ReteLabServiceRequestRichiestaEsamiLab

ReteLabServiceRequestRichiestaEsamiLab
- Descrizione
- ValueSet

Descrizione

Il profilo ReteLabServiceRequestRichiestaEsamiLab 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

ReteLabServiceRequestRichiestaEsamiLab (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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() 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]
id	Σ	0..1	string	There are no (further) constraints on this element Element id ServiceRequest.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	Σ	0..1	Meta	There are no (further) constraints on this element Element id ServiceRequest.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id ServiceRequest.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
language		0..1	codeBinding	There are no (further) constraints on this element Element id ServiceRequest.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
text		0..1	Narrative	There are no (further) constraints on this element Element id ServiceRequest.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id ServiceRequest.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: N/A
extension	I	0..*	Extension	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
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-24. L'attributo è da considerarsi obbligatorio 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
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension 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
identifier	Σ	0..*	Identifier	Element id ServiceRequest.identifier Short description Identificativo della richiesta (esame di laboratorio) Definition Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller. Comments Placer Order Number: obbligatorio in tutti i flussi, eccetto quando la richiesta viene prodotta dal filler (ServiceRequest.intent = "filler-order") Filler Order Number e OMr Order Number: obbligatorio dopo il flusso di nuova richiesta. 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 workflow: Request.identifier w5: FiveWs.identifier v2: ORC.2, ORC.3, RF1-6 / RF1-11, rim: .identifier quick: ClinicalStatement.identifier
PlacerOrderNumber	Σ	0..1	Identifier	Element id ServiceRequest.identifier:PlacerOrderNumber Short description Identificativo univoco generato dal Placer dell'ordine. Obbligatorio in tutti i flussi, eccetto quando la richiesta è prodotta dal filler. 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 workflow: Request.identifier w5: FiveWs.identifier v2: ORC.2, ORC.3, RF1-6 / RF1-11, rim: .identifier quick: ClinicalStatement.identifier
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.identifier:PlacerOrderNumber.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.identifier:PlacerOrderNumber.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 v2: CX.5 rim: Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element id ServiceRequest.identifier:PlacerOrderNumber.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/PlacerOrderNumber Mappings 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 The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-2 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 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	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. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	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())` Mappings 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 (NR). 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 workflow: Request.identifier w5: FiveWs.identifier v2: ORC.2, ORC.3, RF1-6 / RF1-11, rim: .identifier quick: ClinicalStatement.identifier
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.identifier:FillerOrderNumber.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.identifier:FillerOrderNumber.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 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 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 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	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. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	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())` Mappings 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 Corrispondente campo HL7 secondo specifiche regionali: OBR-46 Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.identifier w5: FiveWs.identifier v2: ORC.2, ORC.3, RF1-6 / RF1-11, rim: .identifier quick: ClinicalStatement.identifier
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.identifier:OMrOrderNumber.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.identifier:OMrOrderNumber.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 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 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 Corrispondente campo HL7 secondo specifiche regionali: OBR-46 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 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	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. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	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())` Mappings 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 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 workflow: Request.instantiatesUri v2: Varies by domain rim: .outboundRelationship[typeCode=DEFN].target
basedOn	Σ	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. Data type Reference(CarePlan \| ServiceRequest \| MedicationRequest) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.basedOn v2: ORC.8 (plus others) rim: .outboundRelationship[typeCode=FLFS].target
replaces	Σ	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())` Mappings 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. L'attributo può essere utilizzato per indicare l'identificativo che raggruppa più prestazioni nella comunicazione delle etichette tramite dati strutturati. 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 workflow: Request.groupIdentifier v2: ORC.4 rim: .inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.requisition.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.requisition.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 v2: CX.5 rim: Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element id ServiceRequest.requisition.system Short description Sistema di codifica 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/PlacerRequisitionNumber Mappings 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 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 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	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. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	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())` Mappings 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 Corrispondente campo HL7 secondo specifiche regionali: ORC-1, ORC-5. Lo stato della risorsa ServiceRequest deve essere coerente con lo stato della risorsa Encounter e Task, se presente. 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 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 risorsa ServiceRequest deve essere valorizzata coerentemente con l'attributo intent della risorsa 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 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 Tipologia di richiesta Definition Deve essere valorizzato con 1: Richiesta interna, 2: Impegnativa proveniente dal CUP. 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 w5: FiveWs.class v2: RF1-5 rim: .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.category.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.category.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.category.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.category.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 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 Tipologia di richiesta 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. 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 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 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 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". L'attributo deve essere utilizzato per indicare la priorità della prestazione richiesta nella comunicazione delle etichette tramite dati strutturati. 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 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 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 Per le richieste di prestazioni in service è obbligatorio utilizzare la nuova codifica regionale delle prestazioni reg_map_plus. 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. ProcedureCodes(SNOMEDCT) (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.code w5: FiveWs.what[x] v2: PR1-3 / OBR-4 (varies by domain) rim: .code quick: Procedure.procedureCode
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.code.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.code.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
coding	Σ	0..*	Coding	Element id ServiceRequest.code.coding Short description Code defined by a terminology system Definition Corrispondente campo HL7 secondo specifiche regionali: OBR-4 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 Sliced: Unordered, Open, by $this(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
CodRegionaleLaboratorio	Σ	1..*	CodingBinding	Element id ServiceRequest.code.coding:CodRegionaleLaboratorio Short description Codice della prestazione di laboratorio Definition Obbligatorio l'utilizzo della codifica regionale delle prestazioni di laboratorio reg_map_plus. 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 Binding Nuova Codifica Prestazioni Laboratorio Regionale (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.code.coding:CodRegionaleLaboratorio.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.code.coding:CodRegionaleLaboratorio.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
system	Σ	0..1	uriFixed Value	Element id ServiceRequest.code.coding:CodRegionaleLaboratorio.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/CodificaPrestazioniLaboratorioRegionale Mappings 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:CodRegionaleLaboratorio.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 v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element id ServiceRequest.code.coding:CodRegionaleLaboratorio.code Short description Codice dell'esame richiesto secondo la codifica reg_map_plus 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. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element id ServiceRequest.code.coding:CodRegionaleLaboratorio.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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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:CodRegionaleLaboratorio.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 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 ]
Altro	Σ	0..*	Coding	Element id ServiceRequest.code.coding:Altro Short description Codice dell'esame richiesto Definition E' possibile utilizzare opzionalmente una codifica aggiuntiva per la descrizione della prestazione. 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 v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
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 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 Dettaglio della richiesta. Può contenere l'istruzione che l'ordine debba essere eseguito in service. E' obbligatoria la valorizzazione in tutti i flussi eccetto "Notifica giornaliera delle prestazioni". 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 v2: NTE rim: .code quick: Procedure.procedureCode
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.orderDetail.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.orderDetail.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element id ServiceRequest.orderDetail.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 v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
text	Σ	0..1	string	Element id ServiceRequest.orderDetail.text Short description Dettaglio della richiesta. E' fisso a "in-service" la valorizzazione in tutti i flussi eccetto "Notifica giornaliera delle prestazioni". 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 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 v2: NTE rim: .quantity
quantityQuantity			Quantity	Data type Quantity
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.quantity[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.quantity[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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. 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 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 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 Data type Reference(ReteLabPatientCittadino) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` TypeOrReference: Se è una richiesta di prestazione in service allora deve essere presente l'attributo reference, altrimenti deve essere presente l'attributo type. `subject.reference.exist() or subject.type.exist()` Mappings workflow: Request.subject w5: FiveWs.subject[x] v2: PID rim: .participation[typeCode=SBJ].role quick: ClinicalStatement.subject w5: FiveWs.subject
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.subject.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.subject.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
reference	Σ I	0..1	string	Element id ServiceRequest.subject.reference Short description Literal reference, Relative, internal or absolute URL Definition A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Comments Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` TypeOrReference: Se è una richiesta di prestazione in service allora deve essere presente l'attributo reference, altrimenti deve essere presente l'attributo type. `subject.reference.exist() or subject.type.exist()` Mappings rim: N/A
type	Σ I	0..1	uriBindingFixed Value	Element id ServiceRequest.subject.type Short description Entità a cui si riferisce la richiesta Definition Se la richiesta è associata ad un messaggio di notifica giornaliera delle prestazioni, si indica in questo campo in modo obbligatorio che la richiesta è associata ad un entità di tipo paziente, senza riportare le informazioni di quest'ultimo. Comments This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Data type uri Binding Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` TypeOrReference: Se è una richiesta di prestazione in service allora deve essere presente l'attributo reference, altrimenti deve essere presente l'attributo type. `subject.reference.exist() or subject.type.exist()` Fixed value Patient Mappings rim: N/A
identifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element id ServiceRequest.subject.identifier Short description Logical reference, when literal reference is not known Definition An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. Comments When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .identifier
display	Σ	0..1	string	There are no (further) constraints on this element Element id ServiceRequest.subject.display Short description Text alternative for the resource Definition Plain text narrative that identifies the resource in addition to the resource reference. Comments This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. 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
encounter	Σ	0..1	Reference(ReteLabEncounterInformazioniRichiestaLab)	Element id ServiceRequest.encounter Short description Encounter Alternate names context Definition Reference al profilo ReteLabEncounterInformazioniRichiestaLab Data type Reference(ReteLabEncounterInformazioniRichiestaLab) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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		Element id ServiceRequest.occurrence[x] Short description Data e ora in cui la richiesta è stata iniziata e completata. Alternate names schedule Definition Periodo di tempo tra l'accettazione della richiesta e il suo completamento. Nel flusso di accettazione delle prestazioni (Risposta alla nuova richiesta) è obbligatoria la valorizzazione dell'attributo "start". Nel flusso di notifica completato (Notifica completato) è obbligatoria la valorizzazione dell'attributo "end". Nel flusso di notifica giornaliera delle prestazioni è obbligatorio e rappresenta il periodo di tempo necessario a completare la prestazione. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.occurrence[x] w5: FiveWs.planned v2: TQ1/TQ2, OBR-7/OBR-8 rim: .effectiveTime quick: Procedure.procedureSchedule
occurrencePeriod			Period	Data type Period
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.occurrence[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.occurrence[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
start	Σ I	0..1	dateTime	Element id ServiceRequest.occurrence[x].start Short description Data di inizio erogazione della prestazione Definition Nel flusso di prestazioni in service è obbligatoria la valorizzazione quando si trasmette una risposta nuova richiesta. Nel flusso di notifica giornaliera delle prestazioni è sempre obbligatoria. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-36 Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: DR.1 rim: ./low
end	Σ I	0..1	dateTime	Element id ServiceRequest.occurrence[x].end Short description Data in cui l'ordine è stato completato Definition Tale campo è obbligatorio nel flusso di notifica giornaliera e di notifica ordine completato. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-7 Meaning when missing If the end of the period is missing, it means that the period is ongoing Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: DR.2 rim: ./high
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: 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 workflow: Request.authoredOn w5: FiveWs.recorded v2: ORC.9, RF1-7 / RF1-9 rim: .participation[typeCode=AUT].time quick: Proposal.proposedAtTime
requester	Σ	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())` Mappings 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 workflow: Request.performerType w5: FiveWs.actor v2: PRT, RF!-3 rim: .participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
performer	Σ	0..*	Reference(ReteLabOrganizationLaboratorio)	Element id ServiceRequest.performer Short description Ente che eroga la prestazione Alternate names request recipient Definition Reference al profilo ReteLabOrganizationLaboratorio che permette di identificare univocamente il laboratorio secondo la delibera regionale. Nel caso di etichette strutturate rappresenta il laboratorio di destinazione. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-47 Questo campo è valorizzato obbligatoriamente a partire dal flusso: "Risposta accettazione richiesta e istruzioni per etichette da LS a OMr". Non è previsto nel flusso di notifica giornaliera delle prestazioni da parte del laboratorio richiedente. Data type Reference(ReteLabOrganizationLaboratorio) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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. 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 w5: FiveWs.actor rim: .participation[typeCode=LOC].role[scoper.determinerCode=KIND].code
locationReference	Σ	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. Data type Reference(Location) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 workflow: Request.reasonCode w5: FiveWs.why[x] v2: ORC.16, RF1-10 rim: .reasonCode
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.reasonCode.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.reasonCode.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.reasonCode.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.reasonCode.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 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 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 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 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	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())` Mappings workflow: Request.reasonReference w5: FiveWs.why[x] v2: ORC.16 rim: .outboundRelationship[typeCode=RSON].target
insurance		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. Data type Reference(Coverage \| ClaimResponse) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.insurance v2: IN1/IN2 rim: .outboundRelationship[typeCode=COVBY].target
supportingInfo		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())` Mappings workflow: Request.supportingInfo v2: Accompanying segments rim: .outboundRelationship[typeCode=PERT].target
specimen	Σ	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())` Mappings 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 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. Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: NTE rim: .text
relevantHistory		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())` Mappings workflow: Request.relevantHistory v2: N/A rim: .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Differential View

ReteLabServiceRequestRichiestaEsamiLab (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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() 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]
id	Σ	0..1	string	There are no (further) constraints on this element Element id ServiceRequest.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	Σ	0..1	Meta	There are no (further) constraints on this element Element id ServiceRequest.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id ServiceRequest.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
language		0..1	codeBinding	There are no (further) constraints on this element Element id ServiceRequest.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
text		0..1	Narrative	There are no (further) constraints on this element Element id ServiceRequest.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id ServiceRequest.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: N/A
extension	I	0..*	Extension	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
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-24. L'attributo è da considerarsi obbligatorio 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
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension 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
identifier	Σ	0..*	Identifier	Element id ServiceRequest.identifier Short description Identificativo della richiesta (esame di laboratorio) Definition Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller. Comments Placer Order Number: obbligatorio in tutti i flussi, eccetto quando la richiesta viene prodotta dal filler (ServiceRequest.intent = "filler-order") Filler Order Number e OMr Order Number: obbligatorio dopo il flusso di nuova richiesta. 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 workflow: Request.identifier w5: FiveWs.identifier v2: ORC.2, ORC.3, RF1-6 / RF1-11, rim: .identifier quick: ClinicalStatement.identifier
PlacerOrderNumber	Σ	0..1	Identifier	Element id ServiceRequest.identifier:PlacerOrderNumber Short description Identificativo univoco generato dal Placer dell'ordine. Obbligatorio in tutti i flussi, eccetto quando la richiesta è prodotta dal filler. 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 workflow: Request.identifier w5: FiveWs.identifier v2: ORC.2, ORC.3, RF1-6 / RF1-11, rim: .identifier quick: ClinicalStatement.identifier
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.identifier:PlacerOrderNumber.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.identifier:PlacerOrderNumber.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 v2: CX.5 rim: Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element id ServiceRequest.identifier:PlacerOrderNumber.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/PlacerOrderNumber Mappings 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 The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-2 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 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	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. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	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())` Mappings 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 (NR). 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 workflow: Request.identifier w5: FiveWs.identifier v2: ORC.2, ORC.3, RF1-6 / RF1-11, rim: .identifier quick: ClinicalStatement.identifier
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.identifier:FillerOrderNumber.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.identifier:FillerOrderNumber.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 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 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 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	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. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	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())` Mappings 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 Corrispondente campo HL7 secondo specifiche regionali: OBR-46 Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.identifier w5: FiveWs.identifier v2: ORC.2, ORC.3, RF1-6 / RF1-11, rim: .identifier quick: ClinicalStatement.identifier
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.identifier:OMrOrderNumber.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.identifier:OMrOrderNumber.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 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 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 Corrispondente campo HL7 secondo specifiche regionali: OBR-46 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 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	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. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	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())` Mappings 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 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 workflow: Request.instantiatesUri v2: Varies by domain rim: .outboundRelationship[typeCode=DEFN].target
basedOn	Σ	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. Data type Reference(CarePlan \| ServiceRequest \| MedicationRequest) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.basedOn v2: ORC.8 (plus others) rim: .outboundRelationship[typeCode=FLFS].target
replaces	Σ	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())` Mappings 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. L'attributo può essere utilizzato per indicare l'identificativo che raggruppa più prestazioni nella comunicazione delle etichette tramite dati strutturati. 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 workflow: Request.groupIdentifier v2: ORC.4 rim: .inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.requisition.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.requisition.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 v2: CX.5 rim: Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element id ServiceRequest.requisition.system Short description Sistema di codifica 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/PlacerRequisitionNumber Mappings 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 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 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	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. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	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())` Mappings 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 Corrispondente campo HL7 secondo specifiche regionali: ORC-1, ORC-5. Lo stato della risorsa ServiceRequest deve essere coerente con lo stato della risorsa Encounter e Task, se presente. 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 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 risorsa ServiceRequest deve essere valorizzata coerentemente con l'attributo intent della risorsa 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 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 Tipologia di richiesta Definition Deve essere valorizzato con 1: Richiesta interna, 2: Impegnativa proveniente dal CUP. 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 w5: FiveWs.class v2: RF1-5 rim: .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.category.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.category.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.category.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.category.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 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 Tipologia di richiesta 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. 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 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 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 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". L'attributo deve essere utilizzato per indicare la priorità della prestazione richiesta nella comunicazione delle etichette tramite dati strutturati. 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 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 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 Per le richieste di prestazioni in service è obbligatorio utilizzare la nuova codifica regionale delle prestazioni reg_map_plus. 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. ProcedureCodes(SNOMEDCT) (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.code w5: FiveWs.what[x] v2: PR1-3 / OBR-4 (varies by domain) rim: .code quick: Procedure.procedureCode
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.code.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.code.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
coding	Σ	0..*	Coding	Element id ServiceRequest.code.coding Short description Code defined by a terminology system Definition Corrispondente campo HL7 secondo specifiche regionali: OBR-4 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 Sliced: Unordered, Open, by $this(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
CodRegionaleLaboratorio	Σ	1..*	CodingBinding	Element id ServiceRequest.code.coding:CodRegionaleLaboratorio Short description Codice della prestazione di laboratorio Definition Obbligatorio l'utilizzo della codifica regionale delle prestazioni di laboratorio reg_map_plus. 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 Binding Nuova Codifica Prestazioni Laboratorio Regionale (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.code.coding:CodRegionaleLaboratorio.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.code.coding:CodRegionaleLaboratorio.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
system	Σ	0..1	uriFixed Value	Element id ServiceRequest.code.coding:CodRegionaleLaboratorio.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/CodificaPrestazioniLaboratorioRegionale Mappings 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:CodRegionaleLaboratorio.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 v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element id ServiceRequest.code.coding:CodRegionaleLaboratorio.code Short description Codice dell'esame richiesto secondo la codifica reg_map_plus 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. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element id ServiceRequest.code.coding:CodRegionaleLaboratorio.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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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:CodRegionaleLaboratorio.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 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 ]
Altro	Σ	0..*	Coding	Element id ServiceRequest.code.coding:Altro Short description Codice dell'esame richiesto Definition E' possibile utilizzare opzionalmente una codifica aggiuntiva per la descrizione della prestazione. 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 v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
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 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 Dettaglio della richiesta. Può contenere l'istruzione che l'ordine debba essere eseguito in service. E' obbligatoria la valorizzazione in tutti i flussi eccetto "Notifica giornaliera delle prestazioni". 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 v2: NTE rim: .code quick: Procedure.procedureCode
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.orderDetail.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.orderDetail.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element id ServiceRequest.orderDetail.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 v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
text	Σ	0..1	string	Element id ServiceRequest.orderDetail.text Short description Dettaglio della richiesta. E' fisso a "in-service" la valorizzazione in tutti i flussi eccetto "Notifica giornaliera delle prestazioni". 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 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 v2: NTE rim: .quantity
quantityQuantity			Quantity	Data type Quantity
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.quantity[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.quantity[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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. 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 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 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 Data type Reference(ReteLabPatientCittadino) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` TypeOrReference: Se è una richiesta di prestazione in service allora deve essere presente l'attributo reference, altrimenti deve essere presente l'attributo type. `subject.reference.exist() or subject.type.exist()` Mappings workflow: Request.subject w5: FiveWs.subject[x] v2: PID rim: .participation[typeCode=SBJ].role quick: ClinicalStatement.subject w5: FiveWs.subject
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.subject.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.subject.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
reference	Σ I	0..1	string	Element id ServiceRequest.subject.reference Short description Literal reference, Relative, internal or absolute URL Definition A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Comments Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` TypeOrReference: Se è una richiesta di prestazione in service allora deve essere presente l'attributo reference, altrimenti deve essere presente l'attributo type. `subject.reference.exist() or subject.type.exist()` Mappings rim: N/A
type	Σ I	0..1	uriBindingFixed Value	Element id ServiceRequest.subject.type Short description Entità a cui si riferisce la richiesta Definition Se la richiesta è associata ad un messaggio di notifica giornaliera delle prestazioni, si indica in questo campo in modo obbligatorio che la richiesta è associata ad un entità di tipo paziente, senza riportare le informazioni di quest'ultimo. Comments This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Data type uri Binding Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` TypeOrReference: Se è una richiesta di prestazione in service allora deve essere presente l'attributo reference, altrimenti deve essere presente l'attributo type. `subject.reference.exist() or subject.type.exist()` Fixed value Patient Mappings rim: N/A
identifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element id ServiceRequest.subject.identifier Short description Logical reference, when literal reference is not known Definition An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. Comments When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .identifier
display	Σ	0..1	string	There are no (further) constraints on this element Element id ServiceRequest.subject.display Short description Text alternative for the resource Definition Plain text narrative that identifies the resource in addition to the resource reference. Comments This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. 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
encounter	Σ	0..1	Reference(ReteLabEncounterInformazioniRichiestaLab)	Element id ServiceRequest.encounter Short description Encounter Alternate names context Definition Reference al profilo ReteLabEncounterInformazioniRichiestaLab Data type Reference(ReteLabEncounterInformazioniRichiestaLab) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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		Element id ServiceRequest.occurrence[x] Short description Data e ora in cui la richiesta è stata iniziata e completata. Alternate names schedule Definition Periodo di tempo tra l'accettazione della richiesta e il suo completamento. Nel flusso di accettazione delle prestazioni (Risposta alla nuova richiesta) è obbligatoria la valorizzazione dell'attributo "start". Nel flusso di notifica completato (Notifica completato) è obbligatoria la valorizzazione dell'attributo "end". Nel flusso di notifica giornaliera delle prestazioni è obbligatorio e rappresenta il periodo di tempo necessario a completare la prestazione. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.occurrence[x] w5: FiveWs.planned v2: TQ1/TQ2, OBR-7/OBR-8 rim: .effectiveTime quick: Procedure.procedureSchedule
occurrencePeriod			Period	Data type Period
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.occurrence[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.occurrence[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
start	Σ I	0..1	dateTime	Element id ServiceRequest.occurrence[x].start Short description Data di inizio erogazione della prestazione Definition Nel flusso di prestazioni in service è obbligatoria la valorizzazione quando si trasmette una risposta nuova richiesta. Nel flusso di notifica giornaliera delle prestazioni è sempre obbligatoria. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-36 Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: DR.1 rim: ./low
end	Σ I	0..1	dateTime	Element id ServiceRequest.occurrence[x].end Short description Data in cui l'ordine è stato completato Definition Tale campo è obbligatorio nel flusso di notifica giornaliera e di notifica ordine completato. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-7 Meaning when missing If the end of the period is missing, it means that the period is ongoing Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: DR.2 rim: ./high
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: 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 workflow: Request.authoredOn w5: FiveWs.recorded v2: ORC.9, RF1-7 / RF1-9 rim: .participation[typeCode=AUT].time quick: Proposal.proposedAtTime
requester	Σ	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())` Mappings 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 workflow: Request.performerType w5: FiveWs.actor v2: PRT, RF!-3 rim: .participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
performer	Σ	0..*	Reference(ReteLabOrganizationLaboratorio)	Element id ServiceRequest.performer Short description Ente che eroga la prestazione Alternate names request recipient Definition Reference al profilo ReteLabOrganizationLaboratorio che permette di identificare univocamente il laboratorio secondo la delibera regionale. Nel caso di etichette strutturate rappresenta il laboratorio di destinazione. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-47 Questo campo è valorizzato obbligatoriamente a partire dal flusso: "Risposta accettazione richiesta e istruzioni per etichette da LS a OMr". Non è previsto nel flusso di notifica giornaliera delle prestazioni da parte del laboratorio richiedente. Data type Reference(ReteLabOrganizationLaboratorio) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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. 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 w5: FiveWs.actor rim: .participation[typeCode=LOC].role[scoper.determinerCode=KIND].code
locationReference	Σ	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. Data type Reference(Location) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 workflow: Request.reasonCode w5: FiveWs.why[x] v2: ORC.16, RF1-10 rim: .reasonCode
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.reasonCode.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.reasonCode.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.reasonCode.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.reasonCode.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 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 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 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 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	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())` Mappings workflow: Request.reasonReference w5: FiveWs.why[x] v2: ORC.16 rim: .outboundRelationship[typeCode=RSON].target
insurance		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. Data type Reference(Coverage \| ClaimResponse) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.insurance v2: IN1/IN2 rim: .outboundRelationship[typeCode=COVBY].target
supportingInfo		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())` Mappings workflow: Request.supportingInfo v2: Accompanying segments rim: .outboundRelationship[typeCode=PERT].target
specimen	Σ	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())` Mappings 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 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. Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: NTE rim: .text
relevantHistory		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())` Mappings workflow: Request.relevantHistory v2: N/A rim: .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Hybrid View

ReteLabServiceRequestRichiestaEsamiLab (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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() 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]
id	Σ	0..1	string	There are no (further) constraints on this element Element id ServiceRequest.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	Σ	0..1	Meta	There are no (further) constraints on this element Element id ServiceRequest.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id ServiceRequest.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
language		0..1	codeBinding	There are no (further) constraints on this element Element id ServiceRequest.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
text		0..1	Narrative	There are no (further) constraints on this element Element id ServiceRequest.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id ServiceRequest.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: N/A
extension	I	0..*	Extension	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
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-24. L'attributo è da considerarsi obbligatorio 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
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension 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
identifier	Σ	0..*	Identifier	Element id ServiceRequest.identifier Short description Identificativo della richiesta (esame di laboratorio) Definition Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller. Comments Placer Order Number: obbligatorio in tutti i flussi, eccetto quando la richiesta viene prodotta dal filler (ServiceRequest.intent = "filler-order") Filler Order Number e OMr Order Number: obbligatorio dopo il flusso di nuova richiesta. 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 workflow: Request.identifier w5: FiveWs.identifier v2: ORC.2, ORC.3, RF1-6 / RF1-11, rim: .identifier quick: ClinicalStatement.identifier
PlacerOrderNumber	Σ	0..1	Identifier	Element id ServiceRequest.identifier:PlacerOrderNumber Short description Identificativo univoco generato dal Placer dell'ordine. Obbligatorio in tutti i flussi, eccetto quando la richiesta è prodotta dal filler. 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 workflow: Request.identifier w5: FiveWs.identifier v2: ORC.2, ORC.3, RF1-6 / RF1-11, rim: .identifier quick: ClinicalStatement.identifier
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.identifier:PlacerOrderNumber.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.identifier:PlacerOrderNumber.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 v2: CX.5 rim: Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element id ServiceRequest.identifier:PlacerOrderNumber.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/PlacerOrderNumber Mappings 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 The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments Corrispondente campo HL7 secondo specifiche regionali: ORC-2 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 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	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. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	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())` Mappings 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 (NR). 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 workflow: Request.identifier w5: FiveWs.identifier v2: ORC.2, ORC.3, RF1-6 / RF1-11, rim: .identifier quick: ClinicalStatement.identifier
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.identifier:FillerOrderNumber.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.identifier:FillerOrderNumber.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 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 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 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	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. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	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())` Mappings 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 Corrispondente campo HL7 secondo specifiche regionali: OBR-46 Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.identifier w5: FiveWs.identifier v2: ORC.2, ORC.3, RF1-6 / RF1-11, rim: .identifier quick: ClinicalStatement.identifier
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.identifier:OMrOrderNumber.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.identifier:OMrOrderNumber.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 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 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 Corrispondente campo HL7 secondo specifiche regionali: OBR-46 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 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	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. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	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())` Mappings 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 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 workflow: Request.instantiatesUri v2: Varies by domain rim: .outboundRelationship[typeCode=DEFN].target
basedOn	Σ	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. Data type Reference(CarePlan \| ServiceRequest \| MedicationRequest) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.basedOn v2: ORC.8 (plus others) rim: .outboundRelationship[typeCode=FLFS].target
replaces	Σ	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())` Mappings 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. L'attributo può essere utilizzato per indicare l'identificativo che raggruppa più prestazioni nella comunicazione delle etichette tramite dati strutturati. 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 workflow: Request.groupIdentifier v2: ORC.4 rim: .inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.requisition.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.requisition.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 v2: CX.5 rim: Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element id ServiceRequest.requisition.system Short description Sistema di codifica 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/PlacerRequisitionNumber Mappings 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 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 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	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. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	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())` Mappings 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 Corrispondente campo HL7 secondo specifiche regionali: ORC-1, ORC-5. Lo stato della risorsa ServiceRequest deve essere coerente con lo stato della risorsa Encounter e Task, se presente. 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 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 risorsa ServiceRequest deve essere valorizzata coerentemente con l'attributo intent della risorsa 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 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 Tipologia di richiesta Definition Deve essere valorizzato con 1: Richiesta interna, 2: Impegnativa proveniente dal CUP. 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 w5: FiveWs.class v2: RF1-5 rim: .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.category.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.category.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.category.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.category.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 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 Tipologia di richiesta 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. 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 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 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 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". L'attributo deve essere utilizzato per indicare la priorità della prestazione richiesta nella comunicazione delle etichette tramite dati strutturati. 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 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 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 Per le richieste di prestazioni in service è obbligatorio utilizzare la nuova codifica regionale delle prestazioni reg_map_plus. 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. ProcedureCodes(SNOMEDCT) (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.code w5: FiveWs.what[x] v2: PR1-3 / OBR-4 (varies by domain) rim: .code quick: Procedure.procedureCode
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.code.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.code.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
coding	Σ	0..*	Coding	Element id ServiceRequest.code.coding Short description Code defined by a terminology system Definition Corrispondente campo HL7 secondo specifiche regionali: OBR-4 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 Sliced: Unordered, Open, by $this(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
CodRegionaleLaboratorio	Σ	1..*	CodingBinding	Element id ServiceRequest.code.coding:CodRegionaleLaboratorio Short description Codice della prestazione di laboratorio Definition Obbligatorio l'utilizzo della codifica regionale delle prestazioni di laboratorio reg_map_plus. 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 Binding Nuova Codifica Prestazioni Laboratorio Regionale (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.code.coding:CodRegionaleLaboratorio.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.code.coding:CodRegionaleLaboratorio.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
system	Σ	0..1	uriFixed Value	Element id ServiceRequest.code.coding:CodRegionaleLaboratorio.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/CodificaPrestazioniLaboratorioRegionale Mappings 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:CodRegionaleLaboratorio.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 v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element id ServiceRequest.code.coding:CodRegionaleLaboratorio.code Short description Codice dell'esame richiesto secondo la codifica reg_map_plus 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. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element id ServiceRequest.code.coding:CodRegionaleLaboratorio.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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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:CodRegionaleLaboratorio.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 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 ]
Altro	Σ	0..*	Coding	Element id ServiceRequest.code.coding:Altro Short description Codice dell'esame richiesto Definition E' possibile utilizzare opzionalmente una codifica aggiuntiva per la descrizione della prestazione. 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 v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
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 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 Dettaglio della richiesta. Può contenere l'istruzione che l'ordine debba essere eseguito in service. E' obbligatoria la valorizzazione in tutti i flussi eccetto "Notifica giornaliera delle prestazioni". 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 v2: NTE rim: .code quick: Procedure.procedureCode
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.orderDetail.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.orderDetail.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element id ServiceRequest.orderDetail.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 v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
text	Σ	0..1	string	Element id ServiceRequest.orderDetail.text Short description Dettaglio della richiesta. E' fisso a "in-service" la valorizzazione in tutti i flussi eccetto "Notifica giornaliera delle prestazioni". 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 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 v2: NTE rim: .quantity
quantityQuantity			Quantity	Data type Quantity
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.quantity[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.quantity[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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. 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 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 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 Data type Reference(ReteLabPatientCittadino) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` TypeOrReference: Se è una richiesta di prestazione in service allora deve essere presente l'attributo reference, altrimenti deve essere presente l'attributo type. `subject.reference.exist() or subject.type.exist()` Mappings workflow: Request.subject w5: FiveWs.subject[x] v2: PID rim: .participation[typeCode=SBJ].role quick: ClinicalStatement.subject w5: FiveWs.subject
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.subject.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.subject.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
reference	Σ I	0..1	string	Element id ServiceRequest.subject.reference Short description Literal reference, Relative, internal or absolute URL Definition A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Comments Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` TypeOrReference: Se è una richiesta di prestazione in service allora deve essere presente l'attributo reference, altrimenti deve essere presente l'attributo type. `subject.reference.exist() or subject.type.exist()` Mappings rim: N/A
type	Σ I	0..1	uriBindingFixed Value	Element id ServiceRequest.subject.type Short description Entità a cui si riferisce la richiesta Definition Se la richiesta è associata ad un messaggio di notifica giornaliera delle prestazioni, si indica in questo campo in modo obbligatorio che la richiesta è associata ad un entità di tipo paziente, senza riportare le informazioni di quest'ultimo. Comments This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Data type uri Binding Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` TypeOrReference: Se è una richiesta di prestazione in service allora deve essere presente l'attributo reference, altrimenti deve essere presente l'attributo type. `subject.reference.exist() or subject.type.exist()` Fixed value Patient Mappings rim: N/A
identifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element id ServiceRequest.subject.identifier Short description Logical reference, when literal reference is not known Definition An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. Comments When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .identifier
display	Σ	0..1	string	There are no (further) constraints on this element Element id ServiceRequest.subject.display Short description Text alternative for the resource Definition Plain text narrative that identifies the resource in addition to the resource reference. Comments This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. 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
encounter	Σ	0..1	Reference(ReteLabEncounterInformazioniRichiestaLab)	Element id ServiceRequest.encounter Short description Encounter Alternate names context Definition Reference al profilo ReteLabEncounterInformazioniRichiestaLab Data type Reference(ReteLabEncounterInformazioniRichiestaLab) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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		Element id ServiceRequest.occurrence[x] Short description Data e ora in cui la richiesta è stata iniziata e completata. Alternate names schedule Definition Periodo di tempo tra l'accettazione della richiesta e il suo completamento. Nel flusso di accettazione delle prestazioni (Risposta alla nuova richiesta) è obbligatoria la valorizzazione dell'attributo "start". Nel flusso di notifica completato (Notifica completato) è obbligatoria la valorizzazione dell'attributo "end". Nel flusso di notifica giornaliera delle prestazioni è obbligatorio e rappresenta il periodo di tempo necessario a completare la prestazione. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.occurrence[x] w5: FiveWs.planned v2: TQ1/TQ2, OBR-7/OBR-8 rim: .effectiveTime quick: Procedure.procedureSchedule
occurrencePeriod			Period	Data type Period
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.occurrence[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.occurrence[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
start	Σ I	0..1	dateTime	Element id ServiceRequest.occurrence[x].start Short description Data di inizio erogazione della prestazione Definition Nel flusso di prestazioni in service è obbligatoria la valorizzazione quando si trasmette una risposta nuova richiesta. Nel flusso di notifica giornaliera delle prestazioni è sempre obbligatoria. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-36 Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: DR.1 rim: ./low
end	Σ I	0..1	dateTime	Element id ServiceRequest.occurrence[x].end Short description Data in cui l'ordine è stato completato Definition Tale campo è obbligatorio nel flusso di notifica giornaliera e di notifica ordine completato. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-7 Meaning when missing If the end of the period is missing, it means that the period is ongoing Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: DR.2 rim: ./high
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: 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 workflow: Request.authoredOn w5: FiveWs.recorded v2: ORC.9, RF1-7 / RF1-9 rim: .participation[typeCode=AUT].time quick: Proposal.proposedAtTime
requester	Σ	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())` Mappings 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 workflow: Request.performerType w5: FiveWs.actor v2: PRT, RF!-3 rim: .participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
performer	Σ	0..*	Reference(ReteLabOrganizationLaboratorio)	Element id ServiceRequest.performer Short description Ente che eroga la prestazione Alternate names request recipient Definition Reference al profilo ReteLabOrganizationLaboratorio che permette di identificare univocamente il laboratorio secondo la delibera regionale. Nel caso di etichette strutturate rappresenta il laboratorio di destinazione. Comments Corrispondente campo HL7 secondo specifiche regionali: OBR-47 Questo campo è valorizzato obbligatoriamente a partire dal flusso: "Risposta accettazione richiesta e istruzioni per etichette da LS a OMr". Non è previsto nel flusso di notifica giornaliera delle prestazioni da parte del laboratorio richiedente. Data type Reference(ReteLabOrganizationLaboratorio) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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. 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 w5: FiveWs.actor rim: .participation[typeCode=LOC].role[scoper.determinerCode=KIND].code
locationReference	Σ	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. Data type Reference(Location) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 workflow: Request.reasonCode w5: FiveWs.why[x] v2: ORC.16, RF1-10 rim: .reasonCode
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.reasonCode.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.reasonCode.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id ServiceRequest.reasonCode.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id ServiceRequest.reasonCode.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url 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
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 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 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 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 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 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	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())` Mappings workflow: Request.reasonReference w5: FiveWs.why[x] v2: ORC.16 rim: .outboundRelationship[typeCode=RSON].target
insurance		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. Data type Reference(Coverage \| ClaimResponse) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.insurance v2: IN1/IN2 rim: .outboundRelationship[typeCode=COVBY].target
supportingInfo		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())` Mappings workflow: Request.supportingInfo v2: Accompanying segments rim: .outboundRelationship[typeCode=PERT].target
specimen	Σ	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())` Mappings 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 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. Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: NTE rim: .text
relevantHistory		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())` Mappings workflow: Request.relevantHistory v2: N/A rim: .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Table View

ServiceRequest		..
ServiceRequest.extension	Extension	..
ServiceRequest.identifier		..
ServiceRequest.identifier		..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		1..
ServiceRequest.code.coding.system		..
ServiceRequest.code.coding.code		..
ServiceRequest.code.coding.display		..
ServiceRequest.code.coding		..
ServiceRequest.orderDetail		..
ServiceRequest.orderDetail.text		..
ServiceRequest.quantity[x]	Quantity	1..
ServiceRequest.quantity[x].value		..
ServiceRequest.subject	Reference(ReteLabPatientCittadino)	..
ServiceRequest.subject.reference		..
ServiceRequest.subject.type		..
ServiceRequest.encounter	Reference(ReteLabEncounterInformazioniRichiestaLab)	..
ServiceRequest.occurrence[x]	Period	..
ServiceRequest.occurrence[x].start		..
ServiceRequest.occurrence[x].end		..
ServiceRequest.authoredOn		1..
ServiceRequest.requester	Reference(ReteLabPractitionerRoleMedico)	..
ServiceRequest.performer	Reference(ReteLabOrganizationLaboratorio)	..
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="2024-04-22T15:27:43.5462311+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-24.\n\nL&#39;attributo &#232; da considerarsi obbligatorio 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)" />
            <comment value="Placer Order Number: obbligatorio in tutti i flussi, eccetto quando la richiesta viene prodotta dal filler (ServiceRequest.intent = &quot;filler-order&quot;)\n\n Filler Order Number e OMr Order Number: obbligatorio dopo il flusso di nuova richiesta." />
        </element>
        <element id="ServiceRequest.identifier:PlacerOrderNumber">
            <path value="ServiceRequest.identifier" />
            <sliceName value="PlacerOrderNumber" />
            <short value="Identificativo univoco generato dal Placer dell&#39;ordine. Obbligatorio in tutti i flussi, eccetto quando la richiesta &#232; prodotta dal filler." />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: ORC-2" />
            <max value="1" />
        </element>
        <element id="ServiceRequest.identifier:PlacerOrderNumber.system">
            <path value="ServiceRequest.identifier.system" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/sid/PlacerOrderNumber" />
        </element>
        <element id="ServiceRequest.identifier:PlacerOrderNumber.value">
            <path value="ServiceRequest.identifier.value" />
            <short value="Identificativo della richiesta (esame di laboratorio)" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: ORC-2" />
        </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 (NR)." />
            <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." />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: OBR-46" />
        </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" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: OBR-46" />
        </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.\n L&#39;attributo pu&#242; essere utilizzato per indicare l&#39;identificativo che raggruppa pi&#249; prestazioni nella comunicazione delle etichette tramite dati strutturati." />
            <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" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/sid/PlacerRequisitionNumber" />
        </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)." />
            <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="Corrispondente campo HL7 secondo specifiche regionali: ORC-1, ORC-5. Lo stato della risorsa ServiceRequest deve essere coerente con lo stato della risorsa Encounter e Task, se presente." />
        </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 risorsa ServiceRequest deve essere valorizzata coerentemente con l&#39;attributo intent della risorsa Task, da cui &#232; referenziata." />
        </element>
        <element id="ServiceRequest.category">
            <path value="ServiceRequest.category" />
            <short value="Tipologia di richiesta" />
            <definition value="Deve essere valorizzato con 1: Richiesta interna, 2: Impegnativa proveniente dal CUP." />
            <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" />
            <short value="Tipologia di richiesta" />
            <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;. \nL&#39;attributo deve essere utilizzato per indicare la priorit&#224; della prestazione richiesta nella comunicazione delle etichette tramite dati strutturati." />
            <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" />
            <definition value="Per le richieste di prestazioni in service &#232; obbligatorio utilizzare la nuova codifica regionale delle prestazioni reg_map_plus." />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: OBR-4" />
            <min value="1" />
        </element>
        <element id="ServiceRequest.code.coding">
            <path value="ServiceRequest.code.coding" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <definition value="Corrispondente campo HL7 secondo specifiche regionali: OBR-4" />
        </element>
        <element id="ServiceRequest.code.coding:CodRegionaleLaboratorio">
            <path value="ServiceRequest.code.coding" />
            <sliceName value="CodRegionaleLaboratorio" />
            <short value="Codice della prestazione di laboratorio" />
            <definition value="Obbligatorio l&#39;utilizzo della codifica regionale delle prestazioni di laboratorio reg_map_plus." />
            <min value="1" />
            <binding>
                <strength value="required" />
                <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/CodificaPrestazioniLaboratorioRegionale" />
            </binding>
        </element>
        <element id="ServiceRequest.code.coding:CodRegionaleLaboratorio.system">
            <path value="ServiceRequest.code.coding.system" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/ValueSet/CodificaPrestazioniLaboratorioRegionale" />
        </element>
        <element id="ServiceRequest.code.coding:CodRegionaleLaboratorio.code">
            <path value="ServiceRequest.code.coding.code" />
            <short value="Codice dell&#39;esame richiesto secondo la codifica reg_map_plus" />
        </element>
        <element id="ServiceRequest.code.coding:CodRegionaleLaboratorio.display">
            <path value="ServiceRequest.code.coding.display" />
            <short value="Descrizione codice dell&#39;esame richiesto" />
        </element>
        <element id="ServiceRequest.code.coding:Altro">
            <path value="ServiceRequest.code.coding" />
            <sliceName value="Altro" />
            <short value="Codice dell&#39;esame richiesto" />
            <definition value="E&#39; possibile utilizzare opzionalmente una codifica aggiuntiva per la descrizione della prestazione." />
        </element>
        <element id="ServiceRequest.orderDetail">
            <path value="ServiceRequest.orderDetail" />
            <short value="Dettaglio della richiesta. Pu&#242; contenere l&#39;istruzione che l&#39;ordine debba essere eseguito in service. E&#39; obbligatoria la valorizzazione in tutti i flussi eccetto &quot;Notifica giornaliera delle prestazioni&quot;." />
        </element>
        <element id="ServiceRequest.orderDetail.text">
            <path value="ServiceRequest.orderDetail.text" />
            <short value="Dettaglio della richiesta. E&#39; fisso a &quot;in-service&quot; la valorizzazione in tutti i flussi eccetto &quot;Notifica giornaliera delle prestazioni&quot;." />
        </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>
            <constraint>
                <key value="TypeOrReference" />
                <severity value="error" />
                <human value="Se &#232; una richiesta di prestazione in service allora deve essere presente l&#39;attributo reference, altrimenti deve essere presente l&#39;attributo type." />
                <expression value="subject.reference.exist() or subject.type.exist()" />
            </constraint>
        </element>
        <element id="ServiceRequest.subject.reference">
            <path value="ServiceRequest.subject.reference" />
            <constraint>
                <key value="TypeOrReference" />
                <severity value="error" />
                <human value="Se &#232; una richiesta di prestazione in service allora deve essere presente l&#39;attributo reference, altrimenti deve essere presente l&#39;attributo type." />
                <expression value="subject.reference.exist() or subject.type.exist()" />
            </constraint>
        </element>
        <element id="ServiceRequest.subject.type">
            <path value="ServiceRequest.subject.type" />
            <short value="Entit&#224; a cui si riferisce la richiesta" />
            <definition value="Se la richiesta &#232; associata ad un messaggio di notifica giornaliera delle prestazioni, si indica in questo campo in modo obbligatorio che la richiesta &#232; associata ad un entit&#224; di tipo paziente, senza riportare le informazioni di quest&#39;ultimo." />
            <fixedUri value="Patient" />
            <constraint>
                <key value="TypeOrReference" />
                <severity value="error" />
                <human value="Se &#232; una richiesta di prestazione in service allora deve essere presente l&#39;attributo reference, altrimenti deve essere presente l&#39;attributo type." />
                <expression value="subject.reference.exist() or subject.type.exist()" />
            </constraint>
        </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.occurrence[x]">
            <path value="ServiceRequest.occurrence[x]" />
            <short value="Data e ora in cui la richiesta &#232; stata iniziata e completata." />
            <definition value="Periodo di tempo tra l&#39;accettazione della richiesta e il suo completamento. \n\nNel flusso di accettazione delle prestazioni (Risposta alla nuova richiesta) &#232; obbligatoria la valorizzazione dell&#39;attributo &quot;start&quot;.\n\nNel flusso di notifica completato (Notifica completato) &#232; obbligatoria la valorizzazione dell&#39;attributo &quot;end&quot;.\n \nNel flusso di notifica giornaliera delle prestazioni &#232; obbligatorio e rappresenta il periodo di tempo necessario a completare la prestazione." />
            <type>
                <code value="Period" />
            </type>
        </element>
        <element id="ServiceRequest.occurrence[x].start">
            <path value="ServiceRequest.occurrence[x].start" />
            <short value="Data di inizio erogazione della prestazione" />
            <definition value="Nel flusso di prestazioni in service &#232; obbligatoria la valorizzazione quando si trasmette una risposta nuova richiesta. \n\nNel flusso di notifica giornaliera delle prestazioni &#232; sempre obbligatoria." />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: OBR-36" />
        </element>
        <element id="ServiceRequest.occurrence[x].end">
            <path value="ServiceRequest.occurrence[x].end" />
            <short value="Data in cui l&#39;ordine &#232; stato completato" />
            <definition value="Tale campo &#232; obbligatorio nel flusso di notifica giornaliera e di notifica ordine completato." />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: OBR-7" />
        </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 ReteLabOrganizationLaboratorio che permette di identificare univocamente il laboratorio secondo la delibera regionale. \n\n Nel caso di etichette strutturate rappresenta il laboratorio di destinazione." />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: OBR-47\n\nQuesto campo &#232; valorizzato obbligatoriamente a partire dal flusso: &quot;Risposta accettazione richiesta e istruzioni per etichette da LS a OMr&quot;. Non &#232; previsto nel flusso di notifica giornaliera delle prestazioni da parte del laboratorio richiedente." />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabOrganizationLaboratorio" />
            </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": "04/22/2024 15:27:43",
    "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-24.\n\nL'attributo è da considerarsi obbligatorio 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)",
                "comment": "Placer Order Number: obbligatorio in tutti i flussi, eccetto quando la richiesta viene prodotta dal filler (ServiceRequest.intent = \"filler-order\")\n\n Filler Order Number e OMr Order Number: obbligatorio dopo il flusso di nuova richiesta."
            },
            {
                "id": "ServiceRequest.identifier:PlacerOrderNumber",
                "path": "ServiceRequest.identifier",
                "sliceName": "PlacerOrderNumber",
                "short": "Identificativo univoco generato dal Placer dell'ordine. Obbligatorio in tutti i flussi, eccetto quando la richiesta è prodotta dal filler.",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: ORC-2",
                "max": "1"
            },
            {
                "id": "ServiceRequest.identifier:PlacerOrderNumber.system",
                "path": "ServiceRequest.identifier.system",
                "fixedUri": "https://fhir.siss.regione.lombardia.it/sid/PlacerOrderNumber"
            },
            {
                "id": "ServiceRequest.identifier:PlacerOrderNumber.value",
                "path": "ServiceRequest.identifier.value",
                "short": "Identificativo della richiesta (esame di laboratorio)",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: ORC-2"
            },
            {
                "id": "ServiceRequest.identifier:FillerOrderNumber",
                "path": "ServiceRequest.identifier",
                "sliceName": "FillerOrderNumber",
                "short": "Identificativo univoco generato dal Filler dell'ordine",
                "definition": "Obbligatorio dal flusso risposta nuova richiesta (NR).",
                "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.",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: OBR-46"
            },
            {
                "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",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: OBR-46"
            },
            {
                "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.\n L'attributo può essere utilizzato per indicare l'identificativo che raggruppa più prestazioni nella comunicazione delle etichette tramite dati strutturati.",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: ORC-4",
                "min": 1
            },
            {
                "id": "ServiceRequest.requisition.system",
                "path": "ServiceRequest.requisition.system",
                "short": "Sistema di codifica",
                "fixedUri": "https://fhir.siss.regione.lombardia.it/sid/PlacerRequisitionNumber"
            },
            {
                "id": "ServiceRequest.requisition.value",
                "path": "ServiceRequest.requisition.value",
                "short": "Identificativo associato all’ordine complessivo (insiemi di richieste di esami di laboratorio).",
                "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": "Corrispondente campo HL7 secondo specifiche regionali: ORC-1, ORC-5. Lo stato della risorsa ServiceRequest deve essere coerente con lo stato della risorsa Encounter e Task, se presente."
            },
            {
                "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 risorsa ServiceRequest deve essere valorizzata coerentemente con l'attributo intent della risorsa Task, da cui è referenziata."
            },
            {
                "id": "ServiceRequest.category",
                "path": "ServiceRequest.category",
                "short": "Tipologia di richiesta",
                "definition": "Deve essere valorizzato con 1: Richiesta interna, 2: Impegnativa proveniente dal CUP.",
                "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",
                "short": "Tipologia di richiesta",
                "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\". \nL'attributo deve essere utilizzato per indicare la priorità della prestazione richiesta nella comunicazione delle etichette tramite dati strutturati.",
                "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",
                "definition": "Per le richieste di prestazioni in service è obbligatorio utilizzare la nuova codifica regionale delle prestazioni reg_map_plus.",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: OBR-4",
                "min": 1
            },
            {
                "id": "ServiceRequest.code.coding",
                "path": "ServiceRequest.code.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "definition": "Corrispondente campo HL7 secondo specifiche regionali: OBR-4"
            },
            {
                "id": "ServiceRequest.code.coding:CodRegionaleLaboratorio",
                "path": "ServiceRequest.code.coding",
                "sliceName": "CodRegionaleLaboratorio",
                "short": "Codice della prestazione di laboratorio",
                "definition": "Obbligatorio l'utilizzo della codifica regionale delle prestazioni di laboratorio reg_map_plus.",
                "min": 1,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/CodificaPrestazioniLaboratorioRegionale"
                }
            },
            {
                "id": "ServiceRequest.code.coding:CodRegionaleLaboratorio.system",
                "path": "ServiceRequest.code.coding.system",
                "fixedUri": "https://fhir.siss.regione.lombardia.it/ValueSet/CodificaPrestazioniLaboratorioRegionale"
            },
            {
                "id": "ServiceRequest.code.coding:CodRegionaleLaboratorio.code",
                "path": "ServiceRequest.code.coding.code",
                "short": "Codice dell'esame richiesto secondo la codifica reg_map_plus"
            },
            {
                "id": "ServiceRequest.code.coding:CodRegionaleLaboratorio.display",
                "path": "ServiceRequest.code.coding.display",
                "short": "Descrizione codice dell'esame richiesto"
            },
            {
                "id": "ServiceRequest.code.coding:Altro",
                "path": "ServiceRequest.code.coding",
                "sliceName": "Altro",
                "short": "Codice dell'esame richiesto",
                "definition": "E' possibile utilizzare opzionalmente una codifica aggiuntiva per la descrizione della prestazione."
            },
            {
                "id": "ServiceRequest.orderDetail",
                "path": "ServiceRequest.orderDetail",
                "short": "Dettaglio della richiesta. Può contenere l'istruzione che l'ordine debba essere eseguito in service. E' obbligatoria la valorizzazione in tutti i flussi eccetto \"Notifica giornaliera delle prestazioni\"."
            },
            {
                "id": "ServiceRequest.orderDetail.text",
                "path": "ServiceRequest.orderDetail.text",
                "short": "Dettaglio della richiesta. E' fisso a \"in-service\" la valorizzazione in tutti i flussi eccetto \"Notifica giornaliera delle prestazioni\"."
            },
            {
                "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"
                        ]
                    }
                ],
                "constraint":  [
                    {
                        "key": "TypeOrReference",
                        "severity": "error",
                        "human": "Se è una richiesta di prestazione in service allora deve essere presente l'attributo reference, altrimenti deve essere presente l'attributo type.",
                        "expression": "subject.reference.exist() or subject.type.exist()"
                    }
                ]
            },
            {
                "id": "ServiceRequest.subject.reference",
                "path": "ServiceRequest.subject.reference",
                "constraint":  [
                    {
                        "key": "TypeOrReference",
                        "severity": "error",
                        "human": "Se è una richiesta di prestazione in service allora deve essere presente l'attributo reference, altrimenti deve essere presente l'attributo type.",
                        "expression": "subject.reference.exist() or subject.type.exist()"
                    }
                ]
            },
            {
                "id": "ServiceRequest.subject.type",
                "path": "ServiceRequest.subject.type",
                "short": "Entità a cui si riferisce la richiesta",
                "definition": "Se la richiesta è associata ad un messaggio di notifica giornaliera delle prestazioni, si indica in questo campo in modo obbligatorio che la richiesta è associata ad un entità di tipo paziente, senza riportare le informazioni di quest'ultimo.",
                "fixedUri": "Patient",
                "constraint":  [
                    {
                        "key": "TypeOrReference",
                        "severity": "error",
                        "human": "Se è una richiesta di prestazione in service allora deve essere presente l'attributo reference, altrimenti deve essere presente l'attributo type.",
                        "expression": "subject.reference.exist() or subject.type.exist()"
                    }
                ]
            },
            {
                "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.occurrence[x]",
                "path": "ServiceRequest.occurrence[x]",
                "short": "Data e ora in cui la richiesta è stata iniziata e completata.",
                "definition": "Periodo di tempo tra l'accettazione della richiesta e il suo completamento. \n\nNel flusso di accettazione delle prestazioni (Risposta alla nuova richiesta) è obbligatoria la valorizzazione dell'attributo \"start\".\n\nNel flusso di notifica completato (Notifica completato) è obbligatoria la valorizzazione dell'attributo \"end\".\n \nNel flusso di notifica giornaliera delle prestazioni è obbligatorio e rappresenta il periodo di tempo necessario a completare la prestazione.",
                "type":  [
                    {
                        "code": "Period"
                    }
                ]
            },
            {
                "id": "ServiceRequest.occurrence[x].start",
                "path": "ServiceRequest.occurrence[x].start",
                "short": "Data di inizio erogazione della prestazione",
                "definition": "Nel flusso di prestazioni in service è obbligatoria la valorizzazione quando si trasmette una risposta nuova richiesta. \n\nNel flusso di notifica giornaliera delle prestazioni è sempre obbligatoria.",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: OBR-36"
            },
            {
                "id": "ServiceRequest.occurrence[x].end",
                "path": "ServiceRequest.occurrence[x].end",
                "short": "Data in cui l'ordine è stato completato",
                "definition": "Tale campo è obbligatorio nel flusso di notifica giornaliera e di notifica ordine completato.",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: OBR-7"
            },
            {
                "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 ReteLabOrganizationLaboratorio che permette di identificare univocamente il laboratorio secondo la delibera regionale. \n\n Nel caso di etichette strutturate rappresenta il laboratorio di destinazione.",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: OBR-47\n\nQuesto campo è valorizzato obbligatoriamente a partire dal flusso: \"Risposta accettazione richiesta e istruzioni per etichette da LS a OMr\". Non è previsto nel flusso di notifica giornaliera delle prestazioni da parte del laboratorio richiedente.",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabOrganizationLaboratorio"
                        ]
                    }
                ]
            },
            {
                "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

nuova richiesta: ServiceRequest
risposta nuova richiesta con etichette strutturate: ServiceRequest
generico con identificativo OMr: ServiceRequest
richiesta di modifica: ServiceRequest
richiesta di cancellazione e richiesta modificata e non più attiva: ServiceRequest
notifica completato: 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
Codice Prestazione	Codifica regionale della prestazioni di laboratorio	La codifica è definita dal ValueSet Nuova Codifica Prestazioni Laboratorio Regionale