RLConditionProblemiSalute
Descrizione
Il profilo RLConditionProblemiSalute è stato strutturato a partire dalla risorsa generica FHIR Condition contiene le informazioni riguardo un problema di salute del paziente. In particolare, il profilo raccoglie i dettagli riguardo le patologie (primaria, secondaria o ulteriore) relative al paziente, la sua condizione clinica prevalente oppure il problema infermieristico individuato in fase di valutazione.
Di seguito è presentato il contenuto del profilo in diversi formati. La corrispondente definizione è consultabile al seguente link: RLConditionProblemiSalute.
Snapshot View
| RLConditionProblemiSalute (Condition) | I | Condition | There are no (further) constraints on this element Element idCondition Detailed information about conditions, problems or diagnoses DefinitionA clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
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| id | Σ | 1..1 | string | Element idCondition.id UUID prodotto dal server FHIR (applicativo) che detiene la risorsa. Per maggiori informazioni su chi detiene la risorsa consultare il paragrafo API-Restful nella pagina di Contesto. DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
| meta | Σ | 1..1 | Meta | Element idCondition.meta Metadati della risorsa DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.meta.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.meta.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| versionId | Σ | 0..1 | id | Element idCondition.meta.versionId Versione della risorsa DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
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| lastUpdated | Σ | 0..1 | instant | Element idCondition.meta.lastUpdated Data e ora di ultimo aggiornamento della risorsa DefinitionFormato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
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| source | Σ | 0..1 | uri | There are no (further) constraints on this element Element idCondition.meta.source Identifies where the resource comes from DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
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| profile | Σ | 1..1 | canonical(StructureDefinition)Fixed Value | Element idCondition.meta.profile Profilo al quale la risorsa si riferisce DefinitionA list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. canonical(StructureDefinition) Constraints
https://fhir.siss.regione.lombardia.it/StructureDefinition/RLConditionProblemiSalute
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| security | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element idCondition.meta.security Security Labels applied to this resource DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Security Labels from the Healthcare Privacy and Security Classification System.
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| tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element idCondition.meta.tag Tags applied to this resource DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idCondition.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.language Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
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| text | 0..1 | Narrative | There are no (further) constraints on this element Element idCondition.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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| contained | 0..* | Resource | There are no (further) constraints on this element Element idCondition.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idCondition.identifier External Ids for this condition DefinitionBusiness identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server. Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers. 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.
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| clinicalStatus | Σ ?! I | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.clinicalStatus active | recurrence | relapse | inactive | remission | resolved DefinitionThe clinical status of the condition. The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. The clinical status of the condition or diagnosis.
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| verificationStatus | Σ ?! I | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.verificationStatus unconfirmed | provisional | differential | confirmed | refuted | entered-in-error DefinitionThe verification status to support the clinical status of the condition. verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. The verification status to support or decline the clinical status of the condition or diagnosis.
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| category | 1..1 | CodeableConceptBinding | Element idCondition.category Tipologia del problema di salute riportato nel campo "code" DefinitionA category assigned to the condition. La codifica delle patologie è riportata secondo lo standard ICD9-CM A category assigned to the condition.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.category.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..1 | Coding | Element idCondition.category.coding Codice e descrizione della tipologia del problema di salute DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.coding.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.category.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 0..1 | uriFixed Value | Element idCondition.category.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-TipologiaProblemaSalute
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.coding.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | codeBinding | Element idCondition.category.coding.code Codice della tipologia di patologia DefinitionStringa alfanumerica di un carattere Need to refer to a particular code in the system. Il dato è detenuto dal SGDT ValueSet che identifica la tipologia del problema di salute
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| display | Σ | 0..1 | string | Element idCondition.category.coding.display Descrizione della tipolgia di patologia DefinitionStringa alfabeta al più di 50 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto dal SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.category.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.text Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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| severity | 0..1 | CodeableConceptBinding | Element idCondition.severity Nel caso in cui il problema di salute si riferisce ad una patologia cronica, il campo indica il livello di gravità della cronicità associata alla patologia primaria DefinitionA subjective assessment of the severity of the condition as evaluated by the clinician. Per il dettaglio esaustivo della codifica consultare la Tabella del livello di gravità della cronicità contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. A subjective assessment of the severity of the condition as evaluated by the clinician.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.severity.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..1 | Coding | Element idCondition.severity.coding Codice e descrizione del livello di gravità della cronicità DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.coding.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.severity.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.severity.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
https://fhir.siss.regione.lombardia.it/CodeSystem/GPC-LivelloGravita
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.coding.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | code | Element idCondition.severity.coding.code Codice del livello di gravità della cronicità DefinitionStringa alfanumerica di un carattere Need to refer to a particular code in the system. Il dato è detenuto da SGDT
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| display | Σ | 0..1 | string | Element idCondition.severity.coding.display Descrizione del livello di gravità della cronicità DefinitionStringa alfabeta al più di 50 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto da SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.severity.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.text Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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| code | Σ | 1..1 | CodeableConcept | Element idCondition.code Codifica del problema di salute Alternate namestype DefinitionIdentification of the condition, problem or diagnosis. 0..1 to account for primarily narrative only resources. 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. Unordered, Open, by coding.system(Value) BindingIdentification of the condition or diagnosis.
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| patologia | Σ | 1..1 | CodeableConcept | Element idCondition.code:patologia La codifica della patologia può essere riportata secondo lo standard ICD9-CM oppure secondo la codifica regionale. Nel campo system viene indicata la codifica utilizzata. Alternate namestype DefinitionIdentification of the condition, problem or diagnosis. 0..1 to account for primarily narrative only resources. La codifica delle patologie è riportata secondo lo standard ICD9-CM. Inoltre, è presente un elenco di patologie aggiuntive con codifica differente rispetto allo standard ICD9-CM, è possibile visualizzare la Tabella delle patologie non ICD9-CM tramite il link presente nella sezione ValueSet in fondo a questa pagina o nella sezione Terminologia - Libreria ValueSet Identification of the condition or diagnosis.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:patologia.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..2 | Coding | Element idCondition.code:patologia.coding Codifica della patologia secondo lo standard ICD9-CM. Di prassi viene utilizzata questa codifica. DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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. Unordered, Open, by system(Value) Constraints
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| patologiaICD9-CM | Σ | 0..1 | Coding | Element idCondition.code:patologia.coding:patologiaICD9-CM Codifica della patologia secondo lo standard ICD9-CM. Di prassi viene utilizzata questa codifica. DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaICD9-CM.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaICD9-CM.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.code:patologia.coding:patologiaICD9-CM.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
http://terminology.hl7.org/ValueSet/v3-DiagnosisICD9CM
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaICD9-CM.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | code | Element idCondition.code:patologia.coding:patologiaICD9-CM.code Codice della patologia ICD9-CM DefinitionStringa alfanumerica di al più 10 caratteri Need to refer to a particular code in the system. Il dato è detenuto da SGDT
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| display | Σ | 0..1 | string | Element idCondition.code:patologia.coding:patologiaICD9-CM.display Descrizione della patologia ICD9-CM DefinitionStringa alfanumerica di al più 250 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto da SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaICD9-CM.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| patologiaNonICD9-CM | Σ | 0..1 | Coding | Element idCondition.code:patologia.coding:patologiaNonICD9-CM Codifica regionale della patologia. Nel caso della presa in carico di un paziente cronico l'uso di questa codifica è obbligatorio. DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Per il dettaglio esaustivo della codifica differente rispetto allo standard ICD9-CM, è possibile visualizzare la Tabella delle patologie non ICD9-CM tramite il link presente nella sezione ValueSet in fondo a questa pagina o nella sezione Terminologia - Libreria ValueSet
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaNonICD9-CM.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaNonICD9-CM.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uri | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaNonICD9-CM.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaNonICD9-CM.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | code | Element idCondition.code:patologia.coding:patologiaNonICD9-CM.code Codice della patologia con codifica regionale DefinitionStringa alfanumerica di al più 10 caratteri Need to refer to a particular code in the system. Il dato è detenuto da SGDT
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| display | Σ | 0..1 | string | Element idCondition.code:patologia.coding:patologiaNonICD9-CM.display Descrizione della patologia con codifica regionale DefinitionStringa alfanumerica di al più 250 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto da SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaNonICD9-CM.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.text Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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| condizioneClinica | Σ | 0..1 | CodeableConcept | Element idCondition.code:condizioneClinica Codice della condizione clinica prevalente Alternate namestype DefinitionIdentification of the condition, problem or diagnosis. 0..1 to account for primarily narrative only resources. Per il dettaglio esaustivo della codifica consultare la Tabella della condizione clinica contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Identification of the condition or diagnosis.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..1 | Coding | Element idCondition.code:condizioneClinica.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Per il dettaglio esaustivo della codifica consultare la Tabella della condizione clinica contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.coding.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.code:condizioneClinica.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-CondizioneClinica
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.coding.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | codeBinding | Element idCondition.code:condizioneClinica.coding.code Codice della condizione clinica prevalente DefinitionStringa numerica di un carattere Need to refer to a particular code in the system. Il dato è detenuto da SGDT ValueSet relativo alla condizione clinica
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| display | Σ | 0..1 | string | Element idCondition.code:condizioneClinica.coding.display Descrizione condizione clinica prevalente DefinitionStringa alfanumerica di al più 250 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto da SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.text Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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| problemaInfermieristico | Σ | 0..1 | CodeableConcept | Element idCondition.code:problemaInfermieristico Codice del problema infermieristico Alternate namestype DefinitionIdentification of the condition, problem or diagnosis. 0..1 to account for primarily narrative only resources. Per il dettaglio esaustivo della codifica consultare la Tabella dei problemi infermieristici contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Identification of the condition or diagnosis.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.coding.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.code:problemaInfermieristico.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-ProblemaInfermieristico
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.coding.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | codeBinding | Element idCondition.code:problemaInfermieristico.coding.code Codice del problema infermieristico DefinitionStringa alfanumerica di al più 19 caratteri Need to refer to a particular code in the system. Il dato è detenuto da SGDT ValueSet relativo ai motivi della sospensione
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| display | Σ | 0..1 | string | Element idCondition.code:problemaInfermieristico.coding.display Descrizione del problema infermieristico DefinitionStringa alfanumerica di al più 300 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto da SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.text Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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| bodySite | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idCondition.bodySite Anatomical location, if relevant DefinitionThe anatomical location where this condition manifests itself. Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. Codes describing anatomical locations. May include laterality.
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| subject | Σ I | 1..1 | Reference(RLPatientCittadino | RLPatientBase) | Element idCondition.subject Paziente per il quale è stato riscontrato il problema di salute Alternate namespatient DefinitionReference al profilo RLPatientCittadino contenente i dettagli anagrafici del paziente o al profilo RLPatientBase contenente i dettagli anagrafici di base del paziente Group is typically used for veterinary or public health use cases. Il dato è detenuto dal SGDT Reference(RLPatientCittadino | RLPatientBase) Constraints
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| encounter | Σ I | 0..1 | Reference(Encounter) | There are no (further) constraints on this element Element idCondition.encounter Encounter created as part of DefinitionThe Encounter during which this Condition was created or to which the creation of this record is tightly associated. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".
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| onset[x] | Σ | 0..1 | There are no (further) constraints on this element Element idCondition.onset[x] Estimated or actual date, date-time, or age DefinitionEstimated or actual date or date-time the condition began, in the opinion of the clinician. Age is generally used when the patient reports an age at which the Condition began to occur.
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| onsetDateTime | dateTime | There are no (further) constraints on this element Data type | ||
| onsetAge | Age | There are no (further) constraints on this element Data type | ||
| onsetPeriod | Period | There are no (further) constraints on this element Data type | ||
| onsetRange | Range | There are no (further) constraints on this element Data type | ||
| onsetString | string | There are no (further) constraints on this element Data type | ||
| abatement[x] | I | 0..1 | There are no (further) constraints on this element Element idCondition.abatement[x] When in resolution/remission DefinitionThe date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate. There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.
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| abatementDateTime | dateTime | There are no (further) constraints on this element Data type | ||
| abatementAge | Age | There are no (further) constraints on this element Data type | ||
| abatementPeriod | Period | There are no (further) constraints on this element Data type | ||
| abatementRange | Range | There are no (further) constraints on this element Data type | ||
| abatementString | string | There are no (further) constraints on this element Data type | ||
| recordedDate | Σ | 0..1 | dateTime | Element idCondition.recordedDate Data e ora di registrazione DefinitionFormato: YYYY-MM-DDThh:mm:ss+zz:zz secondo lo standard FHIR Il dato è detenuto dal SGDT
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| recorder | Σ I | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | There are no (further) constraints on this element Element idCondition.recorder Who recorded the condition DefinitionIndividual who recorded the record and takes responsibility for its content. 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. Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Constraints
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| asserter | Σ I | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | There are no (further) constraints on this element Element idCondition.asserter Person who asserts this condition DefinitionIndividual who is making the condition statement. 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. Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Constraints
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| stage | I | 0..* | BackboneElement | There are no (further) constraints on this element Element idCondition.stage Stage/grade, usually assessed formally DefinitionClinical stage or grade of a condition. May include formal severity assessments.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.stage.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.stage.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.stage.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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| summary | I | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.stage.summary Simple summary (disease specific) DefinitionA simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific. 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. Codes describing condition stages (e.g. Cancer stages).
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| assessment | I | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | There are no (further) constraints on this element Element idCondition.stage.assessment Formal record of assessment DefinitionReference to a formal record of the evidence on which the staging assessment is based. 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. Reference(ClinicalImpression | DiagnosticReport | Observation) Constraints
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| type | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.stage.type Kind of staging DefinitionThe kind of staging, such as pathological or clinical staging. 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. Codes describing the kind of condition staging (e.g. clinical or pathological).
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| evidence | I | 0..* | BackboneElement | There are no (further) constraints on this element Element idCondition.evidence Supporting evidence DefinitionSupporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition. The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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| code | Σ I | 0..* | CodeableConcept | There are no (further) constraints on this element Element idCondition.evidence.code Manifestation/symptom DefinitionA manifestation or symptom that led to the recording of this condition. 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. Codes that describe the manifestation or symptoms of a condition.
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| detail | Σ I | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idCondition.evidence.detail Supporting information found elsewhere DefinitionLinks to other relevant information, including pathology reports. 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.
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| note | 0..* | Annotation | There are no (further) constraints on this element Element idCondition.note Additional information about the Condition DefinitionAdditional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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Differential View
| RLConditionProblemiSalute (Condition) | I | Condition | There are no (further) constraints on this element Element idCondition Detailed information about conditions, problems or diagnoses DefinitionA clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
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| id | Σ | 1..1 | string | Element idCondition.id UUID prodotto dal server FHIR (applicativo) che detiene la risorsa. Per maggiori informazioni su chi detiene la risorsa consultare il paragrafo API-Restful nella pagina di Contesto. DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
| meta | Σ | 1..1 | Meta | Element idCondition.meta Metadati della risorsa DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.meta.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.meta.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| versionId | Σ | 0..1 | id | Element idCondition.meta.versionId Versione della risorsa DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
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| lastUpdated | Σ | 0..1 | instant | Element idCondition.meta.lastUpdated Data e ora di ultimo aggiornamento della risorsa DefinitionFormato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
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| source | Σ | 0..1 | uri | There are no (further) constraints on this element Element idCondition.meta.source Identifies where the resource comes from DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
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| profile | Σ | 1..1 | canonical(StructureDefinition)Fixed Value | Element idCondition.meta.profile Profilo al quale la risorsa si riferisce DefinitionA list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. canonical(StructureDefinition) Constraints
https://fhir.siss.regione.lombardia.it/StructureDefinition/RLConditionProblemiSalute
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| security | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element idCondition.meta.security Security Labels applied to this resource DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Security Labels from the Healthcare Privacy and Security Classification System.
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| tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element idCondition.meta.tag Tags applied to this resource DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idCondition.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.language Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
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| text | 0..1 | Narrative | There are no (further) constraints on this element Element idCondition.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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| contained | 0..* | Resource | There are no (further) constraints on this element Element idCondition.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idCondition.identifier External Ids for this condition DefinitionBusiness identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server. Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers. 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.
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| clinicalStatus | Σ ?! I | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.clinicalStatus active | recurrence | relapse | inactive | remission | resolved DefinitionThe clinical status of the condition. The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. The clinical status of the condition or diagnosis.
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| verificationStatus | Σ ?! I | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.verificationStatus unconfirmed | provisional | differential | confirmed | refuted | entered-in-error DefinitionThe verification status to support the clinical status of the condition. verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. The verification status to support or decline the clinical status of the condition or diagnosis.
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| category | 1..1 | CodeableConceptBinding | Element idCondition.category Tipologia del problema di salute riportato nel campo "code" DefinitionA category assigned to the condition. La codifica delle patologie è riportata secondo lo standard ICD9-CM A category assigned to the condition.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.category.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..1 | Coding | Element idCondition.category.coding Codice e descrizione della tipologia del problema di salute DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.coding.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.category.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 0..1 | uriFixed Value | Element idCondition.category.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-TipologiaProblemaSalute
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.coding.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | codeBinding | Element idCondition.category.coding.code Codice della tipologia di patologia DefinitionStringa alfanumerica di un carattere Need to refer to a particular code in the system. Il dato è detenuto dal SGDT ValueSet che identifica la tipologia del problema di salute
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| display | Σ | 0..1 | string | Element idCondition.category.coding.display Descrizione della tipolgia di patologia DefinitionStringa alfabeta al più di 50 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto dal SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.category.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.text Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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| severity | 0..1 | CodeableConceptBinding | Element idCondition.severity Nel caso in cui il problema di salute si riferisce ad una patologia cronica, il campo indica il livello di gravità della cronicità associata alla patologia primaria DefinitionA subjective assessment of the severity of the condition as evaluated by the clinician. Per il dettaglio esaustivo della codifica consultare la Tabella del livello di gravità della cronicità contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. A subjective assessment of the severity of the condition as evaluated by the clinician.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.severity.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..1 | Coding | Element idCondition.severity.coding Codice e descrizione del livello di gravità della cronicità DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.coding.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.severity.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.severity.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
https://fhir.siss.regione.lombardia.it/CodeSystem/GPC-LivelloGravita
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.coding.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | code | Element idCondition.severity.coding.code Codice del livello di gravità della cronicità DefinitionStringa alfanumerica di un carattere Need to refer to a particular code in the system. Il dato è detenuto da SGDT
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| display | Σ | 0..1 | string | Element idCondition.severity.coding.display Descrizione del livello di gravità della cronicità DefinitionStringa alfabeta al più di 50 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto da SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.severity.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.text Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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| code | Σ | 1..1 | CodeableConcept | Element idCondition.code Codifica del problema di salute Alternate namestype DefinitionIdentification of the condition, problem or diagnosis. 0..1 to account for primarily narrative only resources. 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. Unordered, Open, by coding.system(Value) BindingIdentification of the condition or diagnosis.
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| patologia | Σ | 1..1 | CodeableConcept | Element idCondition.code:patologia La codifica della patologia può essere riportata secondo lo standard ICD9-CM oppure secondo la codifica regionale. Nel campo system viene indicata la codifica utilizzata. Alternate namestype DefinitionIdentification of the condition, problem or diagnosis. 0..1 to account for primarily narrative only resources. La codifica delle patologie è riportata secondo lo standard ICD9-CM. Inoltre, è presente un elenco di patologie aggiuntive con codifica differente rispetto allo standard ICD9-CM, è possibile visualizzare la Tabella delle patologie non ICD9-CM tramite il link presente nella sezione ValueSet in fondo a questa pagina o nella sezione Terminologia - Libreria ValueSet Identification of the condition or diagnosis.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:patologia.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..2 | Coding | Element idCondition.code:patologia.coding Codifica della patologia secondo lo standard ICD9-CM. Di prassi viene utilizzata questa codifica. DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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. Unordered, Open, by system(Value) Constraints
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| patologiaICD9-CM | Σ | 0..1 | Coding | Element idCondition.code:patologia.coding:patologiaICD9-CM Codifica della patologia secondo lo standard ICD9-CM. Di prassi viene utilizzata questa codifica. DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaICD9-CM.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaICD9-CM.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.code:patologia.coding:patologiaICD9-CM.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
http://terminology.hl7.org/ValueSet/v3-DiagnosisICD9CM
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaICD9-CM.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | code | Element idCondition.code:patologia.coding:patologiaICD9-CM.code Codice della patologia ICD9-CM DefinitionStringa alfanumerica di al più 10 caratteri Need to refer to a particular code in the system. Il dato è detenuto da SGDT
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| display | Σ | 0..1 | string | Element idCondition.code:patologia.coding:patologiaICD9-CM.display Descrizione della patologia ICD9-CM DefinitionStringa alfanumerica di al più 250 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto da SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaICD9-CM.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| patologiaNonICD9-CM | Σ | 0..1 | Coding | Element idCondition.code:patologia.coding:patologiaNonICD9-CM Codifica regionale della patologia. Nel caso della presa in carico di un paziente cronico l'uso di questa codifica è obbligatorio. DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Per il dettaglio esaustivo della codifica differente rispetto allo standard ICD9-CM, è possibile visualizzare la Tabella delle patologie non ICD9-CM tramite il link presente nella sezione ValueSet in fondo a questa pagina o nella sezione Terminologia - Libreria ValueSet
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaNonICD9-CM.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaNonICD9-CM.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uri | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaNonICD9-CM.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaNonICD9-CM.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | code | Element idCondition.code:patologia.coding:patologiaNonICD9-CM.code Codice della patologia con codifica regionale DefinitionStringa alfanumerica di al più 10 caratteri Need to refer to a particular code in the system. Il dato è detenuto da SGDT
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| display | Σ | 0..1 | string | Element idCondition.code:patologia.coding:patologiaNonICD9-CM.display Descrizione della patologia con codifica regionale DefinitionStringa alfanumerica di al più 250 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto da SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaNonICD9-CM.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.text Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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| condizioneClinica | Σ | 0..1 | CodeableConcept | Element idCondition.code:condizioneClinica Codice della condizione clinica prevalente Alternate namestype DefinitionIdentification of the condition, problem or diagnosis. 0..1 to account for primarily narrative only resources. Per il dettaglio esaustivo della codifica consultare la Tabella della condizione clinica contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Identification of the condition or diagnosis.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..1 | Coding | Element idCondition.code:condizioneClinica.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Per il dettaglio esaustivo della codifica consultare la Tabella della condizione clinica contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.coding.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.code:condizioneClinica.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-CondizioneClinica
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.coding.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | codeBinding | Element idCondition.code:condizioneClinica.coding.code Codice della condizione clinica prevalente DefinitionStringa numerica di un carattere Need to refer to a particular code in the system. Il dato è detenuto da SGDT ValueSet relativo alla condizione clinica
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| display | Σ | 0..1 | string | Element idCondition.code:condizioneClinica.coding.display Descrizione condizione clinica prevalente DefinitionStringa alfanumerica di al più 250 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto da SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.text Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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| problemaInfermieristico | Σ | 0..1 | CodeableConcept | Element idCondition.code:problemaInfermieristico Codice del problema infermieristico Alternate namestype DefinitionIdentification of the condition, problem or diagnosis. 0..1 to account for primarily narrative only resources. Per il dettaglio esaustivo della codifica consultare la Tabella dei problemi infermieristici contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Identification of the condition or diagnosis.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.coding.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.code:problemaInfermieristico.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-ProblemaInfermieristico
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.coding.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | codeBinding | Element idCondition.code:problemaInfermieristico.coding.code Codice del problema infermieristico DefinitionStringa alfanumerica di al più 19 caratteri Need to refer to a particular code in the system. Il dato è detenuto da SGDT ValueSet relativo ai motivi della sospensione
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| display | Σ | 0..1 | string | Element idCondition.code:problemaInfermieristico.coding.display Descrizione del problema infermieristico DefinitionStringa alfanumerica di al più 300 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto da SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.text Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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| bodySite | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idCondition.bodySite Anatomical location, if relevant DefinitionThe anatomical location where this condition manifests itself. Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. Codes describing anatomical locations. May include laterality.
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| subject | Σ I | 1..1 | Reference(RLPatientCittadino | RLPatientBase) | Element idCondition.subject Paziente per il quale è stato riscontrato il problema di salute Alternate namespatient DefinitionReference al profilo RLPatientCittadino contenente i dettagli anagrafici del paziente o al profilo RLPatientBase contenente i dettagli anagrafici di base del paziente Group is typically used for veterinary or public health use cases. Il dato è detenuto dal SGDT Reference(RLPatientCittadino | RLPatientBase) Constraints
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| encounter | Σ I | 0..1 | Reference(Encounter) | There are no (further) constraints on this element Element idCondition.encounter Encounter created as part of DefinitionThe Encounter during which this Condition was created or to which the creation of this record is tightly associated. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".
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| onset[x] | Σ | 0..1 | There are no (further) constraints on this element Element idCondition.onset[x] Estimated or actual date, date-time, or age DefinitionEstimated or actual date or date-time the condition began, in the opinion of the clinician. Age is generally used when the patient reports an age at which the Condition began to occur.
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| onsetDateTime | dateTime | There are no (further) constraints on this element Data type | ||
| onsetAge | Age | There are no (further) constraints on this element Data type | ||
| onsetPeriod | Period | There are no (further) constraints on this element Data type | ||
| onsetRange | Range | There are no (further) constraints on this element Data type | ||
| onsetString | string | There are no (further) constraints on this element Data type | ||
| abatement[x] | I | 0..1 | There are no (further) constraints on this element Element idCondition.abatement[x] When in resolution/remission DefinitionThe date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate. There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.
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| abatementDateTime | dateTime | There are no (further) constraints on this element Data type | ||
| abatementAge | Age | There are no (further) constraints on this element Data type | ||
| abatementPeriod | Period | There are no (further) constraints on this element Data type | ||
| abatementRange | Range | There are no (further) constraints on this element Data type | ||
| abatementString | string | There are no (further) constraints on this element Data type | ||
| recordedDate | Σ | 0..1 | dateTime | Element idCondition.recordedDate Data e ora di registrazione DefinitionFormato: YYYY-MM-DDThh:mm:ss+zz:zz secondo lo standard FHIR Il dato è detenuto dal SGDT
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| recorder | Σ I | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | There are no (further) constraints on this element Element idCondition.recorder Who recorded the condition DefinitionIndividual who recorded the record and takes responsibility for its content. 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. Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Constraints
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| asserter | Σ I | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | There are no (further) constraints on this element Element idCondition.asserter Person who asserts this condition DefinitionIndividual who is making the condition statement. 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. Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Constraints
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| stage | I | 0..* | BackboneElement | There are no (further) constraints on this element Element idCondition.stage Stage/grade, usually assessed formally DefinitionClinical stage or grade of a condition. May include formal severity assessments.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.stage.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.stage.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.stage.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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| summary | I | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.stage.summary Simple summary (disease specific) DefinitionA simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific. 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. Codes describing condition stages (e.g. Cancer stages).
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| assessment | I | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | There are no (further) constraints on this element Element idCondition.stage.assessment Formal record of assessment DefinitionReference to a formal record of the evidence on which the staging assessment is based. 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. Reference(ClinicalImpression | DiagnosticReport | Observation) Constraints
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| type | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.stage.type Kind of staging DefinitionThe kind of staging, such as pathological or clinical staging. 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. Codes describing the kind of condition staging (e.g. clinical or pathological).
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| evidence | I | 0..* | BackboneElement | There are no (further) constraints on this element Element idCondition.evidence Supporting evidence DefinitionSupporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition. The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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| code | Σ I | 0..* | CodeableConcept | There are no (further) constraints on this element Element idCondition.evidence.code Manifestation/symptom DefinitionA manifestation or symptom that led to the recording of this condition. 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. Codes that describe the manifestation or symptoms of a condition.
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| detail | Σ I | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idCondition.evidence.detail Supporting information found elsewhere DefinitionLinks to other relevant information, including pathology reports. 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.
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| note | 0..* | Annotation | There are no (further) constraints on this element Element idCondition.note Additional information about the Condition DefinitionAdditional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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Hybrid View
| RLConditionProblemiSalute (Condition) | I | Condition | There are no (further) constraints on this element Element idCondition Detailed information about conditions, problems or diagnoses DefinitionA clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
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| id | Σ | 1..1 | string | Element idCondition.id UUID prodotto dal server FHIR (applicativo) che detiene la risorsa. Per maggiori informazioni su chi detiene la risorsa consultare il paragrafo API-Restful nella pagina di Contesto. DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
| meta | Σ | 1..1 | Meta | Element idCondition.meta Metadati della risorsa DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.meta.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.meta.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| versionId | Σ | 0..1 | id | Element idCondition.meta.versionId Versione della risorsa DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
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| lastUpdated | Σ | 0..1 | instant | Element idCondition.meta.lastUpdated Data e ora di ultimo aggiornamento della risorsa DefinitionFormato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
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| source | Σ | 0..1 | uri | There are no (further) constraints on this element Element idCondition.meta.source Identifies where the resource comes from DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
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| profile | Σ | 1..1 | canonical(StructureDefinition)Fixed Value | Element idCondition.meta.profile Profilo al quale la risorsa si riferisce DefinitionA list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. canonical(StructureDefinition) Constraints
https://fhir.siss.regione.lombardia.it/StructureDefinition/RLConditionProblemiSalute
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| security | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element idCondition.meta.security Security Labels applied to this resource DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Security Labels from the Healthcare Privacy and Security Classification System.
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| tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element idCondition.meta.tag Tags applied to this resource DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idCondition.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.language Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
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| text | 0..1 | Narrative | There are no (further) constraints on this element Element idCondition.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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| contained | 0..* | Resource | There are no (further) constraints on this element Element idCondition.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idCondition.identifier External Ids for this condition DefinitionBusiness identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server. Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers. 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.
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| clinicalStatus | Σ ?! I | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.clinicalStatus active | recurrence | relapse | inactive | remission | resolved DefinitionThe clinical status of the condition. The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. The clinical status of the condition or diagnosis.
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| verificationStatus | Σ ?! I | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.verificationStatus unconfirmed | provisional | differential | confirmed | refuted | entered-in-error DefinitionThe verification status to support the clinical status of the condition. verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. The verification status to support or decline the clinical status of the condition or diagnosis.
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| category | 1..1 | CodeableConceptBinding | Element idCondition.category Tipologia del problema di salute riportato nel campo "code" DefinitionA category assigned to the condition. La codifica delle patologie è riportata secondo lo standard ICD9-CM A category assigned to the condition.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.category.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..1 | Coding | Element idCondition.category.coding Codice e descrizione della tipologia del problema di salute DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.coding.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.category.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 0..1 | uriFixed Value | Element idCondition.category.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-TipologiaProblemaSalute
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.coding.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | codeBinding | Element idCondition.category.coding.code Codice della tipologia di patologia DefinitionStringa alfanumerica di un carattere Need to refer to a particular code in the system. Il dato è detenuto dal SGDT ValueSet che identifica la tipologia del problema di salute
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| display | Σ | 0..1 | string | Element idCondition.category.coding.display Descrizione della tipolgia di patologia DefinitionStringa alfabeta al più di 50 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto dal SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.category.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.text Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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| severity | 0..1 | CodeableConceptBinding | Element idCondition.severity Nel caso in cui il problema di salute si riferisce ad una patologia cronica, il campo indica il livello di gravità della cronicità associata alla patologia primaria DefinitionA subjective assessment of the severity of the condition as evaluated by the clinician. Per il dettaglio esaustivo della codifica consultare la Tabella del livello di gravità della cronicità contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. A subjective assessment of the severity of the condition as evaluated by the clinician.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.severity.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..1 | Coding | Element idCondition.severity.coding Codice e descrizione del livello di gravità della cronicità DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.coding.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.severity.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.severity.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
https://fhir.siss.regione.lombardia.it/CodeSystem/GPC-LivelloGravita
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.coding.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | code | Element idCondition.severity.coding.code Codice del livello di gravità della cronicità DefinitionStringa alfanumerica di un carattere Need to refer to a particular code in the system. Il dato è detenuto da SGDT
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| display | Σ | 0..1 | string | Element idCondition.severity.coding.display Descrizione del livello di gravità della cronicità DefinitionStringa alfabeta al più di 50 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto da SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.severity.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.text Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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| code | Σ | 1..1 | CodeableConcept | Element idCondition.code Codifica del problema di salute Alternate namestype DefinitionIdentification of the condition, problem or diagnosis. 0..1 to account for primarily narrative only resources. 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. Unordered, Open, by coding.system(Value) BindingIdentification of the condition or diagnosis.
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| patologia | Σ | 1..1 | CodeableConcept | Element idCondition.code:patologia La codifica della patologia può essere riportata secondo lo standard ICD9-CM oppure secondo la codifica regionale. Nel campo system viene indicata la codifica utilizzata. Alternate namestype DefinitionIdentification of the condition, problem or diagnosis. 0..1 to account for primarily narrative only resources. La codifica delle patologie è riportata secondo lo standard ICD9-CM. Inoltre, è presente un elenco di patologie aggiuntive con codifica differente rispetto allo standard ICD9-CM, è possibile visualizzare la Tabella delle patologie non ICD9-CM tramite il link presente nella sezione ValueSet in fondo a questa pagina o nella sezione Terminologia - Libreria ValueSet Identification of the condition or diagnosis.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:patologia.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..2 | Coding | Element idCondition.code:patologia.coding Codifica della patologia secondo lo standard ICD9-CM. Di prassi viene utilizzata questa codifica. DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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. Unordered, Open, by system(Value) Constraints
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| patologiaICD9-CM | Σ | 0..1 | Coding | Element idCondition.code:patologia.coding:patologiaICD9-CM Codifica della patologia secondo lo standard ICD9-CM. Di prassi viene utilizzata questa codifica. DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaICD9-CM.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaICD9-CM.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.code:patologia.coding:patologiaICD9-CM.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
http://terminology.hl7.org/ValueSet/v3-DiagnosisICD9CM
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaICD9-CM.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | code | Element idCondition.code:patologia.coding:patologiaICD9-CM.code Codice della patologia ICD9-CM DefinitionStringa alfanumerica di al più 10 caratteri Need to refer to a particular code in the system. Il dato è detenuto da SGDT
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| display | Σ | 0..1 | string | Element idCondition.code:patologia.coding:patologiaICD9-CM.display Descrizione della patologia ICD9-CM DefinitionStringa alfanumerica di al più 250 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto da SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaICD9-CM.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| patologiaNonICD9-CM | Σ | 0..1 | Coding | Element idCondition.code:patologia.coding:patologiaNonICD9-CM Codifica regionale della patologia. Nel caso della presa in carico di un paziente cronico l'uso di questa codifica è obbligatorio. DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Per il dettaglio esaustivo della codifica differente rispetto allo standard ICD9-CM, è possibile visualizzare la Tabella delle patologie non ICD9-CM tramite il link presente nella sezione ValueSet in fondo a questa pagina o nella sezione Terminologia - Libreria ValueSet
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaNonICD9-CM.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaNonICD9-CM.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uri | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaNonICD9-CM.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaNonICD9-CM.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | code | Element idCondition.code:patologia.coding:patologiaNonICD9-CM.code Codice della patologia con codifica regionale DefinitionStringa alfanumerica di al più 10 caratteri Need to refer to a particular code in the system. Il dato è detenuto da SGDT
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| display | Σ | 0..1 | string | Element idCondition.code:patologia.coding:patologiaNonICD9-CM.display Descrizione della patologia con codifica regionale DefinitionStringa alfanumerica di al più 250 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto da SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code:patologia.coding:patologiaNonICD9-CM.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:patologia.text Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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| condizioneClinica | Σ | 0..1 | CodeableConcept | Element idCondition.code:condizioneClinica Codice della condizione clinica prevalente Alternate namestype DefinitionIdentification of the condition, problem or diagnosis. 0..1 to account for primarily narrative only resources. Per il dettaglio esaustivo della codifica consultare la Tabella della condizione clinica contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Identification of the condition or diagnosis.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..1 | Coding | Element idCondition.code:condizioneClinica.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Per il dettaglio esaustivo della codifica consultare la Tabella della condizione clinica contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.coding.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.code:condizioneClinica.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-CondizioneClinica
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.coding.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | codeBinding | Element idCondition.code:condizioneClinica.coding.code Codice della condizione clinica prevalente DefinitionStringa numerica di un carattere Need to refer to a particular code in the system. Il dato è detenuto da SGDT ValueSet relativo alla condizione clinica
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| display | Σ | 0..1 | string | Element idCondition.code:condizioneClinica.coding.display Descrizione condizione clinica prevalente DefinitionStringa alfanumerica di al più 250 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto da SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:condizioneClinica.text Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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| problemaInfermieristico | Σ | 0..1 | CodeableConcept | Element idCondition.code:problemaInfermieristico Codice del problema infermieristico Alternate namestype DefinitionIdentification of the condition, problem or diagnosis. 0..1 to account for primarily narrative only resources. Per il dettaglio esaustivo della codifica consultare la Tabella dei problemi infermieristici contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Identification of the condition or diagnosis.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.coding.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.code:problemaInfermieristico.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-ProblemaInfermieristico
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.coding.version Version of the system - if relevant DefinitionThe 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. 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.
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| code | Σ | 1..1 | codeBinding | Element idCondition.code:problemaInfermieristico.coding.code Codice del problema infermieristico DefinitionStringa alfanumerica di al più 19 caratteri Need to refer to a particular code in the system. Il dato è detenuto da SGDT ValueSet relativo ai motivi della sospensione
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| display | Σ | 0..1 | string | Element idCondition.code:problemaInfermieristico.coding.display Descrizione del problema infermieristico DefinitionStringa alfanumerica di al più 300 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto da SGDT
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code:problemaInfermieristico.text Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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| bodySite | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idCondition.bodySite Anatomical location, if relevant DefinitionThe anatomical location where this condition manifests itself. Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. Codes describing anatomical locations. May include laterality.
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| subject | Σ I | 1..1 | Reference(RLPatientCittadino | RLPatientBase) | Element idCondition.subject Paziente per il quale è stato riscontrato il problema di salute Alternate namespatient DefinitionReference al profilo RLPatientCittadino contenente i dettagli anagrafici del paziente o al profilo RLPatientBase contenente i dettagli anagrafici di base del paziente Group is typically used for veterinary or public health use cases. Il dato è detenuto dal SGDT Reference(RLPatientCittadino | RLPatientBase) Constraints
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| encounter | Σ I | 0..1 | Reference(Encounter) | There are no (further) constraints on this element Element idCondition.encounter Encounter created as part of DefinitionThe Encounter during which this Condition was created or to which the creation of this record is tightly associated. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".
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| onset[x] | Σ | 0..1 | There are no (further) constraints on this element Element idCondition.onset[x] Estimated or actual date, date-time, or age DefinitionEstimated or actual date or date-time the condition began, in the opinion of the clinician. Age is generally used when the patient reports an age at which the Condition began to occur.
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| onsetDateTime | dateTime | There are no (further) constraints on this element Data type | ||
| onsetAge | Age | There are no (further) constraints on this element Data type | ||
| onsetPeriod | Period | There are no (further) constraints on this element Data type | ||
| onsetRange | Range | There are no (further) constraints on this element Data type | ||
| onsetString | string | There are no (further) constraints on this element Data type | ||
| abatement[x] | I | 0..1 | There are no (further) constraints on this element Element idCondition.abatement[x] When in resolution/remission DefinitionThe date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate. There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.
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| abatementDateTime | dateTime | There are no (further) constraints on this element Data type | ||
| abatementAge | Age | There are no (further) constraints on this element Data type | ||
| abatementPeriod | Period | There are no (further) constraints on this element Data type | ||
| abatementRange | Range | There are no (further) constraints on this element Data type | ||
| abatementString | string | There are no (further) constraints on this element Data type | ||
| recordedDate | Σ | 0..1 | dateTime | Element idCondition.recordedDate Data e ora di registrazione DefinitionFormato: YYYY-MM-DDThh:mm:ss+zz:zz secondo lo standard FHIR Il dato è detenuto dal SGDT
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| recorder | Σ I | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | There are no (further) constraints on this element Element idCondition.recorder Who recorded the condition DefinitionIndividual who recorded the record and takes responsibility for its content. 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. Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Constraints
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| asserter | Σ I | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | There are no (further) constraints on this element Element idCondition.asserter Person who asserts this condition DefinitionIndividual who is making the condition statement. 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. Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Constraints
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| stage | I | 0..* | BackboneElement | There are no (further) constraints on this element Element idCondition.stage Stage/grade, usually assessed formally DefinitionClinical stage or grade of a condition. May include formal severity assessments.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.stage.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.stage.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.stage.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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| summary | I | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.stage.summary Simple summary (disease specific) DefinitionA simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific. 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. Codes describing condition stages (e.g. Cancer stages).
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| assessment | I | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | There are no (further) constraints on this element Element idCondition.stage.assessment Formal record of assessment DefinitionReference to a formal record of the evidence on which the staging assessment is based. 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. Reference(ClinicalImpression | DiagnosticReport | Observation) Constraints
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| type | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.stage.type Kind of staging DefinitionThe kind of staging, such as pathological or clinical staging. 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. Codes describing the kind of condition staging (e.g. clinical or pathological).
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| evidence | I | 0..* | BackboneElement | There are no (further) constraints on this element Element idCondition.evidence Supporting evidence DefinitionSupporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition. The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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| code | Σ I | 0..* | CodeableConcept | There are no (further) constraints on this element Element idCondition.evidence.code Manifestation/symptom DefinitionA manifestation or symptom that led to the recording of this condition. 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. Codes that describe the manifestation or symptoms of a condition.
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| detail | Σ I | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idCondition.evidence.detail Supporting information found elsewhere DefinitionLinks to other relevant information, including pathology reports. 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.
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| note | 0..* | Annotation | There are no (further) constraints on this element Element idCondition.note Additional information about the Condition DefinitionAdditional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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Table View
| Condition | .. | |
| Condition.id | 1.. | |
| Condition.meta | 1.. | |
| Condition.meta.versionId | .. | |
| Condition.meta.lastUpdated | .. | |
| Condition.meta.profile | 1..1 | |
| Condition.category | 1..1 | |
| Condition.category.coding | 1..1 | |
| Condition.category.coding.system | .. | |
| Condition.category.coding.code | 1.. | |
| Condition.category.coding.display | .. | |
| Condition.severity | .. | |
| Condition.severity.coding | 1..1 | |
| Condition.severity.coding.system | 1.. | |
| Condition.severity.coding.code | 1.. | |
| Condition.severity.coding.display | .. | |
| Condition.code | 1.. | |
| Condition.code | 1.. | |
| Condition.code.coding | 1..2 | |
| Condition.code.coding | ..1 | |
| Condition.code.coding.system | 1.. | |
| Condition.code.coding.code | 1.. | |
| Condition.code.coding.display | .. | |
| Condition.code.coding | ..1 | |
| Condition.code.coding.system | 1.. | |
| Condition.code.coding.code | 1.. | |
| Condition.code.coding.display | .. | |
| Condition.code | .. | |
| Condition.code.coding | 1..1 | |
| Condition.code.coding.system | 1.. | |
| Condition.code.coding.code | 1.. | |
| Condition.code.coding.display | .. | |
| Condition.code | .. | |
| Condition.code.coding | 1..1 | |
| Condition.code.coding.system | 1.. | |
| Condition.code.coding.code | 1.. | |
| Condition.code.coding.display | .. | |
| Condition.subject | Reference(RLPatientCittadino | RLPatientBase) | .. |
| Condition.recordedDate | .. |
XML View
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="RLConditionProblemiSalute" /> <meta> <lastUpdated value="2024-04-23T13:05:46.1378817+00:00" /> </meta> <url value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLConditionProblemiSalute" /> <name value="RLConditionProblemiSalute" /> <status value="active" /> <date value="2024-04-23T13:09:25.8682521+00:00" /> <description value="Profilo volto a descrivere i problemi di salute dei quali un paziente è affetto." /> <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="Condition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" /> <derivation value="constraint" /> <differential> <element id="Condition.id"> <path value="Condition.id" /> <short value="UUID prodotto dal server FHIR (applicativo) che detiene la risorsa. Per maggiori informazioni su chi detiene la risorsa consultare il paragrafo API-Restful nella pagina di Contesto." /> <min value="1" /> </element> <element id="Condition.meta"> <path value="Condition.meta" /> <short value="Metadati della risorsa" /> <min value="1" /> </element> <element id="Condition.meta.versionId"> <path value="Condition.meta.versionId" /> <short value="Versione della risorsa" /> </element> <element id="Condition.meta.lastUpdated"> <path value="Condition.meta.lastUpdated" /> <short value="Data e ora di ultimo aggiornamento della risorsa" /> <definition value="Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz" /> </element> <element id="Condition.meta.profile"> <path value="Condition.meta.profile" /> <short value="Profilo al quale la risorsa si riferisce" /> <min value="1" /> <max value="1" /> <fixedCanonical value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLConditionProblemiSalute" /> </element> <element id="Condition.category"> <path value="Condition.category" /> <short value="Tipologia del problema di salute riportato nel campo "code"" /> <comment value="La codifica delle patologie è riportata secondo lo standard ICD9-CM" /> <min value="1" /> <max value="1" /> </element> <element id="Condition.category.coding"> <path value="Condition.category.coding" /> <short value="Codice e descrizione della tipologia del problema di salute" /> <min value="1" /> <max value="1" /> </element> <element id="Condition.category.coding.system"> <path value="Condition.category.coding.system" /> <fixedUri value="https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-TipologiaProblemaSalute" /> </element> <element id="Condition.category.coding.code"> <path value="Condition.category.coding.code" /> <short value="Codice della tipologia di patologia" /> <definition value="Stringa alfanumerica di un carattere" /> <comment value="Il dato è detenuto dal SGDT" /> <min value="1" /> <binding> <strength value="required" /> <description value="ValueSet che identifica la tipologia del problema di salute" /> <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-TipologiaProblemaSalute" /> </binding> </element> <element id="Condition.category.coding.display"> <path value="Condition.category.coding.display" /> <short value="Descrizione della tipolgia di patologia" /> <definition value="Stringa alfabeta al più di 50 caratteri" /> <comment value="Il dato è detenuto dal SGDT" /> </element> <element id="Condition.severity"> <path value="Condition.severity" /> <short value="Nel caso in cui il problema di salute si riferisce ad una patologia cronica, il campo indica il livello di gravità della cronicità associata alla patologia primaria" /> <comment value="Per il dettaglio esaustivo della codifica consultare la Tabella del livello di gravità della cronicità contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide." /> </element> <element id="Condition.severity.coding"> <path value="Condition.severity.coding" /> <short value="Codice e descrizione del livello di gravità della cronicità" /> <min value="1" /> <max value="1" /> </element> <element id="Condition.severity.coding.system"> <path value="Condition.severity.coding.system" /> <min value="1" /> <fixedUri value="https://fhir.siss.regione.lombardia.it/CodeSystem/GPC-LivelloGravita" /> </element> <element id="Condition.severity.coding.code"> <path value="Condition.severity.coding.code" /> <short value="Codice del livello di gravità della cronicità" /> <definition value="Stringa alfanumerica di un carattere" /> <comment value="Il dato è detenuto da SGDT" /> <min value="1" /> </element> <element id="Condition.severity.coding.display"> <path value="Condition.severity.coding.display" /> <short value="Descrizione del livello di gravità della cronicità" /> <definition value="Stringa alfabeta al più di 50 caratteri" /> <comment value="Il dato è detenuto da SGDT" /> </element> <element id="Condition.code"> <path value="Condition.code" /> <slicing> <discriminator> <type value="value" /> <path value="coding.system" /> </discriminator> <rules value="open" /> </slicing> <short value="Codifica del problema di salute" /> <min value="1" /> </element> <element id="Condition.code:patologia"> <path value="Condition.code" /> <sliceName value="patologia" /> <short value="La codifica della patologia può essere riportata secondo lo standard ICD9-CM oppure secondo la codifica regionale. Nel campo system viene indicata la codifica utilizzata." /> <comment value="La codifica delle patologie è riportata secondo lo standard ICD9-CM. Inoltre, è presente un elenco di patologie aggiuntive con codifica differente rispetto allo standard ICD9-CM, è possibile visualizzare la Tabella delle patologie non ICD9-CM tramite il link presente nella sezione ValueSet in fondo a questa pagina o nella sezione Terminologia - Libreria ValueSet" /> <min value="1" /> </element> <element id="Condition.code:patologia.coding"> <path value="Condition.code.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> <short value="Codifica della patologia secondo lo standard ICD9-CM. Di prassi viene utilizzata questa codifica." /> <min value="1" /> <max value="2" /> </element> <element id="Condition.code:patologia.coding:patologiaICD9-CM"> <path value="Condition.code.coding" /> <sliceName value="patologiaICD9-CM" /> <short value="Codifica della patologia secondo lo standard ICD9-CM. Di prassi viene utilizzata questa codifica." /> <max value="1" /> </element> <element id="Condition.code:patologia.coding:patologiaICD9-CM.system"> <path value="Condition.code.coding.system" /> <min value="1" /> <fixedUri value="http://terminology.hl7.org/ValueSet/v3-DiagnosisICD9CM" /> </element> <element id="Condition.code:patologia.coding:patologiaICD9-CM.code"> <path value="Condition.code.coding.code" /> <short value="Codice della patologia ICD9-CM" /> <definition value="Stringa alfanumerica di al più 10 caratteri" /> <comment value="Il dato è detenuto da SGDT" /> <min value="1" /> </element> <element id="Condition.code:patologia.coding:patologiaICD9-CM.display"> <path value="Condition.code.coding.display" /> <short value="Descrizione della patologia ICD9-CM" /> <definition value="Stringa alfanumerica di al più 250 caratteri" /> <comment value="Il dato è detenuto da SGDT" /> </element> <element id="Condition.code:patologia.coding:patologiaNonICD9-CM"> <path value="Condition.code.coding" /> <sliceName value="patologiaNonICD9-CM" /> <short value="Codifica regionale della patologia. Nel caso della presa in carico di un paziente cronico l'uso di questa codifica è obbligatorio." /> <comment value="Per il dettaglio esaustivo della codifica differente rispetto allo standard ICD9-CM, è possibile visualizzare la Tabella delle patologie non ICD9-CM tramite il link presente nella sezione ValueSet in fondo a questa pagina o nella sezione Terminologia - Libreria ValueSet" /> <max value="1" /> </element> <element id="Condition.code:patologia.coding:patologiaNonICD9-CM.system"> <path value="Condition.code.coding.system" /> <min value="1" /> </element> <element id="Condition.code:patologia.coding:patologiaNonICD9-CM.code"> <path value="Condition.code.coding.code" /> <short value="Codice della patologia con codifica regionale" /> <definition value="Stringa alfanumerica di al più 10 caratteri" /> <comment value="Il dato è detenuto da SGDT" /> <min value="1" /> </element> <element id="Condition.code:patologia.coding:patologiaNonICD9-CM.display"> <path value="Condition.code.coding.display" /> <short value="Descrizione della patologia con codifica regionale" /> <definition value="Stringa alfanumerica di al più 250 caratteri" /> <comment value="Il dato è detenuto da SGDT" /> </element> <element id="Condition.code:condizioneClinica"> <path value="Condition.code" /> <sliceName value="condizioneClinica" /> <short value="Codice della condizione clinica prevalente" /> <comment value="Per il dettaglio esaustivo della codifica consultare la Tabella della condizione clinica contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide." /> </element> <element id="Condition.code:condizioneClinica.coding"> <path value="Condition.code.coding" /> <comment value="Per il dettaglio esaustivo della codifica consultare la Tabella della condizione clinica contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide." /> <min value="1" /> <max value="1" /> </element> <element id="Condition.code:condizioneClinica.coding.system"> <path value="Condition.code.coding.system" /> <min value="1" /> <fixedUri value="https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-CondizioneClinica" /> </element> <element id="Condition.code:condizioneClinica.coding.code"> <path value="Condition.code.coding.code" /> <short value="Codice della condizione clinica prevalente" /> <definition value="Stringa numerica di un carattere" /> <comment value="Il dato è detenuto da SGDT" /> <min value="1" /> <binding> <strength value="required" /> <description value="ValueSet relativo alla condizione clinica" /> <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-CondizioneClinica" /> </binding> </element> <element id="Condition.code:condizioneClinica.coding.display"> <path value="Condition.code.coding.display" /> <short value="Descrizione condizione clinica prevalente" /> <definition value="Stringa alfanumerica di al più 250 caratteri" /> <comment value="Il dato è detenuto da SGDT" /> </element> <element id="Condition.code:problemaInfermieristico"> <path value="Condition.code" /> <sliceName value="problemaInfermieristico" /> <short value="Codice del problema infermieristico" /> <comment value="Per il dettaglio esaustivo della codifica consultare la Tabella dei problemi infermieristici contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide." /> </element> <element id="Condition.code:problemaInfermieristico.coding"> <path value="Condition.code.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Condition.code:problemaInfermieristico.coding.system"> <path value="Condition.code.coding.system" /> <min value="1" /> <fixedUri value="https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-ProblemaInfermieristico" /> </element> <element id="Condition.code:problemaInfermieristico.coding.code"> <path value="Condition.code.coding.code" /> <short value="Codice del problema infermieristico" /> <definition value="Stringa alfanumerica di al più 19 caratteri" /> <comment value="Il dato è detenuto da SGDT" /> <min value="1" /> <binding> <strength value="required" /> <description value="ValueSet relativo ai motivi della sospensione" /> <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-ProblemaInfermieristico" /> </binding> </element> <element id="Condition.code:problemaInfermieristico.coding.display"> <path value="Condition.code.coding.display" /> <short value="Descrizione del problema infermieristico" /> <definition value="Stringa alfanumerica di al più 300 caratteri" /> <comment value="Il dato è detenuto da SGDT" /> </element> <element id="Condition.subject"> <path value="Condition.subject" /> <short value="Paziente per il quale è stato riscontrato il problema di salute" /> <definition value="Reference al profilo RLPatientCittadino contenente i dettagli anagrafici del paziente o al profilo RLPatientBase contenente i dettagli anagrafici di base del paziente" /> <comment value="Il dato è detenuto dal SGDT" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCittadino" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientBase" /> </type> </element> <element id="Condition.recordedDate"> <path value="Condition.recordedDate" /> <short value="Data e ora di registrazione" /> <definition value="Formato: YYYY-MM-DDThh:mm:ss+zz:zz secondo lo standard FHIR" /> <comment value="Il dato è detenuto dal SGDT" /> </element> </differential> </StructureDefinition>
JSON View
{ "resourceType": "StructureDefinition", "id": "RLConditionProblemiSalute", "meta": { "lastUpdated": "2024-04-23T13:05:46.1378817+00:00" }, "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLConditionProblemiSalute", "name": "RLConditionProblemiSalute", "status": "active", "date": "2024-04-23T13:09:25.8682521+00:00", "description": "Profilo volto a descrivere i problemi di salute dei quali un paziente è affetto.", "keyword": [ { "system": "https://fhir.siss.regione.lombardia.it/CodeSystem/Tag", "code": "PI" } ], "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "Condition", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition", "derivation": "constraint", "differential": { "element": [ { "id": "Condition.id", "path": "Condition.id", "short": "UUID prodotto dal server FHIR (applicativo) che detiene la risorsa. Per maggiori informazioni su chi detiene la risorsa consultare il paragrafo API-Restful nella pagina di Contesto.", "min": 1 }, { "id": "Condition.meta", "path": "Condition.meta", "short": "Metadati della risorsa", "min": 1 }, { "id": "Condition.meta.versionId", "path": "Condition.meta.versionId", "short": "Versione della risorsa" }, { "id": "Condition.meta.lastUpdated", "path": "Condition.meta.lastUpdated", "short": "Data e ora di ultimo aggiornamento della risorsa", "definition": "Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz" }, { "id": "Condition.meta.profile", "path": "Condition.meta.profile", "short": "Profilo al quale la risorsa si riferisce", "min": 1, "max": "1", "fixedCanonical": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLConditionProblemiSalute" }, { "id": "Condition.category", "path": "Condition.category", "short": "Tipologia del problema di salute riportato nel campo \"code\"", "comment": "La codifica delle patologie è riportata secondo lo standard ICD9-CM", "min": 1, "max": "1" }, { "id": "Condition.category.coding", "path": "Condition.category.coding", "short": "Codice e descrizione della tipologia del problema di salute", "min": 1, "max": "1" }, { "id": "Condition.category.coding.system", "path": "Condition.category.coding.system", "fixedUri": "https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-TipologiaProblemaSalute" }, { "id": "Condition.category.coding.code", "path": "Condition.category.coding.code", "short": "Codice della tipologia di patologia", "definition": "Stringa alfanumerica di un carattere", "comment": "Il dato è detenuto dal SGDT", "min": 1, "binding": { "strength": "required", "description": "ValueSet che identifica la tipologia del problema di salute", "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-TipologiaProblemaSalute" } }, { "id": "Condition.category.coding.display", "path": "Condition.category.coding.display", "short": "Descrizione della tipolgia di patologia", "definition": "Stringa alfabeta al più di 50 caratteri", "comment": "Il dato è detenuto dal SGDT" }, { "id": "Condition.severity", "path": "Condition.severity", "short": "Nel caso in cui il problema di salute si riferisce ad una patologia cronica, il campo indica il livello di gravità della cronicità associata alla patologia primaria", "comment": "Per il dettaglio esaustivo della codifica consultare la Tabella del livello di gravità della cronicità contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide." }, { "id": "Condition.severity.coding", "path": "Condition.severity.coding", "short": "Codice e descrizione del livello di gravità della cronicità", "min": 1, "max": "1" }, { "id": "Condition.severity.coding.system", "path": "Condition.severity.coding.system", "min": 1, "fixedUri": "https://fhir.siss.regione.lombardia.it/CodeSystem/GPC-LivelloGravita" }, { "id": "Condition.severity.coding.code", "path": "Condition.severity.coding.code", "short": "Codice del livello di gravità della cronicità", "definition": "Stringa alfanumerica di un carattere", "comment": "Il dato è detenuto da SGDT", "min": 1 }, { "id": "Condition.severity.coding.display", "path": "Condition.severity.coding.display", "short": "Descrizione del livello di gravità della cronicità", "definition": "Stringa alfabeta al più di 50 caratteri", "comment": "Il dato è detenuto da SGDT" }, { "id": "Condition.code", "path": "Condition.code", "slicing": { "discriminator": [ { "type": "value", "path": "coding.system" } ], "rules": "open" }, "short": "Codifica del problema di salute", "min": 1 }, { "id": "Condition.code:patologia", "path": "Condition.code", "sliceName": "patologia", "short": "La codifica della patologia può essere riportata secondo lo standard ICD9-CM oppure secondo la codifica regionale. Nel campo system viene indicata la codifica utilizzata.", "comment": "La codifica delle patologie è riportata secondo lo standard ICD9-CM. Inoltre, è presente un elenco di patologie aggiuntive con codifica differente rispetto allo standard ICD9-CM, è possibile visualizzare la Tabella delle patologie non ICD9-CM tramite il link presente nella sezione ValueSet in fondo a questa pagina o nella sezione Terminologia - Libreria ValueSet", "min": 1 }, { "id": "Condition.code:patologia.coding", "path": "Condition.code.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" }, "short": "Codifica della patologia secondo lo standard ICD9-CM. Di prassi viene utilizzata questa codifica.", "min": 1, "max": "2" }, { "id": "Condition.code:patologia.coding:patologiaICD9-CM", "path": "Condition.code.coding", "sliceName": "patologiaICD9-CM", "short": "Codifica della patologia secondo lo standard ICD9-CM. Di prassi viene utilizzata questa codifica.", "max": "1" }, { "id": "Condition.code:patologia.coding:patologiaICD9-CM.system", "path": "Condition.code.coding.system", "min": 1, "fixedUri": "http://terminology.hl7.org/ValueSet/v3-DiagnosisICD9CM" }, { "id": "Condition.code:patologia.coding:patologiaICD9-CM.code", "path": "Condition.code.coding.code", "short": "Codice della patologia ICD9-CM", "definition": "Stringa alfanumerica di al più 10 caratteri", "comment": "Il dato è detenuto da SGDT", "min": 1 }, { "id": "Condition.code:patologia.coding:patologiaICD9-CM.display", "path": "Condition.code.coding.display", "short": "Descrizione della patologia ICD9-CM", "definition": "Stringa alfanumerica di al più 250 caratteri", "comment": "Il dato è detenuto da SGDT" }, { "id": "Condition.code:patologia.coding:patologiaNonICD9-CM", "path": "Condition.code.coding", "sliceName": "patologiaNonICD9-CM", "short": "Codifica regionale della patologia. Nel caso della presa in carico di un paziente cronico l'uso di questa codifica è obbligatorio.", "comment": "Per il dettaglio esaustivo della codifica differente rispetto allo standard ICD9-CM, è possibile visualizzare la Tabella delle patologie non ICD9-CM tramite il link presente nella sezione ValueSet in fondo a questa pagina o nella sezione Terminologia - Libreria ValueSet", "max": "1" }, { "id": "Condition.code:patologia.coding:patologiaNonICD9-CM.system", "path": "Condition.code.coding.system", "min": 1 }, { "id": "Condition.code:patologia.coding:patologiaNonICD9-CM.code", "path": "Condition.code.coding.code", "short": "Codice della patologia con codifica regionale", "definition": "Stringa alfanumerica di al più 10 caratteri", "comment": "Il dato è detenuto da SGDT", "min": 1 }, { "id": "Condition.code:patologia.coding:patologiaNonICD9-CM.display", "path": "Condition.code.coding.display", "short": "Descrizione della patologia con codifica regionale", "definition": "Stringa alfanumerica di al più 250 caratteri", "comment": "Il dato è detenuto da SGDT" }, { "id": "Condition.code:condizioneClinica", "path": "Condition.code", "sliceName": "condizioneClinica", "short": "Codice della condizione clinica prevalente", "comment": "Per il dettaglio esaustivo della codifica consultare la Tabella della condizione clinica contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide." }, { "id": "Condition.code:condizioneClinica.coding", "path": "Condition.code.coding", "comment": "Per il dettaglio esaustivo della codifica consultare la Tabella della condizione clinica contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide.", "min": 1, "max": "1" }, { "id": "Condition.code:condizioneClinica.coding.system", "path": "Condition.code.coding.system", "min": 1, "fixedUri": "https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-CondizioneClinica" }, { "id": "Condition.code:condizioneClinica.coding.code", "path": "Condition.code.coding.code", "short": "Codice della condizione clinica prevalente", "definition": "Stringa numerica di un carattere", "comment": "Il dato è detenuto da SGDT", "min": 1, "binding": { "strength": "required", "description": "ValueSet relativo alla condizione clinica", "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-CondizioneClinica" } }, { "id": "Condition.code:condizioneClinica.coding.display", "path": "Condition.code.coding.display", "short": "Descrizione condizione clinica prevalente", "definition": "Stringa alfanumerica di al più 250 caratteri", "comment": "Il dato è detenuto da SGDT" }, { "id": "Condition.code:problemaInfermieristico", "path": "Condition.code", "sliceName": "problemaInfermieristico", "short": "Codice del problema infermieristico", "comment": "Per il dettaglio esaustivo della codifica consultare la Tabella dei problemi infermieristici contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide." }, { "id": "Condition.code:problemaInfermieristico.coding", "path": "Condition.code.coding", "min": 1, "max": "1" }, { "id": "Condition.code:problemaInfermieristico.coding.system", "path": "Condition.code.coding.system", "min": 1, "fixedUri": "https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-ProblemaInfermieristico" }, { "id": "Condition.code:problemaInfermieristico.coding.code", "path": "Condition.code.coding.code", "short": "Codice del problema infermieristico", "definition": "Stringa alfanumerica di al più 19 caratteri", "comment": "Il dato è detenuto da SGDT", "min": 1, "binding": { "strength": "required", "description": "ValueSet relativo ai motivi della sospensione", "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-ProblemaInfermieristico" } }, { "id": "Condition.code:problemaInfermieristico.coding.display", "path": "Condition.code.coding.display", "short": "Descrizione del problema infermieristico", "definition": "Stringa alfanumerica di al più 300 caratteri", "comment": "Il dato è detenuto da SGDT" }, { "id": "Condition.subject", "path": "Condition.subject", "short": "Paziente per il quale è stato riscontrato il problema di salute", "definition": "Reference al profilo RLPatientCittadino contenente i dettagli anagrafici del paziente o al profilo RLPatientBase contenente i dettagli anagrafici di base del paziente", "comment": "Il dato è detenuto dal SGDT", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCittadino", "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientBase" ] } ] }, { "id": "Condition.recordedDate", "path": "Condition.recordedDate", "short": "Data e ora di registrazione", "definition": "Formato: YYYY-MM-DDThh:mm:ss+zz:zz secondo lo standard FHIR", "comment": "Il dato è detenuto dal SGDT" } ] } }
Esempi
Patologia primaria: ArtritePatologia secondaria:
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 Condition.
ValueSet
| Nome | Descrizione | Riferimento al dettaglio della codifica |
|---|---|---|
| category | Tipologia di patologia | La codifica è definita dal ValueSet SGDT Tipologia Problema Di Salute |
| severity | Livello di gravità associato alla patologia cronica | La codifica è definita dal ValueSet Livello gravità della cronicità |
| patologia | Codice e descrizione della patologia con codifica regionale e non ICD9-CM | La codifica è definita dal ValueSet SGDT Patologie Non ICD9-CM |
| condizioneClinica | Codice e descrizione della condizione clinica prevalente | La codifica è definita dal ValueSet SIAD Condizione Clinica |
| problemaInfermieristico | Codice e descrizione del problema infermieristico | La codifica è definita dal ValueSet SGDT Problema Infermieristico |