Profilo implementato per indicizzare un documento e renderlo disponibile ad un sistema sanitario.
Per la corretta validazione della risorsa, secondo il profilo descritto in questa pagina, impostare nell'elemento meta profile il riferimento alla StructureDefinition:
Un gruppo di persone o organizzazioni con uno scopo comune.
Definition
Un gruppo formalmente o informalmente riconosciuto di persone o organizzazioni formato allo scopo di realizzare una qualche forma di azione collettiva. Include aziende, istituzioni, corporazioni, dipartimenti, gruppi di comunit?, gruppi di pratica sanitaria, pagatori/assicuratori, ecc.
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6: A resource should have narrative for robust management text.`div`.exists()
org-1: The organization SHALL at least have a name or an identifier, and possibly more than one (identifier.count() + name.count()) > 0
There are no (further) constraints on this element
Element id
Organization.meta
Short description
Metadata about the resource
Definition
The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
There are no (further) constraints on this element
Element id
Organization.implicitRules
Short description
A set of rules under which this content was created
Definition
A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Comments
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
There are no (further) constraints on this element
Element id
Organization.language
Short description
Language of the resource content
Definition
The base language in which the resource is written.
Comments
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
There are no (further) constraints on this element
Element id
Organization.text
Short description
Text summary of the resource, for human interpretation
Alternate names
narrative, html, xhtml, display
Definition
A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Comments
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Comments
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
There are no (further) constraints on this element
Element id
Organization.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
Definition
May be used to represent additional information that is not part of the basic definition of the resource. 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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.modifierExtension
Short description
Extensions that cannot be ignored
Alternate names
extensions, user content
Definition
May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Requirements
Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments
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.
Elemento di tipo Identifier che contiene il codice dell?organizzazione.
Requirements
Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.
Utilizzare questo identificativo per il codice ministeriale delle ASL (Ministero della salute).
Requirements
Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.
Comments
E' possibile consultare il valueSet corrispondente su: http://www.hl7.it/fhir/base/ValueSet-minsan-idAsl.html.
There are no (further) constraints on this element
Element id
Organization.identifier:ASL.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.identifier:ASL.type
Short description
Description of identifier
Definition
A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Requirements
Allows users to make use of identifiers when the identifier system is not known.
Comments
This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Lo spazio dei nomi per il valore dell'identificatore.
Definition
Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.
Requirements
There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Comments
Identifier.system ? sempre sensibile alle maiuscole e alle minuscole.
There are no (further) constraints on this element
Element id
Organization.identifier:ASL.assigner
Short description
Organization that issued id (may be just text)
Definition
Organization that issued/manages the identifier.
Comments
The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Utilizzare questo identificativo per il codice delle aziende ospedaliere e per il codice delle strutture di ricovero (presidi).
Requirements
Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.
Comments
Per aziende sanitarie consultare il seguente valueSet: http://www.hl7.it/fhir/base/ValueSet-minsan-idAziendeOspedaliere.html. * Per presidi consultare il seguente valueSet: http://www.hl7.it/fhir/base/ValueSet-minsan-idStrutture.html.
There are no (further) constraints on this element
Element id
Organization.identifier:aziendaPresidio.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.identifier:aziendaPresidio.type
Short description
Description of identifier
Definition
A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Requirements
Allows users to make use of identifiers when the identifier system is not known.
Comments
This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Lo spazio dei nomi per il valore dell'identificatore.
Definition
Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.
Requirements
There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Comments
Identifier.system ? sempre sensibile alle maiuscole e alle minuscole.
La parte dell'identificatore tipicamente rilevante per l'utente e che ? unica nel contesto del sistema.
Comments
Per aziende sanitarie consultare il seguente valueSet: http://www.hl7.it/fhir/base/ValueSet-minsan-idAziendeOspedaliere.html. * Per presidi consultare il seguente valueSet: http://www.hl7.it/fhir/base/ValueSet-minsan-idStrutture.html.
There are no (further) constraints on this element
Element id
Organization.identifier:aziendaPresidio.assigner
Short description
Organization that issued id (may be just text)
Definition
Organization that issued/manages the identifier.
Comments
The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Se il record dell'organizzazione ? ancora in uso attivo.
Definition
Elemento di tipo boolean che indica se il record dell'organizzazione ? ancora in uso attivo.
Requirements
Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.
Comments
Questo segnalatore attivo non deve essere utilizzato per contrassegnare un'organizzazione come temporaneamente chiusa o in costruzione. Lo stato di sospensione dovrebbe invece essere attribuito alla/e sede/i dell'organizzazione. Se sono necessari ulteriori dettagli sul motivo della sospensione, si deve utilizzare un'estensione di questo elemento. Questo elemento ? etichettato come modificatore perch? pu? essere usato per indicare che la risorsa ? stata creata per errore.
Meaning when missing
This resource is generally assumed to be active if no value is provided for the active element
ele-1: All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
Mappings
w5: FiveWs.status
v2: No equivalent in HL7 v2
rim: .status
servd: ./Status (however this concept in ServD more covers why the organization is active or not, could be delisted, deregistered, not operational yet) this could alternatively be derived from ./StartDate and ./EndDate and given a context date.
Descrive il tipo di organizzazione. tipoEntita: Si propone di sostituire il system aziendale con quello definito da hl7 Italia.
Requirements
Need to be able to track the kind of organization that this is - different organization types have different uses.
Comments
Le organizzazioni possono essere aziende, reparti, sezioni, team clinici, dipartimenti governativi, ecc. Si noti che il codice ? generalmente un classificatore del tipo di organizzazione; in molte applicazioni, i codici sono usati per identificare una particolare organizzazione (ad esempio, il reparto) rispetto a un'altra dello stesso tipo - questi sono identificatori, non codici. Quando si considera se pi? tipi sono appropriati, si dovrebbe valutare se le organizzazioni figlio sarebbero un uso pi? appropriato del concetto, poich? i diversi tipi sono probabilmente in diverse sotto-aree dell'organizzazione. ? pi? probabile che il concetto venga utilizzato quando i valori del tipo hanno valori ortogonali, come nel caso di un centro religioso, accademico e medico. Ci aspettiamo che alcune giurisdizioni profilino questa opzione come un'unica cardinalit?.
There are no (further) constraints on this element
Element id
Organization.type.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
Riferimento a un codice definito da un sistema terminologico.
Requirements
Allows for alternative encodings within a code system, and translations to other code systems.
Comments
I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non ? definito e non deve essere usato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sar? etichettato come UserSelected = true.
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.
Comments
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.
L'identificazione del sistema di codice che definisce il significato del simbolo nel codice.
Requirements
Need to be unambiguous about the source of the definition of the symbol.
Comments
L'URI pu? essere un OID (urn:oid:...) o un UUID (urn:uuid:...). Gli OID e gli UUID devono essere riferimenti al registro OID di HL7. Altrimenti, l'URI deve provenire dall'elenco di URI speciali definiti da HL7 per FHIR o deve fare riferimento a qualche definizione che stabilisca il sistema in modo chiaro e non ambiguo.
The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Comments
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
There are no (further) constraints on this element
Element id
Organization.type.coding:organization-type.code
Short description
Symbol in syntax defined by the system
Definition
A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Requirements
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Codifica delle diverse entità di tipologie Organization.
Requirements
Allows for alternative encodings within a code system, and translations to other code systems.
Comments
Per i valori consentiti in coding.code consultare il link: http://www.hl7.it/fhir/base/ValueSet-tipoOrganizzazione.html. Si propone di sostituire il system aziendale con quello definito da hl7 Italia.
There are no (further) constraints on this element
Element id
Organization.type.coding:tipoEntita.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.type.coding:tipoEntita.version
Short description
Version of the system - if relevant
Definition
The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Comments
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
I valori associati a questo system sono: * asl --> per ASL * ric-hsp --> per presidi * ao --> per azienda ospedaliera * aou --> per azienda ospedaliera universitaria.
Requirements
Need to refer to a particular code in the system.
Comments
Per il valueSet completo consultare il link: http://www.hl7.it/fhir/base/ValueSet-tipoOrganizzazione.html
There are no (further) constraints on this element
Element id
Organization.type.coding:tipoEntita.userSelected
Short description
If this coding was chosen directly by the user
Definition
Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Requirements
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
There are no (further) constraints on this element
Element id
Organization.type.text
Short description
Plain text representation of the concept
Definition
A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Requirements
The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments
Very often the text is the same as a displayName of one of the codings.
Elemento di tipo string che contiene il nome usato per la risorsa.
Requirements
Need to use the name as the label of the organization.
Comments
Se il nome di un'organizzazione cambia, considerate la possibilit? di inserire il vecchio nome nella colonna degli alias, in modo da poterlo trovare ancora attraverso le ricerche.
There are no (further) constraints on this element
Element id
Organization.alias
Short description
A list of alternate names that the organization is known as, or was known as in the past
Definition
A list of alternate names that the organization is known as, or was known as in the past.
Requirements
Over time locations and organizations go through many changes and can be known by different names.
For searching knowing previous names that the organization was known by can be very useful.
Comments
There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization.
There are no (further) constraints on this element
Element id
Organization.telecom
Short description
A contact detail for the organization
Definition
A contact detail for the organization.
Requirements
Human contact for the organization.
Comments
The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself.
There are no (further) constraints on this element
Element id
Organization.address.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.address.type
Short description
postal | physical | both
Definition
Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.
Comments
The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).
There are no (further) constraints on this element
Element id
Organization.address.text
Short description
Text representation of the address
Definition
Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.
Requirements
A renderable, unencoded form.
Comments
Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
There are no (further) constraints on this element
Element id
Organization.address.line
Short description
Street name, number, direction & P.O. Box etc.
Definition
This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.
Il distretto ? talvolta noto come contea, ma in alcune regioni contea ? usato al posto di citt? (comune), quindi il nome della contea dovrebbe essere trasmesso in citt?.
E' possibile inserire il codice ISTAT e il codice minsan della regione attraverso l'estensione. Per Minsan: http://terminology.hl7.it/CodeSystem/minsan-regione. Per ISTAT: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali.
Elemento di tipo Reference che contiene i riferimenti alla risorsa Organization di cui fa parte l?organizzazione oggetto di questa risorsa Organization.
Requirements
Need to be able to track the hierarchy of organizations within an organization.
Comments
L'elemento ? popolato nel caso di Organization di tipo presidio per esplicitare il legame con la ASL o con l'azienda di appartenenza.
There are no (further) constraints on this element
Element id
Organization.partOf.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.partOf.reference
Short description
Literal reference, Relative, internal or absolute URL
Definition
A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Comments
Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
There are no (further) constraints on this element
Element id
Organization.partOf.type
Short description
Type the reference refers to (e.g. "Patient")
Definition
The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.
The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Comments
This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
There are no (further) constraints on this element
Element id
Organization.partOf.identifier
Short description
Logical reference, when literal reference is not known
Definition
An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Comments
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
In genere non corrisponde al Resource.text della risorsa a cui si fa riferimento. Lo scopo ? quello di identificare la risorsa a cui si fa riferimento, non di descriverla completamente.
There are no (further) constraints on this element
Element id
Organization.contact
Short description
Contact for the organization for a certain purpose
Definition
Contact for the organization for a certain purpose.
Requirements
Need to keep track of assigned contact points within bigger organization.
Comments
Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use.
There are no (further) constraints on this element
Element id
Organization.contact.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.contact.modifierExtension
Short description
Extensions that cannot be ignored even if unrecognized
Alternate names
extensions, user content, modifiers
Definition
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Requirements
Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.endpoint
Short description
Technical endpoints providing access to services operated for the organization
Definition
Technical endpoints providing access to services operated for the organization.
Requirements
Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.
Un gruppo di persone o organizzazioni con uno scopo comune.
Definition
Un gruppo formalmente o informalmente riconosciuto di persone o organizzazioni formato allo scopo di realizzare una qualche forma di azione collettiva. Include aziende, istituzioni, corporazioni, dipartimenti, gruppi di comunit?, gruppi di pratica sanitaria, pagatori/assicuratori, ecc.
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6: A resource should have narrative for robust management text.`div`.exists()
org-1: The organization SHALL at least have a name or an identifier, and possibly more than one (identifier.count() + name.count()) > 0
There are no (further) constraints on this element
Element id
Organization.meta
Short description
Metadata about the resource
Definition
The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
There are no (further) constraints on this element
Element id
Organization.implicitRules
Short description
A set of rules under which this content was created
Definition
A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Comments
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
There are no (further) constraints on this element
Element id
Organization.language
Short description
Language of the resource content
Definition
The base language in which the resource is written.
Comments
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
There are no (further) constraints on this element
Element id
Organization.text
Short description
Text summary of the resource, for human interpretation
Alternate names
narrative, html, xhtml, display
Definition
A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Comments
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Comments
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
There are no (further) constraints on this element
Element id
Organization.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
Definition
May be used to represent additional information that is not part of the basic definition of the resource. 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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.modifierExtension
Short description
Extensions that cannot be ignored
Alternate names
extensions, user content
Definition
May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Requirements
Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments
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.
Elemento di tipo Identifier che contiene il codice dell?organizzazione.
Requirements
Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.
Utilizzare questo identificativo per il codice ministeriale delle ASL (Ministero della salute).
Requirements
Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.
Comments
E' possibile consultare il valueSet corrispondente su: http://www.hl7.it/fhir/base/ValueSet-minsan-idAsl.html.
There are no (further) constraints on this element
Element id
Organization.identifier:ASL.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.identifier:ASL.type
Short description
Description of identifier
Definition
A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Requirements
Allows users to make use of identifiers when the identifier system is not known.
Comments
This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Lo spazio dei nomi per il valore dell'identificatore.
Definition
Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.
Requirements
There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Comments
Identifier.system ? sempre sensibile alle maiuscole e alle minuscole.
There are no (further) constraints on this element
Element id
Organization.identifier:ASL.assigner
Short description
Organization that issued id (may be just text)
Definition
Organization that issued/manages the identifier.
Comments
The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Utilizzare questo identificativo per il codice delle aziende ospedaliere e per il codice delle strutture di ricovero (presidi).
Requirements
Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.
Comments
Per aziende sanitarie consultare il seguente valueSet: http://www.hl7.it/fhir/base/ValueSet-minsan-idAziendeOspedaliere.html. * Per presidi consultare il seguente valueSet: http://www.hl7.it/fhir/base/ValueSet-minsan-idStrutture.html.
There are no (further) constraints on this element
Element id
Organization.identifier:aziendaPresidio.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.identifier:aziendaPresidio.type
Short description
Description of identifier
Definition
A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Requirements
Allows users to make use of identifiers when the identifier system is not known.
Comments
This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Lo spazio dei nomi per il valore dell'identificatore.
Definition
Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.
Requirements
There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Comments
Identifier.system ? sempre sensibile alle maiuscole e alle minuscole.
La parte dell'identificatore tipicamente rilevante per l'utente e che ? unica nel contesto del sistema.
Comments
Per aziende sanitarie consultare il seguente valueSet: http://www.hl7.it/fhir/base/ValueSet-minsan-idAziendeOspedaliere.html. * Per presidi consultare il seguente valueSet: http://www.hl7.it/fhir/base/ValueSet-minsan-idStrutture.html.
There are no (further) constraints on this element
Element id
Organization.identifier:aziendaPresidio.assigner
Short description
Organization that issued id (may be just text)
Definition
Organization that issued/manages the identifier.
Comments
The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Se il record dell'organizzazione ? ancora in uso attivo.
Definition
Elemento di tipo boolean che indica se il record dell'organizzazione ? ancora in uso attivo.
Requirements
Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.
Comments
Questo segnalatore attivo non deve essere utilizzato per contrassegnare un'organizzazione come temporaneamente chiusa o in costruzione. Lo stato di sospensione dovrebbe invece essere attribuito alla/e sede/i dell'organizzazione. Se sono necessari ulteriori dettagli sul motivo della sospensione, si deve utilizzare un'estensione di questo elemento. Questo elemento ? etichettato come modificatore perch? pu? essere usato per indicare che la risorsa ? stata creata per errore.
Meaning when missing
This resource is generally assumed to be active if no value is provided for the active element
ele-1: All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
Mappings
w5: FiveWs.status
v2: No equivalent in HL7 v2
rim: .status
servd: ./Status (however this concept in ServD more covers why the organization is active or not, could be delisted, deregistered, not operational yet) this could alternatively be derived from ./StartDate and ./EndDate and given a context date.
Descrive il tipo di organizzazione. tipoEntita: Si propone di sostituire il system aziendale con quello definito da hl7 Italia.
Requirements
Need to be able to track the kind of organization that this is - different organization types have different uses.
Comments
Le organizzazioni possono essere aziende, reparti, sezioni, team clinici, dipartimenti governativi, ecc. Si noti che il codice ? generalmente un classificatore del tipo di organizzazione; in molte applicazioni, i codici sono usati per identificare una particolare organizzazione (ad esempio, il reparto) rispetto a un'altra dello stesso tipo - questi sono identificatori, non codici. Quando si considera se pi? tipi sono appropriati, si dovrebbe valutare se le organizzazioni figlio sarebbero un uso pi? appropriato del concetto, poich? i diversi tipi sono probabilmente in diverse sotto-aree dell'organizzazione. ? pi? probabile che il concetto venga utilizzato quando i valori del tipo hanno valori ortogonali, come nel caso di un centro religioso, accademico e medico. Ci aspettiamo che alcune giurisdizioni profilino questa opzione come un'unica cardinalit?.
There are no (further) constraints on this element
Element id
Organization.type.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
Riferimento a un codice definito da un sistema terminologico.
Requirements
Allows for alternative encodings within a code system, and translations to other code systems.
Comments
I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non ? definito e non deve essere usato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sar? etichettato come UserSelected = true.
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.
Comments
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.
L'identificazione del sistema di codice che definisce il significato del simbolo nel codice.
Requirements
Need to be unambiguous about the source of the definition of the symbol.
Comments
L'URI pu? essere un OID (urn:oid:...) o un UUID (urn:uuid:...). Gli OID e gli UUID devono essere riferimenti al registro OID di HL7. Altrimenti, l'URI deve provenire dall'elenco di URI speciali definiti da HL7 per FHIR o deve fare riferimento a qualche definizione che stabilisca il sistema in modo chiaro e non ambiguo.
The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Comments
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
There are no (further) constraints on this element
Element id
Organization.type.coding:organization-type.code
Short description
Symbol in syntax defined by the system
Definition
A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Requirements
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Codifica delle diverse entità di tipologie Organization.
Requirements
Allows for alternative encodings within a code system, and translations to other code systems.
Comments
Per i valori consentiti in coding.code consultare il link: http://www.hl7.it/fhir/base/ValueSet-tipoOrganizzazione.html. Si propone di sostituire il system aziendale con quello definito da hl7 Italia.
There are no (further) constraints on this element
Element id
Organization.type.coding:tipoEntita.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.type.coding:tipoEntita.version
Short description
Version of the system - if relevant
Definition
The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Comments
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
I valori associati a questo system sono: * asl --> per ASL * ric-hsp --> per presidi * ao --> per azienda ospedaliera * aou --> per azienda ospedaliera universitaria.
Requirements
Need to refer to a particular code in the system.
Comments
Per il valueSet completo consultare il link: http://www.hl7.it/fhir/base/ValueSet-tipoOrganizzazione.html
There are no (further) constraints on this element
Element id
Organization.type.coding:tipoEntita.userSelected
Short description
If this coding was chosen directly by the user
Definition
Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Requirements
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
There are no (further) constraints on this element
Element id
Organization.type.text
Short description
Plain text representation of the concept
Definition
A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Requirements
The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments
Very often the text is the same as a displayName of one of the codings.
Elemento di tipo string che contiene il nome usato per la risorsa.
Requirements
Need to use the name as the label of the organization.
Comments
Se il nome di un'organizzazione cambia, considerate la possibilit? di inserire il vecchio nome nella colonna degli alias, in modo da poterlo trovare ancora attraverso le ricerche.
There are no (further) constraints on this element
Element id
Organization.alias
Short description
A list of alternate names that the organization is known as, or was known as in the past
Definition
A list of alternate names that the organization is known as, or was known as in the past.
Requirements
Over time locations and organizations go through many changes and can be known by different names.
For searching knowing previous names that the organization was known by can be very useful.
Comments
There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization.
There are no (further) constraints on this element
Element id
Organization.telecom
Short description
A contact detail for the organization
Definition
A contact detail for the organization.
Requirements
Human contact for the organization.
Comments
The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself.
There are no (further) constraints on this element
Element id
Organization.address.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.address.type
Short description
postal | physical | both
Definition
Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.
Comments
The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).
There are no (further) constraints on this element
Element id
Organization.address.text
Short description
Text representation of the address
Definition
Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.
Requirements
A renderable, unencoded form.
Comments
Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
There are no (further) constraints on this element
Element id
Organization.address.line
Short description
Street name, number, direction & P.O. Box etc.
Definition
This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.
Il distretto ? talvolta noto come contea, ma in alcune regioni contea ? usato al posto di citt? (comune), quindi il nome della contea dovrebbe essere trasmesso in citt?.
E' possibile inserire il codice ISTAT e il codice minsan della regione attraverso l'estensione. Per Minsan: http://terminology.hl7.it/CodeSystem/minsan-regione. Per ISTAT: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali.
Elemento di tipo Reference che contiene i riferimenti alla risorsa Organization di cui fa parte l?organizzazione oggetto di questa risorsa Organization.
Requirements
Need to be able to track the hierarchy of organizations within an organization.
Comments
L'elemento ? popolato nel caso di Organization di tipo presidio per esplicitare il legame con la ASL o con l'azienda di appartenenza.
There are no (further) constraints on this element
Element id
Organization.partOf.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.partOf.reference
Short description
Literal reference, Relative, internal or absolute URL
Definition
A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Comments
Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
There are no (further) constraints on this element
Element id
Organization.partOf.type
Short description
Type the reference refers to (e.g. "Patient")
Definition
The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.
The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Comments
This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
There are no (further) constraints on this element
Element id
Organization.partOf.identifier
Short description
Logical reference, when literal reference is not known
Definition
An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Comments
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
In genere non corrisponde al Resource.text della risorsa a cui si fa riferimento. Lo scopo ? quello di identificare la risorsa a cui si fa riferimento, non di descriverla completamente.
There are no (further) constraints on this element
Element id
Organization.contact
Short description
Contact for the organization for a certain purpose
Definition
Contact for the organization for a certain purpose.
Requirements
Need to keep track of assigned contact points within bigger organization.
Comments
Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use.
There are no (further) constraints on this element
Element id
Organization.contact.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.contact.modifierExtension
Short description
Extensions that cannot be ignored even if unrecognized
Alternate names
extensions, user content, modifiers
Definition
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Requirements
Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.endpoint
Short description
Technical endpoints providing access to services operated for the organization
Definition
Technical endpoints providing access to services operated for the organization.
Requirements
Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.
Un gruppo di persone o organizzazioni con uno scopo comune.
Definition
Un gruppo formalmente o informalmente riconosciuto di persone o organizzazioni formato allo scopo di realizzare una qualche forma di azione collettiva. Include aziende, istituzioni, corporazioni, dipartimenti, gruppi di comunit?, gruppi di pratica sanitaria, pagatori/assicuratori, ecc.
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6: A resource should have narrative for robust management text.`div`.exists()
org-1: The organization SHALL at least have a name or an identifier, and possibly more than one (identifier.count() + name.count()) > 0
There are no (further) constraints on this element
Element id
Organization.meta
Short description
Metadata about the resource
Definition
The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
There are no (further) constraints on this element
Element id
Organization.implicitRules
Short description
A set of rules under which this content was created
Definition
A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Comments
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
There are no (further) constraints on this element
Element id
Organization.language
Short description
Language of the resource content
Definition
The base language in which the resource is written.
Comments
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
There are no (further) constraints on this element
Element id
Organization.text
Short description
Text summary of the resource, for human interpretation
Alternate names
narrative, html, xhtml, display
Definition
A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Comments
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Comments
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
There are no (further) constraints on this element
Element id
Organization.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
Definition
May be used to represent additional information that is not part of the basic definition of the resource. 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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.modifierExtension
Short description
Extensions that cannot be ignored
Alternate names
extensions, user content
Definition
May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Requirements
Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments
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.
Elemento di tipo Identifier che contiene il codice dell?organizzazione.
Requirements
Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.
Utilizzare questo identificativo per il codice ministeriale delle ASL (Ministero della salute).
Requirements
Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.
Comments
E' possibile consultare il valueSet corrispondente su: http://www.hl7.it/fhir/base/ValueSet-minsan-idAsl.html.
There are no (further) constraints on this element
Element id
Organization.identifier:ASL.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.identifier:ASL.type
Short description
Description of identifier
Definition
A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Requirements
Allows users to make use of identifiers when the identifier system is not known.
Comments
This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Lo spazio dei nomi per il valore dell'identificatore.
Definition
Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.
Requirements
There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Comments
Identifier.system ? sempre sensibile alle maiuscole e alle minuscole.
There are no (further) constraints on this element
Element id
Organization.identifier:ASL.assigner
Short description
Organization that issued id (may be just text)
Definition
Organization that issued/manages the identifier.
Comments
The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Utilizzare questo identificativo per il codice delle aziende ospedaliere e per il codice delle strutture di ricovero (presidi).
Requirements
Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.
Comments
Per aziende sanitarie consultare il seguente valueSet: http://www.hl7.it/fhir/base/ValueSet-minsan-idAziendeOspedaliere.html. * Per presidi consultare il seguente valueSet: http://www.hl7.it/fhir/base/ValueSet-minsan-idStrutture.html.
There are no (further) constraints on this element
Element id
Organization.identifier:aziendaPresidio.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.identifier:aziendaPresidio.type
Short description
Description of identifier
Definition
A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Requirements
Allows users to make use of identifiers when the identifier system is not known.
Comments
This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Lo spazio dei nomi per il valore dell'identificatore.
Definition
Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.
Requirements
There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Comments
Identifier.system ? sempre sensibile alle maiuscole e alle minuscole.
La parte dell'identificatore tipicamente rilevante per l'utente e che ? unica nel contesto del sistema.
Comments
Per aziende sanitarie consultare il seguente valueSet: http://www.hl7.it/fhir/base/ValueSet-minsan-idAziendeOspedaliere.html. * Per presidi consultare il seguente valueSet: http://www.hl7.it/fhir/base/ValueSet-minsan-idStrutture.html.
There are no (further) constraints on this element
Element id
Organization.identifier:aziendaPresidio.assigner
Short description
Organization that issued id (may be just text)
Definition
Organization that issued/manages the identifier.
Comments
The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Se il record dell'organizzazione ? ancora in uso attivo.
Definition
Elemento di tipo boolean che indica se il record dell'organizzazione ? ancora in uso attivo.
Requirements
Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.
Comments
Questo segnalatore attivo non deve essere utilizzato per contrassegnare un'organizzazione come temporaneamente chiusa o in costruzione. Lo stato di sospensione dovrebbe invece essere attribuito alla/e sede/i dell'organizzazione. Se sono necessari ulteriori dettagli sul motivo della sospensione, si deve utilizzare un'estensione di questo elemento. Questo elemento ? etichettato come modificatore perch? pu? essere usato per indicare che la risorsa ? stata creata per errore.
Meaning when missing
This resource is generally assumed to be active if no value is provided for the active element
ele-1: All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
Mappings
w5: FiveWs.status
v2: No equivalent in HL7 v2
rim: .status
servd: ./Status (however this concept in ServD more covers why the organization is active or not, could be delisted, deregistered, not operational yet) this could alternatively be derived from ./StartDate and ./EndDate and given a context date.
Descrive il tipo di organizzazione. tipoEntita: Si propone di sostituire il system aziendale con quello definito da hl7 Italia.
Requirements
Need to be able to track the kind of organization that this is - different organization types have different uses.
Comments
Le organizzazioni possono essere aziende, reparti, sezioni, team clinici, dipartimenti governativi, ecc. Si noti che il codice ? generalmente un classificatore del tipo di organizzazione; in molte applicazioni, i codici sono usati per identificare una particolare organizzazione (ad esempio, il reparto) rispetto a un'altra dello stesso tipo - questi sono identificatori, non codici. Quando si considera se pi? tipi sono appropriati, si dovrebbe valutare se le organizzazioni figlio sarebbero un uso pi? appropriato del concetto, poich? i diversi tipi sono probabilmente in diverse sotto-aree dell'organizzazione. ? pi? probabile che il concetto venga utilizzato quando i valori del tipo hanno valori ortogonali, come nel caso di un centro religioso, accademico e medico. Ci aspettiamo che alcune giurisdizioni profilino questa opzione come un'unica cardinalit?.
There are no (further) constraints on this element
Element id
Organization.type.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
Riferimento a un codice definito da un sistema terminologico.
Requirements
Allows for alternative encodings within a code system, and translations to other code systems.
Comments
I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non ? definito e non deve essere usato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sar? etichettato come UserSelected = true.
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.
Comments
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.
L'identificazione del sistema di codice che definisce il significato del simbolo nel codice.
Requirements
Need to be unambiguous about the source of the definition of the symbol.
Comments
L'URI pu? essere un OID (urn:oid:...) o un UUID (urn:uuid:...). Gli OID e gli UUID devono essere riferimenti al registro OID di HL7. Altrimenti, l'URI deve provenire dall'elenco di URI speciali definiti da HL7 per FHIR o deve fare riferimento a qualche definizione che stabilisca il sistema in modo chiaro e non ambiguo.
The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Comments
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
There are no (further) constraints on this element
Element id
Organization.type.coding:organization-type.code
Short description
Symbol in syntax defined by the system
Definition
A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Requirements
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Codifica delle diverse entità di tipologie Organization.
Requirements
Allows for alternative encodings within a code system, and translations to other code systems.
Comments
Per i valori consentiti in coding.code consultare il link: http://www.hl7.it/fhir/base/ValueSet-tipoOrganizzazione.html. Si propone di sostituire il system aziendale con quello definito da hl7 Italia.
There are no (further) constraints on this element
Element id
Organization.type.coding:tipoEntita.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.type.coding:tipoEntita.version
Short description
Version of the system - if relevant
Definition
The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Comments
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
I valori associati a questo system sono: * asl --> per ASL * ric-hsp --> per presidi * ao --> per azienda ospedaliera * aou --> per azienda ospedaliera universitaria.
Requirements
Need to refer to a particular code in the system.
Comments
Per il valueSet completo consultare il link: http://www.hl7.it/fhir/base/ValueSet-tipoOrganizzazione.html
There are no (further) constraints on this element
Element id
Organization.type.coding:tipoEntita.userSelected
Short description
If this coding was chosen directly by the user
Definition
Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Requirements
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
There are no (further) constraints on this element
Element id
Organization.type.text
Short description
Plain text representation of the concept
Definition
A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Requirements
The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments
Very often the text is the same as a displayName of one of the codings.
Elemento di tipo string che contiene il nome usato per la risorsa.
Requirements
Need to use the name as the label of the organization.
Comments
Se il nome di un'organizzazione cambia, considerate la possibilit? di inserire il vecchio nome nella colonna degli alias, in modo da poterlo trovare ancora attraverso le ricerche.
There are no (further) constraints on this element
Element id
Organization.alias
Short description
A list of alternate names that the organization is known as, or was known as in the past
Definition
A list of alternate names that the organization is known as, or was known as in the past.
Requirements
Over time locations and organizations go through many changes and can be known by different names.
For searching knowing previous names that the organization was known by can be very useful.
Comments
There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization.
There are no (further) constraints on this element
Element id
Organization.telecom
Short description
A contact detail for the organization
Definition
A contact detail for the organization.
Requirements
Human contact for the organization.
Comments
The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself.
There are no (further) constraints on this element
Element id
Organization.address.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.address.type
Short description
postal | physical | both
Definition
Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.
Comments
The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).
There are no (further) constraints on this element
Element id
Organization.address.text
Short description
Text representation of the address
Definition
Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.
Requirements
A renderable, unencoded form.
Comments
Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
There are no (further) constraints on this element
Element id
Organization.address.line
Short description
Street name, number, direction & P.O. Box etc.
Definition
This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.
Il distretto ? talvolta noto come contea, ma in alcune regioni contea ? usato al posto di citt? (comune), quindi il nome della contea dovrebbe essere trasmesso in citt?.
E' possibile inserire il codice ISTAT e il codice minsan della regione attraverso l'estensione. Per Minsan: http://terminology.hl7.it/CodeSystem/minsan-regione. Per ISTAT: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali.
Elemento di tipo Reference che contiene i riferimenti alla risorsa Organization di cui fa parte l?organizzazione oggetto di questa risorsa Organization.
Requirements
Need to be able to track the hierarchy of organizations within an organization.
Comments
L'elemento ? popolato nel caso di Organization di tipo presidio per esplicitare il legame con la ASL o con l'azienda di appartenenza.
There are no (further) constraints on this element
Element id
Organization.partOf.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.partOf.reference
Short description
Literal reference, Relative, internal or absolute URL
Definition
A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Comments
Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
There are no (further) constraints on this element
Element id
Organization.partOf.type
Short description
Type the reference refers to (e.g. "Patient")
Definition
The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.
The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Comments
This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
There are no (further) constraints on this element
Element id
Organization.partOf.identifier
Short description
Logical reference, when literal reference is not known
Definition
An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Comments
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
In genere non corrisponde al Resource.text della risorsa a cui si fa riferimento. Lo scopo ? quello di identificare la risorsa a cui si fa riferimento, non di descriverla completamente.
There are no (further) constraints on this element
Element id
Organization.contact
Short description
Contact for the organization for a certain purpose
Definition
Contact for the organization for a certain purpose.
Requirements
Need to keep track of assigned contact points within bigger organization.
Comments
Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use.
There are no (further) constraints on this element
Element id
Organization.contact.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.contact.modifierExtension
Short description
Extensions that cannot be ignored even if unrecognized
Alternate names
extensions, user content, modifiers
Definition
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Requirements
Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments
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.
There are no (further) constraints on this element
Element id
Organization.endpoint
Short description
Technical endpoints providing access to services operated for the organization
Definition
Technical endpoints providing access to services operated for the organization.
Requirements
Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.
