RLDeviceRequestProtesiAusili

RLDeviceRequestProtesiAusili

Descrizione

Profilo declinato a partire dalla risorsa standard FHIR DeviceRequest che contiene le informazioni necessarie per la fornitura al paziente della protesi o dell’ausilio definito in fase di stesura del progetto individuale.

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

Snapshot View

DeviceRequest	I		DeviceRequest	There are no (further) constraints on this element Element Id DeviceRequest Short description Medical device request Definition Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker. Data Type DeviceRequest Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act workflow:Request v2:ORC rim:Act[moodCode<=INT]
extension	I	0..*	Extension	Element Id DeviceRequest.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
prescrizioneElettronica	I	0..1	Extension(boolean)	Element Id DeviceRequest.extension:prescrizioneElettronica Short description Flag riguardo la necessità di una prescrizione elettronica per il paziente Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(boolean) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLDeviceRequestPrescrizioneElettronica Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
identifier	Σ	0..*	Identifier	There are no (further) constraints on this element Element Id DeviceRequest.identifier Short description External Request identifier Definition Identifiers assigned to this order by the orderer or by the receiver. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier w5:FiveWs.identifier v2:ORC.2, ORC.3 rim:.identifier quick:ClinicalStatement.identifier
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition \| PlanDefinition)	There are no (further) constraints on this element Element Id DeviceRequest.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 DeviceRequest. Comments Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. Data Type canonical(ActivityDefinition \| PlanDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.instantiatesCanonical v2:Varies by domain rim:.outboundRelationship[typeCode=DEFN].target
instantiatesUri	Σ	0..*	uri	There are no (further) constraints on this element Element Id DeviceRequest.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 DeviceRequest. Comments This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.instantiatesUri v2:Varies by domain rim:.outboundRelationship[typeCode=DEFN].target
basedOn	Σ I	0..*	Reference(RLCarePlanProgettoIndividuale)	Element Id DeviceRequest.basedOn Short description Riferimento al progetto individuale nel quale è prevista la fornitura della protesi o dell'ausilio Definition Reference al profilo RLCarePlanProgettoIndividuale contenente il progetto individuale del paziente Comments Il dato è detenuto dal SGDT Data Type Reference(RLCarePlanProgettoIndividuale) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.basedOn v2:ORC.8 (plus others) rim:.outboundRelationship[typeCode=FLFS].target quick:Proposal.prnReason.reason
priorRequest	Σ I	0..*	Reference(Resource)	There are no (further) constraints on this element Element Id DeviceRequest.priorRequest Short description What request replaces Definition The request takes the place of the referenced completed or terminated request(s). Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Resource) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.replaces v2:Handled by message location of ORC (ORC.1=RO or RU) rim:.outboundRelationship[typeCode=RPLC].target
groupIdentifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element Id DeviceRequest.groupIdentifier Short description Identifier of composite request Definition Composite request this is part of. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.groupIdentifier v2:ORC.4 rim:.inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier
status	Σ ?!	0..1	codeBindingFixed Value	Element Id DeviceRequest.status Short description Stato della fornitura della protesi o dell'ausilio Definition Valore fisso su "active" Comments This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the request as not currently valid. Data Type code Binding Codes representing the status of the request. RequestStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value active Mappings rim:n/a workflow:Request.status w5:FiveWs.status v2:ORC.5 rim:.status quick:Action.currentStatus
intent	Σ ?!	1..1	codeBindingFixed Value	Element Id DeviceRequest.intent Short description Intento della richesta Definition Valore fisso su "order" Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding The kind of diagnostic request. RequestIntent (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value order Mappings rim:n/a workflow:Request.intent w5:FiveWs.class v2:N/A rim:.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
priority	Σ	0..1	codeBinding	There are no (further) constraints on this element Element Id DeviceRequest.priority Short description routine \| urgent \| asap \| stat Definition Indicates how quickly the {{title}} should be addressed with respect to other requests. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Identifies the level of importance to be assigned to actioning the request. RequestPriority (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.priority w5:FiveWs.grade v2:TQ1.9 rim:.priorityCode
code[x]	Σ	1..1		Element Id DeviceRequest.code[x] Short description Codice e descrizione dell'ausilio di protesica Definition The details of the device to be used. Binding Codes for devices that can be requested. FHIRDeviceTypes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.code w5:FiveWs.what[x] v2:Varies by domain rim:.code quick:DeviceUse.device
codeCodeableConcept			CodeableConcept	Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id DeviceRequest.code[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id DeviceRequest.code[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id DeviceRequest.code[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	codeBinding	Element Id DeviceRequest.code[x].coding.code Short description Codice dell'ausilio di protesica Definition Stringa alfanumerica di al più 26 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_AUSILIO della tabella ausili di Protesica i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet che identifica gli ausili di protesica DDC Ausilio Protesi (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id DeviceRequest.code[x].coding.display Short description Descrizione dell'ausilio di protesica Definition Stringra alfanumerica di al più 1024 caratteri. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_AUSILIO della tabella ausili di Protesica i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id DeviceRequest.code[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id DeviceRequest.code[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
parameter		0..*	BackboneElement	There are no (further) constraints on this element Element Id DeviceRequest.parameter Short description Device details Definition Specific parameters for the ordered item. For example, the prism value for lenses. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.what[x] v2:Varies by domain rim:.code quick:DeviceUse.device
code		0..1	CodeableConcept	There are no (further) constraints on this element Element Id DeviceRequest.parameter.code Short description Device detail Definition A code or string that identifies the device detail being asserted. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding A code that identifies the device detail. (unbound) (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.what[x] v2:Varies by domain rim:.code quick:DeviceUse.device
value[x]		0..1		There are no (further) constraints on this element Element Id DeviceRequest.parameter.value[x] Short description Value of detail Definition The value of the device detail. Comments Range means device should have a value that falls somewhere within the specified range. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.what[x] v2:Varies by domain rim:.code quick:DeviceUse.device
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
valueQuantity			Quantity	There are no (further) constraints on this element Data Type Quantity
valueRange			Range	There are no (further) constraints on this element Data Type Range
valueBoolean			boolean	There are no (further) constraints on this element Data Type boolean
subject	Σ I	1..1	Reference(RLPatientCittadino)	Element Id DeviceRequest.subject Short description Paziente al quale deve essere fornita la protesi o l'ausilio Definition Reference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente Comments Il dato è detenuto dal SGDT Data Type Reference(RLPatientCittadino) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.subject w5:FiveWs.subject[x] v2:Accompanying PID segment rim:.participation[typeCode=SBJ].role quick:ClinicalStatement.subject w5:FiveWs.subject
encounter	Σ I	0..1	Reference(Encounter)	There are no (further) constraints on this element Element Id DeviceRequest.encounter Short description Encounter motivating request Definition An encounter that provides additional context in which this request is made. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Encounter) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.encounter w5:FiveWs.context v2:Accompanying PV1 rim:.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN] quick:ClinicalStatement.encounter
occurrence[x]	Σ	0..1		Element Id DeviceRequest.occurrence[x] Short description Periodo di utilizzo della protesi o dell'ausilio Definition The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.occurrence[x] w5:FiveWs.planned v2:Accompanying TQ1/TQ2 segments rim:.effectiveTime quick:DeviceUse.applicationSchedule
occurrencePeriod			Period	Data Type Period
start	Σ I	0..1	dateTime	Element Id DeviceRequest.occurrence[x].start Short description Data di inizio del period di utilizzo Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments Il dato a detenuto dal SGDT Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.1 rim:./low
end	Σ I	0..1	dateTime	Element Id DeviceRequest.occurrence[x].end Short description Data di fine del periodo di utilizzo Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments Il dato a detenuto dal SGDT Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.2 rim:./high
authoredOn	Σ	0..1	dateTime	There are no (further) constraints on this element Element Id DeviceRequest.authoredOn Short description When recorded Definition When the request transitioned to being actionable. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.authoredOn w5:FiveWs.recorded v2:ORC.9 rim:.participation[typeCode=AUT].time quick:ClinicalStatement.statementDateTime
requester	Σ I	0..1	Reference(Device \| Practitioner \| PractitionerRole \| Organization)	There are no (further) constraints on this element Element Id DeviceRequest.requester Short description Who/what is requesting diagnostics Definition The individual who initiated the request and has responsibility for its activation. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Device \| Practitioner \| PractitionerRole \| Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.requester w5:FiveWs.author v2:ORC.12 rim:.participation[typeCode=AUT].role
performerType	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id DeviceRequest.performerType Short description Filler role Definition Desired type of performer for doing the diagnostic testing. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. ParticipantRoles (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.performerType w5:FiveWs.actor v2:PRT rim:.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
performer	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| HealthcareService \| Patient \| Device \| RelatedPerson)	There are no (further) constraints on this element Element Id DeviceRequest.performer Short description Requested Filler Definition The desired performer for doing the diagnostic testing. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| HealthcareService \| Patient \| Device \| RelatedPerson) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.performer w5:FiveWs.actor v2:PRT rim:.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
reasonCode	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id DeviceRequest.reasonCode Short description Coded Reason for request Definition Reason or justification for the use of this device. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Diagnosis or problem codes justifying the reason for requesting the device. Condition/Problem/DiagnosisCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.reasonCode w5:FiveWs.why[x] v2:ORC.16 rim:.reasonCode quick:Action.indication.reason
reasonReference	Σ I	0..*	Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference)	There are no (further) constraints on this element Element Id DeviceRequest.reasonReference Short description Linked Reason for request Definition Reason or justification for the use of this device. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.reasonReference w5:FiveWs.why[x] v2:ORC.16 rim:.outboundRelationship[typeCode=RSON].target
insurance	I	0..*	Reference(Coverage \| ClaimResponse)	There are no (further) constraints on this element Element Id DeviceRequest.insurance Short description Associated insurance coverage Definition Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Coverage \| ClaimResponse) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.insurance v2:IN1/IN2 rim:.outboundRelationship[typeCode=COVBY].target
supportingInfo	I	0..*	Reference(Resource)	There are no (further) constraints on this element Element Id DeviceRequest.supportingInfo Short description Additional clinical information Definition Additional clinical information about the patient that may influence the request fulfilment. For example, this may include where on the subject's body the device will be used (i.e. the target site). Requirements Knowing where the device is targeted is important for tracking if multiple sites are possible. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Resource) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.supportingInfo v2:Accompanying segments rim:.outboundRelationship[typeCode=PERT].target
note		0..*	Annotation	Element Id DeviceRequest.note Short description Note / commenti aggiuntivi Definition Stringa alfanumerica al più di 1000 caratteri Comments Il dato è detenuto dal SGDT Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act workflow:Request.note v2:NTE rim:.inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST] quick:ClinicalStatement.additionalText
relevantHistory	I	0..*	Reference(Provenance)	There are no (further) constraints on this element Element Id DeviceRequest.relevantHistory Short description Request provenance Definition Key events in the history of the request. Comments This might not include provenances for all versions of the request - only those deemed "relevant" or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a "relevant" change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject. Data Type Reference(Provenance) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.relevantHistory v2:N/A rim:.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Differential View

DeviceRequest	I		DeviceRequest	There are no (further) constraints on this element Element Id DeviceRequest Short description Medical device request Definition Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker. Data Type DeviceRequest Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act workflow:Request v2:ORC rim:Act[moodCode<=INT]
extension	I	0..*	Extension	Element Id DeviceRequest.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
prescrizioneElettronica	I	0..1	Extension(boolean)	Element Id DeviceRequest.extension:prescrizioneElettronica Short description Flag riguardo la necessità di una prescrizione elettronica per il paziente Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(boolean) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLDeviceRequestPrescrizioneElettronica Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
identifier	Σ	0..*	Identifier	There are no (further) constraints on this element Element Id DeviceRequest.identifier Short description External Request identifier Definition Identifiers assigned to this order by the orderer or by the receiver. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier w5:FiveWs.identifier v2:ORC.2, ORC.3 rim:.identifier quick:ClinicalStatement.identifier
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition \| PlanDefinition)	There are no (further) constraints on this element Element Id DeviceRequest.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 DeviceRequest. Comments Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. Data Type canonical(ActivityDefinition \| PlanDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.instantiatesCanonical v2:Varies by domain rim:.outboundRelationship[typeCode=DEFN].target
instantiatesUri	Σ	0..*	uri	There are no (further) constraints on this element Element Id DeviceRequest.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 DeviceRequest. Comments This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.instantiatesUri v2:Varies by domain rim:.outboundRelationship[typeCode=DEFN].target
basedOn	Σ I	0..*	Reference(RLCarePlanProgettoIndividuale)	Element Id DeviceRequest.basedOn Short description Riferimento al progetto individuale nel quale è prevista la fornitura della protesi o dell'ausilio Definition Reference al profilo RLCarePlanProgettoIndividuale contenente il progetto individuale del paziente Comments Il dato è detenuto dal SGDT Data Type Reference(RLCarePlanProgettoIndividuale) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.basedOn v2:ORC.8 (plus others) rim:.outboundRelationship[typeCode=FLFS].target quick:Proposal.prnReason.reason
priorRequest	Σ I	0..*	Reference(Resource)	There are no (further) constraints on this element Element Id DeviceRequest.priorRequest Short description What request replaces Definition The request takes the place of the referenced completed or terminated request(s). Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Resource) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.replaces v2:Handled by message location of ORC (ORC.1=RO or RU) rim:.outboundRelationship[typeCode=RPLC].target
groupIdentifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element Id DeviceRequest.groupIdentifier Short description Identifier of composite request Definition Composite request this is part of. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.groupIdentifier v2:ORC.4 rim:.inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier
status	Σ ?!	0..1	codeBindingFixed Value	Element Id DeviceRequest.status Short description Stato della fornitura della protesi o dell'ausilio Definition Valore fisso su "active" Comments This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the request as not currently valid. Data Type code Binding Codes representing the status of the request. RequestStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value active Mappings rim:n/a workflow:Request.status w5:FiveWs.status v2:ORC.5 rim:.status quick:Action.currentStatus
intent	Σ ?!	1..1	codeBindingFixed Value	Element Id DeviceRequest.intent Short description Intento della richesta Definition Valore fisso su "order" Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding The kind of diagnostic request. RequestIntent (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value order Mappings rim:n/a workflow:Request.intent w5:FiveWs.class v2:N/A rim:.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
priority	Σ	0..1	codeBinding	There are no (further) constraints on this element Element Id DeviceRequest.priority Short description routine \| urgent \| asap \| stat Definition Indicates how quickly the {{title}} should be addressed with respect to other requests. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Identifies the level of importance to be assigned to actioning the request. RequestPriority (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.priority w5:FiveWs.grade v2:TQ1.9 rim:.priorityCode
code[x]	Σ	1..1		Element Id DeviceRequest.code[x] Short description Codice e descrizione dell'ausilio di protesica Definition The details of the device to be used. Binding Codes for devices that can be requested. FHIRDeviceTypes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.code w5:FiveWs.what[x] v2:Varies by domain rim:.code quick:DeviceUse.device
codeCodeableConcept			CodeableConcept	Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id DeviceRequest.code[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id DeviceRequest.code[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id DeviceRequest.code[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	codeBinding	Element Id DeviceRequest.code[x].coding.code Short description Codice dell'ausilio di protesica Definition Stringa alfanumerica di al più 26 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_AUSILIO della tabella ausili di Protesica i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet che identifica gli ausili di protesica DDC Ausilio Protesi (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id DeviceRequest.code[x].coding.display Short description Descrizione dell'ausilio di protesica Definition Stringra alfanumerica di al più 1024 caratteri. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_AUSILIO della tabella ausili di Protesica i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id DeviceRequest.code[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id DeviceRequest.code[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
parameter		0..*	BackboneElement	There are no (further) constraints on this element Element Id DeviceRequest.parameter Short description Device details Definition Specific parameters for the ordered item. For example, the prism value for lenses. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.what[x] v2:Varies by domain rim:.code quick:DeviceUse.device
code		0..1	CodeableConcept	There are no (further) constraints on this element Element Id DeviceRequest.parameter.code Short description Device detail Definition A code or string that identifies the device detail being asserted. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding A code that identifies the device detail. (unbound) (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.what[x] v2:Varies by domain rim:.code quick:DeviceUse.device
value[x]		0..1		There are no (further) constraints on this element Element Id DeviceRequest.parameter.value[x] Short description Value of detail Definition The value of the device detail. Comments Range means device should have a value that falls somewhere within the specified range. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.what[x] v2:Varies by domain rim:.code quick:DeviceUse.device
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
valueQuantity			Quantity	There are no (further) constraints on this element Data Type Quantity
valueRange			Range	There are no (further) constraints on this element Data Type Range
valueBoolean			boolean	There are no (further) constraints on this element Data Type boolean
subject	Σ I	1..1	Reference(RLPatientCittadino)	Element Id DeviceRequest.subject Short description Paziente al quale deve essere fornita la protesi o l'ausilio Definition Reference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente Comments Il dato è detenuto dal SGDT Data Type Reference(RLPatientCittadino) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.subject w5:FiveWs.subject[x] v2:Accompanying PID segment rim:.participation[typeCode=SBJ].role quick:ClinicalStatement.subject w5:FiveWs.subject
encounter	Σ I	0..1	Reference(Encounter)	There are no (further) constraints on this element Element Id DeviceRequest.encounter Short description Encounter motivating request Definition An encounter that provides additional context in which this request is made. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Encounter) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.encounter w5:FiveWs.context v2:Accompanying PV1 rim:.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN] quick:ClinicalStatement.encounter
occurrence[x]	Σ	0..1		Element Id DeviceRequest.occurrence[x] Short description Periodo di utilizzo della protesi o dell'ausilio Definition The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.occurrence[x] w5:FiveWs.planned v2:Accompanying TQ1/TQ2 segments rim:.effectiveTime quick:DeviceUse.applicationSchedule
occurrencePeriod			Period	Data Type Period
start	Σ I	0..1	dateTime	Element Id DeviceRequest.occurrence[x].start Short description Data di inizio del period di utilizzo Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments Il dato a detenuto dal SGDT Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.1 rim:./low
end	Σ I	0..1	dateTime	Element Id DeviceRequest.occurrence[x].end Short description Data di fine del periodo di utilizzo Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments Il dato a detenuto dal SGDT Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.2 rim:./high
authoredOn	Σ	0..1	dateTime	There are no (further) constraints on this element Element Id DeviceRequest.authoredOn Short description When recorded Definition When the request transitioned to being actionable. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.authoredOn w5:FiveWs.recorded v2:ORC.9 rim:.participation[typeCode=AUT].time quick:ClinicalStatement.statementDateTime
requester	Σ I	0..1	Reference(Device \| Practitioner \| PractitionerRole \| Organization)	There are no (further) constraints on this element Element Id DeviceRequest.requester Short description Who/what is requesting diagnostics Definition The individual who initiated the request and has responsibility for its activation. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Device \| Practitioner \| PractitionerRole \| Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.requester w5:FiveWs.author v2:ORC.12 rim:.participation[typeCode=AUT].role
performerType	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id DeviceRequest.performerType Short description Filler role Definition Desired type of performer for doing the diagnostic testing. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. ParticipantRoles (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.performerType w5:FiveWs.actor v2:PRT rim:.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
performer	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| HealthcareService \| Patient \| Device \| RelatedPerson)	There are no (further) constraints on this element Element Id DeviceRequest.performer Short description Requested Filler Definition The desired performer for doing the diagnostic testing. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| HealthcareService \| Patient \| Device \| RelatedPerson) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.performer w5:FiveWs.actor v2:PRT rim:.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
reasonCode	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id DeviceRequest.reasonCode Short description Coded Reason for request Definition Reason or justification for the use of this device. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Diagnosis or problem codes justifying the reason for requesting the device. Condition/Problem/DiagnosisCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.reasonCode w5:FiveWs.why[x] v2:ORC.16 rim:.reasonCode quick:Action.indication.reason
reasonReference	Σ I	0..*	Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference)	There are no (further) constraints on this element Element Id DeviceRequest.reasonReference Short description Linked Reason for request Definition Reason or justification for the use of this device. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.reasonReference w5:FiveWs.why[x] v2:ORC.16 rim:.outboundRelationship[typeCode=RSON].target
insurance	I	0..*	Reference(Coverage \| ClaimResponse)	There are no (further) constraints on this element Element Id DeviceRequest.insurance Short description Associated insurance coverage Definition Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Coverage \| ClaimResponse) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.insurance v2:IN1/IN2 rim:.outboundRelationship[typeCode=COVBY].target
supportingInfo	I	0..*	Reference(Resource)	There are no (further) constraints on this element Element Id DeviceRequest.supportingInfo Short description Additional clinical information Definition Additional clinical information about the patient that may influence the request fulfilment. For example, this may include where on the subject's body the device will be used (i.e. the target site). Requirements Knowing where the device is targeted is important for tracking if multiple sites are possible. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Resource) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.supportingInfo v2:Accompanying segments rim:.outboundRelationship[typeCode=PERT].target
note		0..*	Annotation	Element Id DeviceRequest.note Short description Note / commenti aggiuntivi Definition Stringa alfanumerica al più di 1000 caratteri Comments Il dato è detenuto dal SGDT Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act workflow:Request.note v2:NTE rim:.inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST] quick:ClinicalStatement.additionalText
relevantHistory	I	0..*	Reference(Provenance)	There are no (further) constraints on this element Element Id DeviceRequest.relevantHistory Short description Request provenance Definition Key events in the history of the request. Comments This might not include provenances for all versions of the request - only those deemed "relevant" or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a "relevant" change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject. Data Type Reference(Provenance) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.relevantHistory v2:N/A rim:.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Hybrid View

DeviceRequest	I		DeviceRequest	There are no (further) constraints on this element Element Id DeviceRequest Short description Medical device request Definition Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker. Data Type DeviceRequest Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act workflow:Request v2:ORC rim:Act[moodCode<=INT]
extension	I	0..*	Extension	Element Id DeviceRequest.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
prescrizioneElettronica	I	0..1	Extension(boolean)	Element Id DeviceRequest.extension:prescrizioneElettronica Short description Flag riguardo la necessità di una prescrizione elettronica per il paziente Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(boolean) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLDeviceRequestPrescrizioneElettronica Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
identifier	Σ	0..*	Identifier	There are no (further) constraints on this element Element Id DeviceRequest.identifier Short description External Request identifier Definition Identifiers assigned to this order by the orderer or by the receiver. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier w5:FiveWs.identifier v2:ORC.2, ORC.3 rim:.identifier quick:ClinicalStatement.identifier
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition \| PlanDefinition)	There are no (further) constraints on this element Element Id DeviceRequest.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 DeviceRequest. Comments Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. Data Type canonical(ActivityDefinition \| PlanDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.instantiatesCanonical v2:Varies by domain rim:.outboundRelationship[typeCode=DEFN].target
instantiatesUri	Σ	0..*	uri	There are no (further) constraints on this element Element Id DeviceRequest.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 DeviceRequest. Comments This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.instantiatesUri v2:Varies by domain rim:.outboundRelationship[typeCode=DEFN].target
basedOn	Σ I	0..*	Reference(RLCarePlanProgettoIndividuale)	Element Id DeviceRequest.basedOn Short description Riferimento al progetto individuale nel quale è prevista la fornitura della protesi o dell'ausilio Definition Reference al profilo RLCarePlanProgettoIndividuale contenente il progetto individuale del paziente Comments Il dato è detenuto dal SGDT Data Type Reference(RLCarePlanProgettoIndividuale) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.basedOn v2:ORC.8 (plus others) rim:.outboundRelationship[typeCode=FLFS].target quick:Proposal.prnReason.reason
priorRequest	Σ I	0..*	Reference(Resource)	There are no (further) constraints on this element Element Id DeviceRequest.priorRequest Short description What request replaces Definition The request takes the place of the referenced completed or terminated request(s). Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Resource) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.replaces v2:Handled by message location of ORC (ORC.1=RO or RU) rim:.outboundRelationship[typeCode=RPLC].target
groupIdentifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element Id DeviceRequest.groupIdentifier Short description Identifier of composite request Definition Composite request this is part of. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.groupIdentifier v2:ORC.4 rim:.inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier
status	Σ ?!	0..1	codeBindingFixed Value	Element Id DeviceRequest.status Short description Stato della fornitura della protesi o dell'ausilio Definition Valore fisso su "active" Comments This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the request as not currently valid. Data Type code Binding Codes representing the status of the request. RequestStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value active Mappings rim:n/a workflow:Request.status w5:FiveWs.status v2:ORC.5 rim:.status quick:Action.currentStatus
intent	Σ ?!	1..1	codeBindingFixed Value	Element Id DeviceRequest.intent Short description Intento della richesta Definition Valore fisso su "order" Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding The kind of diagnostic request. RequestIntent (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value order Mappings rim:n/a workflow:Request.intent w5:FiveWs.class v2:N/A rim:.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
priority	Σ	0..1	codeBinding	There are no (further) constraints on this element Element Id DeviceRequest.priority Short description routine \| urgent \| asap \| stat Definition Indicates how quickly the {{title}} should be addressed with respect to other requests. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Identifies the level of importance to be assigned to actioning the request. RequestPriority (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.priority w5:FiveWs.grade v2:TQ1.9 rim:.priorityCode
code[x]	Σ	1..1		Element Id DeviceRequest.code[x] Short description Codice e descrizione dell'ausilio di protesica Definition The details of the device to be used. Binding Codes for devices that can be requested. FHIRDeviceTypes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.code w5:FiveWs.what[x] v2:Varies by domain rim:.code quick:DeviceUse.device
codeCodeableConcept			CodeableConcept	Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id DeviceRequest.code[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id DeviceRequest.code[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id DeviceRequest.code[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	codeBinding	Element Id DeviceRequest.code[x].coding.code Short description Codice dell'ausilio di protesica Definition Stringa alfanumerica di al più 26 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_AUSILIO della tabella ausili di Protesica i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet che identifica gli ausili di protesica DDC Ausilio Protesi (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id DeviceRequest.code[x].coding.display Short description Descrizione dell'ausilio di protesica Definition Stringra alfanumerica di al più 1024 caratteri. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_AUSILIO della tabella ausili di Protesica i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id DeviceRequest.code[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id DeviceRequest.code[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
parameter		0..*	BackboneElement	There are no (further) constraints on this element Element Id DeviceRequest.parameter Short description Device details Definition Specific parameters for the ordered item. For example, the prism value for lenses. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.what[x] v2:Varies by domain rim:.code quick:DeviceUse.device
code		0..1	CodeableConcept	There are no (further) constraints on this element Element Id DeviceRequest.parameter.code Short description Device detail Definition A code or string that identifies the device detail being asserted. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding A code that identifies the device detail. (unbound) (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.what[x] v2:Varies by domain rim:.code quick:DeviceUse.device
value[x]		0..1		There are no (further) constraints on this element Element Id DeviceRequest.parameter.value[x] Short description Value of detail Definition The value of the device detail. Comments Range means device should have a value that falls somewhere within the specified range. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.what[x] v2:Varies by domain rim:.code quick:DeviceUse.device
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
valueQuantity			Quantity	There are no (further) constraints on this element Data Type Quantity
valueRange			Range	There are no (further) constraints on this element Data Type Range
valueBoolean			boolean	There are no (further) constraints on this element Data Type boolean
subject	Σ I	1..1	Reference(RLPatientCittadino)	Element Id DeviceRequest.subject Short description Paziente al quale deve essere fornita la protesi o l'ausilio Definition Reference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente Comments Il dato è detenuto dal SGDT Data Type Reference(RLPatientCittadino) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.subject w5:FiveWs.subject[x] v2:Accompanying PID segment rim:.participation[typeCode=SBJ].role quick:ClinicalStatement.subject w5:FiveWs.subject
encounter	Σ I	0..1	Reference(Encounter)	There are no (further) constraints on this element Element Id DeviceRequest.encounter Short description Encounter motivating request Definition An encounter that provides additional context in which this request is made. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Encounter) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.encounter w5:FiveWs.context v2:Accompanying PV1 rim:.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN] quick:ClinicalStatement.encounter
occurrence[x]	Σ	0..1		Element Id DeviceRequest.occurrence[x] Short description Periodo di utilizzo della protesi o dell'ausilio Definition The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.occurrence[x] w5:FiveWs.planned v2:Accompanying TQ1/TQ2 segments rim:.effectiveTime quick:DeviceUse.applicationSchedule
occurrencePeriod			Period	Data Type Period
start	Σ I	0..1	dateTime	Element Id DeviceRequest.occurrence[x].start Short description Data di inizio del period di utilizzo Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments Il dato a detenuto dal SGDT Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.1 rim:./low
end	Σ I	0..1	dateTime	Element Id DeviceRequest.occurrence[x].end Short description Data di fine del periodo di utilizzo Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments Il dato a detenuto dal SGDT Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.2 rim:./high
authoredOn	Σ	0..1	dateTime	There are no (further) constraints on this element Element Id DeviceRequest.authoredOn Short description When recorded Definition When the request transitioned to being actionable. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.authoredOn w5:FiveWs.recorded v2:ORC.9 rim:.participation[typeCode=AUT].time quick:ClinicalStatement.statementDateTime
requester	Σ I	0..1	Reference(Device \| Practitioner \| PractitionerRole \| Organization)	There are no (further) constraints on this element Element Id DeviceRequest.requester Short description Who/what is requesting diagnostics Definition The individual who initiated the request and has responsibility for its activation. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Device \| Practitioner \| PractitionerRole \| Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.requester w5:FiveWs.author v2:ORC.12 rim:.participation[typeCode=AUT].role
performerType	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id DeviceRequest.performerType Short description Filler role Definition Desired type of performer for doing the diagnostic testing. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. ParticipantRoles (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.performerType w5:FiveWs.actor v2:PRT rim:.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
performer	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| HealthcareService \| Patient \| Device \| RelatedPerson)	There are no (further) constraints on this element Element Id DeviceRequest.performer Short description Requested Filler Definition The desired performer for doing the diagnostic testing. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| HealthcareService \| Patient \| Device \| RelatedPerson) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.performer w5:FiveWs.actor v2:PRT rim:.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
reasonCode	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id DeviceRequest.reasonCode Short description Coded Reason for request Definition Reason or justification for the use of this device. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Diagnosis or problem codes justifying the reason for requesting the device. Condition/Problem/DiagnosisCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.reasonCode w5:FiveWs.why[x] v2:ORC.16 rim:.reasonCode quick:Action.indication.reason
reasonReference	Σ I	0..*	Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference)	There are no (further) constraints on this element Element Id DeviceRequest.reasonReference Short description Linked Reason for request Definition Reason or justification for the use of this device. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.reasonReference w5:FiveWs.why[x] v2:ORC.16 rim:.outboundRelationship[typeCode=RSON].target
insurance	I	0..*	Reference(Coverage \| ClaimResponse)	There are no (further) constraints on this element Element Id DeviceRequest.insurance Short description Associated insurance coverage Definition Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Coverage \| ClaimResponse) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.insurance v2:IN1/IN2 rim:.outboundRelationship[typeCode=COVBY].target
supportingInfo	I	0..*	Reference(Resource)	There are no (further) constraints on this element Element Id DeviceRequest.supportingInfo Short description Additional clinical information Definition Additional clinical information about the patient that may influence the request fulfilment. For example, this may include where on the subject's body the device will be used (i.e. the target site). Requirements Knowing where the device is targeted is important for tracking if multiple sites are possible. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Resource) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.supportingInfo v2:Accompanying segments rim:.outboundRelationship[typeCode=PERT].target
note		0..*	Annotation	Element Id DeviceRequest.note Short description Note / commenti aggiuntivi Definition Stringa alfanumerica al più di 1000 caratteri Comments Il dato è detenuto dal SGDT Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act workflow:Request.note v2:NTE rim:.inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST] quick:ClinicalStatement.additionalText
relevantHistory	I	0..*	Reference(Provenance)	There are no (further) constraints on this element Element Id DeviceRequest.relevantHistory Short description Request provenance Definition Key events in the history of the request. Comments This might not include provenances for all versions of the request - only those deemed "relevant" or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a "relevant" change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject. Data Type Reference(Provenance) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.relevantHistory v2:N/A rim:.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Table View

DeviceRequest		..
DeviceRequest.extension		0..
DeviceRequest.extension	Extension	0..1
DeviceRequest.basedOn	Reference(RLCarePlanProgettoIndividuale)	..
DeviceRequest.status		..
DeviceRequest.intent		..
DeviceRequest.code[x]	CodeableConcept	..
DeviceRequest.code[x].coding		..
DeviceRequest.code[x].coding.code		..
DeviceRequest.code[x].coding.display		..
DeviceRequest.subject	Reference(RLPatientCittadino)	..
DeviceRequest.occurrence[x]	Period	..
DeviceRequest.occurrence[x].start		..
DeviceRequest.occurrence[x].end		..
DeviceRequest.note		..

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="RLDeviceRequestProtesiAusili" />
    <meta>
        <lastUpdated value="2023-01-31T17:18:03.1619943+00:00" />
    </meta>
    <url value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLDeviceRequestProtesiAusili" />
    <name value="RLDeviceRequestProtesiAusili" />
    <status value="draft" />
    <description value="Profilo volto a descrivere la prostesi o l’ausilio di cui il paziente necessita come definito dal suo progetto individuale." />
    <keyword>
        <system value="https://fhir.siss.regione.lombardia.it/CodeSystem/Tag" />
        <code value="PI" />
    </keyword>
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="DeviceRequest" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DeviceRequest" />
    <derivation value="constraint" />
    <differential>
        <element id="DeviceRequest.extension">
            <path value="DeviceRequest.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="0" />
        </element>
        <element id="DeviceRequest.extension:prescrizioneElettronica">
            <path value="DeviceRequest.extension" />
            <sliceName value="prescrizioneElettronica" />
            <short value="Flag riguardo la necessit&#224; di una prescrizione elettronica per il paziente" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLDeviceRequestPrescrizioneElettronica" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="DeviceRequest.basedOn">
            <path value="DeviceRequest.basedOn" />
            <short value="Riferimento al progetto individuale nel quale &#232; prevista la fornitura della protesi o dell&#39;ausilio" />
            <definition value="Reference al profilo RLCarePlanProgettoIndividuale contenente il progetto individuale del paziente" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale" />
            </type>
        </element>
        <element id="DeviceRequest.status">
            <path value="DeviceRequest.status" />
            <short value="Stato della fornitura della protesi o dell&#39;ausilio" />
            <definition value="Valore fisso su &quot;active&quot;" />
            <fixedCode value="active" />
        </element>
        <element id="DeviceRequest.intent">
            <path value="DeviceRequest.intent" />
            <short value="Intento della richesta" />
            <definition value="Valore fisso su &quot;order&quot;" />
            <fixedCode value="order" />
        </element>
        <element id="DeviceRequest.code[x]">
            <path value="DeviceRequest.code[x]" />
            <short value="Codice e descrizione dell&#39;ausilio di protesica" />
            <type>
                <code value="CodeableConcept" />
            </type>
        </element>
        <element id="DeviceRequest.code[x].coding.code">
            <path value="DeviceRequest.code[x].coding.code" />
            <short value="Codice dell&#39;ausilio di protesica" />
            <definition value="Stringa alfanumerica di al pi&#249; 26 caratteri" />
            <comment value="La fonte del dato &#232; il campo CD_AUSILIO della tabella ausili di Protesica i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <binding>
                <strength value="required" />
                <description value="ValueSet che identifica gli ausili di protesica" />
                <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-AusilioProtesi" />
            </binding>
        </element>
        <element id="DeviceRequest.code[x].coding.display">
            <path value="DeviceRequest.code[x].coding.display" />
            <short value="Descrizione dell&#39;ausilio di protesica" />
            <definition value="Stringra alfanumerica di al pi&#249; 1024 caratteri." />
            <comment value="La fonte del dato &#232; il campo DS_AUSILIO della tabella ausili di Protesica i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
        </element>
        <element id="DeviceRequest.subject">
            <path value="DeviceRequest.subject" />
            <short value="Paziente al quale deve essere fornita la protesi o l&#39;ausilio" />
            <definition value="Reference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCittadino" />
            </type>
        </element>
        <element id="DeviceRequest.occurrence[x]">
            <path value="DeviceRequest.occurrence[x]" />
            <short value="Periodo di utilizzo della protesi o dell&#39;ausilio" />
            <type>
                <code value="Period" />
            </type>
        </element>
        <element id="DeviceRequest.occurrence[x].start">
            <path value="DeviceRequest.occurrence[x].start" />
            <short value="Data di inizio del period di utilizzo" />
            <definition value="Formato: YYYY-MM-DD secondo lo standard FHIR" />
            <comment value="Il dato a detenuto dal SGDT" />
        </element>
        <element id="DeviceRequest.occurrence[x].end">
            <path value="DeviceRequest.occurrence[x].end" />
            <short value="Data di fine del periodo di utilizzo" />
            <definition value="Formato: YYYY-MM-DD secondo lo standard FHIR" />
            <comment value="Il dato a detenuto dal SGDT" />
        </element>
        <element id="DeviceRequest.note">
            <path value="DeviceRequest.note" />
            <short value="Note / commenti aggiuntivi" />
            <definition value="Stringa alfanumerica al pi&#249; di 1000 caratteri" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "RLDeviceRequestProtesiAusili",
    "meta": {
        "lastUpdated": "2023-01-31T17:18:03.1619943+00:00"
    },
    "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLDeviceRequestProtesiAusili",
    "name": "RLDeviceRequestProtesiAusili",
    "status": "draft",
    "description": "Profilo volto a descrivere la prostesi o l’ausilio di cui il paziente necessita come definito dal suo progetto individuale.",
    "keyword":  [
        {
            "system": "https://fhir.siss.regione.lombardia.it/CodeSystem/Tag",
            "code": "PI"
        }
    ],
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "DeviceRequest",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "DeviceRequest.extension",
                "path": "DeviceRequest.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "rules": "open"
                },
                "min": 0
            },
            {
                "id": "DeviceRequest.extension:prescrizioneElettronica",
                "path": "DeviceRequest.extension",
                "sliceName": "prescrizioneElettronica",
                "short": "Flag riguardo la necessità di una prescrizione elettronica per il paziente",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLDeviceRequestPrescrizioneElettronica"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "DeviceRequest.basedOn",
                "path": "DeviceRequest.basedOn",
                "short": "Riferimento al progetto individuale nel quale è prevista la fornitura della protesi o dell'ausilio",
                "definition": "Reference al profilo RLCarePlanProgettoIndividuale contenente il progetto individuale del paziente",
                "comment": "Il dato è detenuto dal SGDT",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale"
                        ]
                    }
                ]
            },
            {
                "id": "DeviceRequest.status",
                "path": "DeviceRequest.status",
                "short": "Stato della fornitura della protesi o dell'ausilio",
                "definition": "Valore fisso su \"active\"",
                "fixedCode": "active"
            },
            {
                "id": "DeviceRequest.intent",
                "path": "DeviceRequest.intent",
                "short": "Intento della richesta",
                "definition": "Valore fisso su \"order\"",
                "fixedCode": "order"
            },
            {
                "id": "DeviceRequest.code[x]",
                "path": "DeviceRequest.code[x]",
                "short": "Codice e descrizione dell'ausilio di protesica",
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ]
            },
            {
                "id": "DeviceRequest.code[x].coding.code",
                "path": "DeviceRequest.code[x].coding.code",
                "short": "Codice dell'ausilio di protesica",
                "definition": "Stringa alfanumerica di al più 26 caratteri",
                "comment": "La fonte del dato è il campo CD_AUSILIO della tabella ausili di Protesica i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "binding": {
                    "strength": "required",
                    "description": "ValueSet che identifica gli ausili di protesica",
                    "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/DDC-AusilioProtesi"
                }
            },
            {
                "id": "DeviceRequest.code[x].coding.display",
                "path": "DeviceRequest.code[x].coding.display",
                "short": "Descrizione dell'ausilio di protesica",
                "definition": "Stringra alfanumerica di al più 1024 caratteri.",
                "comment": "La fonte del dato è il campo DS_AUSILIO della tabella ausili di Protesica i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01"
            },
            {
                "id": "DeviceRequest.subject",
                "path": "DeviceRequest.subject",
                "short": "Paziente al quale deve essere fornita la protesi o l'ausilio",
                "definition": "Reference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente",
                "comment": "Il dato è detenuto dal SGDT",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCittadino"
                        ]
                    }
                ]
            },
            {
                "id": "DeviceRequest.occurrence[x]",
                "path": "DeviceRequest.occurrence[x]",
                "short": "Periodo di utilizzo della protesi o dell'ausilio",
                "type":  [
                    {
                        "code": "Period"
                    }
                ]
            },
            {
                "id": "DeviceRequest.occurrence[x].start",
                "path": "DeviceRequest.occurrence[x].start",
                "short": "Data di inizio del period di utilizzo",
                "definition": "Formato: YYYY-MM-DD secondo lo standard FHIR",
                "comment": "Il dato a detenuto dal SGDT"
            },
            {
                "id": "DeviceRequest.occurrence[x].end",
                "path": "DeviceRequest.occurrence[x].end",
                "short": "Data di fine del periodo di utilizzo",
                "definition": "Formato: YYYY-MM-DD secondo lo standard FHIR",
                "comment": "Il dato a detenuto dal SGDT"
            },
            {
                "id": "DeviceRequest.note",
                "path": "DeviceRequest.note",
                "short": "Note / commenti aggiuntivi",
                "definition": "Stringa alfanumerica al più di 1000 caratteri",
                "comment": "Il dato è detenuto dal SGDT"
            }
        ]
    }
}

Esempi

Al momento non ci sono esempi disponibili.

Tipologie di ricerca

Attualmente non sono stati definiti criteri di ricerca.

Search parameter

Attualmente non sono definiti Search Parameters oltre quelli previsti dallo standard per la risorsa DeviceRequest.

Value set

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

Nome	Descrizione	Riferimento al dettaglio della codifica
codeCodeableConcept	Codice e descrizione dell'ausilio di protesica	Il riferimento alla lista esaustiva degli ausili di protesica è consultabile al seguente link