ReteLabServiceRequestRichiestaEsamiLab

ReteLabServiceRequestRichiestaEsamiLab
- Descrizione
- ValueSet

Descrizione

Il profilo ReteLabRelatedPerson è stato strutturato a partire dalla risorsa generica FHIR ServiceRequest utilizzata per fare le richieste di prestazioni di esami di laboratorio.

Di seguito è presentato il contenuto del profilo in diversi formati. La corrispondente definizione è consultabile al seguente link: ReteLabServiceRequestRichiestaEsamiLab.

Snapshot View

ServiceRequest	I		ServiceRequest	Element Id ServiceRequest Short description Richiesta esami laboratorio Alternate names diagnostic request, referral, referral request, transfer of care request Definition Profilo che contiene le informazioni relative alle richieste di prestazioni di esami di laboratorio. Comments Questo profilo è presente in tutti i flussi. Data Type ServiceRequest Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` prr-1:orderDetail SHALL only be present if code is present `orderDetail.empty() or code.exists()` Mappings rim:Entity. Role, or Act workflow:Request v2:ORC rim:Act[moodCode<=INT]
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id ServiceRequest.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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
tipoPrestazione	I	0..*	Extension(string)	Element Id ServiceRequest.extension:tipoPrestazione Short description Tipo di prestazione Alternate names extensions, user content Definition Corrispondente al campo HL7: OBR-25. L'attributo è da considerarsi opzionale anche nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati. 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. Data Type Extension(string) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabServiceRequestTipoPrestazione Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
identifier	Σ	1..*	Identifier	Element Id ServiceRequest.identifier Short description Identificativo della richiesta (esame di laboratorio) Definition Assume un valore diverso a seconda del mittente o del destinatario del messaggio: se il messaggio è destinato o proviene dal laboratorio richiedente allora viene usato l’identificativo assegnato dal Placer dell’ordine; se invece il messaggio è destinato o proviene da un laboratorio servente viene usato l’identificativo univoco assegnato dall’OMR. Comments The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below. Data Type Identifier Sliced: Unordered, Open, by system(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier w5:FiveWs.identifier v2:ORC.2, ORC.3, RF1-6 / RF1-11, rim:.identifier quick:ClinicalStatement.identifier
PlacerOrderNumber	Σ	1..1	Identifier	Element Id ServiceRequest.identifier:PlacerOrderNumber Short description Identificativo univoco generato dal Placer dell'ordine Definition Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller. Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-2 Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier w5:FiveWs.identifier v2:ORC.2, ORC.3, RF1-6 / RF1-11, rim:.identifier quick:ClinicalStatement.identifier
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:PlacerOrderNumber.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:PlacerOrderNumber.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. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uri	Element Id ServiceRequest.identifier:PlacerOrderNumber.system Short description Sistema di codifica Definition Se il messaggio è destinato o proviene dal laboratorio richiedente assumerà il seguente valore: https://fhir.siss.regione.lombardia.it/sid/PlacerOrderNumber; Se il messaggio è destinato o proviene da un laboratorio servente assumerà il seguente valore: https://fhir.siss.regione.lombardia.it/sid/OMROrderNumber 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 is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	Element Id ServiceRequest.identifier:PlacerOrderNumber.value Short description Identificativo della richiesta (esame di laboratorio) Definition Assume i seguenti valori a seconda del contesto: Identificativo generato dal Placer dell'ordine, se il messaggio è destinato o proviene dal laboratorio richiedente. Identificativo univoco generato dall’OMR, se il messaggio è destinato o proviene da un laboratorio servente. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id ServiceRequest.identifier:PlacerOrderNumber.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id ServiceRequest.identifier:PlacerOrderNumber.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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
FillerOrderNumber	Σ	0..*	Identifier	Element Id ServiceRequest.identifier:FillerOrderNumber Short description Identificativo univoco generato dal Filler dell'ordine Definition Obbligatorio dal flusso risposta nuova richiesta (RNR). Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-3 Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier w5:FiveWs.identifier v2:ORC.2, ORC.3, RF1-6 / RF1-11, rim:.identifier quick:ClinicalStatement.identifier
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:FillerOrderNumber.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:FillerOrderNumber.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. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.identifier:FillerOrderNumber.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. 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 is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/FillerOrderNumber Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	Element Id ServiceRequest.identifier:FillerOrderNumber.value Short description Identificativo univoco generato dal Filler dell'ordine Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id ServiceRequest.identifier:FillerOrderNumber.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id ServiceRequest.identifier:FillerOrderNumber.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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
OMrOrderNumber	Σ	0..*	Identifier	Element Id ServiceRequest.identifier:OMrOrderNumber Short description Identifiers assigned to this order Definition Obbligatorio dopo il flusso di nuova richiesta (NR) per comunicare con OMr. Comments The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier w5:FiveWs.identifier v2:ORC.2, ORC.3, RF1-6 / RF1-11, rim:.identifier quick:ClinicalStatement.identifier
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:OMrOrderNumber.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:OMrOrderNumber.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. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.identifier:OMrOrderNumber.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. 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 is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/OMROrderNumber Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	Element Id ServiceRequest.identifier:OMrOrderNumber.value Short description Identificativo univoco assegnato da OMr alla richiesta Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id ServiceRequest.identifier:OMrOrderNumber.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id ServiceRequest.identifier:OMrOrderNumber.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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition \| PlanDefinition)	There are no (further) constraints on this element Element Id ServiceRequest.instantiatesCanonical Short description Instantiates FHIR protocol or definition Definition The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest. Comments Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. Data Type canonical(ActivityDefinition \| PlanDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.instantiatesCanonical v2:Varies by domain rim:.outboundRelationship[typeCode=DEFN].target
instantiatesUri	Σ	0..*	uri	There are no (further) constraints on this element Element Id ServiceRequest.instantiatesUri Short description Instantiates external protocol or definition Definition The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest. Comments This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.instantiatesUri v2:Varies by domain rim:.outboundRelationship[typeCode=DEFN].target
basedOn	Σ I	0..*	Reference(CarePlan \| ServiceRequest \| MedicationRequest)	There are no (further) constraints on this element Element Id ServiceRequest.basedOn Short description What request fulfills Alternate names fulfills Definition Plan/proposal/order fulfilled by this request. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(CarePlan \| ServiceRequest \| MedicationRequest) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.basedOn v2:ORC.8 (plus others) rim:.outboundRelationship[typeCode=FLFS].target
replaces	Σ I	0..*	Reference(ReteLabServiceRequestRichiestaEsamiLab)	Element Id ServiceRequest.replaces Short description Identifier ServiceRequest Alternate names supersedes, prior, renewed order Definition The request takes the place of the referenced completed or terminated request(s). Comments Reference al profilo ReteLabServiceRequestRichiestaEsamiLab padre. Utilizzato per inserire la reference al profilo ReteLabServiceRequestRichiestaEsamiLab che si sta modificando con la presente serviceRequest. Data Type Reference(ReteLabServiceRequestRichiestaEsamiLab) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.replaces v2:Handled by message location of ORC (ORC.1=RO or RU) rim:.outboundRelationship[typeCode=RPLC].target
requisition	Σ	1..1	Identifier	Element Id ServiceRequest.requisition Short description Identificativo che permette al laboratorio di raggruppare ordini (insiemi di richieste di esami di laboratorio) e identificarli successivamente. Alternate names grouperId, groupIdentifier Definition Nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service rappresenta l'id prelievo. Corrispondente al campo HL7: ORC-4. Requirements Some business processes need to know if multiple items were ordered as part of the same "requisition" for billing or other purposes. Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-4 Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.groupIdentifier v2:ORC.4 rim:.inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id ServiceRequest.requisition.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id ServiceRequest.requisition.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. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uri	Element Id ServiceRequest.requisition.system Short description Sistema di codifica Definition Se il messaggio è destinato o proviene dal laboratorio richiedente: https://fhir.siss.regione.lombardia.it/sid/PlacerRequisitionNumber Se il messaggio è destinato o proviene da un laboratorio servente: https://fhir.siss.regione.lombardia.it/sid/OMRRequisitionNumber 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 is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	1..1	string	Element Id ServiceRequest.requisition.value Short description Identificativo associato all’ordine complessivo (insiemi di richieste di esami di laboratorio). Definition Assume i seguenti valori a seconda del contesto: Identificativo generato dal Placer dell'ordine, se il messaggio è destinato o proviene dal laboratorio richiedente. Identificativo univoco generato dall’OMR, se il messaggio è destinato o proviene da un laboratorio servente. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id ServiceRequest.requisition.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id ServiceRequest.requisition.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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
status	Σ ?!	1..1	codeBinding	Element Id ServiceRequest.status Short description Stato dell'ordine Definition Stato dell'ordine: "active": quando viene inviata la richiesta e attende conferma "revoked": la richiesta è stata cancellata "completed": la richiesta è stata completata Comments Gli stati sono comandati dal profilo ReteLabTaskStatoRichiesta il quale dipende dal Corrispondente campo HL7 secondo specifiche regionali: ORC-5 Data Type code Binding The status of a service order. RequestStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.status w5:FiveWs.status v2:ORC.5,RF1-1 rim:.status quick:Action.currentStatus
intent	Σ ?!	1..1	codeBinding	Element Id ServiceRequest.intent Short description Intento della richiesta Definition Due casistiche: è valorizzato con "order" nel caso di richiesta proveniente dal laboratorio richiedente. è valorizzato con "filler-order" nel caso di richiesta proveniente dal laboratorio servente. Comments L'intent della ServiceRequest deve essere uguale all'intent del Task da cui è referenziata. Data Type code Binding The kind of service request. RequestIntent (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.intent w5:FiveWs.class v2:N/A rim:.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
category	Σ	1..1	CodeableConceptBinding	Element Id ServiceRequest.category Short description Classification of service Definition A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure"). Requirements Used for filtering what service request are retrieved and displayed. Comments There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set. Data Type CodeableConcept Binding Classification of the requested service. Categoria Ordine (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.class v2:RF1-5 rim:.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.category.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.category.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/Valueset/CategoriaOrdine Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.category.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id ServiceRequest.category.coding.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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Categoria Ordine (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.category.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.category.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.category.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
priority	Σ	1..1	codeBinding	Element Id ServiceRequest.priority Short description Priorità delle prestazioni associate Definition Indica la priorità delle prestazioni associate Può assumere i seguenti valori: "routine" "urgent" "asap" "stat" Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-7 TQ-6 (codice priorità) Meaning When Missing If missing, this task should be performed with normal priority Data Type code Binding Identifies the level of importance to be assigned to actioning the request. RequestPriority (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.priority w5:FiveWs.grade v2:TQ1.9, RF1-2 rim:.priorityCode
doNotPerform	Σ ?!	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.doNotPerform Short description True if service/procedure should not be performed Definition Set this to true if the record is saying that the service/procedure should NOT be performed. Requirements Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc. Comments In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation. Meaning When Missing If missing, the request is a positive request e.g. "do perform" Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.doNotPerform rim:.actionNegationInd
code	Σ	1..1	CodeableConcept	Element Id ServiceRequest.code Short description Codice dell'esame richiesto Alternate names service requested Definition A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-4 Data Type CodeableConcept Binding Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available [here](valueset-diagnostic-requests.html). ProcedureCodes(SNOMEDCT) (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.code w5:FiveWs.what[x] v2:PR1-3 / OBR-4 (varies by domain) rim:.code quick:Procedure.procedureCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.code.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id ServiceRequest.code.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.code.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	code	Element Id ServiceRequest.code.coding.code Short description Codice dell'esame richiesto Definition Codice dell'esame richiesto in service. Permette a OMr di destinare in modo corretto l'ordine al laboratorio servente che si occupa di soddisfare la richiesta per quella specifica prestazione. Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-4.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id ServiceRequest.code.coding.display Short description Descrizione codice dell'esame richiesto Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.code.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.code.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
orderDetail	Σ I	0..*	CodeableConcept	Element Id ServiceRequest.orderDetail Short description Informazioni supplementari relative all'ordine-prestazione Alternate names detailed instructions Definition Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-46/OBR-47 Data Type CodeableConcept Sliced: Unordered, Open, by coding.userSelected(Value) Binding Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:NTE rim:.code quick:Procedure.procedureCode
presidio	Σ I	0..*	CodeableConcept	Element Id ServiceRequest.orderDetail:presidio Short description Nel caso la ripetizione faccia riferimento al presidio (2° livello) Alternate names detailed instructions Definition Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Comments For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element. Data Type CodeableConcept Binding Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:NTE rim:.code quick:Procedure.procedureCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:presidio.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.orderDetail:presidio.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/codiceMinisterialePresidio Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:presidio.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id ServiceRequest.orderDetail:presidio.coding.code Short description Codice Informazioni supplementari relative all'ordine-prestazione 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). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:presidio.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:presidio.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:presidio.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
reparto	Σ I	0..*	CodeableConcept	Element Id ServiceRequest.orderDetail:reparto Short description Nel caso la ripetizione faccia riferimento al reparto (3° livello) Alternate names detailed instructions Definition Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Comments For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element. Data Type CodeableConcept Binding Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:NTE rim:.code quick:Procedure.procedureCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:reparto.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.orderDetail:reparto.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/codiceMinisterialeReparto Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:reparto.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id ServiceRequest.orderDetail:reparto.coding.code Short description Codice Informazioni supplementari relative all'ordine-prestazione 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). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:reparto.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:reparto.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:reparto.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
unitaErogante	Σ I	0..*	CodeableConcept	Element Id ServiceRequest.orderDetail:unitaErogante Short description Nel caso la ripetizione faccia riferimento all’unità erogante o ambulatorio (4° livello) Alternate names detailed instructions Definition Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Comments For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element. Data Type CodeableConcept Binding Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:NTE rim:.code quick:Procedure.procedureCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:unitaErogante.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.orderDetail:unitaErogante.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/identificativoInternoUnitaErogante Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:unitaErogante.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id ServiceRequest.orderDetail:unitaErogante.coding.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). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:unitaErogante.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:unitaErogante.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:unitaErogante.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
salaErogatrice	Σ I	0..*	CodeableConcept	Element Id ServiceRequest.orderDetail:salaErogatrice Short description Nel caso la ripetizione faccia riferimento alla sala erogatrice Alternate names detailed instructions Definition Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Comments For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element. Data Type CodeableConcept Binding Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:NTE rim:.code quick:Procedure.procedureCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:salaErogatrice.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.orderDetail:salaErogatrice.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/identificativoInternoSalaErogatrice Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:salaErogatrice.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id ServiceRequest.orderDetail:salaErogatrice.coding.code Short description Codice Informazioni supplementari relative all'ordine-prestazione 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). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:salaErogatrice.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:salaErogatrice.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:salaErogatrice.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
quantity[x]	Σ	1..1		Element Id ServiceRequest.quantity[x] Short description Quantità prestazioni Definition An amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction). Requirements When ordering a service the number of service items may need to be specified separately from the the service item. Comments Corrispondente campo HL7 secondo specifiche regionali: TQ1-2 Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:NTE rim:.quantity
quantityQuantity			Quantity	Data Type Quantity
value	Σ	0..1	decimal	Element Id ServiceRequest.quantity[x].value Short description Quantità prestazioni Definition Qualora fosse necessario indicarla può essere inserita la "quantità" delle prestazioni erogate. Ad es. il numero di volte che deve essere ripetuto un certo esame. Per default è "1". Requirements Precision is handled implicitly in almost all cases of measurement. Comments Corrispondente campo HL7 secondo specifiche regionali: TQ1-2 Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id ServiceRequest.quantity[x].comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.quantity[x].unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	Σ I	0..1	uri	There are no (further) constraints on this element Element Id ServiceRequest.quantity[x].system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	Σ	0..1	code	There are no (further) constraints on this element Element Id ServiceRequest.quantity[x].code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code
subject	Σ I	1..1	Reference(ReteLabPatientCittadino)	Element Id ServiceRequest.subject Short description Paziente Definition Reference al profilo ReteLabPatientCittadino Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(ReteLabPatientCittadino) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.subject w5:FiveWs.subject[x] v2:PID rim:.participation[typeCode=SBJ].role quick:ClinicalStatement.subject w5:FiveWs.subject
encounter	Σ I	0..1	Reference(ReteLabEncounterInformazioniRichiestaLab)	Element Id ServiceRequest.encounter Short description Encounter Alternate names context Definition Reference al profilo ReteLabEncounterInformazioniRichiestaLab Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(ReteLabEncounterInformazioniRichiestaLab) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.encounter w5:FiveWs.context v2:PV1 rim:.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN] quick:ClinicalStatement.encounter
occurrence[x]	Σ	0..1		There are no (further) constraints on this element Element Id ServiceRequest.occurrence[x] Short description When service should occur Alternate names schedule Definition The date/time at which the requested service should occur. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.occurrence[x] w5:FiveWs.planned v2:TQ1/TQ2, OBR-7/OBR-8 rim:.effectiveTime quick:Procedure.procedureSchedule
occurrenceDateTime			dateTime	There are no (further) constraints on this element Data Type dateTime
occurrencePeriod			Period	There are no (further) constraints on this element Data Type Period
occurrenceTiming			Timing	There are no (further) constraints on this element Data Type Timing
asNeeded[x]	Σ	0..1		There are no (further) constraints on this element Element Id ServiceRequest.asNeeded[x] Short description Preconditions for service Definition If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc. Binding A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. SNOMEDCTMedicationAsNeededReasonCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code="Assertion"].value quick:Proposal.prnReason.reason
asNeededBoolean			boolean	There are no (further) constraints on this element Data Type boolean
asNeededCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
authoredOn	Σ	1..1	dateTime	Element Id ServiceRequest.authoredOn Short description Data e ora della richiesta Alternate names orderedOn Definition Formato: YYYY-MM-DDThh:mm:ss+zz:zz secondo lo standard FHIR Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-9.1 Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.authoredOn w5:FiveWs.recorded v2:ORC.9, RF1-7 / RF1-9 rim:.participation[typeCode=AUT].time quick:Proposal.proposedAtTime
requester	Σ I	0..1	Reference(ReteLabPractitionerRoleMedico)	Element Id ServiceRequest.requester Short description Medico responsabile della richiesta Alternate names author, orderer Definition Reference al profilo ReteLabPractitionerRoleMedico Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-12 Data Type Reference(ReteLabPractitionerRoleMedico) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.requester w5:FiveWs.author v2:ORC.12, PRT rim:.participation[typeCode=AUT].role quick:ClinicalStatement.statementAuthor
performerType	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id ServiceRequest.performerType Short description Performer role Alternate names specialty Definition Desired type of performer for doing the requested service. Comments This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”. Data Type CodeableConcept Binding Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. ParticipantRoles (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.performerType w5:FiveWs.actor v2:PRT, RF!-3 rim:.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
performer	Σ I	0..*	Reference(ReteLabOrganizationL2 \| ReteLabOrganizationL4)	Element Id ServiceRequest.performer Short description Ente che eroga la prestazione Alternate names request recipient Definition Reference al profilo ReteLabOrganizationL2 dell'ente servente che eseguirà la prestazione. Possibile utilizzare la reference al profilo ReteLabOrganizationL4 o ReteLabOrganizationL3 in caso fosse disponibile. L'attributo è da considerarsi facoltativo nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati; non lo è nel caso di trasmissione delle etichette tramite pdf. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-47 Questo campo viene valorizzato a partire dal flusso: "Risposta accettazione richiesta e istruzioni per etichette da LS a OMr" Data Type Reference(ReteLabOrganizationL2 \| ReteLabOrganizationL4) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.performer w5:FiveWs.actor v2:PRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT rim:.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
locationCode	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id ServiceRequest.locationCode Short description Requested location Definition The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding A location type where services are delivered. v3.ServiceDeliveryLocationRoleType (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.actor rim:.participation[typeCode=LOC].role[scoper.determinerCode=KIND].code
locationReference	Σ I	0..*	Reference(Location)	There are no (further) constraints on this element Element Id ServiceRequest.locationReference Short description Requested location Definition A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Location) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.actor rim:.participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]
reasonCode	Σ	0..*	CodeableConcept	Element Id ServiceRequest.reasonCode Short description Motivo che ha portato all’azione indicata nella risorsa Task Definition Codice e Descrizione del motivo che ha portato all’azione indicata nella risorsa Task (ad es. il motivo della cancellazione dell’ordine o della sua modifica) Comments Se lo stato della risorsa è "revoked" il campo è corrispondente campo HL7 secondo specifiche regionali: ORC-16. Se lo stato della risorsa è diverso da "revoked" il campo è corrispondente campo HL7 secondo specifiche regionali: OBR-13. Data Type CodeableConcept Binding Diagnosis or problem codes justifying the reason for requesting the service investigation. ProcedureReasonCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.reasonCode w5:FiveWs.why[x] v2:ORC.16, RF1-10 rim:.reasonCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.reasonCode.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id ServiceRequest.reasonCode.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.reasonCode.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id ServiceRequest.reasonCode.coding.code Short description Codice del motivo che ha portato all’azione indicata 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). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-16 CE-1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id ServiceRequest.reasonCode.coding.display Short description Descrizione del motivo che ha portato all’azione indicata Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.reasonCode.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.reasonCode.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
reasonReference	Σ I	0..*	Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference)	There are no (further) constraints on this element Element Id ServiceRequest.reasonReference Short description Explanation/Justification for service or service Definition Indicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in `supportingInfo`. Comments This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to Observation or Condition should be used if available. Otherwise when referencing DiagnosticReport it should contain a finding in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to DocumentReference, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the CT Scan example. Data Type Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.reasonReference w5:FiveWs.why[x] v2:ORC.16 rim:.outboundRelationship[typeCode=RSON].target
insurance	I	0..*	Reference(Coverage \| ClaimResponse)	There are no (further) constraints on this element Element Id ServiceRequest.insurance Short description Associated insurance coverage Definition Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Coverage \| ClaimResponse) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.insurance v2:IN1/IN2 rim:.outboundRelationship[typeCode=COVBY].target
supportingInfo	I	0..*	Reference(ReteLabObservationInfoCliniche)	Element Id ServiceRequest.supportingInfo Short description Informazioni cliniche del paziente Alternate names Ask at order entry question, AOE Definition Reference al profilo ReteLabObservationInfoCliniche Comments Segmento HL7: OBX (informazioni cliniche relative al paziente) Data Type Reference(ReteLabObservationInfoCliniche) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.supportingInfo v2:Accompanying segments rim:.outboundRelationship[typeCode=PERT].target
specimen	Σ I	0..*	Reference(ReteLabSpecimenCampioneDaAnalizzareCheckInCheckOut \| ReteLabSpecimenCampioneLaboratorio \| ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette)	Element Id ServiceRequest.specimen Short description Campione da analizzare Definition Reference al profilo ReteLabSpecimenCampioneDaAnalizzareCheckInCheckOut, ReteLabSpecimenCampioneLaboratorio, ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette Comments Segmento HL7: SPM Data Type Reference(ReteLabSpecimenCampioneDaAnalizzareCheckInCheckOut \| ReteLabSpecimenCampioneLaboratorio \| ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:SPM rim:.participation[typeCode=SPC].role
bodySite	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id ServiceRequest.bodySite Short description Location on Body Alternate names location Definition Anatomic location where the procedure should be performed. This is the target site. Requirements Knowing where the procedure is performed is important for tracking if multiple sites are possible. Comments Only used if not implicit in the code found in ServiceRequest.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension procedure-targetBodyStructure. Data Type CodeableConcept Binding Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:SPM rim:targetSiteCode quick:Procedure.targetBodySite
note		0..*	Annotation	There are no (further) constraints on this element Element Id ServiceRequest.note Short description Comments Definition Any other notes and comments made about the service request. For example, internal billing notes. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act workflow:Request.note v2:NTE rim:.inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST] quick:ClinicalStatement.additionalText
patientInstruction	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.patientInstruction Short description Patient or consumer-oriented instructions Definition Instructions in terms that are understood by the patient or consumer. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:NTE rim:.text
relevantHistory	I	0..*	Reference(Provenance)	There are no (further) constraints on this element Element Id ServiceRequest.relevantHistory Short description Request provenance Definition Key events in the history of the request. Comments This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject. Data Type Reference(Provenance) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.relevantHistory v2:N/A rim:.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Differential View

ServiceRequest	I		ServiceRequest	Element Id ServiceRequest Short description Richiesta esami laboratorio Alternate names diagnostic request, referral, referral request, transfer of care request Definition Profilo che contiene le informazioni relative alle richieste di prestazioni di esami di laboratorio. Comments Questo profilo è presente in tutti i flussi. Data Type ServiceRequest Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` prr-1:orderDetail SHALL only be present if code is present `orderDetail.empty() or code.exists()` Mappings rim:Entity. Role, or Act workflow:Request v2:ORC rim:Act[moodCode<=INT]
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id ServiceRequest.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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
tipoPrestazione	I	0..*	Extension(string)	Element Id ServiceRequest.extension:tipoPrestazione Short description Tipo di prestazione Alternate names extensions, user content Definition Corrispondente al campo HL7: OBR-25. L'attributo è da considerarsi opzionale anche nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati. 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. Data Type Extension(string) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabServiceRequestTipoPrestazione Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
identifier	Σ	1..*	Identifier	Element Id ServiceRequest.identifier Short description Identificativo della richiesta (esame di laboratorio) Definition Assume un valore diverso a seconda del mittente o del destinatario del messaggio: se il messaggio è destinato o proviene dal laboratorio richiedente allora viene usato l’identificativo assegnato dal Placer dell’ordine; se invece il messaggio è destinato o proviene da un laboratorio servente viene usato l’identificativo univoco assegnato dall’OMR. Comments The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below. Data Type Identifier Sliced: Unordered, Open, by system(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier w5:FiveWs.identifier v2:ORC.2, ORC.3, RF1-6 / RF1-11, rim:.identifier quick:ClinicalStatement.identifier
PlacerOrderNumber	Σ	1..1	Identifier	Element Id ServiceRequest.identifier:PlacerOrderNumber Short description Identificativo univoco generato dal Placer dell'ordine Definition Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller. Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-2 Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier w5:FiveWs.identifier v2:ORC.2, ORC.3, RF1-6 / RF1-11, rim:.identifier quick:ClinicalStatement.identifier
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:PlacerOrderNumber.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:PlacerOrderNumber.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. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uri	Element Id ServiceRequest.identifier:PlacerOrderNumber.system Short description Sistema di codifica Definition Se il messaggio è destinato o proviene dal laboratorio richiedente assumerà il seguente valore: https://fhir.siss.regione.lombardia.it/sid/PlacerOrderNumber; Se il messaggio è destinato o proviene da un laboratorio servente assumerà il seguente valore: https://fhir.siss.regione.lombardia.it/sid/OMROrderNumber 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 is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	Element Id ServiceRequest.identifier:PlacerOrderNumber.value Short description Identificativo della richiesta (esame di laboratorio) Definition Assume i seguenti valori a seconda del contesto: Identificativo generato dal Placer dell'ordine, se il messaggio è destinato o proviene dal laboratorio richiedente. Identificativo univoco generato dall’OMR, se il messaggio è destinato o proviene da un laboratorio servente. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id ServiceRequest.identifier:PlacerOrderNumber.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id ServiceRequest.identifier:PlacerOrderNumber.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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
FillerOrderNumber	Σ	0..*	Identifier	Element Id ServiceRequest.identifier:FillerOrderNumber Short description Identificativo univoco generato dal Filler dell'ordine Definition Obbligatorio dal flusso risposta nuova richiesta (RNR). Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-3 Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier w5:FiveWs.identifier v2:ORC.2, ORC.3, RF1-6 / RF1-11, rim:.identifier quick:ClinicalStatement.identifier
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:FillerOrderNumber.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:FillerOrderNumber.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. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.identifier:FillerOrderNumber.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. 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 is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/FillerOrderNumber Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	Element Id ServiceRequest.identifier:FillerOrderNumber.value Short description Identificativo univoco generato dal Filler dell'ordine Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id ServiceRequest.identifier:FillerOrderNumber.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id ServiceRequest.identifier:FillerOrderNumber.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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
OMrOrderNumber	Σ	0..*	Identifier	Element Id ServiceRequest.identifier:OMrOrderNumber Short description Identifiers assigned to this order Definition Obbligatorio dopo il flusso di nuova richiesta (NR) per comunicare con OMr. Comments The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier w5:FiveWs.identifier v2:ORC.2, ORC.3, RF1-6 / RF1-11, rim:.identifier quick:ClinicalStatement.identifier
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:OMrOrderNumber.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:OMrOrderNumber.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. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.identifier:OMrOrderNumber.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. 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 is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/OMROrderNumber Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	Element Id ServiceRequest.identifier:OMrOrderNumber.value Short description Identificativo univoco assegnato da OMr alla richiesta Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id ServiceRequest.identifier:OMrOrderNumber.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id ServiceRequest.identifier:OMrOrderNumber.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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition \| PlanDefinition)	There are no (further) constraints on this element Element Id ServiceRequest.instantiatesCanonical Short description Instantiates FHIR protocol or definition Definition The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest. Comments Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. Data Type canonical(ActivityDefinition \| PlanDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.instantiatesCanonical v2:Varies by domain rim:.outboundRelationship[typeCode=DEFN].target
instantiatesUri	Σ	0..*	uri	There are no (further) constraints on this element Element Id ServiceRequest.instantiatesUri Short description Instantiates external protocol or definition Definition The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest. Comments This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.instantiatesUri v2:Varies by domain rim:.outboundRelationship[typeCode=DEFN].target
basedOn	Σ I	0..*	Reference(CarePlan \| ServiceRequest \| MedicationRequest)	There are no (further) constraints on this element Element Id ServiceRequest.basedOn Short description What request fulfills Alternate names fulfills Definition Plan/proposal/order fulfilled by this request. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(CarePlan \| ServiceRequest \| MedicationRequest) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.basedOn v2:ORC.8 (plus others) rim:.outboundRelationship[typeCode=FLFS].target
replaces	Σ I	0..*	Reference(ReteLabServiceRequestRichiestaEsamiLab)	Element Id ServiceRequest.replaces Short description Identifier ServiceRequest Alternate names supersedes, prior, renewed order Definition The request takes the place of the referenced completed or terminated request(s). Comments Reference al profilo ReteLabServiceRequestRichiestaEsamiLab padre. Utilizzato per inserire la reference al profilo ReteLabServiceRequestRichiestaEsamiLab che si sta modificando con la presente serviceRequest. Data Type Reference(ReteLabServiceRequestRichiestaEsamiLab) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.replaces v2:Handled by message location of ORC (ORC.1=RO or RU) rim:.outboundRelationship[typeCode=RPLC].target
requisition	Σ	1..1	Identifier	Element Id ServiceRequest.requisition Short description Identificativo che permette al laboratorio di raggruppare ordini (insiemi di richieste di esami di laboratorio) e identificarli successivamente. Alternate names grouperId, groupIdentifier Definition Nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service rappresenta l'id prelievo. Corrispondente al campo HL7: ORC-4. Requirements Some business processes need to know if multiple items were ordered as part of the same "requisition" for billing or other purposes. Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-4 Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.groupIdentifier v2:ORC.4 rim:.inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id ServiceRequest.requisition.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id ServiceRequest.requisition.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. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uri	Element Id ServiceRequest.requisition.system Short description Sistema di codifica Definition Se il messaggio è destinato o proviene dal laboratorio richiedente: https://fhir.siss.regione.lombardia.it/sid/PlacerRequisitionNumber Se il messaggio è destinato o proviene da un laboratorio servente: https://fhir.siss.regione.lombardia.it/sid/OMRRequisitionNumber 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 is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	1..1	string	Element Id ServiceRequest.requisition.value Short description Identificativo associato all’ordine complessivo (insiemi di richieste di esami di laboratorio). Definition Assume i seguenti valori a seconda del contesto: Identificativo generato dal Placer dell'ordine, se il messaggio è destinato o proviene dal laboratorio richiedente. Identificativo univoco generato dall’OMR, se il messaggio è destinato o proviene da un laboratorio servente. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id ServiceRequest.requisition.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id ServiceRequest.requisition.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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
status	Σ ?!	1..1	codeBinding	Element Id ServiceRequest.status Short description Stato dell'ordine Definition Stato dell'ordine: "active": quando viene inviata la richiesta e attende conferma "revoked": la richiesta è stata cancellata "completed": la richiesta è stata completata Comments Gli stati sono comandati dal profilo ReteLabTaskStatoRichiesta il quale dipende dal Corrispondente campo HL7 secondo specifiche regionali: ORC-5 Data Type code Binding The status of a service order. RequestStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.status w5:FiveWs.status v2:ORC.5,RF1-1 rim:.status quick:Action.currentStatus
intent	Σ ?!	1..1	codeBinding	Element Id ServiceRequest.intent Short description Intento della richiesta Definition Due casistiche: è valorizzato con "order" nel caso di richiesta proveniente dal laboratorio richiedente. è valorizzato con "filler-order" nel caso di richiesta proveniente dal laboratorio servente. Comments L'intent della ServiceRequest deve essere uguale all'intent del Task da cui è referenziata. Data Type code Binding The kind of service request. RequestIntent (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.intent w5:FiveWs.class v2:N/A rim:.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
category	Σ	1..1	CodeableConceptBinding	Element Id ServiceRequest.category Short description Classification of service Definition A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure"). Requirements Used for filtering what service request are retrieved and displayed. Comments There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set. Data Type CodeableConcept Binding Classification of the requested service. Categoria Ordine (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.class v2:RF1-5 rim:.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.category.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.category.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/Valueset/CategoriaOrdine Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.category.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id ServiceRequest.category.coding.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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Categoria Ordine (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.category.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.category.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.category.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
priority	Σ	1..1	codeBinding	Element Id ServiceRequest.priority Short description Priorità delle prestazioni associate Definition Indica la priorità delle prestazioni associate Può assumere i seguenti valori: "routine" "urgent" "asap" "stat" Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-7 TQ-6 (codice priorità) Meaning When Missing If missing, this task should be performed with normal priority Data Type code Binding Identifies the level of importance to be assigned to actioning the request. RequestPriority (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.priority w5:FiveWs.grade v2:TQ1.9, RF1-2 rim:.priorityCode
doNotPerform	Σ ?!	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.doNotPerform Short description True if service/procedure should not be performed Definition Set this to true if the record is saying that the service/procedure should NOT be performed. Requirements Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc. Comments In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation. Meaning When Missing If missing, the request is a positive request e.g. "do perform" Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.doNotPerform rim:.actionNegationInd
code	Σ	1..1	CodeableConcept	Element Id ServiceRequest.code Short description Codice dell'esame richiesto Alternate names service requested Definition A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-4 Data Type CodeableConcept Binding Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available [here](valueset-diagnostic-requests.html). ProcedureCodes(SNOMEDCT) (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.code w5:FiveWs.what[x] v2:PR1-3 / OBR-4 (varies by domain) rim:.code quick:Procedure.procedureCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.code.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id ServiceRequest.code.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.code.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	code	Element Id ServiceRequest.code.coding.code Short description Codice dell'esame richiesto Definition Codice dell'esame richiesto in service. Permette a OMr di destinare in modo corretto l'ordine al laboratorio servente che si occupa di soddisfare la richiesta per quella specifica prestazione. Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-4.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id ServiceRequest.code.coding.display Short description Descrizione codice dell'esame richiesto Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.code.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.code.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
orderDetail	Σ I	0..*	CodeableConcept	Element Id ServiceRequest.orderDetail Short description Informazioni supplementari relative all'ordine-prestazione Alternate names detailed instructions Definition Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-46/OBR-47 Data Type CodeableConcept Sliced: Unordered, Open, by coding.userSelected(Value) Binding Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:NTE rim:.code quick:Procedure.procedureCode
presidio	Σ I	0..*	CodeableConcept	Element Id ServiceRequest.orderDetail:presidio Short description Nel caso la ripetizione faccia riferimento al presidio (2° livello) Alternate names detailed instructions Definition Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Comments For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element. Data Type CodeableConcept Binding Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:NTE rim:.code quick:Procedure.procedureCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:presidio.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.orderDetail:presidio.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/codiceMinisterialePresidio Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:presidio.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id ServiceRequest.orderDetail:presidio.coding.code Short description Codice Informazioni supplementari relative all'ordine-prestazione 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). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:presidio.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:presidio.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:presidio.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
reparto	Σ I	0..*	CodeableConcept	Element Id ServiceRequest.orderDetail:reparto Short description Nel caso la ripetizione faccia riferimento al reparto (3° livello) Alternate names detailed instructions Definition Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Comments For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element. Data Type CodeableConcept Binding Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:NTE rim:.code quick:Procedure.procedureCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:reparto.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.orderDetail:reparto.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/codiceMinisterialeReparto Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:reparto.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id ServiceRequest.orderDetail:reparto.coding.code Short description Codice Informazioni supplementari relative all'ordine-prestazione 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). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:reparto.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:reparto.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:reparto.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
unitaErogante	Σ I	0..*	CodeableConcept	Element Id ServiceRequest.orderDetail:unitaErogante Short description Nel caso la ripetizione faccia riferimento all’unità erogante o ambulatorio (4° livello) Alternate names detailed instructions Definition Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Comments For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element. Data Type CodeableConcept Binding Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:NTE rim:.code quick:Procedure.procedureCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:unitaErogante.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.orderDetail:unitaErogante.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/identificativoInternoUnitaErogante Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:unitaErogante.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id ServiceRequest.orderDetail:unitaErogante.coding.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). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:unitaErogante.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:unitaErogante.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:unitaErogante.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
salaErogatrice	Σ I	0..*	CodeableConcept	Element Id ServiceRequest.orderDetail:salaErogatrice Short description Nel caso la ripetizione faccia riferimento alla sala erogatrice Alternate names detailed instructions Definition Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Comments For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element. Data Type CodeableConcept Binding Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:NTE rim:.code quick:Procedure.procedureCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:salaErogatrice.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.orderDetail:salaErogatrice.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/identificativoInternoSalaErogatrice Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:salaErogatrice.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id ServiceRequest.orderDetail:salaErogatrice.coding.code Short description Codice Informazioni supplementari relative all'ordine-prestazione 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). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:salaErogatrice.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:salaErogatrice.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:salaErogatrice.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
quantity[x]	Σ	1..1		Element Id ServiceRequest.quantity[x] Short description Quantità prestazioni Definition An amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction). Requirements When ordering a service the number of service items may need to be specified separately from the the service item. Comments Corrispondente campo HL7 secondo specifiche regionali: TQ1-2 Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:NTE rim:.quantity
quantityQuantity			Quantity	Data Type Quantity
value	Σ	0..1	decimal	Element Id ServiceRequest.quantity[x].value Short description Quantità prestazioni Definition Qualora fosse necessario indicarla può essere inserita la "quantità" delle prestazioni erogate. Ad es. il numero di volte che deve essere ripetuto un certo esame. Per default è "1". Requirements Precision is handled implicitly in almost all cases of measurement. Comments Corrispondente campo HL7 secondo specifiche regionali: TQ1-2 Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id ServiceRequest.quantity[x].comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.quantity[x].unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	Σ I	0..1	uri	There are no (further) constraints on this element Element Id ServiceRequest.quantity[x].system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	Σ	0..1	code	There are no (further) constraints on this element Element Id ServiceRequest.quantity[x].code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code
subject	Σ I	1..1	Reference(ReteLabPatientCittadino)	Element Id ServiceRequest.subject Short description Paziente Definition Reference al profilo ReteLabPatientCittadino Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(ReteLabPatientCittadino) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.subject w5:FiveWs.subject[x] v2:PID rim:.participation[typeCode=SBJ].role quick:ClinicalStatement.subject w5:FiveWs.subject
encounter	Σ I	0..1	Reference(ReteLabEncounterInformazioniRichiestaLab)	Element Id ServiceRequest.encounter Short description Encounter Alternate names context Definition Reference al profilo ReteLabEncounterInformazioniRichiestaLab Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(ReteLabEncounterInformazioniRichiestaLab) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.encounter w5:FiveWs.context v2:PV1 rim:.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN] quick:ClinicalStatement.encounter
occurrence[x]	Σ	0..1		There are no (further) constraints on this element Element Id ServiceRequest.occurrence[x] Short description When service should occur Alternate names schedule Definition The date/time at which the requested service should occur. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.occurrence[x] w5:FiveWs.planned v2:TQ1/TQ2, OBR-7/OBR-8 rim:.effectiveTime quick:Procedure.procedureSchedule
occurrenceDateTime			dateTime	There are no (further) constraints on this element Data Type dateTime
occurrencePeriod			Period	There are no (further) constraints on this element Data Type Period
occurrenceTiming			Timing	There are no (further) constraints on this element Data Type Timing
asNeeded[x]	Σ	0..1		There are no (further) constraints on this element Element Id ServiceRequest.asNeeded[x] Short description Preconditions for service Definition If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc. Binding A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. SNOMEDCTMedicationAsNeededReasonCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code="Assertion"].value quick:Proposal.prnReason.reason
asNeededBoolean			boolean	There are no (further) constraints on this element Data Type boolean
asNeededCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
authoredOn	Σ	1..1	dateTime	Element Id ServiceRequest.authoredOn Short description Data e ora della richiesta Alternate names orderedOn Definition Formato: YYYY-MM-DDThh:mm:ss+zz:zz secondo lo standard FHIR Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-9.1 Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.authoredOn w5:FiveWs.recorded v2:ORC.9, RF1-7 / RF1-9 rim:.participation[typeCode=AUT].time quick:Proposal.proposedAtTime
requester	Σ I	0..1	Reference(ReteLabPractitionerRoleMedico)	Element Id ServiceRequest.requester Short description Medico responsabile della richiesta Alternate names author, orderer Definition Reference al profilo ReteLabPractitionerRoleMedico Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-12 Data Type Reference(ReteLabPractitionerRoleMedico) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.requester w5:FiveWs.author v2:ORC.12, PRT rim:.participation[typeCode=AUT].role quick:ClinicalStatement.statementAuthor
performerType	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id ServiceRequest.performerType Short description Performer role Alternate names specialty Definition Desired type of performer for doing the requested service. Comments This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”. Data Type CodeableConcept Binding Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. ParticipantRoles (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.performerType w5:FiveWs.actor v2:PRT, RF!-3 rim:.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
performer	Σ I	0..*	Reference(ReteLabOrganizationL2 \| ReteLabOrganizationL4)	Element Id ServiceRequest.performer Short description Ente che eroga la prestazione Alternate names request recipient Definition Reference al profilo ReteLabOrganizationL2 dell'ente servente che eseguirà la prestazione. Possibile utilizzare la reference al profilo ReteLabOrganizationL4 o ReteLabOrganizationL3 in caso fosse disponibile. L'attributo è da considerarsi facoltativo nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati; non lo è nel caso di trasmissione delle etichette tramite pdf. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-47 Questo campo viene valorizzato a partire dal flusso: "Risposta accettazione richiesta e istruzioni per etichette da LS a OMr" Data Type Reference(ReteLabOrganizationL2 \| ReteLabOrganizationL4) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.performer w5:FiveWs.actor v2:PRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT rim:.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
locationCode	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id ServiceRequest.locationCode Short description Requested location Definition The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding A location type where services are delivered. v3.ServiceDeliveryLocationRoleType (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.actor rim:.participation[typeCode=LOC].role[scoper.determinerCode=KIND].code
locationReference	Σ I	0..*	Reference(Location)	There are no (further) constraints on this element Element Id ServiceRequest.locationReference Short description Requested location Definition A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Location) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.actor rim:.participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]
reasonCode	Σ	0..*	CodeableConcept	Element Id ServiceRequest.reasonCode Short description Motivo che ha portato all’azione indicata nella risorsa Task Definition Codice e Descrizione del motivo che ha portato all’azione indicata nella risorsa Task (ad es. il motivo della cancellazione dell’ordine o della sua modifica) Comments Se lo stato della risorsa è "revoked" il campo è corrispondente campo HL7 secondo specifiche regionali: ORC-16. Se lo stato della risorsa è diverso da "revoked" il campo è corrispondente campo HL7 secondo specifiche regionali: OBR-13. Data Type CodeableConcept Binding Diagnosis or problem codes justifying the reason for requesting the service investigation. ProcedureReasonCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.reasonCode w5:FiveWs.why[x] v2:ORC.16, RF1-10 rim:.reasonCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.reasonCode.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id ServiceRequest.reasonCode.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.reasonCode.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id ServiceRequest.reasonCode.coding.code Short description Codice del motivo che ha portato all’azione indicata 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). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-16 CE-1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id ServiceRequest.reasonCode.coding.display Short description Descrizione del motivo che ha portato all’azione indicata Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.reasonCode.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.reasonCode.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
reasonReference	Σ I	0..*	Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference)	There are no (further) constraints on this element Element Id ServiceRequest.reasonReference Short description Explanation/Justification for service or service Definition Indicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in `supportingInfo`. Comments This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to Observation or Condition should be used if available. Otherwise when referencing DiagnosticReport it should contain a finding in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to DocumentReference, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the CT Scan example. Data Type Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.reasonReference w5:FiveWs.why[x] v2:ORC.16 rim:.outboundRelationship[typeCode=RSON].target
insurance	I	0..*	Reference(Coverage \| ClaimResponse)	There are no (further) constraints on this element Element Id ServiceRequest.insurance Short description Associated insurance coverage Definition Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Coverage \| ClaimResponse) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.insurance v2:IN1/IN2 rim:.outboundRelationship[typeCode=COVBY].target
supportingInfo	I	0..*	Reference(ReteLabObservationInfoCliniche)	Element Id ServiceRequest.supportingInfo Short description Informazioni cliniche del paziente Alternate names Ask at order entry question, AOE Definition Reference al profilo ReteLabObservationInfoCliniche Comments Segmento HL7: OBX (informazioni cliniche relative al paziente) Data Type Reference(ReteLabObservationInfoCliniche) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.supportingInfo v2:Accompanying segments rim:.outboundRelationship[typeCode=PERT].target
specimen	Σ I	0..*	Reference(ReteLabSpecimenCampioneDaAnalizzareCheckInCheckOut \| ReteLabSpecimenCampioneLaboratorio \| ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette)	Element Id ServiceRequest.specimen Short description Campione da analizzare Definition Reference al profilo ReteLabSpecimenCampioneDaAnalizzareCheckInCheckOut, ReteLabSpecimenCampioneLaboratorio, ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette Comments Segmento HL7: SPM Data Type Reference(ReteLabSpecimenCampioneDaAnalizzareCheckInCheckOut \| ReteLabSpecimenCampioneLaboratorio \| ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:SPM rim:.participation[typeCode=SPC].role
bodySite	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id ServiceRequest.bodySite Short description Location on Body Alternate names location Definition Anatomic location where the procedure should be performed. This is the target site. Requirements Knowing where the procedure is performed is important for tracking if multiple sites are possible. Comments Only used if not implicit in the code found in ServiceRequest.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension procedure-targetBodyStructure. Data Type CodeableConcept Binding Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:SPM rim:targetSiteCode quick:Procedure.targetBodySite
note		0..*	Annotation	There are no (further) constraints on this element Element Id ServiceRequest.note Short description Comments Definition Any other notes and comments made about the service request. For example, internal billing notes. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act workflow:Request.note v2:NTE rim:.inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST] quick:ClinicalStatement.additionalText
patientInstruction	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.patientInstruction Short description Patient or consumer-oriented instructions Definition Instructions in terms that are understood by the patient or consumer. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:NTE rim:.text
relevantHistory	I	0..*	Reference(Provenance)	There are no (further) constraints on this element Element Id ServiceRequest.relevantHistory Short description Request provenance Definition Key events in the history of the request. Comments This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject. Data Type Reference(Provenance) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.relevantHistory v2:N/A rim:.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Hybrid View

ServiceRequest	I		ServiceRequest	Element Id ServiceRequest Short description Richiesta esami laboratorio Alternate names diagnostic request, referral, referral request, transfer of care request Definition Profilo che contiene le informazioni relative alle richieste di prestazioni di esami di laboratorio. Comments Questo profilo è presente in tutti i flussi. Data Type ServiceRequest Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` prr-1:orderDetail SHALL only be present if code is present `orderDetail.empty() or code.exists()` Mappings rim:Entity. Role, or Act workflow:Request v2:ORC rim:Act[moodCode<=INT]
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id ServiceRequest.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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
tipoPrestazione	I	0..*	Extension(string)	Element Id ServiceRequest.extension:tipoPrestazione Short description Tipo di prestazione Alternate names extensions, user content Definition Corrispondente al campo HL7: OBR-25. L'attributo è da considerarsi opzionale anche nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati. 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. Data Type Extension(string) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabServiceRequestTipoPrestazione Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
identifier	Σ	1..*	Identifier	Element Id ServiceRequest.identifier Short description Identificativo della richiesta (esame di laboratorio) Definition Assume un valore diverso a seconda del mittente o del destinatario del messaggio: se il messaggio è destinato o proviene dal laboratorio richiedente allora viene usato l’identificativo assegnato dal Placer dell’ordine; se invece il messaggio è destinato o proviene da un laboratorio servente viene usato l’identificativo univoco assegnato dall’OMR. Comments The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below. Data Type Identifier Sliced: Unordered, Open, by system(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier w5:FiveWs.identifier v2:ORC.2, ORC.3, RF1-6 / RF1-11, rim:.identifier quick:ClinicalStatement.identifier
PlacerOrderNumber	Σ	1..1	Identifier	Element Id ServiceRequest.identifier:PlacerOrderNumber Short description Identificativo univoco generato dal Placer dell'ordine Definition Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller. Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-2 Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier w5:FiveWs.identifier v2:ORC.2, ORC.3, RF1-6 / RF1-11, rim:.identifier quick:ClinicalStatement.identifier
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:PlacerOrderNumber.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:PlacerOrderNumber.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. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uri	Element Id ServiceRequest.identifier:PlacerOrderNumber.system Short description Sistema di codifica Definition Se il messaggio è destinato o proviene dal laboratorio richiedente assumerà il seguente valore: https://fhir.siss.regione.lombardia.it/sid/PlacerOrderNumber; Se il messaggio è destinato o proviene da un laboratorio servente assumerà il seguente valore: https://fhir.siss.regione.lombardia.it/sid/OMROrderNumber 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 is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	Element Id ServiceRequest.identifier:PlacerOrderNumber.value Short description Identificativo della richiesta (esame di laboratorio) Definition Assume i seguenti valori a seconda del contesto: Identificativo generato dal Placer dell'ordine, se il messaggio è destinato o proviene dal laboratorio richiedente. Identificativo univoco generato dall’OMR, se il messaggio è destinato o proviene da un laboratorio servente. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id ServiceRequest.identifier:PlacerOrderNumber.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id ServiceRequest.identifier:PlacerOrderNumber.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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
FillerOrderNumber	Σ	0..*	Identifier	Element Id ServiceRequest.identifier:FillerOrderNumber Short description Identificativo univoco generato dal Filler dell'ordine Definition Obbligatorio dal flusso risposta nuova richiesta (RNR). Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-3 Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier w5:FiveWs.identifier v2:ORC.2, ORC.3, RF1-6 / RF1-11, rim:.identifier quick:ClinicalStatement.identifier
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:FillerOrderNumber.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:FillerOrderNumber.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. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.identifier:FillerOrderNumber.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. 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 is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/FillerOrderNumber Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	Element Id ServiceRequest.identifier:FillerOrderNumber.value Short description Identificativo univoco generato dal Filler dell'ordine Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id ServiceRequest.identifier:FillerOrderNumber.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id ServiceRequest.identifier:FillerOrderNumber.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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
OMrOrderNumber	Σ	0..*	Identifier	Element Id ServiceRequest.identifier:OMrOrderNumber Short description Identifiers assigned to this order Definition Obbligatorio dopo il flusso di nuova richiesta (NR) per comunicare con OMr. Comments The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier w5:FiveWs.identifier v2:ORC.2, ORC.3, RF1-6 / RF1-11, rim:.identifier quick:ClinicalStatement.identifier
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:OMrOrderNumber.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id ServiceRequest.identifier:OMrOrderNumber.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. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.identifier:OMrOrderNumber.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. 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 is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/OMROrderNumber Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	Element Id ServiceRequest.identifier:OMrOrderNumber.value Short description Identificativo univoco assegnato da OMr alla richiesta Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id ServiceRequest.identifier:OMrOrderNumber.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id ServiceRequest.identifier:OMrOrderNumber.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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition \| PlanDefinition)	There are no (further) constraints on this element Element Id ServiceRequest.instantiatesCanonical Short description Instantiates FHIR protocol or definition Definition The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest. Comments Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. Data Type canonical(ActivityDefinition \| PlanDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.instantiatesCanonical v2:Varies by domain rim:.outboundRelationship[typeCode=DEFN].target
instantiatesUri	Σ	0..*	uri	There are no (further) constraints on this element Element Id ServiceRequest.instantiatesUri Short description Instantiates external protocol or definition Definition The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest. Comments This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.instantiatesUri v2:Varies by domain rim:.outboundRelationship[typeCode=DEFN].target
basedOn	Σ I	0..*	Reference(CarePlan \| ServiceRequest \| MedicationRequest)	There are no (further) constraints on this element Element Id ServiceRequest.basedOn Short description What request fulfills Alternate names fulfills Definition Plan/proposal/order fulfilled by this request. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(CarePlan \| ServiceRequest \| MedicationRequest) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.basedOn v2:ORC.8 (plus others) rim:.outboundRelationship[typeCode=FLFS].target
replaces	Σ I	0..*	Reference(ReteLabServiceRequestRichiestaEsamiLab)	Element Id ServiceRequest.replaces Short description Identifier ServiceRequest Alternate names supersedes, prior, renewed order Definition The request takes the place of the referenced completed or terminated request(s). Comments Reference al profilo ReteLabServiceRequestRichiestaEsamiLab padre. Utilizzato per inserire la reference al profilo ReteLabServiceRequestRichiestaEsamiLab che si sta modificando con la presente serviceRequest. Data Type Reference(ReteLabServiceRequestRichiestaEsamiLab) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.replaces v2:Handled by message location of ORC (ORC.1=RO or RU) rim:.outboundRelationship[typeCode=RPLC].target
requisition	Σ	1..1	Identifier	Element Id ServiceRequest.requisition Short description Identificativo che permette al laboratorio di raggruppare ordini (insiemi di richieste di esami di laboratorio) e identificarli successivamente. Alternate names grouperId, groupIdentifier Definition Nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service rappresenta l'id prelievo. Corrispondente al campo HL7: ORC-4. Requirements Some business processes need to know if multiple items were ordered as part of the same "requisition" for billing or other purposes. Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-4 Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.groupIdentifier v2:ORC.4 rim:.inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id ServiceRequest.requisition.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id ServiceRequest.requisition.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. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uri	Element Id ServiceRequest.requisition.system Short description Sistema di codifica Definition Se il messaggio è destinato o proviene dal laboratorio richiedente: https://fhir.siss.regione.lombardia.it/sid/PlacerRequisitionNumber Se il messaggio è destinato o proviene da un laboratorio servente: https://fhir.siss.regione.lombardia.it/sid/OMRRequisitionNumber 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 is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	1..1	string	Element Id ServiceRequest.requisition.value Short description Identificativo associato all’ordine complessivo (insiemi di richieste di esami di laboratorio). Definition Assume i seguenti valori a seconda del contesto: Identificativo generato dal Placer dell'ordine, se il messaggio è destinato o proviene dal laboratorio richiedente. Identificativo univoco generato dall’OMR, se il messaggio è destinato o proviene da un laboratorio servente. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id ServiceRequest.requisition.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id ServiceRequest.requisition.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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
status	Σ ?!	1..1	codeBinding	Element Id ServiceRequest.status Short description Stato dell'ordine Definition Stato dell'ordine: "active": quando viene inviata la richiesta e attende conferma "revoked": la richiesta è stata cancellata "completed": la richiesta è stata completata Comments Gli stati sono comandati dal profilo ReteLabTaskStatoRichiesta il quale dipende dal Corrispondente campo HL7 secondo specifiche regionali: ORC-5 Data Type code Binding The status of a service order. RequestStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.status w5:FiveWs.status v2:ORC.5,RF1-1 rim:.status quick:Action.currentStatus
intent	Σ ?!	1..1	codeBinding	Element Id ServiceRequest.intent Short description Intento della richiesta Definition Due casistiche: è valorizzato con "order" nel caso di richiesta proveniente dal laboratorio richiedente. è valorizzato con "filler-order" nel caso di richiesta proveniente dal laboratorio servente. Comments L'intent della ServiceRequest deve essere uguale all'intent del Task da cui è referenziata. Data Type code Binding The kind of service request. RequestIntent (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.intent w5:FiveWs.class v2:N/A rim:.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
category	Σ	1..1	CodeableConceptBinding	Element Id ServiceRequest.category Short description Classification of service Definition A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure"). Requirements Used for filtering what service request are retrieved and displayed. Comments There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set. Data Type CodeableConcept Binding Classification of the requested service. Categoria Ordine (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.class v2:RF1-5 rim:.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.category.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.category.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/Valueset/CategoriaOrdine Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.category.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id ServiceRequest.category.coding.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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Categoria Ordine (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.category.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.category.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.category.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
priority	Σ	1..1	codeBinding	Element Id ServiceRequest.priority Short description Priorità delle prestazioni associate Definition Indica la priorità delle prestazioni associate Può assumere i seguenti valori: "routine" "urgent" "asap" "stat" Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-7 TQ-6 (codice priorità) Meaning When Missing If missing, this task should be performed with normal priority Data Type code Binding Identifies the level of importance to be assigned to actioning the request. RequestPriority (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.priority w5:FiveWs.grade v2:TQ1.9, RF1-2 rim:.priorityCode
doNotPerform	Σ ?!	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.doNotPerform Short description True if service/procedure should not be performed Definition Set this to true if the record is saying that the service/procedure should NOT be performed. Requirements Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc. Comments In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation. Meaning When Missing If missing, the request is a positive request e.g. "do perform" Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.doNotPerform rim:.actionNegationInd
code	Σ	1..1	CodeableConcept	Element Id ServiceRequest.code Short description Codice dell'esame richiesto Alternate names service requested Definition A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-4 Data Type CodeableConcept Binding Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available [here](valueset-diagnostic-requests.html). ProcedureCodes(SNOMEDCT) (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.code w5:FiveWs.what[x] v2:PR1-3 / OBR-4 (varies by domain) rim:.code quick:Procedure.procedureCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.code.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id ServiceRequest.code.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.code.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	code	Element Id ServiceRequest.code.coding.code Short description Codice dell'esame richiesto Definition Codice dell'esame richiesto in service. Permette a OMr di destinare in modo corretto l'ordine al laboratorio servente che si occupa di soddisfare la richiesta per quella specifica prestazione. Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-4.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id ServiceRequest.code.coding.display Short description Descrizione codice dell'esame richiesto Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.code.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.code.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
orderDetail	Σ I	0..*	CodeableConcept	Element Id ServiceRequest.orderDetail Short description Informazioni supplementari relative all'ordine-prestazione Alternate names detailed instructions Definition Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-46/OBR-47 Data Type CodeableConcept Sliced: Unordered, Open, by coding.userSelected(Value) Binding Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:NTE rim:.code quick:Procedure.procedureCode
presidio	Σ I	0..*	CodeableConcept	Element Id ServiceRequest.orderDetail:presidio Short description Nel caso la ripetizione faccia riferimento al presidio (2° livello) Alternate names detailed instructions Definition Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Comments For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element. Data Type CodeableConcept Binding Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:NTE rim:.code quick:Procedure.procedureCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:presidio.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.orderDetail:presidio.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/codiceMinisterialePresidio Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:presidio.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id ServiceRequest.orderDetail:presidio.coding.code Short description Codice Informazioni supplementari relative all'ordine-prestazione 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). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:presidio.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:presidio.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:presidio.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
reparto	Σ I	0..*	CodeableConcept	Element Id ServiceRequest.orderDetail:reparto Short description Nel caso la ripetizione faccia riferimento al reparto (3° livello) Alternate names detailed instructions Definition Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Comments For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element. Data Type CodeableConcept Binding Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:NTE rim:.code quick:Procedure.procedureCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:reparto.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.orderDetail:reparto.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/codiceMinisterialeReparto Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:reparto.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id ServiceRequest.orderDetail:reparto.coding.code Short description Codice Informazioni supplementari relative all'ordine-prestazione 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). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:reparto.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:reparto.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:reparto.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
unitaErogante	Σ I	0..*	CodeableConcept	Element Id ServiceRequest.orderDetail:unitaErogante Short description Nel caso la ripetizione faccia riferimento all’unità erogante o ambulatorio (4° livello) Alternate names detailed instructions Definition Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Comments For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element. Data Type CodeableConcept Binding Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:NTE rim:.code quick:Procedure.procedureCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:unitaErogante.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.orderDetail:unitaErogante.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/identificativoInternoUnitaErogante Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:unitaErogante.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id ServiceRequest.orderDetail:unitaErogante.coding.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). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:unitaErogante.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:unitaErogante.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:unitaErogante.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
salaErogatrice	Σ I	0..*	CodeableConcept	Element Id ServiceRequest.orderDetail:salaErogatrice Short description Nel caso la ripetizione faccia riferimento alla sala erogatrice Alternate names detailed instructions Definition Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Comments For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element. Data Type CodeableConcept Binding Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:NTE rim:.code quick:Procedure.procedureCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:salaErogatrice.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uriFixed Value	Element Id ServiceRequest.orderDetail:salaErogatrice.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/identificativoInternoSalaErogatrice Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:salaErogatrice.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id ServiceRequest.orderDetail:salaErogatrice.coding.code Short description Codice Informazioni supplementari relative all'ordine-prestazione 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). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:salaErogatrice.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:salaErogatrice.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.orderDetail:salaErogatrice.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
quantity[x]	Σ	1..1		Element Id ServiceRequest.quantity[x] Short description Quantità prestazioni Definition An amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction). Requirements When ordering a service the number of service items may need to be specified separately from the the service item. Comments Corrispondente campo HL7 secondo specifiche regionali: TQ1-2 Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:NTE rim:.quantity
quantityQuantity			Quantity	Data Type Quantity
value	Σ	0..1	decimal	Element Id ServiceRequest.quantity[x].value Short description Quantità prestazioni Definition Qualora fosse necessario indicarla può essere inserita la "quantità" delle prestazioni erogate. Ad es. il numero di volte che deve essere ripetuto un certo esame. Per default è "1". Requirements Precision is handled implicitly in almost all cases of measurement. Comments Corrispondente campo HL7 secondo specifiche regionali: TQ1-2 Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id ServiceRequest.quantity[x].comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.quantity[x].unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	Σ I	0..1	uri	There are no (further) constraints on this element Element Id ServiceRequest.quantity[x].system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	Σ	0..1	code	There are no (further) constraints on this element Element Id ServiceRequest.quantity[x].code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code
subject	Σ I	1..1	Reference(ReteLabPatientCittadino)	Element Id ServiceRequest.subject Short description Paziente Definition Reference al profilo ReteLabPatientCittadino Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(ReteLabPatientCittadino) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.subject w5:FiveWs.subject[x] v2:PID rim:.participation[typeCode=SBJ].role quick:ClinicalStatement.subject w5:FiveWs.subject
encounter	Σ I	0..1	Reference(ReteLabEncounterInformazioniRichiestaLab)	Element Id ServiceRequest.encounter Short description Encounter Alternate names context Definition Reference al profilo ReteLabEncounterInformazioniRichiestaLab Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(ReteLabEncounterInformazioniRichiestaLab) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.encounter w5:FiveWs.context v2:PV1 rim:.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN] quick:ClinicalStatement.encounter
occurrence[x]	Σ	0..1		There are no (further) constraints on this element Element Id ServiceRequest.occurrence[x] Short description When service should occur Alternate names schedule Definition The date/time at which the requested service should occur. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.occurrence[x] w5:FiveWs.planned v2:TQ1/TQ2, OBR-7/OBR-8 rim:.effectiveTime quick:Procedure.procedureSchedule
occurrenceDateTime			dateTime	There are no (further) constraints on this element Data Type dateTime
occurrencePeriod			Period	There are no (further) constraints on this element Data Type Period
occurrenceTiming			Timing	There are no (further) constraints on this element Data Type Timing
asNeeded[x]	Σ	0..1		There are no (further) constraints on this element Element Id ServiceRequest.asNeeded[x] Short description Preconditions for service Definition If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc. Binding A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. SNOMEDCTMedicationAsNeededReasonCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code="Assertion"].value quick:Proposal.prnReason.reason
asNeededBoolean			boolean	There are no (further) constraints on this element Data Type boolean
asNeededCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
authoredOn	Σ	1..1	dateTime	Element Id ServiceRequest.authoredOn Short description Data e ora della richiesta Alternate names orderedOn Definition Formato: YYYY-MM-DDThh:mm:ss+zz:zz secondo lo standard FHIR Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-9.1 Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.authoredOn w5:FiveWs.recorded v2:ORC.9, RF1-7 / RF1-9 rim:.participation[typeCode=AUT].time quick:Proposal.proposedAtTime
requester	Σ I	0..1	Reference(ReteLabPractitionerRoleMedico)	Element Id ServiceRequest.requester Short description Medico responsabile della richiesta Alternate names author, orderer Definition Reference al profilo ReteLabPractitionerRoleMedico Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-12 Data Type Reference(ReteLabPractitionerRoleMedico) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.requester w5:FiveWs.author v2:ORC.12, PRT rim:.participation[typeCode=AUT].role quick:ClinicalStatement.statementAuthor
performerType	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id ServiceRequest.performerType Short description Performer role Alternate names specialty Definition Desired type of performer for doing the requested service. Comments This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”. Data Type CodeableConcept Binding Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. ParticipantRoles (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.performerType w5:FiveWs.actor v2:PRT, RF!-3 rim:.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
performer	Σ I	0..*	Reference(ReteLabOrganizationL2 \| ReteLabOrganizationL4)	Element Id ServiceRequest.performer Short description Ente che eroga la prestazione Alternate names request recipient Definition Reference al profilo ReteLabOrganizationL2 dell'ente servente che eseguirà la prestazione. Possibile utilizzare la reference al profilo ReteLabOrganizationL4 o ReteLabOrganizationL3 in caso fosse disponibile. L'attributo è da considerarsi facoltativo nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati; non lo è nel caso di trasmissione delle etichette tramite pdf. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-47 Questo campo viene valorizzato a partire dal flusso: "Risposta accettazione richiesta e istruzioni per etichette da LS a OMr" Data Type Reference(ReteLabOrganizationL2 \| ReteLabOrganizationL4) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.performer w5:FiveWs.actor v2:PRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT rim:.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
locationCode	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id ServiceRequest.locationCode Short description Requested location Definition The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding A location type where services are delivered. v3.ServiceDeliveryLocationRoleType (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.actor rim:.participation[typeCode=LOC].role[scoper.determinerCode=KIND].code
locationReference	Σ I	0..*	Reference(Location)	There are no (further) constraints on this element Element Id ServiceRequest.locationReference Short description Requested location Definition A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Location) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.actor rim:.participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]
reasonCode	Σ	0..*	CodeableConcept	Element Id ServiceRequest.reasonCode Short description Motivo che ha portato all’azione indicata nella risorsa Task Definition Codice e Descrizione del motivo che ha portato all’azione indicata nella risorsa Task (ad es. il motivo della cancellazione dell’ordine o della sua modifica) Comments Se lo stato della risorsa è "revoked" il campo è corrispondente campo HL7 secondo specifiche regionali: ORC-16. Se lo stato della risorsa è diverso da "revoked" il campo è corrispondente campo HL7 secondo specifiche regionali: OBR-13. Data Type CodeableConcept Binding Diagnosis or problem codes justifying the reason for requesting the service investigation. ProcedureReasonCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.reasonCode w5:FiveWs.why[x] v2:ORC.16, RF1-10 rim:.reasonCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id ServiceRequest.reasonCode.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id ServiceRequest.reasonCode.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.reasonCode.coding.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id ServiceRequest.reasonCode.coding.code Short description Codice del motivo che ha portato all’azione indicata 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). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-16 CE-1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id ServiceRequest.reasonCode.coding.display Short description Descrizione del motivo che ha portato all’azione indicata Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id ServiceRequest.reasonCode.coding.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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.reasonCode.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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
reasonReference	Σ I	0..*	Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference)	There are no (further) constraints on this element Element Id ServiceRequest.reasonReference Short description Explanation/Justification for service or service Definition Indicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in `supportingInfo`. Comments This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to Observation or Condition should be used if available. Otherwise when referencing DiagnosticReport it should contain a finding in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to DocumentReference, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the CT Scan example. Data Type Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.reasonReference w5:FiveWs.why[x] v2:ORC.16 rim:.outboundRelationship[typeCode=RSON].target
insurance	I	0..*	Reference(Coverage \| ClaimResponse)	There are no (further) constraints on this element Element Id ServiceRequest.insurance Short description Associated insurance coverage Definition Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Coverage \| ClaimResponse) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.insurance v2:IN1/IN2 rim:.outboundRelationship[typeCode=COVBY].target
supportingInfo	I	0..*	Reference(ReteLabObservationInfoCliniche)	Element Id ServiceRequest.supportingInfo Short description Informazioni cliniche del paziente Alternate names Ask at order entry question, AOE Definition Reference al profilo ReteLabObservationInfoCliniche Comments Segmento HL7: OBX (informazioni cliniche relative al paziente) Data Type Reference(ReteLabObservationInfoCliniche) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.supportingInfo v2:Accompanying segments rim:.outboundRelationship[typeCode=PERT].target
specimen	Σ I	0..*	Reference(ReteLabSpecimenCampioneDaAnalizzareCheckInCheckOut \| ReteLabSpecimenCampioneLaboratorio \| ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette)	Element Id ServiceRequest.specimen Short description Campione da analizzare Definition Reference al profilo ReteLabSpecimenCampioneDaAnalizzareCheckInCheckOut, ReteLabSpecimenCampioneLaboratorio, ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette Comments Segmento HL7: SPM Data Type Reference(ReteLabSpecimenCampioneDaAnalizzareCheckInCheckOut \| ReteLabSpecimenCampioneLaboratorio \| ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:SPM rim:.participation[typeCode=SPC].role
bodySite	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id ServiceRequest.bodySite Short description Location on Body Alternate names location Definition Anatomic location where the procedure should be performed. This is the target site. Requirements Knowing where the procedure is performed is important for tracking if multiple sites are possible. Comments Only used if not implicit in the code found in ServiceRequest.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension procedure-targetBodyStructure. Data Type CodeableConcept Binding Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:SPM rim:targetSiteCode quick:Procedure.targetBodySite
note		0..*	Annotation	There are no (further) constraints on this element Element Id ServiceRequest.note Short description Comments Definition Any other notes and comments made about the service request. For example, internal billing notes. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act workflow:Request.note v2:NTE rim:.inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST] quick:ClinicalStatement.additionalText
patientInstruction	Σ	0..1	string	There are no (further) constraints on this element Element Id ServiceRequest.patientInstruction Short description Patient or consumer-oriented instructions Definition Instructions in terms that are understood by the patient or consumer. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:NTE rim:.text
relevantHistory	I	0..*	Reference(Provenance)	There are no (further) constraints on this element Element Id ServiceRequest.relevantHistory Short description Request provenance Definition Key events in the history of the request. Comments This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject. Data Type Reference(Provenance) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.relevantHistory v2:N/A rim:.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Table View

ServiceRequest		..
ServiceRequest.extension	Extension	..
ServiceRequest.identifier		1..
ServiceRequest.identifier		1..1
ServiceRequest.identifier.system		..
ServiceRequest.identifier.value		..
ServiceRequest.identifier		..
ServiceRequest.identifier.system		..
ServiceRequest.identifier.value		..
ServiceRequest.identifier		..
ServiceRequest.identifier.system		..
ServiceRequest.identifier.value		..
ServiceRequest.replaces	Reference(ReteLabServiceRequestRichiestaEsamiLab)	..
ServiceRequest.requisition		1..
ServiceRequest.requisition.system		..
ServiceRequest.requisition.value		1..
ServiceRequest.status		..
ServiceRequest.intent		..
ServiceRequest.category		1..1
ServiceRequest.category.coding		..
ServiceRequest.category.coding.system		..
ServiceRequest.category.coding.code		1..
ServiceRequest.priority		1..
ServiceRequest.code		1..
ServiceRequest.code.coding		..
ServiceRequest.code.coding.code		1..
ServiceRequest.code.coding.display		..
ServiceRequest.orderDetail		..
ServiceRequest.orderDetail		..
ServiceRequest.orderDetail.coding		..
ServiceRequest.orderDetail.coding.system		..
ServiceRequest.orderDetail.coding.code		..
ServiceRequest.orderDetail		..
ServiceRequest.orderDetail.coding		..
ServiceRequest.orderDetail.coding.system		..
ServiceRequest.orderDetail.coding.code		..
ServiceRequest.orderDetail		..
ServiceRequest.orderDetail.coding		..
ServiceRequest.orderDetail.coding.system		..
ServiceRequest.orderDetail.coding.code		..
ServiceRequest.orderDetail		..
ServiceRequest.orderDetail.coding		..
ServiceRequest.orderDetail.coding.system		..
ServiceRequest.orderDetail.coding.code		..
ServiceRequest.quantity[x]	Quantity	1..
ServiceRequest.quantity[x].value		..
ServiceRequest.subject	Reference(ReteLabPatientCittadino)	..
ServiceRequest.encounter	Reference(ReteLabEncounterInformazioniRichiestaLab)	..
ServiceRequest.authoredOn		1..
ServiceRequest.requester	Reference(ReteLabPractitionerRoleMedico)	..
ServiceRequest.performer	Reference(ReteLabOrganizationL2 \| ReteLabOrganizationL4)	..
ServiceRequest.reasonCode		..
ServiceRequest.reasonCode.coding		..
ServiceRequest.reasonCode.coding.code		..
ServiceRequest.reasonCode.coding.display		..
ServiceRequest.supportingInfo	Reference(ReteLabObservationInfoCliniche)	..
ServiceRequest.specimen	Reference(ReteLabSpecimenCampioneDaAnalizzareCheckInCheckOut \| ReteLabSpecimenCampioneLaboratorio \| ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette)	..

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <url value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabServiceRequestRichiestaEsamiLab" />
    <name value="ReteLabServiceRequestRichiestaEsamiLab" />
    <status value="active" />
    <date value="2023-12-21T14:31:53.6384566+00:00" />
    <description value="Profilo che contiene le informazioni relative alle richieste di prestazioni di esami di laboratorio." />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="ServiceRequest" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
    <derivation value="constraint" />
    <differential>
        <element id="ServiceRequest">
            <path value="ServiceRequest" />
            <short value="Richiesta esami laboratorio" />
            <definition value="Profilo che contiene le informazioni relative alle richieste di prestazioni di esami di laboratorio." />
            <comment value="Questo profilo &#232; presente in tutti i flussi." />
        </element>
        <element id="ServiceRequest.extension:tipoPrestazione">
            <path value="ServiceRequest.extension" />
            <sliceName value="tipoPrestazione" />
            <short value="Tipo di prestazione" />
            <definition value="Corrispondente al campo HL7: OBR-25.\n\nL&#39;attributo &#232; da considerarsi opzionale anche nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati." />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabServiceRequestTipoPrestazione" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="ServiceRequest.identifier">
            <path value="ServiceRequest.identifier" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="system" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <short value="Identificativo della richiesta (esame di laboratorio)" />
            <definition value="Assume un valore diverso a seconda del mittente o del destinatario del messaggio: se il messaggio &#232; destinato o proviene dal laboratorio richiedente allora viene usato l’identificativo assegnato dal Placer dell’ordine; se invece il messaggio &#232; destinato o proviene da un laboratorio servente viene usato l’identificativo univoco assegnato dall’OMR." />
            <min value="1" />
        </element>
        <element id="ServiceRequest.identifier:PlacerOrderNumber">
            <path value="ServiceRequest.identifier" />
            <sliceName value="PlacerOrderNumber" />
            <short value="Identificativo univoco generato dal Placer dell&#39;ordine" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: ORC-2" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="ServiceRequest.identifier:PlacerOrderNumber.system">
            <path value="ServiceRequest.identifier.system" />
            <short value="Sistema di codifica" />
            <definition value="- Se il messaggio &#232; destinato o proviene dal laboratorio richiedente assumer&#224; il seguente valore: https://fhir.siss.regione.lombardia.it/sid/PlacerOrderNumber;\n- Se il messaggio &#232; destinato o proviene da un laboratorio servente assumer&#224; il seguente valore: https://fhir.siss.regione.lombardia.it/sid/OMROrderNumber" />
        </element>
        <element id="ServiceRequest.identifier:PlacerOrderNumber.value">
            <path value="ServiceRequest.identifier.value" />
            <short value="Identificativo della richiesta (esame di laboratorio)" />
            <definition value="Assume i seguenti valori a seconda del contesto:\n\n1. Identificativo generato dal Placer dell&#39;ordine, se il messaggio &#232; destinato o proviene dal laboratorio richiedente.\n2. Identificativo univoco generato dall’OMR, se il messaggio &#232; destinato o proviene da un laboratorio servente." />
        </element>
        <element id="ServiceRequest.identifier:FillerOrderNumber">
            <path value="ServiceRequest.identifier" />
            <sliceName value="FillerOrderNumber" />
            <short value="Identificativo univoco generato dal Filler dell&#39;ordine" />
            <definition value="Obbligatorio dal flusso risposta nuova richiesta (RNR)." />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: ORC-3" />
        </element>
        <element id="ServiceRequest.identifier:FillerOrderNumber.system">
            <path value="ServiceRequest.identifier.system" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/sid/FillerOrderNumber" />
        </element>
        <element id="ServiceRequest.identifier:FillerOrderNumber.value">
            <path value="ServiceRequest.identifier.value" />
            <short value="Identificativo univoco generato dal Filler dell&#39;ordine" />
        </element>
        <element id="ServiceRequest.identifier:OMrOrderNumber">
            <path value="ServiceRequest.identifier" />
            <sliceName value="OMrOrderNumber" />
            <definition value="Obbligatorio dopo il flusso di nuova richiesta (NR) per comunicare con OMr." />
        </element>
        <element id="ServiceRequest.identifier:OMrOrderNumber.system">
            <path value="ServiceRequest.identifier.system" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/sid/OMROrderNumber" />
        </element>
        <element id="ServiceRequest.identifier:OMrOrderNumber.value">
            <path value="ServiceRequest.identifier.value" />
            <short value="Identificativo univoco assegnato da OMr alla richiesta" />
        </element>
        <element id="ServiceRequest.replaces">
            <path value="ServiceRequest.replaces" />
            <short value="Identifier ServiceRequest" />
            <comment value="Reference al profilo ReteLabServiceRequestRichiestaEsamiLab padre.\nUtilizzato per inserire la reference al profilo ReteLabServiceRequestRichiestaEsamiLab che si sta modificando con la presente serviceRequest." />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabServiceRequestRichiestaEsamiLab" />
            </type>
        </element>
        <element id="ServiceRequest.requisition">
            <path value="ServiceRequest.requisition" />
            <short value="Identificativo che permette al laboratorio di raggruppare ordini (insiemi di richieste di esami di laboratorio) e identificarli successivamente." />
            <definition value="Nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service rappresenta l&#39;id prelievo. Corrispondente al campo HL7: ORC-4." />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: ORC-4" />
            <min value="1" />
        </element>
        <element id="ServiceRequest.requisition.system">
            <path value="ServiceRequest.requisition.system" />
            <short value="Sistema di codifica" />
            <definition value="- Se il messaggio &#232; destinato o proviene dal laboratorio richiedente: https://fhir.siss.regione.lombardia.it/sid/PlacerRequisitionNumber\n- Se il messaggio &#232; destinato o proviene da un laboratorio servente: https://fhir.siss.regione.lombardia.it/sid/OMRRequisitionNumber" />
        </element>
        <element id="ServiceRequest.requisition.value">
            <path value="ServiceRequest.requisition.value" />
            <short value="Identificativo associato all’ordine complessivo (insiemi di richieste di esami di laboratorio)." />
            <definition value="Assume i seguenti valori a seconda del contesto:\n\n1. Identificativo generato dal Placer dell&#39;ordine, se il messaggio &#232; destinato o proviene dal laboratorio richiedente.\n2. Identificativo univoco generato dall’OMR, se il messaggio &#232; destinato o proviene da un laboratorio servente." />
            <min value="1" />
        </element>
        <element id="ServiceRequest.status">
            <path value="ServiceRequest.status" />
            <short value="Stato dell&#39;ordine" />
            <definition value="Stato dell&#39;ordine:\n1. &quot;active&quot;: quando viene inviata la richiesta e attende conferma\n2. &quot;revoked&quot;: la richiesta &#232; stata cancellata\n3. &quot;completed&quot;: la richiesta &#232; stata completata" />
            <comment value="Gli stati sono comandati dal profilo ReteLabTaskStatoRichiesta il quale dipende dal Corrispondente campo HL7 secondo specifiche regionali: ORC-5" />
        </element>
        <element id="ServiceRequest.intent">
            <path value="ServiceRequest.intent" />
            <short value="Intento della richiesta" />
            <definition value="Due casistiche: \n- &#232; valorizzato con &quot;order&quot; nel caso di richiesta proveniente dal laboratorio richiedente.\n- &#232; valorizzato con &quot;filler-order&quot; nel caso di richiesta proveniente dal laboratorio servente." />
            <comment value="L&#39;intent della ServiceRequest deve essere uguale all&#39;intent del Task da cui &#232; referenziata." />
        </element>
        <element id="ServiceRequest.category">
            <path value="ServiceRequest.category" />
            <min value="1" />
            <max value="1" />
            <binding>
                <strength value="required" />
                <valueSet value="https://fhir.siss.regione.lombardia.it/Valueset/CategoriaOrdine" />
            </binding>
        </element>
        <element id="ServiceRequest.category.coding.system">
            <path value="ServiceRequest.category.coding.system" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/Valueset/CategoriaOrdine" />
        </element>
        <element id="ServiceRequest.category.coding.code">
            <path value="ServiceRequest.category.coding.code" />
            <min value="1" />
            <binding>
                <strength value="required" />
                <valueSet value="https://fhir.siss.regione.lombardia.it/Valueset/CategoriaOrdine" />
            </binding>
        </element>
        <element id="ServiceRequest.priority">
            <path value="ServiceRequest.priority" />
            <short value="Priorit&#224; delle prestazioni associate" />
            <definition value="Indica la priorit&#224; delle prestazioni associate\nPu&#242; assumere i seguenti valori:\n1. &quot;routine&quot;\n2.  &quot;urgent&quot;\n3. &quot;asap&quot;\n4. &quot;stat&quot;" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: ORC-7 TQ-6 (codice priorit&#224;)" />
            <min value="1" />
        </element>
        <element id="ServiceRequest.code">
            <path value="ServiceRequest.code" />
            <short value="Codice dell&#39;esame richiesto" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: OBR-4" />
            <min value="1" />
        </element>
        <element id="ServiceRequest.code.coding.code">
            <path value="ServiceRequest.code.coding.code" />
            <short value="Codice dell&#39;esame richiesto" />
            <definition value="Codice dell&#39;esame richiesto in service. Permette a OMr di destinare in modo corretto l&#39;ordine al laboratorio servente che si occupa di soddisfare la richiesta per quella specifica prestazione." />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: OBR-4.1" />
            <min value="1" />
        </element>
        <element id="ServiceRequest.code.coding.display">
            <path value="ServiceRequest.code.coding.display" />
            <short value="Descrizione codice dell&#39;esame richiesto" />
        </element>
        <element id="ServiceRequest.orderDetail">
            <path value="ServiceRequest.orderDetail" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="coding.userSelected" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <short value="Informazioni supplementari relative all&#39;ordine-prestazione" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: OBR-46/OBR-47" />
        </element>
        <element id="ServiceRequest.orderDetail:presidio">
            <path value="ServiceRequest.orderDetail" />
            <sliceName value="presidio" />
            <short value="Nel caso la ripetizione faccia riferimento al presidio (2&#176; livello)" />
        </element>
        <element id="ServiceRequest.orderDetail:presidio.coding.system">
            <path value="ServiceRequest.orderDetail.coding.system" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/sid/codiceMinisterialePresidio" />
        </element>
        <element id="ServiceRequest.orderDetail:presidio.coding.code">
            <path value="ServiceRequest.orderDetail.coding.code" />
            <short value="Codice Informazioni supplementari relative all&#39;ordine-prestazione" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1" />
        </element>
        <element id="ServiceRequest.orderDetail:reparto">
            <path value="ServiceRequest.orderDetail" />
            <sliceName value="reparto" />
            <short value="Nel caso la ripetizione faccia riferimento al reparto (3&#176; livello)" />
        </element>
        <element id="ServiceRequest.orderDetail:reparto.coding.system">
            <path value="ServiceRequest.orderDetail.coding.system" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/sid/codiceMinisterialeReparto" />
        </element>
        <element id="ServiceRequest.orderDetail:reparto.coding.code">
            <path value="ServiceRequest.orderDetail.coding.code" />
            <short value="Codice Informazioni supplementari relative all&#39;ordine-prestazione" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1" />
        </element>
        <element id="ServiceRequest.orderDetail:unitaErogante">
            <path value="ServiceRequest.orderDetail" />
            <sliceName value="unitaErogante" />
            <short value="Nel caso la ripetizione faccia riferimento all’unit&#224; erogante o ambulatorio (4&#176; livello)" />
        </element>
        <element id="ServiceRequest.orderDetail:unitaErogante.coding.system">
            <path value="ServiceRequest.orderDetail.coding.system" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/sid/identificativoInternoUnitaErogante" />
        </element>
        <element id="ServiceRequest.orderDetail:unitaErogante.coding.code">
            <path value="ServiceRequest.orderDetail.coding.code" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1" />
        </element>
        <element id="ServiceRequest.orderDetail:salaErogatrice">
            <path value="ServiceRequest.orderDetail" />
            <sliceName value="salaErogatrice" />
            <short value="Nel caso la ripetizione faccia riferimento alla sala erogatrice" />
        </element>
        <element id="ServiceRequest.orderDetail:salaErogatrice.coding.system">
            <path value="ServiceRequest.orderDetail.coding.system" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/sid/identificativoInternoSalaErogatrice" />
        </element>
        <element id="ServiceRequest.orderDetail:salaErogatrice.coding.code">
            <path value="ServiceRequest.orderDetail.coding.code" />
            <short value="Codice Informazioni supplementari relative all&#39;ordine-prestazione" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1" />
        </element>
        <element id="ServiceRequest.quantity[x]">
            <path value="ServiceRequest.quantity[x]" />
            <short value="Quantit&#224; prestazioni" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: TQ1-2" />
            <min value="1" />
            <type>
                <code value="Quantity" />
            </type>
        </element>
        <element id="ServiceRequest.quantity[x].value">
            <path value="ServiceRequest.quantity[x].value" />
            <short value="Quantit&#224; prestazioni" />
            <definition value="Qualora fosse necessario indicarla pu&#242; essere inserita la &quot;quantit&#224;&quot; delle prestazioni erogate.\nAd es. il numero di volte che deve essere ripetuto un certo esame.\n\nPer default &#232; &quot;1&quot;." />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: TQ1-2" />
        </element>
        <element id="ServiceRequest.subject">
            <path value="ServiceRequest.subject" />
            <short value="Paziente" />
            <definition value="Reference al profilo ReteLabPatientCittadino" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabPatientCittadino" />
            </type>
        </element>
        <element id="ServiceRequest.encounter">
            <path value="ServiceRequest.encounter" />
            <short value="Encounter" />
            <definition value="Reference al profilo ReteLabEncounterInformazioniRichiestaLab" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabEncounterInformazioniRichiestaLab" />
            </type>
        </element>
        <element id="ServiceRequest.authoredOn">
            <path value="ServiceRequest.authoredOn" />
            <short value="Data e ora della richiesta" />
            <definition value="Formato: YYYY-MM-DDThh:mm:ss+zz:zz secondo lo standard FHIR" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: ORC-9.1" />
            <min value="1" />
        </element>
        <element id="ServiceRequest.requester">
            <path value="ServiceRequest.requester" />
            <short value="Medico responsabile della richiesta" />
            <definition value="Reference al profilo ReteLabPractitionerRoleMedico" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: ORC-12" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabPractitionerRoleMedico" />
            </type>
        </element>
        <element id="ServiceRequest.performer">
            <path value="ServiceRequest.performer" />
            <short value="Ente che eroga la prestazione" />
            <definition value="Reference al profilo ReteLabOrganizationL2 dell&#39;ente servente che eseguir&#224; la prestazione.\nPossibile utilizzare la reference al profilo ReteLabOrganizationL4 o ReteLabOrganizationL3 in caso fosse disponibile.\n\nL&#39;attributo &#232; da considerarsi facoltativo nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati; non lo &#232; nel caso di  trasmissione delle etichette tramite pdf." />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: OBR-47\n\nQuesto campo viene valorizzato a partire dal flusso: &quot;Risposta accettazione richiesta e istruzioni per etichette da LS a OMr&quot;" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabOrganizationL2" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabOrganizationL4" />
            </type>
        </element>
        <element id="ServiceRequest.reasonCode">
            <path value="ServiceRequest.reasonCode" />
            <short value="Motivo che ha portato all’azione indicata nella risorsa Task" />
            <definition value="Codice e Descrizione del motivo che ha portato all’azione indicata nella risorsa Task (ad es. il motivo della cancellazione dell’ordine o della sua modifica)" />
            <comment value="Se lo stato della risorsa &#232; &quot;revoked&quot; il campo &#232; corrispondente campo HL7 secondo specifiche regionali: ORC-16.\nSe lo stato della risorsa &#232; diverso da &quot;revoked&quot; il campo &#232; corrispondente campo HL7 secondo specifiche regionali: OBR-13." />
        </element>
        <element id="ServiceRequest.reasonCode.coding.code">
            <path value="ServiceRequest.reasonCode.coding.code" />
            <short value="Codice del motivo che ha portato all’azione indicata" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: ORC-16 CE-1" />
        </element>
        <element id="ServiceRequest.reasonCode.coding.display">
            <path value="ServiceRequest.reasonCode.coding.display" />
            <short value="Descrizione del motivo che ha portato all’azione indicata" />
        </element>
        <element id="ServiceRequest.supportingInfo">
            <path value="ServiceRequest.supportingInfo" />
            <short value="Informazioni cliniche del paziente" />
            <definition value="Reference al profilo ReteLabObservationInfoCliniche" />
            <comment value="Segmento HL7: OBX (informazioni cliniche relative al paziente)" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabObservationInfoCliniche" />
            </type>
        </element>
        <element id="ServiceRequest.specimen">
            <path value="ServiceRequest.specimen" />
            <short value="Campione da analizzare" />
            <definition value="Reference al profilo ReteLabSpecimenCampioneDaAnalizzareCheckInCheckOut, ReteLabSpecimenCampioneLaboratorio, ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette" />
            <comment value="Segmento HL7: SPM" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenCampioneDaAnalizzareCheckInCheckOut" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenCampioneLaboratorio" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabServiceRequestRichiestaEsamiLab",
    "name": "ReteLabServiceRequestRichiestaEsamiLab",
    "status": "active",
    "date": "2023-12-21T14:31:53.6384566+00:00",
    "description": "Profilo che contiene le informazioni relative alle richieste di prestazioni di esami di laboratorio.",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "ServiceRequest",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "ServiceRequest",
                "path": "ServiceRequest",
                "short": "Richiesta esami laboratorio",
                "definition": "Profilo che contiene le informazioni relative alle richieste di prestazioni di esami di laboratorio.",
                "comment": "Questo profilo è presente in tutti i flussi."
            },
            {
                "id": "ServiceRequest.extension:tipoPrestazione",
                "path": "ServiceRequest.extension",
                "sliceName": "tipoPrestazione",
                "short": "Tipo di prestazione",
                "definition": "Corrispondente al campo HL7: OBR-25.\n\nL'attributo è da considerarsi opzionale anche nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati.",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabServiceRequestTipoPrestazione"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "ServiceRequest.identifier",
                "path": "ServiceRequest.identifier",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "system"
                        }
                    ],
                    "rules": "open"
                },
                "short": "Identificativo della richiesta (esame di laboratorio)",
                "definition": "Assume un valore diverso a seconda del mittente o del destinatario del messaggio: se il messaggio è destinato o proviene dal laboratorio richiedente allora viene usato l’identificativo assegnato dal Placer dell’ordine; se invece il messaggio è destinato o proviene da un laboratorio servente viene usato l’identificativo univoco assegnato dall’OMR.",
                "min": 1
            },
            {
                "id": "ServiceRequest.identifier:PlacerOrderNumber",
                "path": "ServiceRequest.identifier",
                "sliceName": "PlacerOrderNumber",
                "short": "Identificativo univoco generato dal Placer dell'ordine",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: ORC-2",
                "min": 1,
                "max": "1"
            },
            {
                "id": "ServiceRequest.identifier:PlacerOrderNumber.system",
                "path": "ServiceRequest.identifier.system",
                "short": "Sistema di codifica",
                "definition": "- Se il messaggio è destinato o proviene dal laboratorio richiedente assumerà il seguente valore: https://fhir.siss.regione.lombardia.it/sid/PlacerOrderNumber;\n- Se il messaggio è destinato o proviene da un laboratorio servente assumerà il seguente valore: https://fhir.siss.regione.lombardia.it/sid/OMROrderNumber"
            },
            {
                "id": "ServiceRequest.identifier:PlacerOrderNumber.value",
                "path": "ServiceRequest.identifier.value",
                "short": "Identificativo della richiesta (esame di laboratorio)",
                "definition": "Assume i seguenti valori a seconda del contesto:\n\n1. Identificativo generato dal Placer dell'ordine, se il messaggio è destinato o proviene dal laboratorio richiedente.\n2. Identificativo univoco generato dall’OMR, se il messaggio è destinato o proviene da un laboratorio servente."
            },
            {
                "id": "ServiceRequest.identifier:FillerOrderNumber",
                "path": "ServiceRequest.identifier",
                "sliceName": "FillerOrderNumber",
                "short": "Identificativo univoco generato dal Filler dell'ordine",
                "definition": "Obbligatorio dal flusso risposta nuova richiesta (RNR).",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: ORC-3"
            },
            {
                "id": "ServiceRequest.identifier:FillerOrderNumber.system",
                "path": "ServiceRequest.identifier.system",
                "fixedUri": "https://fhir.siss.regione.lombardia.it/sid/FillerOrderNumber"
            },
            {
                "id": "ServiceRequest.identifier:FillerOrderNumber.value",
                "path": "ServiceRequest.identifier.value",
                "short": "Identificativo univoco generato dal Filler dell'ordine"
            },
            {
                "id": "ServiceRequest.identifier:OMrOrderNumber",
                "path": "ServiceRequest.identifier",
                "sliceName": "OMrOrderNumber",
                "definition": "Obbligatorio dopo il flusso di nuova richiesta (NR) per comunicare con OMr."
            },
            {
                "id": "ServiceRequest.identifier:OMrOrderNumber.system",
                "path": "ServiceRequest.identifier.system",
                "fixedUri": "https://fhir.siss.regione.lombardia.it/sid/OMROrderNumber"
            },
            {
                "id": "ServiceRequest.identifier:OMrOrderNumber.value",
                "path": "ServiceRequest.identifier.value",
                "short": "Identificativo univoco assegnato da OMr alla richiesta"
            },
            {
                "id": "ServiceRequest.replaces",
                "path": "ServiceRequest.replaces",
                "short": "Identifier ServiceRequest",
                "comment": "Reference al profilo ReteLabServiceRequestRichiestaEsamiLab padre.\nUtilizzato per inserire la reference al profilo ReteLabServiceRequestRichiestaEsamiLab che si sta modificando con la presente serviceRequest.",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabServiceRequestRichiestaEsamiLab"
                        ]
                    }
                ]
            },
            {
                "id": "ServiceRequest.requisition",
                "path": "ServiceRequest.requisition",
                "short": "Identificativo che permette al laboratorio di raggruppare ordini (insiemi di richieste di esami di laboratorio) e identificarli successivamente.",
                "definition": "Nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service rappresenta l'id prelievo. Corrispondente al campo HL7: ORC-4.",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: ORC-4",
                "min": 1
            },
            {
                "id": "ServiceRequest.requisition.system",
                "path": "ServiceRequest.requisition.system",
                "short": "Sistema di codifica",
                "definition": "- Se il messaggio è destinato o proviene dal laboratorio richiedente: https://fhir.siss.regione.lombardia.it/sid/PlacerRequisitionNumber\n- Se il messaggio è destinato o proviene da un laboratorio servente: https://fhir.siss.regione.lombardia.it/sid/OMRRequisitionNumber"
            },
            {
                "id": "ServiceRequest.requisition.value",
                "path": "ServiceRequest.requisition.value",
                "short": "Identificativo associato all’ordine complessivo (insiemi di richieste di esami di laboratorio).",
                "definition": "Assume i seguenti valori a seconda del contesto:\n\n1. Identificativo generato dal Placer dell'ordine, se il messaggio è destinato o proviene dal laboratorio richiedente.\n2. Identificativo univoco generato dall’OMR, se il messaggio è destinato o proviene da un laboratorio servente.",
                "min": 1
            },
            {
                "id": "ServiceRequest.status",
                "path": "ServiceRequest.status",
                "short": "Stato dell'ordine",
                "definition": "Stato dell'ordine:\n1. \"active\": quando viene inviata la richiesta e attende conferma\n2. \"revoked\": la richiesta è stata cancellata\n3. \"completed\": la richiesta è stata completata",
                "comment": "Gli stati sono comandati dal profilo ReteLabTaskStatoRichiesta il quale dipende dal Corrispondente campo HL7 secondo specifiche regionali: ORC-5"
            },
            {
                "id": "ServiceRequest.intent",
                "path": "ServiceRequest.intent",
                "short": "Intento della richiesta",
                "definition": "Due casistiche: \n- è valorizzato con \"order\" nel caso di richiesta proveniente dal laboratorio richiedente.\n- è valorizzato con \"filler-order\" nel caso di richiesta proveniente dal laboratorio servente.",
                "comment": "L'intent della ServiceRequest deve essere uguale all'intent del Task da cui è referenziata."
            },
            {
                "id": "ServiceRequest.category",
                "path": "ServiceRequest.category",
                "min": 1,
                "max": "1",
                "binding": {
                    "strength": "required",
                    "valueSet": "https://fhir.siss.regione.lombardia.it/Valueset/CategoriaOrdine"
                }
            },
            {
                "id": "ServiceRequest.category.coding.system",
                "path": "ServiceRequest.category.coding.system",
                "fixedUri": "https://fhir.siss.regione.lombardia.it/Valueset/CategoriaOrdine"
            },
            {
                "id": "ServiceRequest.category.coding.code",
                "path": "ServiceRequest.category.coding.code",
                "min": 1,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://fhir.siss.regione.lombardia.it/Valueset/CategoriaOrdine"
                }
            },
            {
                "id": "ServiceRequest.priority",
                "path": "ServiceRequest.priority",
                "short": "Priorità delle prestazioni associate",
                "definition": "Indica la priorità delle prestazioni associate\nPuò assumere i seguenti valori:\n1. \"routine\"\n2.  \"urgent\"\n3. \"asap\"\n4. \"stat\"",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: ORC-7 TQ-6 (codice priorità)",
                "min": 1
            },
            {
                "id": "ServiceRequest.code",
                "path": "ServiceRequest.code",
                "short": "Codice dell'esame richiesto",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: OBR-4",
                "min": 1
            },
            {
                "id": "ServiceRequest.code.coding.code",
                "path": "ServiceRequest.code.coding.code",
                "short": "Codice dell'esame richiesto",
                "definition": "Codice dell'esame richiesto in service. Permette a OMr di destinare in modo corretto l'ordine al laboratorio servente che si occupa di soddisfare la richiesta per quella specifica prestazione.",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: OBR-4.1",
                "min": 1
            },
            {
                "id": "ServiceRequest.code.coding.display",
                "path": "ServiceRequest.code.coding.display",
                "short": "Descrizione codice dell'esame richiesto"
            },
            {
                "id": "ServiceRequest.orderDetail",
                "path": "ServiceRequest.orderDetail",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "coding.userSelected"
                        }
                    ],
                    "rules": "open"
                },
                "short": "Informazioni supplementari relative all'ordine-prestazione",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: OBR-46/OBR-47"
            },
            {
                "id": "ServiceRequest.orderDetail:presidio",
                "path": "ServiceRequest.orderDetail",
                "sliceName": "presidio",
                "short": "Nel caso la ripetizione faccia riferimento al presidio (2° livello)"
            },
            {
                "id": "ServiceRequest.orderDetail:presidio.coding.system",
                "path": "ServiceRequest.orderDetail.coding.system",
                "fixedUri": "https://fhir.siss.regione.lombardia.it/sid/codiceMinisterialePresidio"
            },
            {
                "id": "ServiceRequest.orderDetail:presidio.coding.code",
                "path": "ServiceRequest.orderDetail.coding.code",
                "short": "Codice Informazioni supplementari relative all'ordine-prestazione",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1"
            },
            {
                "id": "ServiceRequest.orderDetail:reparto",
                "path": "ServiceRequest.orderDetail",
                "sliceName": "reparto",
                "short": "Nel caso la ripetizione faccia riferimento al reparto (3° livello)"
            },
            {
                "id": "ServiceRequest.orderDetail:reparto.coding.system",
                "path": "ServiceRequest.orderDetail.coding.system",
                "fixedUri": "https://fhir.siss.regione.lombardia.it/sid/codiceMinisterialeReparto"
            },
            {
                "id": "ServiceRequest.orderDetail:reparto.coding.code",
                "path": "ServiceRequest.orderDetail.coding.code",
                "short": "Codice Informazioni supplementari relative all'ordine-prestazione",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1"
            },
            {
                "id": "ServiceRequest.orderDetail:unitaErogante",
                "path": "ServiceRequest.orderDetail",
                "sliceName": "unitaErogante",
                "short": "Nel caso la ripetizione faccia riferimento all’unità erogante o ambulatorio (4° livello)"
            },
            {
                "id": "ServiceRequest.orderDetail:unitaErogante.coding.system",
                "path": "ServiceRequest.orderDetail.coding.system",
                "fixedUri": "https://fhir.siss.regione.lombardia.it/sid/identificativoInternoUnitaErogante"
            },
            {
                "id": "ServiceRequest.orderDetail:unitaErogante.coding.code",
                "path": "ServiceRequest.orderDetail.coding.code",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1"
            },
            {
                "id": "ServiceRequest.orderDetail:salaErogatrice",
                "path": "ServiceRequest.orderDetail",
                "sliceName": "salaErogatrice",
                "short": "Nel caso la ripetizione faccia riferimento alla sala erogatrice"
            },
            {
                "id": "ServiceRequest.orderDetail:salaErogatrice.coding.system",
                "path": "ServiceRequest.orderDetail.coding.system",
                "fixedUri": "https://fhir.siss.regione.lombardia.it/sid/identificativoInternoSalaErogatrice"
            },
            {
                "id": "ServiceRequest.orderDetail:salaErogatrice.coding.code",
                "path": "ServiceRequest.orderDetail.coding.code",
                "short": "Codice Informazioni supplementari relative all'ordine-prestazione",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: OBR-46.1"
            },
            {
                "id": "ServiceRequest.quantity[x]",
                "path": "ServiceRequest.quantity[x]",
                "short": "Quantità prestazioni",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: TQ1-2",
                "min": 1,
                "type":  [
                    {
                        "code": "Quantity"
                    }
                ]
            },
            {
                "id": "ServiceRequest.quantity[x].value",
                "path": "ServiceRequest.quantity[x].value",
                "short": "Quantità prestazioni",
                "definition": "Qualora fosse necessario indicarla può essere inserita la \"quantità\" delle prestazioni erogate.\nAd es. il numero di volte che deve essere ripetuto un certo esame.\n\nPer default è \"1\".",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: TQ1-2"
            },
            {
                "id": "ServiceRequest.subject",
                "path": "ServiceRequest.subject",
                "short": "Paziente",
                "definition": "Reference al profilo ReteLabPatientCittadino",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabPatientCittadino"
                        ]
                    }
                ]
            },
            {
                "id": "ServiceRequest.encounter",
                "path": "ServiceRequest.encounter",
                "short": "Encounter",
                "definition": "Reference al profilo ReteLabEncounterInformazioniRichiestaLab",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabEncounterInformazioniRichiestaLab"
                        ]
                    }
                ]
            },
            {
                "id": "ServiceRequest.authoredOn",
                "path": "ServiceRequest.authoredOn",
                "short": "Data e ora della richiesta",
                "definition": "Formato: YYYY-MM-DDThh:mm:ss+zz:zz secondo lo standard FHIR",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: ORC-9.1",
                "min": 1
            },
            {
                "id": "ServiceRequest.requester",
                "path": "ServiceRequest.requester",
                "short": "Medico responsabile della richiesta",
                "definition": "Reference al profilo ReteLabPractitionerRoleMedico",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: ORC-12",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabPractitionerRoleMedico"
                        ]
                    }
                ]
            },
            {
                "id": "ServiceRequest.performer",
                "path": "ServiceRequest.performer",
                "short": "Ente che eroga la prestazione",
                "definition": "Reference al profilo ReteLabOrganizationL2 dell'ente servente che eseguirà la prestazione.\nPossibile utilizzare la reference al profilo ReteLabOrganizationL4 o ReteLabOrganizationL3 in caso fosse disponibile.\n\nL'attributo è da considerarsi facoltativo nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati; non lo è nel caso di  trasmissione delle etichette tramite pdf.",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: OBR-47\n\nQuesto campo viene valorizzato a partire dal flusso: \"Risposta accettazione richiesta e istruzioni per etichette da LS a OMr\"",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabOrganizationL2",
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabOrganizationL4"
                        ]
                    }
                ]
            },
            {
                "id": "ServiceRequest.reasonCode",
                "path": "ServiceRequest.reasonCode",
                "short": "Motivo che ha portato all’azione indicata nella risorsa Task",
                "definition": "Codice e Descrizione del motivo che ha portato all’azione indicata nella risorsa Task (ad es. il motivo della cancellazione dell’ordine o della sua modifica)",
                "comment": "Se lo stato della risorsa è \"revoked\" il campo è corrispondente campo HL7 secondo specifiche regionali: ORC-16.\nSe lo stato della risorsa è diverso da \"revoked\" il campo è corrispondente campo HL7 secondo specifiche regionali: OBR-13."
            },
            {
                "id": "ServiceRequest.reasonCode.coding.code",
                "path": "ServiceRequest.reasonCode.coding.code",
                "short": "Codice del motivo che ha portato all’azione indicata",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: ORC-16 CE-1"
            },
            {
                "id": "ServiceRequest.reasonCode.coding.display",
                "path": "ServiceRequest.reasonCode.coding.display",
                "short": "Descrizione del motivo che ha portato all’azione indicata"
            },
            {
                "id": "ServiceRequest.supportingInfo",
                "path": "ServiceRequest.supportingInfo",
                "short": "Informazioni cliniche del paziente",
                "definition": "Reference al profilo ReteLabObservationInfoCliniche",
                "comment": "Segmento HL7: OBX (informazioni cliniche relative al paziente)",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabObservationInfoCliniche"
                        ]
                    }
                ]
            },
            {
                "id": "ServiceRequest.specimen",
                "path": "ServiceRequest.specimen",
                "short": "Campione da analizzare",
                "definition": "Reference al profilo ReteLabSpecimenCampioneDaAnalizzareCheckInCheckOut, ReteLabSpecimenCampioneLaboratorio, ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette",
                "comment": "Segmento HL7: SPM",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenCampioneDaAnalizzareCheckInCheckOut",
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenCampioneLaboratorio",
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette"
                        ]
                    }
                ]
            }
        ]
    }
}

Esempi

per nuova richiesta: ServiceRequest
per scenario con etichette strutturate: ServiceRequest
con identificativo OMr: ServiceRequest
per modifica: ServiceRequest
per cancellazione o per richiesta modificata e non più attiva: ServiceRequest
completata: ServiceRequest

ValueSet

Nella seguente tabella sono elencati i value set relativi al profilo ReteLabServiceRequestRichiestaEsamiLab:

Nome	Descrizione	Riferimento al dettaglio della codifica
Categoria Ordine	Codifica della categoria ordine	La codifica è definita dal ValueSet Categoria Ordine