEREPERIBILITA&#xD;&#xA;- dceSuppService^dip&#xD;&#xA;- modRef^dip&#xD;&#xA;- idRefertoService^dip&#xD;&#xA;- codici relativi alla tabella &quot;Tabella SISS - Attributi Specifici&quot;" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Extension.id">
      <path value="Extension.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Extension.extension">
      <path value="Extension.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="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 value="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 value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Extension.url">
      <path value="Extension.url" />
      <representation value="xmlAttr" />
      <short value="identifies the meaning of the extension" />
      <definition value="Source of the definition for the extension code - a logical name or a URL." />
      <comment value="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 value="1" />
      <max value="1" />
      <base>
        <path value="Extension.url" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="uri" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <fixedUri value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabDiagnosticReportNote" />
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Extension.value[x]">
      <path value="Extension.value[x]" />
      <short value="Value of extension" />
      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Extension.value[x]" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Annotation" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Extension.value[x].id">
      <path value="Extension.value[x].id" />
      <representation value="xmlAttr" />
      <short value="Id della nota" />
      <definition value="Corrispondente campo HL7 secondo specifiche regionali:  NTE-4.&#xD;&#xA;&#xD;&#xA;Possibili valori: &#xD;&#xA;- hashCDA&#xD;&#xA;- hashReferto&#xD;&#xA;- algoritmoHashCDA&#xD;&#xA;- algoritmoHashReferto&#xD;&#xA;- validazioneSchema&#xD;&#xA;- sizeDocumentoReferto&#xD;&#xA;- sizeDocumentoCDA&#xD;&#xA;- linguaggioDocumentoReferto&#xD;&#xA;- linguaggioDocumentoCDA&#xD;&#xA;- versioneXSLT&#xD;&#xA;- consultazioneElettronica&#xD;&#xA;- sezioneFascicolo&#xD;&#xA;- idTipoDocumentoLOINC&#xD;&#xA;- idSetDocumentoPadre&#xD;&#xA;- nVersionePadre&#xD;&#xA;- flagInviareAlSiss&#xD;&#xA;- prioritaNotifica&#xD;&#xA;- idRichiedente&#xD;&#xA;- idErogatore&#xD;&#xA;- retePatologia&#xD;&#xA;- marcaTemporale&#xD;&#xA;- Codici di oscuramento (10,20,30,40,50, autorizzazioneConsultazione)&#xD;&#xA;- NOTEREPERIBILITA&#xD;&#xA;- dceSuppService^dip&#xD;&#xA;- modRef^dip&#xD;&#xA;- idRefertoService^dip&#xD;&#xA;- codici relativi alla tabella &quot;Tabella SISS - Attributi Specifici&quot;" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Extension.value[x].extension">
      <path value="Extension.value[x].extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="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 value="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 value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Extension.value[x].author[x]">
      <path value="Extension.value[x].author[x]" />
      <short value="Individual responsible for the annotation" />
      <definition value="The individual responsible for making the annotation." />
      <comment value="Organization is used when there's no need for specific attribution as to who made the comment." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Annotation.author[x]" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
      </type>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Act.participant[typeCode=AUT].role" />
      </mapping>
    </element>
    <element id="Extension.value[x].time">
      <path value="Extension.value[x].time" />
      <short value="When the annotation was made" />
      <definition value="Indicates when this particular annotation was made." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Annotation.time" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="dateTime" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Act.effectiveTime" />
      </mapping>
    </element>
    <element id="Extension.value[x].text">
      <path value="Extension.value[x].text" />
      <short value="Testo della nota" />
      <definition value="Corrispondente campo HL7 secondo specifiche regionali:  NTE.3" />
      <comment value="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 value="1" />
      <max value="1" />
      <base>
        <path value="Annotation.text" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="markdown" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Act.text" />
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="Extension">
      <path value="Extension" />
      <definition value="Descrive la nota collegata al documento corrispondente campo HL7 secondo specifiche regionali: NTE.&#xD;&#xA;Può descrivere le seguenti casistiche:&#xD;&#xA;- hashCDA&#xD;&#xA;- hashReferto&#xD;&#xA;- algoritmoHashCDA&#xD;&#xA;- algoritmoHashReferto&#xD;&#xA;- validazioneSchema&#xD;&#xA;- sizeDocumentoReferto&#xD;&#xA;- sizeDocumentoCDA&#xD;&#xA;- linguaggioDocumentoReferto&#xD;&#xA;- linguaggioDocumentoCDA&#xD;&#xA;- versioneXSLT&#xD;&#xA;- consultazioneElettronica&#xD;&#xA;- sezioneFascicolo&#xD;&#xA;- idTipoDocumentoLOINC&#xD;&#xA;- idSetDocumentoPadre&#xD;&#xA;- nVersionePadre&#xD;&#xA;- flagInviareAlSiss&#xD;&#xA;- prioritaNotifica&#xD;&#xA;- idRichiedente&#xD;&#xA;- idErogatore&#xD;&#xA;- retePatologia&#xD;&#xA;- marcaTemporale&#xD;&#xA;- Codici di oscuramento (10,20,30,40,50, autorizzazioneConsultazione)&#xD;&#xA;- NOTEREPERIBILITA&#xD;&#xA;- dceSuppService^dip&#xD;&#xA;- modRef^dip&#xD;&#xA;- idRefertoService^dip&#xD;&#xA;- codici relativi alla tabella &quot;Tabella SISS - Attributi Specifici&quot;" />
    </element>
    <element id="Extension.url">
      <path value="Extension.url" />
      <fixedUri value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabDiagnosticReportNote" />
    </element>
    <element id="Extension.value[x]">
      <path value="Extension.value[x]" />
      <type>
        <code value="Annotation" />
      </type>
    </element>
    <element id="Extension.value[x].id">
      <path value="Extension.value[x].id" />
      <short value="Id della nota" />
      <definition value="Corrispondente campo HL7 secondo specifiche regionali:  NTE-4.&#xD;&#xA;&#xD;&#xA;Possibili valori: &#xD;&#xA;- hashCDA&#xD;&#xA;- hashReferto&#xD;&#xA;- algoritmoHashCDA&#xD;&#xA;- algoritmoHashReferto&#xD;&#xA;- validazioneSchema&#xD;&#xA;- sizeDocumentoReferto&#xD;&#xA;- sizeDocumentoCDA&#xD;&#xA;- linguaggioDocumentoReferto&#xD;&#xA;- linguaggioDocumentoCDA&#xD;&#xA;- versioneXSLT&#xD;&#xA;- consultazioneElettronica&#xD;&#xA;- sezioneFascicolo&#xD;&#xA;- idTipoDocumentoLOINC&#xD;&#xA;- idSetDocumentoPadre&#xD;&#xA;- nVersionePadre&#xD;&#xA;- flagInviareAlSiss&#xD;&#xA;- prioritaNotifica&#xD;&#xA;- idRichiedente&#xD;&#xA;- idErogatore&#xD;&#xA;- retePatologia&#xD;&#xA;- marcaTemporale&#xD;&#xA;- Codici di oscuramento (10,20,30,40,50, autorizzazioneConsultazione)&#xD;&#xA;- NOTEREPERIBILITA&#xD;&#xA;- dceSuppService^dip&#xD;&#xA;- modRef^dip&#xD;&#xA;- idRefertoService^dip&#xD;&#xA;- codici relativi alla tabella &quot;Tabella SISS - Attributi Specifici&quot;" />
    </element>
    <element id="Extension.value[x].text">
      <path value="Extension.value[x].text" />
      <short value="Testo della nota" />
      <definition value="Corrispondente campo HL7 secondo specifiche regionali:  NTE.3" />
    </element>
  </differential>
</StructureDefinition>