RLOrganizationL2

RLOrganizationL2

Descrizione

Il profilo RLOrganizationL2 è stato strutturato a partire dalla risorsa standard FHIR Organization per contenere le informazioni anagrafiche e di contatto delle strutture identificate attraverso un codice regionale di livello 2 (L2). Sebbene in Regione Lombardia le strutture identificate da un codice L2 siano di varie tipologie, attualmente questo profilo contiene esclusivamente le informazioni degli enti erogatori pubblici o privati accreditati di servizi socioassistenziali. (es. RSA, erogatori di ADI, Centri Diurni Integrati, ecc)

Di seguito è presentato il contenuto del profilo in diversi formati. La corrispondente definizione è consultabile al seguente link: RLOrganizationL2.

Snapshot View

Organization	I		Organization	There are no (further) constraints on this element Element Id Organization Short description A grouping of people or organizations with a common purpose Definition A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc. Data Type Organization Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` org-1:The organization SHALL at least have a name or an identifier, and possibly more than one `(identifier.count() + name.count()) > 0` Mappings rim:Entity. Role, or Act v2:(also see master files messages) rim:Organization(classCode=ORG, determinerCode=INST) servd:Organization
id	Σ	1..1	System.String	Element Id Organization.id Short description 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 Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data Type System.String
meta	Σ	1..1	Meta	Element Id Organization.meta Short description Metadati della risorsa Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data Type Meta Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
versionId	Σ	1..1	id	Element Id Organization.meta.versionId Short description Versione della risorsa Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments 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. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
lastUpdated	Σ	1..1	instant	Element Id Organization.meta.lastUpdated Short description Data e ora di ultimo aggiornamento della risorsa Definition Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz Comments 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. Data Type instant Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
source	Σ	0..1	uri	There are no (further) constraints on this element Element Id Organization.meta.source Short description Identifies where the resource comes from Definition A 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. Comments 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. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
profile	Σ	1..1	canonical(StructureDefinition)Fixed Value	Element Id Organization.meta.profile Short description Profilo al quale la risorsa si riferisce Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments 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. Data Type canonical(StructureDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2 Mappings rim:n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element Id Organization.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments 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. Data Type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.meta.tag Short description Tags applied to this resource Definition Tags 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. Comments 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. Data Type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id Organization.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
dataCessazione	I	0..1	Extension(date dateTime)	Element Id Organization.extension:dataCessazione Short description Data di cessazione del presidio Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_CESSAZIONE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date dateTime) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCessazione Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:dataCessazione.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCessazione Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.extension:dataCessazione.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueDate			date	Data Type date
dataInsert	I	0..1	Extension(date)	Element Id Organization.extension:dataInsert Short description Data di inserimento del record Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_INSERT della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataInsert Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
dataUpdate	I	0..1	Extension(date)	Element Id Organization.extension:dataUpdate Short description Data di aggiornamento del record Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_UPDATE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataUpdate Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
dataCostituzione	I	0..1	Extension(date dateTime)	Element Id Organization.extension:dataCostituzione Short description Data di costituzione del presidio Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_COSTITUZIONE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date dateTime) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCostituzione Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:dataCostituzione.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCostituzione Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.extension:dataCostituzione.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueDate			date	Data Type date
dataInizioValidta	I	0..1	Extension(date)	Element Id Organization.extension:dataInizioValidta Short description Data di inizio della validità di esercizio del presidio Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_INIZIO_VALIDITA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataInizioValidita Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
dataFineValidita	I	0..1	Extension(date)	Element Id Organization.extension:dataFineValidita Short description Data di fine della validità di esercizio del presidio Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_FINE_VALIDITA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataFineValidita Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
distrettoAccreditamento	I	0..*	Extension(Complex)	Element Id Organization.extension:distrettoAccreditamento Short description Distretti nei quali l'ente si è accreditato Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments La correlazione tra i Distretti di Accreditamento, l'ASST di Afferenza e la relativa ATS è definita nella tabella presente nel paragrafo 3 del capitolo 1 dell'allegato 14 della DGR n. XI/7758 del 28 dicembre 2022. Data Type Extension(Complex) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoAccreditamento Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
extension	I	3..*	Extension	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
codiceDistretto	I	1..1	Extension	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto Short description Codice distretto Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value codiceDistretto Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DistrettoSanitario Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.code Short description Codice del Distretto sanitario nel quale l'ente si è accreditato Definition Stringa alfanumerica di al più 5 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_DISTRETTO della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica del distretto sanitario DDC - Distretto Sanitario (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.display Short description Nome del Distretto sanitario nel quale l'ente si è accreditato Definition Stringa alfanumerica di al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_DISTRETTO della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
ASSTAfferenza	I	1..1	Extension	Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza Short description ASST sotto la quale l'ente eroga servizi sociosanitari sul territorio di competenza Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value ASSTAfferenza Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ASSTAfferenza Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.code Short description Codice della ASST sotto la quale l'ente eroga servizi sociosanitari sul territorio di competenza Definition Stringa alfanumerica di al più 6 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_ASST della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica ASST Afferenza DDC - ASST Afferenza (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.display Short description Nome della ASST sotto la quale l'ente eroga servizi sociosanitari sul territorio di competenza Definition Stringa alfanumerica di al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_ASST della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
ATSAfferenza	I	1..1	Extension	Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza Short description ATS alla quale il presidio afferisce Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value ATSAfferenza Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ATSAfferenza Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.code Short description Codice della ATS alla quale il presidio afferisce Definition Stringa alfanumerica di al più 6 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_ATS della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica ATS Afferenza DDC - ATS Afferenza (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.display Short description Nome della ATS alla quale il presidio afferisce Definition Stringa alfanumerica di al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_ATS della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoAccreditamento Mappings rim:N/A
value[x]		0..0		There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
identifier	Σ I	2..2	Identifier	Element Id Organization.identifier Short description Identifies this organization across multiple systems Definition Identifier for the organization that is used to identify the organization across multiple disparate systems. Requirements Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization. Data Type Identifier Sliced: Unordered, Open, by system(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:XON.10 / XON.3 rim:.scopes[Role](classCode=IDENT) servd:./Identifiers
codiceL2	Σ I	1..1	Identifier	Element Id Organization.identifier:codiceL2 Short description Codice CUDES dell'Ente Definition Identifier for the organization that is used to identify the organization across multiple disparate systems. Requirements Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:XON.10 / XON.3 rim:.scopes[Role](classCode=IDENT) servd:./Identifiers
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.identifier:codiceL2.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Organization.identifier:codiceL2.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	1..1	uriFixed Value	Element Id Organization.identifier:codiceL2.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Identifier.system is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/codiceMinisterialePresidio Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	1..1	string	Element Id Organization.identifier:codiceL2.value Short description Codice di livello 2 dell'Ente Definition Stringa alfanumerica di al più 13 caratteri Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.identifier:codiceL2.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Organization.identifier:codiceL2.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
idUnivocoCredenziale	Σ I	1..1	Identifier	Element Id Organization.identifier:idUnivocoCredenziale Short description Codice identificativo riportato nel campo della sottostruttura di livello 2 della credenziale dell'operatore che opera per l'Ente Definition Identifier for the organization that is used to identify the organization across multiple disparate systems. Requirements Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:XON.10 / XON.3 rim:.scopes[Role](classCode=IDENT) servd:./Identifiers
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.identifier:idUnivocoCredenziale.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Organization.identifier:idUnivocoCredenziale.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	1..1	uriFixed Value	Element Id Organization.identifier:idUnivocoCredenziale.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Identifier.system is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/identificativoUnivocoCredenziale Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	1..1	string	Element Id Organization.identifier:idUnivocoCredenziale.value Short description Identificativo univoco dell'Ente Definition Stringa alfanumerica al più di 8 caratteri se la struttura è un Ente di ricovero. Stringa alfanumerica al più di 9 caratteri se la struttura è un Ente sociosanitario o di cure domiciliari Comments La fonte del dato è il campo CD_LIVELLO_2 (stringa alfanumerica al più di 8 caratteri) della tabella Master Data delle Strutture Socio Sanitarie se il campo CD_TIPO_MACRO_LIVELLO_2 è valorizzato con 'RIC'. Altrimenti, la fonte del dato è il campo ID_LIVELLO_2 (stringa alfanumerica al più di 9 caratteri). I dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.identifier:idUnivocoCredenziale.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Organization.identifier:idUnivocoCredenziale.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
active	Σ ?!	0..1	boolean	There are no (further) constraints on this element Element Id Organization.active Short description Whether the organization's record is still in active use Definition Whether the organization's record is still in active use. Requirements Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI. Comments This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used. This element is labeled as a modifier because it may be used to mark that the resource was created in error. Meaning When Missing This resource is generally assumed to be active if no value is provided for the active element Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status v2:No equivalent in HL7 v2 rim:.status servd:./Status (however this concept in ServD more covers why the organization is active or not, could be delisted, deregistered, not operational yet) this could alternatively be derived from ./StartDate and ./EndDate and given a context date.
type	Σ	1..1	CodeableConcept	Element Id Organization.type Short description Codifica della tipologia del servizio socioassistenziale erogato dall’Ente Definition The kind(s) of organization that this is. Requirements Need to be able to track the kind of organization that this is - different organization types have different uses. Comments Per il dettaglio esaustivo della codifica consultare la Tabella della tipologia del servizio socioassistenziale erogato dall’Ente contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Data Type CodeableConcept Binding Used to categorize the organization. OrganizationType (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.class v2:No equivalent in v2 rim:.code servd:n/a
coding	Σ	1..1	Coding	There are no (further) constraints on this element Element Id Organization.type.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.type.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/CodeSystem/TipoStruttura Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.type.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.type.coding.code Short description Codice della tipologia del servizio socioassistenziale erogato dall’Ente Definition Stringa alfanumerica di al più 10 caratteri Requirements Need to refer to a particular code in the system. Comments Il dato è detenuto dal SGDT Data Type code Binding ValueSet relativo alla tipologia UdO DDC Desc L2 (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.type.coding.display Short description Descrizione della tipologia del servizio socioassistenziale erogato dall’Ente Definition Stringa alfanumerica di al più 50 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Il dato è detenuto dal SGDT Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.type.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.type.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
name	Σ I	1..1	string	Element Id Organization.name Short description Denominazione del presidio Definition Stringa alfanumerica di al più 250 caratteri Requirements Need to use the name as the label of the organization. Comments La fonte del dato è il campo DS_LIVELLO_2 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XON.1 rim:.name servd:.PreferredName/Name
alias		0..*	string	There are no (further) constraints on this element Element Id Organization.alias Short description A list of alternate names that the organization is known as, or was known as in the past Definition A list of alternate names that the organization is known as, or was known as in the past. Requirements Over time locations and organizations go through many changes and can be known by different names. For searching knowing previous names that the organization was known by can be very useful. Comments There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.name
telecom	I	0..*	ContactPoint	Element Id Organization.telecom Short description Contatti del presidio Definition Telefono, mail, fax ed url del sito internet Requirements Human contact for the organization. Comments The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself. Data Type ContactPoint Sliced: Unordered, Open, by use(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
phone	I	0..2	ContactPoint	Element Id Organization.telecom:phone Short description Numero di telefono del presidio Definition A contact detail for the organization. Requirements Human contact for the organization. Comments The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
system	Σ I	0..1	codeBindingFixed Value	Element Id Organization.telecom:phone.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Telecommunications form for contact point. ContactPointSystem (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value phone Mappings rim:n/a v2:XTN.3 rim:./scheme servd:./ContactPointType
value	Σ	0..1	string	Element Id Organization.telecom:phone.value Short description Numero di telefono del presidio Definition The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments La fonte del dato è il campo NR_TEL1 e NR_TEL2 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.1 (or XTN.12) rim:./url servd:./Value
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.telecom:phone.use Short description home \| work \| temp \| old \| mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data Type code Binding Use of contact point. ContactPointUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.2 - but often indicated by field rim:unique(./use) servd:./ContactPointPurpose
rank	Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id Organization.telecom:phone.rank Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:n/a
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.telecom:phone.period Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:N/A rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
fax	I	0..1	ContactPoint	Element Id Organization.telecom:fax Short description Numero di fax del presidio Definition A contact detail for the organization. Requirements Human contact for the organization. Comments La fonte del dato è il campo NR_FAX della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
system	Σ I	0..1	codeBindingFixed Value	Element Id Organization.telecom:fax.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Telecommunications form for contact point. ContactPointSystem (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value fax Mappings rim:n/a v2:XTN.3 rim:./scheme servd:./ContactPointType
value	Σ	0..1	string	Element Id Organization.telecom:fax.value Short description The actual contact point details Definition Stringa alfanumerica di al più 50 caratteri Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments La fonte del dato è il campo NR_FAX della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.1 (or XTN.12) rim:./url servd:./Value
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.telecom:fax.use Short description home \| work \| temp \| old \| mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data Type code Binding Use of contact point. ContactPointUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.2 - but often indicated by field rim:unique(./use) servd:./ContactPointPurpose
rank	Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id Organization.telecom:fax.rank Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:n/a
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.telecom:fax.period Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:N/A rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
url	I	0..1	ContactPoint	Element Id Organization.telecom:url Short description Indirizzo della pagina web del presidio Definition A contact detail for the organization. Requirements Human contact for the organization. Comments The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
system	Σ I	0..1	codeBindingFixed Value	Element Id Organization.telecom:url.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Telecommunications form for contact point. ContactPointSystem (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value url Mappings rim:n/a v2:XTN.3 rim:./scheme servd:./ContactPointType
value	Σ	0..1	string	Element Id Organization.telecom:url.value Short description Indirizzo della pagina web del presidio Definition Stringa alfanumerica di al più 250 caratteri Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.1 (or XTN.12) rim:./url servd:./Value
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.telecom:url.use Short description home \| work \| temp \| old \| mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data Type code Binding Use of contact point. ContactPointUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.2 - but often indicated by field rim:unique(./use) servd:./ContactPointPurpose
rank	Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id Organization.telecom:url.rank Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:n/a
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.telecom:url.period Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:N/A rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
mail	I	0..1	ContactPoint	Element Id Organization.telecom:mail Short description Indirizzo mail del presidio Definition A contact detail for the organization. Requirements Human contact for the organization. Comments The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
system	Σ I	0..1	codeBindingFixed Value	Element Id Organization.telecom:mail.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Telecommunications form for contact point. ContactPointSystem (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value mail Mappings rim:n/a v2:XTN.3 rim:./scheme servd:./ContactPointType
value	Σ	0..1	string	Element Id Organization.telecom:mail.value Short description Indirizzo mail del presidio Definition The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments La fonte del dato è il campo DS_EMAIL della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.1 (or XTN.12) rim:./url servd:./Value
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.telecom:mail.use Short description home \| work \| temp \| old \| mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data Type code Binding Use of contact point. ContactPointUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.2 - but often indicated by field rim:unique(./use) servd:./ContactPointPurpose
rank	Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id Organization.telecom:mail.rank Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:n/a
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.telecom:mail.period Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:N/A rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
address	I	0..1	Address	Element Id Organization.address Short description Indirizzo dell'organizzazione Definition An address for the organization. Requirements May need to keep track of the organization's addresses for contacting, billing or reporting requirements. Comments Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used. Data Type Address Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` org-2:An address of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XAD rim:AD servd:Address v2:ORC-23? rim:.address servd:./PrimaryAddress and ./OtherAddresses
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id Organization.address.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
istatCode	I	0..1	Extension(string)	Element Id Organization.address.extension:istatCode Short description Codice ISTAT del comune a cui fa riferimento l'indirizzo Alternate names extensions, user content Definition Stringa alfanumerica di al più 6 caratteri Comments La fonte del dato è il campo CD_COMUNE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(string) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationAddressIstatCode Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.address.extension:istatCode.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationAddressIstatCode Mappings rim:N/A
value[x]		0..1		Element Id Organization.address.extension:istatCode.value[x] Short description Codice ISTAT del comune a cui fa riferimento l'indirizzo Definition Stringa alfanumerica di al più 6 caratteri Comments La fonte del dato è il campo CD_COMUNE dell'anagrafe delle aziende ospedaliere, ASL, enti gestori privati i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueString			string	There are no (further) constraints on this element Data Type string
distrettoTerritoriale	I	0..1	Extension(Complex)	Element Id Organization.address.extension:distrettoTerritoriale Short description Distretto nel quale l'ente ha la sede Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension(Complex) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoTerritoriale Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
extension	I	3..*	Extension	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
codiceDistretto	I	1..1	Extension	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value codiceDistretto Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DistrettoSanitario Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.code Short description Codice del Distretto nel quale l'ente ha la sede Definition Stringa alfanumerica di al più 3 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_DISTRETTO_LR22 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica del distretto sanitario DDC - Distretto Sanitario (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.display Short description Nome del Distretto nel quale l'ente ha la sede Definition Stringa alfanumerica al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_DISTRETTO_LR22 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
ASSTAfferenza	I	1..1	Extension	Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza Short description ASST di appartenenza del Distretto Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value ASSTAfferenza Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ASSTAfferenza Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.code Short description Codice della ASST di appartenenza del Distretto Definition Stringa alfanumerica di al più 6 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_ASST_DI_AFFERENZA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica ASST Afferenza DDC - ASST Afferenza (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.display Short description Nome della ASST di appartenenza del Distretto Definition Stringa alfanumerica al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_ASST della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
ATSAfferenza	I	1..1	Extension	Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza Short description ATS di appartenenza del Distretto Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value ATSAfferenza Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ATSAfferenza Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.code Short description Codice della ATS di appartenenza del Distretto Definition Stringa alfanumerica di al più 6 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_ATS_DI_AFFERENZA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica ATS Afferenza DDC - ATS Afferenza (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.display Short description Nome della ATS di appartenenza del Distretto Definition Stringa alfanumerica al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_ATS della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoTerritoriale Mappings rim:N/A
value[x]		0..0		There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
use	Σ ?!	1..1	codeBindingFixed Value	Element Id Organization.address.use Short description Da valorizzare con 'work' Definition Valore costante secondo lo standard FHIR Requirements Allows an appropriate address to be chosen from a list of many. Comments Applications can assume that an address is current unless it explicitly says that it is temporary or old. Data Type code Binding The use of an address. AddressUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value work Mappings rim:n/a v2:XAD.7 rim:unique(./use) servd:./AddressPurpose
type	Σ	1..1	codeBindingFixed Value	Element Id Organization.address.type Short description Da valorizzare con 'physical' Definition Valore costante secondo lo standard FHIR Comments The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). Data Type code Binding The type of an address (physical / postal). AddressType (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value physical Mappings rim:n/a v2:XAD.18 rim:unique(./use) vcard:address type parameter
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.text Short description Text representation of the address Definition Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. Requirements A renderable, unencoded form. Comments Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 137 Nowhere Street, Erewhon 9132 Mappings rim:n/a v2:XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6 rim:./formatted vcard:address label parameter
line	Σ	0..1	string	Element Id Organization.address.line Short description Indirizzo e numero civico dell'azienda Definition Stringa alfanumerica di al più 250 caratteri Comments La fonte del dato è il campo DS_INDIRIZZO_STRUTTURA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 137 Nowhere Street Mappings rim:n/a v2:XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address) rim:AD.part[parttype = AL] vcard:street servd:./StreetAddress (newline delimitted)
city	Σ	0..1	string	Element Id Organization.address.city Short description Comune nel quale l'ente è ubicato Alternate names Municpality Definition Stringa alfanumerica di al più 6 caratteri Comments La fonte del dato è il campo DS_COMUNE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Erewhon Mappings rim:n/a v2:XAD.3 rim:AD.part[parttype = CTY] vcard:locality servd:./Jurisdiction
district	Σ	0..1	string	Element Id Organization.address.district Short description Sigla della provincia in cui l'ente è ubicato Alternate names County Definition Stringa alfanumerica di al più 2 caratteri Comments La fonte del dato è il campo CD_SIGLA_PROVINCIA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Madison Mappings rim:n/a v2:XAD.9 rim:AD.part[parttype = CNT \| CPA]
state	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.state Short description Sub-unit of country (abbreviations ok) Alternate names Province, Territory Definition Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes). Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD.4 rim:AD.part[parttype = STA] vcard:region servd:./Region
postalCode	Σ	0..1	string	Element Id Organization.address.postalCode Short description Codice di avviamento postale (CAP) dell'indirizzo Alternate names Zip Definition Stringa alfanumerica di al più 5 caratteri Comments La fonte del dato è il campo CD_CAPDIST della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 9132 Mappings rim:n/a v2:XAD.5 rim:AD.part[parttype = ZIP] vcard:code servd:./PostalIdentificationCode
country	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.country Short description Country (e.g. can be ISO 3166 2 or 3 letter code) Definition Country - a nation as commonly understood or generally accepted. Comments ISO 3166 3 letter codes can be used in place of a human readable country name. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD.6 rim:AD.part[parttype = CNT] vcard:country servd:./Country
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.address.period Short description Time period when address was/is in use Definition Time period when address was/is in use. Requirements Allows addresses to be placed in historical context. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Examples General { "start": "2010-03-23", "end": "2010-07-01" } Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:XAD.12 / XAD.13 + XAD.14 rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
partOf	Σ I	0..1	Reference(RLOrganizationL1)	Element Id Organization.partOf Short description Riferimento all'ente di codice L1 al quale l'ente di codice L2 afferisce amministrativamente. Definition Reference alla risorsa RLOrganizationL1. Deve essere inserito l'UUID generato dal server FHIR (applicativo) detentore della risorsa. Per tutte le informazioni sui server FHIR (applicativi) e le relative risorse detenute consultare la pagina API RESTful della sezione Contesto di questa Implementation Guide Requirements Need to be able to track the hierarchy of organizations within an organization. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(RLOrganizationL1) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:No equivalent in HL7 v2 rim:.playedBy[classCode=Part].scoper servd:n/a
contact		0..*	BackboneElement	There are no (further) constraints on this element Element Id Organization.contact Short description Contact for the organization for a certain purpose Definition Contact for the organization for a certain purpose. Requirements Need to keep track of assigned contact points within bigger organization. Comments Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.contactParty
purpose		0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Organization.contact.purpose Short description The type of contact Definition Indicates a purpose for which the contact can be reached. Requirements Need to distinguish between multiple contact persons. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The purpose for which you would contact a contact party. ContactEntityType (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:./type
name		0..1	HumanName	There are no (further) constraints on this element Element Id Organization.contact.name Short description A name associated with the contact Definition A name associated with the contact. Requirements Need to be able to track the person by name. Comments Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. Data Type HumanName Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN rim:EN (actually, PN) servd:ProviderName v2:PID-5, PID-9 rim:./name
telecom	I	0..*	ContactPoint	There are no (further) constraints on this element Element Id Organization.contact.telecom Short description Contact details (telephone, email, etc.) for a contact Definition A contact detail (e.g. a telephone number or an email address) by which the party may be contacted. Requirements People have (primary) ways to contact them in some way such as phone, email. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:PID-13, PID-14 rim:./telecom
address		0..1	Address	There are no (further) constraints on this element Element Id Organization.contact.address Short description Visiting or postal addresses for the contact Definition Visiting or postal addresses for the contact. Requirements May need to keep track of a contact party's address for contacting, billing or reporting requirements. Comments Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). Data Type Address Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD rim:AD servd:Address v2:PID-11 rim:./addr
endpoint	I	0..*	Reference(Endpoint)	There are no (further) constraints on this element Element Id Organization.endpoint Short description Technical endpoints providing access to services operated for the organization Definition Technical endpoints providing access to services operated for the organization. Requirements Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Endpoint) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)

Differential View

Organization	I		Organization	There are no (further) constraints on this element Element Id Organization Short description A grouping of people or organizations with a common purpose Definition A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc. Data Type Organization Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` org-1:The organization SHALL at least have a name or an identifier, and possibly more than one `(identifier.count() + name.count()) > 0` Mappings rim:Entity. Role, or Act v2:(also see master files messages) rim:Organization(classCode=ORG, determinerCode=INST) servd:Organization
id	Σ	1..1	System.String	Element Id Organization.id Short description 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 Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data Type System.String
meta	Σ	1..1	Meta	Element Id Organization.meta Short description Metadati della risorsa Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data Type Meta Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
versionId	Σ	1..1	id	Element Id Organization.meta.versionId Short description Versione della risorsa Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments 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. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
lastUpdated	Σ	1..1	instant	Element Id Organization.meta.lastUpdated Short description Data e ora di ultimo aggiornamento della risorsa Definition Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz Comments 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. Data Type instant Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
source	Σ	0..1	uri	There are no (further) constraints on this element Element Id Organization.meta.source Short description Identifies where the resource comes from Definition A 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. Comments 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. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
profile	Σ	1..1	canonical(StructureDefinition)Fixed Value	Element Id Organization.meta.profile Short description Profilo al quale la risorsa si riferisce Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments 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. Data Type canonical(StructureDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2 Mappings rim:n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element Id Organization.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments 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. Data Type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.meta.tag Short description Tags applied to this resource Definition Tags 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. Comments 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. Data Type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id Organization.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
dataCessazione	I	0..1	Extension(date dateTime)	Element Id Organization.extension:dataCessazione Short description Data di cessazione del presidio Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_CESSAZIONE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date dateTime) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCessazione Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:dataCessazione.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCessazione Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.extension:dataCessazione.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueDate			date	Data Type date
dataInsert	I	0..1	Extension(date)	Element Id Organization.extension:dataInsert Short description Data di inserimento del record Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_INSERT della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataInsert Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
dataUpdate	I	0..1	Extension(date)	Element Id Organization.extension:dataUpdate Short description Data di aggiornamento del record Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_UPDATE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataUpdate Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
dataCostituzione	I	0..1	Extension(date dateTime)	Element Id Organization.extension:dataCostituzione Short description Data di costituzione del presidio Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_COSTITUZIONE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date dateTime) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCostituzione Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:dataCostituzione.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCostituzione Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.extension:dataCostituzione.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueDate			date	Data Type date
dataInizioValidta	I	0..1	Extension(date)	Element Id Organization.extension:dataInizioValidta Short description Data di inizio della validità di esercizio del presidio Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_INIZIO_VALIDITA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataInizioValidita Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
dataFineValidita	I	0..1	Extension(date)	Element Id Organization.extension:dataFineValidita Short description Data di fine della validità di esercizio del presidio Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_FINE_VALIDITA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataFineValidita Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
distrettoAccreditamento	I	0..*	Extension(Complex)	Element Id Organization.extension:distrettoAccreditamento Short description Distretti nei quali l'ente si è accreditato Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments La correlazione tra i Distretti di Accreditamento, l'ASST di Afferenza e la relativa ATS è definita nella tabella presente nel paragrafo 3 del capitolo 1 dell'allegato 14 della DGR n. XI/7758 del 28 dicembre 2022. Data Type Extension(Complex) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoAccreditamento Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
extension	I	3..*	Extension	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
codiceDistretto	I	1..1	Extension	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto Short description Codice distretto Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value codiceDistretto Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DistrettoSanitario Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.code Short description Codice del Distretto sanitario nel quale l'ente si è accreditato Definition Stringa alfanumerica di al più 5 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_DISTRETTO della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica del distretto sanitario DDC - Distretto Sanitario (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.display Short description Nome del Distretto sanitario nel quale l'ente si è accreditato Definition Stringa alfanumerica di al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_DISTRETTO della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
ASSTAfferenza	I	1..1	Extension	Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza Short description ASST sotto la quale l'ente eroga servizi sociosanitari sul territorio di competenza Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value ASSTAfferenza Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ASSTAfferenza Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.code Short description Codice della ASST sotto la quale l'ente eroga servizi sociosanitari sul territorio di competenza Definition Stringa alfanumerica di al più 6 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_ASST della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica ASST Afferenza DDC - ASST Afferenza (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.display Short description Nome della ASST sotto la quale l'ente eroga servizi sociosanitari sul territorio di competenza Definition Stringa alfanumerica di al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_ASST della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
ATSAfferenza	I	1..1	Extension	Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza Short description ATS alla quale il presidio afferisce Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value ATSAfferenza Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ATSAfferenza Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.code Short description Codice della ATS alla quale il presidio afferisce Definition Stringa alfanumerica di al più 6 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_ATS della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica ATS Afferenza DDC - ATS Afferenza (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.display Short description Nome della ATS alla quale il presidio afferisce Definition Stringa alfanumerica di al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_ATS della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoAccreditamento Mappings rim:N/A
value[x]		0..0		There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
identifier	Σ I	2..2	Identifier	Element Id Organization.identifier Short description Identifies this organization across multiple systems Definition Identifier for the organization that is used to identify the organization across multiple disparate systems. Requirements Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization. Data Type Identifier Sliced: Unordered, Open, by system(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:XON.10 / XON.3 rim:.scopes[Role](classCode=IDENT) servd:./Identifiers
codiceL2	Σ I	1..1	Identifier	Element Id Organization.identifier:codiceL2 Short description Codice CUDES dell'Ente Definition Identifier for the organization that is used to identify the organization across multiple disparate systems. Requirements Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:XON.10 / XON.3 rim:.scopes[Role](classCode=IDENT) servd:./Identifiers
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.identifier:codiceL2.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Organization.identifier:codiceL2.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	1..1	uriFixed Value	Element Id Organization.identifier:codiceL2.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Identifier.system is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/codiceMinisterialePresidio Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	1..1	string	Element Id Organization.identifier:codiceL2.value Short description Codice di livello 2 dell'Ente Definition Stringa alfanumerica di al più 13 caratteri Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.identifier:codiceL2.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Organization.identifier:codiceL2.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
idUnivocoCredenziale	Σ I	1..1	Identifier	Element Id Organization.identifier:idUnivocoCredenziale Short description Codice identificativo riportato nel campo della sottostruttura di livello 2 della credenziale dell'operatore che opera per l'Ente Definition Identifier for the organization that is used to identify the organization across multiple disparate systems. Requirements Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:XON.10 / XON.3 rim:.scopes[Role](classCode=IDENT) servd:./Identifiers
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.identifier:idUnivocoCredenziale.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Organization.identifier:idUnivocoCredenziale.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	1..1	uriFixed Value	Element Id Organization.identifier:idUnivocoCredenziale.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Identifier.system is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/identificativoUnivocoCredenziale Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	1..1	string	Element Id Organization.identifier:idUnivocoCredenziale.value Short description Identificativo univoco dell'Ente Definition Stringa alfanumerica al più di 8 caratteri se la struttura è un Ente di ricovero. Stringa alfanumerica al più di 9 caratteri se la struttura è un Ente sociosanitario o di cure domiciliari Comments La fonte del dato è il campo CD_LIVELLO_2 (stringa alfanumerica al più di 8 caratteri) della tabella Master Data delle Strutture Socio Sanitarie se il campo CD_TIPO_MACRO_LIVELLO_2 è valorizzato con 'RIC'. Altrimenti, la fonte del dato è il campo ID_LIVELLO_2 (stringa alfanumerica al più di 9 caratteri). I dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.identifier:idUnivocoCredenziale.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Organization.identifier:idUnivocoCredenziale.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
active	Σ ?!	0..1	boolean	There are no (further) constraints on this element Element Id Organization.active Short description Whether the organization's record is still in active use Definition Whether the organization's record is still in active use. Requirements Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI. Comments This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used. This element is labeled as a modifier because it may be used to mark that the resource was created in error. Meaning When Missing This resource is generally assumed to be active if no value is provided for the active element Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status v2:No equivalent in HL7 v2 rim:.status servd:./Status (however this concept in ServD more covers why the organization is active or not, could be delisted, deregistered, not operational yet) this could alternatively be derived from ./StartDate and ./EndDate and given a context date.
type	Σ	1..1	CodeableConcept	Element Id Organization.type Short description Codifica della tipologia del servizio socioassistenziale erogato dall’Ente Definition The kind(s) of organization that this is. Requirements Need to be able to track the kind of organization that this is - different organization types have different uses. Comments Per il dettaglio esaustivo della codifica consultare la Tabella della tipologia del servizio socioassistenziale erogato dall’Ente contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Data Type CodeableConcept Binding Used to categorize the organization. OrganizationType (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.class v2:No equivalent in v2 rim:.code servd:n/a
coding	Σ	1..1	Coding	There are no (further) constraints on this element Element Id Organization.type.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.type.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/CodeSystem/TipoStruttura Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.type.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.type.coding.code Short description Codice della tipologia del servizio socioassistenziale erogato dall’Ente Definition Stringa alfanumerica di al più 10 caratteri Requirements Need to refer to a particular code in the system. Comments Il dato è detenuto dal SGDT Data Type code Binding ValueSet relativo alla tipologia UdO DDC Desc L2 (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.type.coding.display Short description Descrizione della tipologia del servizio socioassistenziale erogato dall’Ente Definition Stringa alfanumerica di al più 50 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Il dato è detenuto dal SGDT Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.type.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.type.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
name	Σ I	1..1	string	Element Id Organization.name Short description Denominazione del presidio Definition Stringa alfanumerica di al più 250 caratteri Requirements Need to use the name as the label of the organization. Comments La fonte del dato è il campo DS_LIVELLO_2 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XON.1 rim:.name servd:.PreferredName/Name
alias		0..*	string	There are no (further) constraints on this element Element Id Organization.alias Short description A list of alternate names that the organization is known as, or was known as in the past Definition A list of alternate names that the organization is known as, or was known as in the past. Requirements Over time locations and organizations go through many changes and can be known by different names. For searching knowing previous names that the organization was known by can be very useful. Comments There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.name
telecom	I	0..*	ContactPoint	Element Id Organization.telecom Short description Contatti del presidio Definition Telefono, mail, fax ed url del sito internet Requirements Human contact for the organization. Comments The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself. Data Type ContactPoint Sliced: Unordered, Open, by use(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
phone	I	0..2	ContactPoint	Element Id Organization.telecom:phone Short description Numero di telefono del presidio Definition A contact detail for the organization. Requirements Human contact for the organization. Comments The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
system	Σ I	0..1	codeBindingFixed Value	Element Id Organization.telecom:phone.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Telecommunications form for contact point. ContactPointSystem (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value phone Mappings rim:n/a v2:XTN.3 rim:./scheme servd:./ContactPointType
value	Σ	0..1	string	Element Id Organization.telecom:phone.value Short description Numero di telefono del presidio Definition The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments La fonte del dato è il campo NR_TEL1 e NR_TEL2 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.1 (or XTN.12) rim:./url servd:./Value
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.telecom:phone.use Short description home \| work \| temp \| old \| mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data Type code Binding Use of contact point. ContactPointUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.2 - but often indicated by field rim:unique(./use) servd:./ContactPointPurpose
rank	Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id Organization.telecom:phone.rank Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:n/a
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.telecom:phone.period Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:N/A rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
fax	I	0..1	ContactPoint	Element Id Organization.telecom:fax Short description Numero di fax del presidio Definition A contact detail for the organization. Requirements Human contact for the organization. Comments La fonte del dato è il campo NR_FAX della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
system	Σ I	0..1	codeBindingFixed Value	Element Id Organization.telecom:fax.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Telecommunications form for contact point. ContactPointSystem (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value fax Mappings rim:n/a v2:XTN.3 rim:./scheme servd:./ContactPointType
value	Σ	0..1	string	Element Id Organization.telecom:fax.value Short description The actual contact point details Definition Stringa alfanumerica di al più 50 caratteri Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments La fonte del dato è il campo NR_FAX della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.1 (or XTN.12) rim:./url servd:./Value
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.telecom:fax.use Short description home \| work \| temp \| old \| mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data Type code Binding Use of contact point. ContactPointUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.2 - but often indicated by field rim:unique(./use) servd:./ContactPointPurpose
rank	Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id Organization.telecom:fax.rank Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:n/a
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.telecom:fax.period Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:N/A rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
url	I	0..1	ContactPoint	Element Id Organization.telecom:url Short description Indirizzo della pagina web del presidio Definition A contact detail for the organization. Requirements Human contact for the organization. Comments The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
system	Σ I	0..1	codeBindingFixed Value	Element Id Organization.telecom:url.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Telecommunications form for contact point. ContactPointSystem (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value url Mappings rim:n/a v2:XTN.3 rim:./scheme servd:./ContactPointType
value	Σ	0..1	string	Element Id Organization.telecom:url.value Short description Indirizzo della pagina web del presidio Definition Stringa alfanumerica di al più 250 caratteri Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.1 (or XTN.12) rim:./url servd:./Value
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.telecom:url.use Short description home \| work \| temp \| old \| mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data Type code Binding Use of contact point. ContactPointUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.2 - but often indicated by field rim:unique(./use) servd:./ContactPointPurpose
rank	Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id Organization.telecom:url.rank Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:n/a
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.telecom:url.period Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:N/A rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
mail	I	0..1	ContactPoint	Element Id Organization.telecom:mail Short description Indirizzo mail del presidio Definition A contact detail for the organization. Requirements Human contact for the organization. Comments The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
system	Σ I	0..1	codeBindingFixed Value	Element Id Organization.telecom:mail.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Telecommunications form for contact point. ContactPointSystem (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value mail Mappings rim:n/a v2:XTN.3 rim:./scheme servd:./ContactPointType
value	Σ	0..1	string	Element Id Organization.telecom:mail.value Short description Indirizzo mail del presidio Definition The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments La fonte del dato è il campo DS_EMAIL della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.1 (or XTN.12) rim:./url servd:./Value
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.telecom:mail.use Short description home \| work \| temp \| old \| mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data Type code Binding Use of contact point. ContactPointUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.2 - but often indicated by field rim:unique(./use) servd:./ContactPointPurpose
rank	Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id Organization.telecom:mail.rank Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:n/a
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.telecom:mail.period Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:N/A rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
address	I	0..1	Address	Element Id Organization.address Short description Indirizzo dell'organizzazione Definition An address for the organization. Requirements May need to keep track of the organization's addresses for contacting, billing or reporting requirements. Comments Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used. Data Type Address Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` org-2:An address of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XAD rim:AD servd:Address v2:ORC-23? rim:.address servd:./PrimaryAddress and ./OtherAddresses
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id Organization.address.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
istatCode	I	0..1	Extension(string)	Element Id Organization.address.extension:istatCode Short description Codice ISTAT del comune a cui fa riferimento l'indirizzo Alternate names extensions, user content Definition Stringa alfanumerica di al più 6 caratteri Comments La fonte del dato è il campo CD_COMUNE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(string) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationAddressIstatCode Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.address.extension:istatCode.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationAddressIstatCode Mappings rim:N/A
value[x]		0..1		Element Id Organization.address.extension:istatCode.value[x] Short description Codice ISTAT del comune a cui fa riferimento l'indirizzo Definition Stringa alfanumerica di al più 6 caratteri Comments La fonte del dato è il campo CD_COMUNE dell'anagrafe delle aziende ospedaliere, ASL, enti gestori privati i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueString			string	There are no (further) constraints on this element Data Type string
distrettoTerritoriale	I	0..1	Extension(Complex)	Element Id Organization.address.extension:distrettoTerritoriale Short description Distretto nel quale l'ente ha la sede Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension(Complex) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoTerritoriale Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
extension	I	3..*	Extension	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
codiceDistretto	I	1..1	Extension	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value codiceDistretto Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DistrettoSanitario Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.code Short description Codice del Distretto nel quale l'ente ha la sede Definition Stringa alfanumerica di al più 3 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_DISTRETTO_LR22 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica del distretto sanitario DDC - Distretto Sanitario (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.display Short description Nome del Distretto nel quale l'ente ha la sede Definition Stringa alfanumerica al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_DISTRETTO_LR22 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
ASSTAfferenza	I	1..1	Extension	Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza Short description ASST di appartenenza del Distretto Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value ASSTAfferenza Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ASSTAfferenza Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.code Short description Codice della ASST di appartenenza del Distretto Definition Stringa alfanumerica di al più 6 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_ASST_DI_AFFERENZA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica ASST Afferenza DDC - ASST Afferenza (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.display Short description Nome della ASST di appartenenza del Distretto Definition Stringa alfanumerica al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_ASST della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
ATSAfferenza	I	1..1	Extension	Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza Short description ATS di appartenenza del Distretto Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value ATSAfferenza Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ATSAfferenza Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.code Short description Codice della ATS di appartenenza del Distretto Definition Stringa alfanumerica di al più 6 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_ATS_DI_AFFERENZA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica ATS Afferenza DDC - ATS Afferenza (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.display Short description Nome della ATS di appartenenza del Distretto Definition Stringa alfanumerica al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_ATS della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoTerritoriale Mappings rim:N/A
value[x]		0..0		There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
use	Σ ?!	1..1	codeBindingFixed Value	Element Id Organization.address.use Short description Da valorizzare con 'work' Definition Valore costante secondo lo standard FHIR Requirements Allows an appropriate address to be chosen from a list of many. Comments Applications can assume that an address is current unless it explicitly says that it is temporary or old. Data Type code Binding The use of an address. AddressUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value work Mappings rim:n/a v2:XAD.7 rim:unique(./use) servd:./AddressPurpose
type	Σ	1..1	codeBindingFixed Value	Element Id Organization.address.type Short description Da valorizzare con 'physical' Definition Valore costante secondo lo standard FHIR Comments The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). Data Type code Binding The type of an address (physical / postal). AddressType (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value physical Mappings rim:n/a v2:XAD.18 rim:unique(./use) vcard:address type parameter
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.text Short description Text representation of the address Definition Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. Requirements A renderable, unencoded form. Comments Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 137 Nowhere Street, Erewhon 9132 Mappings rim:n/a v2:XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6 rim:./formatted vcard:address label parameter
line	Σ	0..1	string	Element Id Organization.address.line Short description Indirizzo e numero civico dell'azienda Definition Stringa alfanumerica di al più 250 caratteri Comments La fonte del dato è il campo DS_INDIRIZZO_STRUTTURA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 137 Nowhere Street Mappings rim:n/a v2:XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address) rim:AD.part[parttype = AL] vcard:street servd:./StreetAddress (newline delimitted)
city	Σ	0..1	string	Element Id Organization.address.city Short description Comune nel quale l'ente è ubicato Alternate names Municpality Definition Stringa alfanumerica di al più 6 caratteri Comments La fonte del dato è il campo DS_COMUNE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Erewhon Mappings rim:n/a v2:XAD.3 rim:AD.part[parttype = CTY] vcard:locality servd:./Jurisdiction
district	Σ	0..1	string	Element Id Organization.address.district Short description Sigla della provincia in cui l'ente è ubicato Alternate names County Definition Stringa alfanumerica di al più 2 caratteri Comments La fonte del dato è il campo CD_SIGLA_PROVINCIA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Madison Mappings rim:n/a v2:XAD.9 rim:AD.part[parttype = CNT \| CPA]
state	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.state Short description Sub-unit of country (abbreviations ok) Alternate names Province, Territory Definition Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes). Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD.4 rim:AD.part[parttype = STA] vcard:region servd:./Region
postalCode	Σ	0..1	string	Element Id Organization.address.postalCode Short description Codice di avviamento postale (CAP) dell'indirizzo Alternate names Zip Definition Stringa alfanumerica di al più 5 caratteri Comments La fonte del dato è il campo CD_CAPDIST della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 9132 Mappings rim:n/a v2:XAD.5 rim:AD.part[parttype = ZIP] vcard:code servd:./PostalIdentificationCode
country	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.country Short description Country (e.g. can be ISO 3166 2 or 3 letter code) Definition Country - a nation as commonly understood or generally accepted. Comments ISO 3166 3 letter codes can be used in place of a human readable country name. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD.6 rim:AD.part[parttype = CNT] vcard:country servd:./Country
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.address.period Short description Time period when address was/is in use Definition Time period when address was/is in use. Requirements Allows addresses to be placed in historical context. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Examples General { "start": "2010-03-23", "end": "2010-07-01" } Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:XAD.12 / XAD.13 + XAD.14 rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
partOf	Σ I	0..1	Reference(RLOrganizationL1)	Element Id Organization.partOf Short description Riferimento all'ente di codice L1 al quale l'ente di codice L2 afferisce amministrativamente. Definition Reference alla risorsa RLOrganizationL1. Deve essere inserito l'UUID generato dal server FHIR (applicativo) detentore della risorsa. Per tutte le informazioni sui server FHIR (applicativi) e le relative risorse detenute consultare la pagina API RESTful della sezione Contesto di questa Implementation Guide Requirements Need to be able to track the hierarchy of organizations within an organization. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(RLOrganizationL1) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:No equivalent in HL7 v2 rim:.playedBy[classCode=Part].scoper servd:n/a
contact		0..*	BackboneElement	There are no (further) constraints on this element Element Id Organization.contact Short description Contact for the organization for a certain purpose Definition Contact for the organization for a certain purpose. Requirements Need to keep track of assigned contact points within bigger organization. Comments Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.contactParty
purpose		0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Organization.contact.purpose Short description The type of contact Definition Indicates a purpose for which the contact can be reached. Requirements Need to distinguish between multiple contact persons. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The purpose for which you would contact a contact party. ContactEntityType (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:./type
name		0..1	HumanName	There are no (further) constraints on this element Element Id Organization.contact.name Short description A name associated with the contact Definition A name associated with the contact. Requirements Need to be able to track the person by name. Comments Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. Data Type HumanName Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN rim:EN (actually, PN) servd:ProviderName v2:PID-5, PID-9 rim:./name
telecom	I	0..*	ContactPoint	There are no (further) constraints on this element Element Id Organization.contact.telecom Short description Contact details (telephone, email, etc.) for a contact Definition A contact detail (e.g. a telephone number or an email address) by which the party may be contacted. Requirements People have (primary) ways to contact them in some way such as phone, email. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:PID-13, PID-14 rim:./telecom
address		0..1	Address	There are no (further) constraints on this element Element Id Organization.contact.address Short description Visiting or postal addresses for the contact Definition Visiting or postal addresses for the contact. Requirements May need to keep track of a contact party's address for contacting, billing or reporting requirements. Comments Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). Data Type Address Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD rim:AD servd:Address v2:PID-11 rim:./addr
endpoint	I	0..*	Reference(Endpoint)	There are no (further) constraints on this element Element Id Organization.endpoint Short description Technical endpoints providing access to services operated for the organization Definition Technical endpoints providing access to services operated for the organization. Requirements Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Endpoint) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)

Hybrid View

Organization	I		Organization	There are no (further) constraints on this element Element Id Organization Short description A grouping of people or organizations with a common purpose Definition A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc. Data Type Organization Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` org-1:The organization SHALL at least have a name or an identifier, and possibly more than one `(identifier.count() + name.count()) > 0` Mappings rim:Entity. Role, or Act v2:(also see master files messages) rim:Organization(classCode=ORG, determinerCode=INST) servd:Organization
id	Σ	1..1	System.String	Element Id Organization.id Short description 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 Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data Type System.String
meta	Σ	1..1	Meta	Element Id Organization.meta Short description Metadati della risorsa Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data Type Meta Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
versionId	Σ	1..1	id	Element Id Organization.meta.versionId Short description Versione della risorsa Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments 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. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
lastUpdated	Σ	1..1	instant	Element Id Organization.meta.lastUpdated Short description Data e ora di ultimo aggiornamento della risorsa Definition Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz Comments 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. Data Type instant Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
source	Σ	0..1	uri	There are no (further) constraints on this element Element Id Organization.meta.source Short description Identifies where the resource comes from Definition A 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. Comments 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. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
profile	Σ	1..1	canonical(StructureDefinition)Fixed Value	Element Id Organization.meta.profile Short description Profilo al quale la risorsa si riferisce Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments 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. Data Type canonical(StructureDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2 Mappings rim:n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element Id Organization.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments 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. Data Type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.meta.tag Short description Tags applied to this resource Definition Tags 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. Comments 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. Data Type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id Organization.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
dataCessazione	I	0..1	Extension(date dateTime)	Element Id Organization.extension:dataCessazione Short description Data di cessazione del presidio Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_CESSAZIONE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date dateTime) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCessazione Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:dataCessazione.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCessazione Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.extension:dataCessazione.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueDate			date	Data Type date
dataInsert	I	0..1	Extension(date)	Element Id Organization.extension:dataInsert Short description Data di inserimento del record Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_INSERT della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataInsert Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
dataUpdate	I	0..1	Extension(date)	Element Id Organization.extension:dataUpdate Short description Data di aggiornamento del record Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_UPDATE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataUpdate Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
dataCostituzione	I	0..1	Extension(date dateTime)	Element Id Organization.extension:dataCostituzione Short description Data di costituzione del presidio Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_COSTITUZIONE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date dateTime) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCostituzione Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:dataCostituzione.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCostituzione Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.extension:dataCostituzione.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueDate			date	Data Type date
dataInizioValidta	I	0..1	Extension(date)	Element Id Organization.extension:dataInizioValidta Short description Data di inizio della validità di esercizio del presidio Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_INIZIO_VALIDITA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataInizioValidita Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
dataFineValidita	I	0..1	Extension(date)	Element Id Organization.extension:dataFineValidita Short description Data di fine della validità di esercizio del presidio Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_FINE_VALIDITA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataFineValidita Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
distrettoAccreditamento	I	0..*	Extension(Complex)	Element Id Organization.extension:distrettoAccreditamento Short description Distretti nei quali l'ente si è accreditato Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments La correlazione tra i Distretti di Accreditamento, l'ASST di Afferenza e la relativa ATS è definita nella tabella presente nel paragrafo 3 del capitolo 1 dell'allegato 14 della DGR n. XI/7758 del 28 dicembre 2022. Data Type Extension(Complex) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoAccreditamento Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
extension	I	3..*	Extension	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
codiceDistretto	I	1..1	Extension	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto Short description Codice distretto Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value codiceDistretto Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DistrettoSanitario Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.code Short description Codice del Distretto sanitario nel quale l'ente si è accreditato Definition Stringa alfanumerica di al più 5 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_DISTRETTO della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica del distretto sanitario DDC - Distretto Sanitario (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.display Short description Nome del Distretto sanitario nel quale l'ente si è accreditato Definition Stringa alfanumerica di al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_DISTRETTO della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
ASSTAfferenza	I	1..1	Extension	Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza Short description ASST sotto la quale l'ente eroga servizi sociosanitari sul territorio di competenza Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value ASSTAfferenza Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ASSTAfferenza Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.code Short description Codice della ASST sotto la quale l'ente eroga servizi sociosanitari sul territorio di competenza Definition Stringa alfanumerica di al più 6 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_ASST della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica ASST Afferenza DDC - ASST Afferenza (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.display Short description Nome della ASST sotto la quale l'ente eroga servizi sociosanitari sul territorio di competenza Definition Stringa alfanumerica di al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_ASST della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
ATSAfferenza	I	1..1	Extension	Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza Short description ATS alla quale il presidio afferisce Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value ATSAfferenza Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ATSAfferenza Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.code Short description Codice della ATS alla quale il presidio afferisce Definition Stringa alfanumerica di al più 6 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_ATS della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica ATS Afferenza DDC - ATS Afferenza (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.display Short description Nome della ATS alla quale il presidio afferisce Definition Stringa alfanumerica di al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_ATS della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoAccreditamento Mappings rim:N/A
value[x]		0..0		There are no (further) constraints on this element Element Id Organization.extension:distrettoAccreditamento.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
identifier	Σ I	2..2	Identifier	Element Id Organization.identifier Short description Identifies this organization across multiple systems Definition Identifier for the organization that is used to identify the organization across multiple disparate systems. Requirements Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization. Data Type Identifier Sliced: Unordered, Open, by system(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:XON.10 / XON.3 rim:.scopes[Role](classCode=IDENT) servd:./Identifiers
codiceL2	Σ I	1..1	Identifier	Element Id Organization.identifier:codiceL2 Short description Codice CUDES dell'Ente Definition Identifier for the organization that is used to identify the organization across multiple disparate systems. Requirements Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:XON.10 / XON.3 rim:.scopes[Role](classCode=IDENT) servd:./Identifiers
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.identifier:codiceL2.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Organization.identifier:codiceL2.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	1..1	uriFixed Value	Element Id Organization.identifier:codiceL2.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Identifier.system is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/codiceMinisterialePresidio Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	1..1	string	Element Id Organization.identifier:codiceL2.value Short description Codice di livello 2 dell'Ente Definition Stringa alfanumerica di al più 13 caratteri Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.identifier:codiceL2.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Organization.identifier:codiceL2.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
idUnivocoCredenziale	Σ I	1..1	Identifier	Element Id Organization.identifier:idUnivocoCredenziale Short description Codice identificativo riportato nel campo della sottostruttura di livello 2 della credenziale dell'operatore che opera per l'Ente Definition Identifier for the organization that is used to identify the organization across multiple disparate systems. Requirements Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:XON.10 / XON.3 rim:.scopes[Role](classCode=IDENT) servd:./Identifiers
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.identifier:idUnivocoCredenziale.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Organization.identifier:idUnivocoCredenziale.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	1..1	uriFixed Value	Element Id Organization.identifier:idUnivocoCredenziale.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Identifier.system is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/identificativoUnivocoCredenziale Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	1..1	string	Element Id Organization.identifier:idUnivocoCredenziale.value Short description Identificativo univoco dell'Ente Definition Stringa alfanumerica al più di 8 caratteri se la struttura è un Ente di ricovero. Stringa alfanumerica al più di 9 caratteri se la struttura è un Ente sociosanitario o di cure domiciliari Comments La fonte del dato è il campo CD_LIVELLO_2 (stringa alfanumerica al più di 8 caratteri) della tabella Master Data delle Strutture Socio Sanitarie se il campo CD_TIPO_MACRO_LIVELLO_2 è valorizzato con 'RIC'. Altrimenti, la fonte del dato è il campo ID_LIVELLO_2 (stringa alfanumerica al più di 9 caratteri). I dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.identifier:idUnivocoCredenziale.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Organization.identifier:idUnivocoCredenziale.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
active	Σ ?!	0..1	boolean	There are no (further) constraints on this element Element Id Organization.active Short description Whether the organization's record is still in active use Definition Whether the organization's record is still in active use. Requirements Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI. Comments This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used. This element is labeled as a modifier because it may be used to mark that the resource was created in error. Meaning When Missing This resource is generally assumed to be active if no value is provided for the active element Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status v2:No equivalent in HL7 v2 rim:.status servd:./Status (however this concept in ServD more covers why the organization is active or not, could be delisted, deregistered, not operational yet) this could alternatively be derived from ./StartDate and ./EndDate and given a context date.
type	Σ	1..1	CodeableConcept	Element Id Organization.type Short description Codifica della tipologia del servizio socioassistenziale erogato dall’Ente Definition The kind(s) of organization that this is. Requirements Need to be able to track the kind of organization that this is - different organization types have different uses. Comments Per il dettaglio esaustivo della codifica consultare la Tabella della tipologia del servizio socioassistenziale erogato dall’Ente contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Data Type CodeableConcept Binding Used to categorize the organization. OrganizationType (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.class v2:No equivalent in v2 rim:.code servd:n/a
coding	Σ	1..1	Coding	There are no (further) constraints on this element Element Id Organization.type.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.type.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/CodeSystem/TipoStruttura Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.type.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.type.coding.code Short description Codice della tipologia del servizio socioassistenziale erogato dall’Ente Definition Stringa alfanumerica di al più 10 caratteri Requirements Need to refer to a particular code in the system. Comments Il dato è detenuto dal SGDT Data Type code Binding ValueSet relativo alla tipologia UdO DDC Desc L2 (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.type.coding.display Short description Descrizione della tipologia del servizio socioassistenziale erogato dall’Ente Definition Stringa alfanumerica di al più 50 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Il dato è detenuto dal SGDT Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.type.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.type.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
name	Σ I	1..1	string	Element Id Organization.name Short description Denominazione del presidio Definition Stringa alfanumerica di al più 250 caratteri Requirements Need to use the name as the label of the organization. Comments La fonte del dato è il campo DS_LIVELLO_2 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XON.1 rim:.name servd:.PreferredName/Name
alias		0..*	string	There are no (further) constraints on this element Element Id Organization.alias Short description A list of alternate names that the organization is known as, or was known as in the past Definition A list of alternate names that the organization is known as, or was known as in the past. Requirements Over time locations and organizations go through many changes and can be known by different names. For searching knowing previous names that the organization was known by can be very useful. Comments There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.name
telecom	I	0..*	ContactPoint	Element Id Organization.telecom Short description Contatti del presidio Definition Telefono, mail, fax ed url del sito internet Requirements Human contact for the organization. Comments The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself. Data Type ContactPoint Sliced: Unordered, Open, by use(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
phone	I	0..2	ContactPoint	Element Id Organization.telecom:phone Short description Numero di telefono del presidio Definition A contact detail for the organization. Requirements Human contact for the organization. Comments The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
system	Σ I	0..1	codeBindingFixed Value	Element Id Organization.telecom:phone.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Telecommunications form for contact point. ContactPointSystem (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value phone Mappings rim:n/a v2:XTN.3 rim:./scheme servd:./ContactPointType
value	Σ	0..1	string	Element Id Organization.telecom:phone.value Short description Numero di telefono del presidio Definition The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments La fonte del dato è il campo NR_TEL1 e NR_TEL2 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.1 (or XTN.12) rim:./url servd:./Value
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.telecom:phone.use Short description home \| work \| temp \| old \| mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data Type code Binding Use of contact point. ContactPointUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.2 - but often indicated by field rim:unique(./use) servd:./ContactPointPurpose
rank	Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id Organization.telecom:phone.rank Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:n/a
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.telecom:phone.period Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:N/A rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
fax	I	0..1	ContactPoint	Element Id Organization.telecom:fax Short description Numero di fax del presidio Definition A contact detail for the organization. Requirements Human contact for the organization. Comments La fonte del dato è il campo NR_FAX della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
system	Σ I	0..1	codeBindingFixed Value	Element Id Organization.telecom:fax.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Telecommunications form for contact point. ContactPointSystem (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value fax Mappings rim:n/a v2:XTN.3 rim:./scheme servd:./ContactPointType
value	Σ	0..1	string	Element Id Organization.telecom:fax.value Short description The actual contact point details Definition Stringa alfanumerica di al più 50 caratteri Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments La fonte del dato è il campo NR_FAX della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.1 (or XTN.12) rim:./url servd:./Value
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.telecom:fax.use Short description home \| work \| temp \| old \| mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data Type code Binding Use of contact point. ContactPointUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.2 - but often indicated by field rim:unique(./use) servd:./ContactPointPurpose
rank	Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id Organization.telecom:fax.rank Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:n/a
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.telecom:fax.period Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:N/A rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
url	I	0..1	ContactPoint	Element Id Organization.telecom:url Short description Indirizzo della pagina web del presidio Definition A contact detail for the organization. Requirements Human contact for the organization. Comments The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
system	Σ I	0..1	codeBindingFixed Value	Element Id Organization.telecom:url.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Telecommunications form for contact point. ContactPointSystem (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value url Mappings rim:n/a v2:XTN.3 rim:./scheme servd:./ContactPointType
value	Σ	0..1	string	Element Id Organization.telecom:url.value Short description Indirizzo della pagina web del presidio Definition Stringa alfanumerica di al più 250 caratteri Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.1 (or XTN.12) rim:./url servd:./Value
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.telecom:url.use Short description home \| work \| temp \| old \| mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data Type code Binding Use of contact point. ContactPointUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.2 - but often indicated by field rim:unique(./use) servd:./ContactPointPurpose
rank	Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id Organization.telecom:url.rank Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:n/a
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.telecom:url.period Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:N/A rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
mail	I	0..1	ContactPoint	Element Id Organization.telecom:mail Short description Indirizzo mail del presidio Definition A contact detail for the organization. Requirements Human contact for the organization. Comments The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
system	Σ I	0..1	codeBindingFixed Value	Element Id Organization.telecom:mail.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Telecommunications form for contact point. ContactPointSystem (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value mail Mappings rim:n/a v2:XTN.3 rim:./scheme servd:./ContactPointType
value	Σ	0..1	string	Element Id Organization.telecom:mail.value Short description Indirizzo mail del presidio Definition The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments La fonte del dato è il campo DS_EMAIL della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.1 (or XTN.12) rim:./url servd:./Value
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Organization.telecom:mail.use Short description home \| work \| temp \| old \| mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data Type code Binding Use of contact point. ContactPointUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.2 - but often indicated by field rim:unique(./use) servd:./ContactPointPurpose
rank	Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id Organization.telecom:mail.rank Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:n/a
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.telecom:mail.period Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:N/A rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
address	I	0..1	Address	Element Id Organization.address Short description Indirizzo dell'organizzazione Definition An address for the organization. Requirements May need to keep track of the organization's addresses for contacting, billing or reporting requirements. Comments Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used. Data Type Address Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` org-2:An address of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XAD rim:AD servd:Address v2:ORC-23? rim:.address servd:./PrimaryAddress and ./OtherAddresses
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id Organization.address.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
istatCode	I	0..1	Extension(string)	Element Id Organization.address.extension:istatCode Short description Codice ISTAT del comune a cui fa riferimento l'indirizzo Alternate names extensions, user content Definition Stringa alfanumerica di al più 6 caratteri Comments La fonte del dato è il campo CD_COMUNE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(string) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationAddressIstatCode Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.address.extension:istatCode.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationAddressIstatCode Mappings rim:N/A
value[x]		0..1		Element Id Organization.address.extension:istatCode.value[x] Short description Codice ISTAT del comune a cui fa riferimento l'indirizzo Definition Stringa alfanumerica di al più 6 caratteri Comments La fonte del dato è il campo CD_COMUNE dell'anagrafe delle aziende ospedaliere, ASL, enti gestori privati i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueString			string	There are no (further) constraints on this element Data Type string
distrettoTerritoriale	I	0..1	Extension(Complex)	Element Id Organization.address.extension:distrettoTerritoriale Short description Distretto nel quale l'ente ha la sede Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension(Complex) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoTerritoriale Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
extension	I	3..*	Extension	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
codiceDistretto	I	1..1	Extension	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value codiceDistretto Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DistrettoSanitario Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.code Short description Codice del Distretto nel quale l'ente ha la sede Definition Stringa alfanumerica di al più 3 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_DISTRETTO_LR22 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica del distretto sanitario DDC - Distretto Sanitario (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.display Short description Nome del Distretto nel quale l'ente ha la sede Definition Stringa alfanumerica al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_DISTRETTO_LR22 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
ASSTAfferenza	I	1..1	Extension	Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza Short description ASST di appartenenza del Distretto Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value ASSTAfferenza Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ASSTAfferenza Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.code Short description Codice della ASST di appartenenza del Distretto Definition Stringa alfanumerica di al più 6 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_ASST_DI_AFFERENZA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica ASST Afferenza DDC - ASST Afferenza (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.display Short description Nome della ASST di appartenenza del Distretto Definition Stringa alfanumerica al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_ASST della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
ATSAfferenza	I	1..1	Extension	Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza Short description ATS di appartenenza del Distretto Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value ATSAfferenza Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	1..1	uriFixed Value	Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ATSAfferenza Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.code Short description Codice della ATS di appartenenza del Distretto Definition Stringa alfanumerica di al più 6 caratteri Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_ATS_DI_AFFERENZA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alla codifica ATS Afferenza DDC - ATS Afferenza (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.display Short description Nome della ATS di appartenenza del Distretto Definition Stringa alfanumerica al più di 250 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_ATS della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoTerritoriale Mappings rim:N/A
value[x]		0..0		There are no (further) constraints on this element Element Id Organization.address.extension:distrettoTerritoriale.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
use	Σ ?!	1..1	codeBindingFixed Value	Element Id Organization.address.use Short description Da valorizzare con 'work' Definition Valore costante secondo lo standard FHIR Requirements Allows an appropriate address to be chosen from a list of many. Comments Applications can assume that an address is current unless it explicitly says that it is temporary or old. Data Type code Binding The use of an address. AddressUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value work Mappings rim:n/a v2:XAD.7 rim:unique(./use) servd:./AddressPurpose
type	Σ	1..1	codeBindingFixed Value	Element Id Organization.address.type Short description Da valorizzare con 'physical' Definition Valore costante secondo lo standard FHIR Comments The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). Data Type code Binding The type of an address (physical / postal). AddressType (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value physical Mappings rim:n/a v2:XAD.18 rim:unique(./use) vcard:address type parameter
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.text Short description Text representation of the address Definition Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. Requirements A renderable, unencoded form. Comments Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 137 Nowhere Street, Erewhon 9132 Mappings rim:n/a v2:XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6 rim:./formatted vcard:address label parameter
line	Σ	0..1	string	Element Id Organization.address.line Short description Indirizzo e numero civico dell'azienda Definition Stringa alfanumerica di al più 250 caratteri Comments La fonte del dato è il campo DS_INDIRIZZO_STRUTTURA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 137 Nowhere Street Mappings rim:n/a v2:XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address) rim:AD.part[parttype = AL] vcard:street servd:./StreetAddress (newline delimitted)
city	Σ	0..1	string	Element Id Organization.address.city Short description Comune nel quale l'ente è ubicato Alternate names Municpality Definition Stringa alfanumerica di al più 6 caratteri Comments La fonte del dato è il campo DS_COMUNE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Erewhon Mappings rim:n/a v2:XAD.3 rim:AD.part[parttype = CTY] vcard:locality servd:./Jurisdiction
district	Σ	0..1	string	Element Id Organization.address.district Short description Sigla della provincia in cui l'ente è ubicato Alternate names County Definition Stringa alfanumerica di al più 2 caratteri Comments La fonte del dato è il campo CD_SIGLA_PROVINCIA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Madison Mappings rim:n/a v2:XAD.9 rim:AD.part[parttype = CNT \| CPA]
state	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.state Short description Sub-unit of country (abbreviations ok) Alternate names Province, Territory Definition Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes). Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD.4 rim:AD.part[parttype = STA] vcard:region servd:./Region
postalCode	Σ	0..1	string	Element Id Organization.address.postalCode Short description Codice di avviamento postale (CAP) dell'indirizzo Alternate names Zip Definition Stringa alfanumerica di al più 5 caratteri Comments La fonte del dato è il campo CD_CAPDIST della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 9132 Mappings rim:n/a v2:XAD.5 rim:AD.part[parttype = ZIP] vcard:code servd:./PostalIdentificationCode
country	Σ	0..1	string	There are no (further) constraints on this element Element Id Organization.address.country Short description Country (e.g. can be ISO 3166 2 or 3 letter code) Definition Country - a nation as commonly understood or generally accepted. Comments ISO 3166 3 letter codes can be used in place of a human readable country name. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD.6 rim:AD.part[parttype = CNT] vcard:country servd:./Country
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Organization.address.period Short description Time period when address was/is in use Definition Time period when address was/is in use. Requirements Allows addresses to be placed in historical context. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Examples General { "start": "2010-03-23", "end": "2010-07-01" } Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:XAD.12 / XAD.13 + XAD.14 rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
partOf	Σ I	0..1	Reference(RLOrganizationL1)	Element Id Organization.partOf Short description Riferimento all'ente di codice L1 al quale l'ente di codice L2 afferisce amministrativamente. Definition Reference alla risorsa RLOrganizationL1. Deve essere inserito l'UUID generato dal server FHIR (applicativo) detentore della risorsa. Per tutte le informazioni sui server FHIR (applicativi) e le relative risorse detenute consultare la pagina API RESTful della sezione Contesto di questa Implementation Guide Requirements Need to be able to track the hierarchy of organizations within an organization. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(RLOrganizationL1) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:No equivalent in HL7 v2 rim:.playedBy[classCode=Part].scoper servd:n/a
contact		0..*	BackboneElement	There are no (further) constraints on this element Element Id Organization.contact Short description Contact for the organization for a certain purpose Definition Contact for the organization for a certain purpose. Requirements Need to keep track of assigned contact points within bigger organization. Comments Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.contactParty
purpose		0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Organization.contact.purpose Short description The type of contact Definition Indicates a purpose for which the contact can be reached. Requirements Need to distinguish between multiple contact persons. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The purpose for which you would contact a contact party. ContactEntityType (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:./type
name		0..1	HumanName	There are no (further) constraints on this element Element Id Organization.contact.name Short description A name associated with the contact Definition A name associated with the contact. Requirements Need to be able to track the person by name. Comments Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. Data Type HumanName Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN rim:EN (actually, PN) servd:ProviderName v2:PID-5, PID-9 rim:./name
telecom	I	0..*	ContactPoint	There are no (further) constraints on this element Element Id Organization.contact.telecom Short description Contact details (telephone, email, etc.) for a contact Definition A contact detail (e.g. a telephone number or an email address) by which the party may be contacted. Requirements People have (primary) ways to contact them in some way such as phone, email. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:PID-13, PID-14 rim:./telecom
address		0..1	Address	There are no (further) constraints on this element Element Id Organization.contact.address Short description Visiting or postal addresses for the contact Definition Visiting or postal addresses for the contact. Requirements May need to keep track of a contact party's address for contacting, billing or reporting requirements. Comments Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). Data Type Address Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD rim:AD servd:Address v2:PID-11 rim:./addr
endpoint	I	0..*	Reference(Endpoint)	There are no (further) constraints on this element Element Id Organization.endpoint Short description Technical endpoints providing access to services operated for the organization Definition Technical endpoints providing access to services operated for the organization. Requirements Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Endpoint) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)

Table View

Organization		..
Organization.id		1..
Organization.meta		1..
Organization.meta.versionId		1..
Organization.meta.lastUpdated		1..
Organization.meta.profile		1..1
Organization.extension	Extension	..
Organization.extension.value[x]	date	..
Organization.extension	Extension	..
Organization.extension	Extension	..
Organization.extension	Extension	..
Organization.extension.value[x]	date	..
Organization.extension	Extension	..1
Organization.extension	Extension	..1
Organization.extension	Extension	..
Organization.extension.extension		..
Organization.extension.extension.value[x]		..
Organization.extension.extension.value[x].coding		..
Organization.extension.extension.value[x].coding.system		1..
Organization.extension.extension.value[x].coding.code		1..
Organization.extension.extension.value[x].coding.display		1..
Organization.extension.extension		..
Organization.extension.extension.value[x]		..
Organization.extension.extension.value[x].coding		..
Organization.extension.extension.value[x].coding.system		1..
Organization.extension.extension.value[x].coding.code		1..
Organization.extension.extension.value[x].coding.display		1..
Organization.extension.extension		..
Organization.extension.extension.value[x]		..
Organization.extension.extension.value[x].coding		..
Organization.extension.extension.value[x].coding.system		1..
Organization.extension.extension.value[x].coding.code		1..
Organization.extension.extension.value[x].coding.display		1..
Organization.identifier		2..2
Organization.identifier		1..1
Organization.identifier.system		1..
Organization.identifier.value		1..
Organization.identifier		1..1
Organization.identifier.system		1..
Organization.identifier.value		1..
Organization.type		1..1
Organization.type.coding		1..1
Organization.type.coding.system		1..
Organization.type.coding.code		1..
Organization.type.coding.display		1..
Organization.name		1..
Organization.telecom		..
Organization.telecom		..2
Organization.telecom.system		..
Organization.telecom.value		..
Organization.telecom		..1
Organization.telecom.system		..
Organization.telecom.value		..
Organization.telecom		..1
Organization.telecom.system		..
Organization.telecom.value		..
Organization.telecom		..1
Organization.telecom.system		..
Organization.telecom.value		..
Organization.address		..1
Organization.address.extension	Extension	..
Organization.address.extension.value[x]		..
Organization.address.extension	Extension	..
Organization.address.extension.extension		3..
Organization.address.extension.extension		1..1
Organization.address.extension.extension.value[x]		..
Organization.address.extension.extension.value[x].coding		..
Organization.address.extension.extension.value[x].coding.system		1..
Organization.address.extension.extension.value[x].coding.code		1..
Organization.address.extension.extension.value[x].coding.display		1..
Organization.address.extension.extension		1..1
Organization.address.extension.extension.value[x]		..
Organization.address.extension.extension.value[x].coding		..
Organization.address.extension.extension.value[x].coding.system		1..
Organization.address.extension.extension.value[x].coding.code		1..
Organization.address.extension.extension.value[x].coding.display		1..
Organization.address.extension.extension		1..1
Organization.address.extension.extension.value[x]		..
Organization.address.extension.extension.value[x].coding		..
Organization.address.extension.extension.value[x].coding.system		1..
Organization.address.extension.extension.value[x].coding.code		1..
Organization.address.extension.extension.value[x].coding.display		1..
Organization.address.use		1..
Organization.address.type		1..
Organization.address.line		..1
Organization.address.city		..
Organization.address.district		..
Organization.address.postalCode		..
Organization.partOf	Reference(RLOrganizationL1)	..

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <url value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2" />
    <name value="RLOrganizationL2" />
    <status value="active" />
    <description value="Profilo che descrive una struttura o un ente identificato univocamente da un codice di ente L2" />
    <keyword>
        <system value="https://fhir.siss.regione.lombardia.it/CodeSystem/Tag" />
        <code value="DDC" />
    </keyword>
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="Organization" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Organization" />
    <derivation value="constraint" />
    <differential>
        <element id="Organization.id">
            <path value="Organization.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="Organization.meta">
            <path value="Organization.meta" />
            <short value="Metadati della risorsa" />
            <min value="1" />
        </element>
        <element id="Organization.meta.versionId">
            <path value="Organization.meta.versionId" />
            <short value="Versione della risorsa" />
            <min value="1" />
        </element>
        <element id="Organization.meta.lastUpdated">
            <path value="Organization.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" />
            <min value="1" />
        </element>
        <element id="Organization.meta.profile">
            <path value="Organization.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/RLOrganizationL2" />
        </element>
        <element id="Organization.extension:dataCessazione">
            <path value="Organization.extension" />
            <sliceName value="dataCessazione" />
            <short value="Data di cessazione del presidio" />
            <definition value="Formato: YYYY-MM-DD secondo lo standard FHIR" />
            <comment value="La fonte del dato &#232; il campo DT_CESSAZIONE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCessazione" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Organization.extension:dataCessazione.value[x]">
            <path value="Organization.extension.value[x]" />
            <type>
                <code value="date" />
            </type>
        </element>
        <element id="Organization.extension:dataInsert">
            <path value="Organization.extension" />
            <sliceName value="dataInsert" />
            <short value="Data di inserimento del record" />
            <definition value="Formato: YYYY-MM-DD secondo lo standard FHIR" />
            <comment value="La fonte del dato &#232; il campo DT_INSERT della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataInsert" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Organization.extension:dataUpdate">
            <path value="Organization.extension" />
            <sliceName value="dataUpdate" />
            <short value="Data di aggiornamento del record" />
            <definition value="Formato: YYYY-MM-DD secondo lo standard FHIR" />
            <comment value="La fonte del dato &#232; il campo DT_UPDATE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataUpdate" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Organization.extension:dataCostituzione">
            <path value="Organization.extension" />
            <sliceName value="dataCostituzione" />
            <short value="Data di costituzione del presidio" />
            <definition value="Formato: YYYY-MM-DD secondo lo standard FHIR" />
            <comment value="La fonte del dato &#232; il campo DT_COSTITUZIONE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCostituzione" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Organization.extension:dataCostituzione.value[x]">
            <path value="Organization.extension.value[x]" />
            <type>
                <code value="date" />
            </type>
        </element>
        <element id="Organization.extension:dataInizioValidta">
            <path value="Organization.extension" />
            <sliceName value="dataInizioValidta" />
            <short value="Data di inizio della validit&#224; di esercizio del presidio" />
            <definition value="Formato: YYYY-MM-DD secondo lo standard FHIR" />
            <comment value="La fonte del dato &#232; il campo DT_INIZIO_VALIDITA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataInizioValidita" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Organization.extension:dataFineValidita">
            <path value="Organization.extension" />
            <sliceName value="dataFineValidita" />
            <short value="Data di fine della validit&#224; di esercizio del presidio" />
            <definition value="Formato: YYYY-MM-DD secondo lo standard FHIR" />
            <comment value="La fonte del dato &#232; il campo DT_FINE_VALIDITA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataFineValidita" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Organization.extension:distrettoAccreditamento">
            <path value="Organization.extension" />
            <sliceName value="distrettoAccreditamento" />
            <short value="Distretti nei quali l&#39;ente si &#232; accreditato" />
            <comment value="La correlazione tra i Distretti di Accreditamento, l&#39;ASST di Afferenza e la relativa ATS &#232; definita nella tabella presente nel paragrafo 3 del capitolo 1 dell&#39;allegato 14 della DGR n. XI/7758 del 28 dicembre 2022." />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoAccreditamento" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Organization.extension:distrettoAccreditamento.extension:codiceDistretto">
            <path value="Organization.extension.extension" />
            <sliceName value="codiceDistretto" />
        </element>
        <element id="Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.system">
            <path value="Organization.extension.extension.value[x].coding.system" />
            <min value="1" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DistrettoSanitario" />
        </element>
        <element id="Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.code">
            <path value="Organization.extension.extension.value[x].coding.code" />
            <short value="Codice del Distretto sanitario nel quale l&#39;ente si &#232; accreditato" />
            <definition value="Stringa alfanumerica di al pi&#249; 5 caratteri" />
            <comment value="La fonte del dato &#232; il campo CD_DISTRETTO della tabella Master Data delle strutture operanti in pi&#249; distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
            <binding>
                <strength value="required" />
                <description value="ValueSet relativo alla codifica del distretto sanitario" />
                <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DistrettoSanitario" />
            </binding>
        </element>
        <element id="Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.display">
            <path value="Organization.extension.extension.value[x].coding.display" />
            <short value="Nome del Distretto sanitario nel quale l&#39;ente si &#232; accreditato" />
            <definition value="Stringa alfanumerica di al pi&#249; di 250 caratteri" />
            <comment value="La fonte del dato &#232; il campo DS_DISTRETTO della tabella Master Data delle strutture operanti in pi&#249; distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
        </element>
        <element id="Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza">
            <path value="Organization.extension.extension" />
            <sliceName value="ASSTAfferenza" />
            <short value="ASST sotto la quale l&#39;ente eroga servizi sociosanitari sul territorio di competenza" />
        </element>
        <element id="Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.system">
            <path value="Organization.extension.extension.value[x].coding.system" />
            <min value="1" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ASSTAfferenza" />
        </element>
        <element id="Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.code">
            <path value="Organization.extension.extension.value[x].coding.code" />
            <short value="Codice della ASST sotto la quale l&#39;ente eroga servizi sociosanitari sul territorio di competenza" />
            <definition value="Stringa alfanumerica di al pi&#249; 6 caratteri" />
            <comment value="La fonte del dato &#232; il campo CD_ASST della tabella Master Data delle strutture operanti in pi&#249; distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
            <binding>
                <strength value="required" />
                <description value="ValueSet relativo alla codifica ASST Afferenza" />
                <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ASSTAfferenza" />
            </binding>
        </element>
        <element id="Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.display">
            <path value="Organization.extension.extension.value[x].coding.display" />
            <short value="Nome della ASST sotto la quale l&#39;ente eroga servizi sociosanitari sul territorio di competenza" />
            <definition value="Stringa alfanumerica di al pi&#249; di 250 caratteri" />
            <comment value="La fonte del dato &#232; il campo DS_ASST della tabella Master Data delle strutture operanti in pi&#249; distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
        </element>
        <element id="Organization.extension:distrettoAccreditamento.extension:ATSAfferenza">
            <path value="Organization.extension.extension" />
            <sliceName value="ATSAfferenza" />
            <short value="ATS alla quale il presidio afferisce" />
        </element>
        <element id="Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.system">
            <path value="Organization.extension.extension.value[x].coding.system" />
            <min value="1" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ATSAfferenza" />
        </element>
        <element id="Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.code">
            <path value="Organization.extension.extension.value[x].coding.code" />
            <short value="Codice della ATS alla quale il presidio afferisce" />
            <definition value="Stringa alfanumerica di al pi&#249; 6 caratteri" />
            <comment value="La fonte del dato &#232; il campo CD_ATS della tabella Master Data delle strutture operanti in pi&#249; distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
            <binding>
                <strength value="required" />
                <description value="ValueSet relativo alla codifica ATS Afferenza" />
                <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ATSAfferenza" />
            </binding>
        </element>
        <element id="Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.display">
            <path value="Organization.extension.extension.value[x].coding.display" />
            <short value="Nome della ATS alla quale il presidio afferisce" />
            <definition value="Stringa alfanumerica di al pi&#249; di 250 caratteri" />
            <comment value="La fonte del dato &#232; il campo DS_ATS della tabella Master Data delle strutture operanti in pi&#249; distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
        </element>
        <element id="Organization.identifier">
            <path value="Organization.identifier" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="system" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="2" />
            <max value="2" />
        </element>
        <element id="Organization.identifier:codiceL2">
            <path value="Organization.identifier" />
            <sliceName value="codiceL2" />
            <short value="Codice CUDES dell&#39;Ente" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Organization.identifier:codiceL2.system">
            <path value="Organization.identifier.system" />
            <min value="1" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/sid/codiceMinisterialePresidio" />
        </element>
        <element id="Organization.identifier:codiceL2.value">
            <path value="Organization.identifier.value" />
            <short value="Codice di livello 2 dell&#39;Ente" />
            <definition value="Stringa alfanumerica di al pi&#249; 13 caratteri" />
            <min value="1" />
        </element>
        <element id="Organization.identifier:idUnivocoCredenziale">
            <path value="Organization.identifier" />
            <sliceName value="idUnivocoCredenziale" />
            <short value="Codice identificativo riportato nel campo della sottostruttura di livello 2 della credenziale dell&#39;operatore che opera per l&#39;Ente" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Organization.identifier:idUnivocoCredenziale.system">
            <path value="Organization.identifier.system" />
            <min value="1" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/sid/identificativoUnivocoCredenziale" />
        </element>
        <element id="Organization.identifier:idUnivocoCredenziale.value">
            <path value="Organization.identifier.value" />
            <short value="Identificativo univoco dell&#39;Ente" />
            <definition value="Stringa alfanumerica al pi&#249; di 8 caratteri se la struttura &#232; un Ente di ricovero.\nStringa alfanumerica al pi&#249; di 9 caratteri se la struttura &#232; un Ente sociosanitario o di cure domiciliari" />
            <comment value="La fonte del dato &#232; il campo CD_LIVELLO_2 (stringa alfanumerica al pi&#249; di 8 caratteri) della tabella Master Data delle Strutture Socio Sanitarie se il campo CD_TIPO_MACRO_LIVELLO_2 &#232; valorizzato con &#39;RIC&#39;. Altrimenti, la fonte del dato &#232; il campo ID_LIVELLO_2 (stringa alfanumerica al pi&#249; di 9 caratteri). I dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
        </element>
        <element id="Organization.type">
            <path value="Organization.type" />
            <short value="Codifica della tipologia del servizio socioassistenziale erogato dall’Ente" />
            <comment value="Per il dettaglio esaustivo della codifica consultare la Tabella della tipologia del servizio socioassistenziale erogato dall’Ente contenuta nella sezione dei value-set del profilo presente nell&#39;Implementation Guide." />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Organization.type.coding">
            <path value="Organization.type.coding" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Organization.type.coding.system">
            <path value="Organization.type.coding.system" />
            <min value="1" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/CodeSystem/TipoStruttura" />
        </element>
        <element id="Organization.type.coding.code">
            <path value="Organization.type.coding.code" />
            <short value="Codice della tipologia del servizio socioassistenziale erogato dall’Ente" />
            <definition value="Stringa alfanumerica di al pi&#249; 10 caratteri" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <min value="1" />
            <binding>
                <strength value="required" />
                <description value="ValueSet relativo alla tipologia UdO" />
                <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DescL2" />
            </binding>
        </element>
        <element id="Organization.type.coding.display">
            <path value="Organization.type.coding.display" />
            <short value="Descrizione della tipologia del servizio socioassistenziale erogato dall’Ente" />
            <definition value="Stringa alfanumerica di al pi&#249; 50 caratteri" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <min value="1" />
        </element>
        <element id="Organization.name">
            <path value="Organization.name" />
            <short value="Denominazione del presidio" />
            <definition value="Stringa alfanumerica di al pi&#249; 250 caratteri" />
            <comment value="La fonte del dato &#232; il campo DS_LIVELLO_2  della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
        </element>
        <element id="Organization.telecom">
            <path value="Organization.telecom" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="use" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <short value="Contatti del presidio" />
            <definition value="Telefono, mail, fax ed url del sito internet" />
        </element>
        <element id="Organization.telecom:phone">
            <path value="Organization.telecom" />
            <sliceName value="phone" />
            <short value="Numero di telefono del presidio" />
            <max value="2" />
        </element>
        <element id="Organization.telecom:phone.system">
            <path value="Organization.telecom.system" />
            <fixedCode value="phone" />
        </element>
        <element id="Organization.telecom:phone.value">
            <path value="Organization.telecom.value" />
            <short value="Numero di telefono del presidio" />
            <comment value="La fonte del dato &#232; il campo NR_TEL1 e NR_TEL2 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
        </element>
        <element id="Organization.telecom:fax">
            <path value="Organization.telecom" />
            <sliceName value="fax" />
            <short value="Numero di fax del presidio" />
            <comment value="La fonte del dato &#232; il campo NR_FAX della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <max value="1" />
        </element>
        <element id="Organization.telecom:fax.system">
            <path value="Organization.telecom.system" />
            <fixedCode value="fax" />
        </element>
        <element id="Organization.telecom:fax.value">
            <path value="Organization.telecom.value" />
            <definition value="Stringa alfanumerica di al pi&#249; 50 caratteri" />
            <comment value="La fonte del dato &#232; il campo NR_FAX della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
        </element>
        <element id="Organization.telecom:url">
            <path value="Organization.telecom" />
            <sliceName value="url" />
            <short value="Indirizzo della pagina web del presidio" />
            <max value="1" />
        </element>
        <element id="Organization.telecom:url.system">
            <path value="Organization.telecom.system" />
            <fixedCode value="url" />
        </element>
        <element id="Organization.telecom:url.value">
            <path value="Organization.telecom.value" />
            <short value="Indirizzo della pagina web del presidio" />
            <definition value="Stringa alfanumerica di al pi&#249; 250 caratteri" />
        </element>
        <element id="Organization.telecom:mail">
            <path value="Organization.telecom" />
            <sliceName value="mail" />
            <short value="Indirizzo mail del presidio" />
            <max value="1" />
        </element>
        <element id="Organization.telecom:mail.system">
            <path value="Organization.telecom.system" />
            <fixedCode value="mail" />
        </element>
        <element id="Organization.telecom:mail.value">
            <path value="Organization.telecom.value" />
            <short value="Indirizzo mail del presidio" />
            <comment value="La fonte del dato &#232; il campo DS_EMAIL della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
        </element>
        <element id="Organization.address">
            <path value="Organization.address" />
            <short value="Indirizzo dell&#39;organizzazione" />
            <max value="1" />
        </element>
        <element id="Organization.address.extension:istatCode">
            <path value="Organization.address.extension" />
            <sliceName value="istatCode" />
            <short value="Codice ISTAT del comune a cui fa riferimento l&#39;indirizzo" />
            <definition value="Stringa alfanumerica di al pi&#249; 6 caratteri" />
            <comment value="La fonte del dato &#232; il campo CD_COMUNE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationAddressIstatCode" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Organization.address.extension:istatCode.value[x]">
            <path value="Organization.address.extension.value[x]" />
            <short value="Codice ISTAT del comune a cui fa riferimento l&#39;indirizzo" />
            <definition value="Stringa alfanumerica di al pi&#249; 6 caratteri" />
            <comment value="La fonte del dato &#232; il campo CD_COMUNE dell&#39;anagrafe delle aziende ospedaliere, ASL, enti gestori privati i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
        </element>
        <element id="Organization.address.extension:distrettoTerritoriale">
            <path value="Organization.address.extension" />
            <sliceName value="distrettoTerritoriale" />
            <short value="Distretto nel quale l&#39;ente ha la sede" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoTerritoriale" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Organization.address.extension:distrettoTerritoriale.extension">
            <path value="Organization.address.extension.extension" />
            <min value="3" />
        </element>
        <element id="Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto">
            <path value="Organization.address.extension.extension" />
            <sliceName value="codiceDistretto" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.system">
            <path value="Organization.address.extension.extension.value[x].coding.system" />
            <min value="1" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DistrettoSanitario" />
        </element>
        <element id="Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.code">
            <path value="Organization.address.extension.extension.value[x].coding.code" />
            <short value="Codice del Distretto nel quale l&#39;ente ha la sede" />
            <definition value="Stringa alfanumerica di al pi&#249; 3 caratteri" />
            <comment value="La fonte del dato &#232; il campo CD_DISTRETTO_LR22 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
            <binding>
                <strength value="required" />
                <description value="ValueSet relativo alla codifica del distretto sanitario" />
                <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DistrettoSanitario" />
            </binding>
        </element>
        <element id="Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.display">
            <path value="Organization.address.extension.extension.value[x].coding.display" />
            <short value="Nome del Distretto nel quale l&#39;ente ha la sede" />
            <definition value="Stringa alfanumerica al pi&#249; di 250 caratteri" />
            <comment value="La fonte del dato &#232; il campo DS_DISTRETTO_LR22 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
        </element>
        <element id="Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza">
            <path value="Organization.address.extension.extension" />
            <sliceName value="ASSTAfferenza" />
            <short value="ASST di appartenenza del Distretto" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.system">
            <path value="Organization.address.extension.extension.value[x].coding.system" />
            <min value="1" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ASSTAfferenza" />
        </element>
        <element id="Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.code">
            <path value="Organization.address.extension.extension.value[x].coding.code" />
            <short value="Codice della ASST di appartenenza del Distretto" />
            <definition value="Stringa alfanumerica di al pi&#249; 6 caratteri" />
            <comment value="La fonte del dato &#232; il campo CD_ASST_DI_AFFERENZA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
            <binding>
                <strength value="required" />
                <description value="ValueSet relativo alla codifica ASST Afferenza" />
                <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ASSTAfferenza" />
            </binding>
        </element>
        <element id="Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.display">
            <path value="Organization.address.extension.extension.value[x].coding.display" />
            <short value="Nome della ASST di appartenenza del Distretto" />
            <definition value="Stringa alfanumerica al pi&#249; di 250 caratteri" />
            <comment value="La fonte del dato &#232; il campo DS_ASST della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
        </element>
        <element id="Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza">
            <path value="Organization.address.extension.extension" />
            <sliceName value="ATSAfferenza" />
            <short value="ATS di appartenenza del Distretto" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.system">
            <path value="Organization.address.extension.extension.value[x].coding.system" />
            <min value="1" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ATSAfferenza" />
        </element>
        <element id="Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.code">
            <path value="Organization.address.extension.extension.value[x].coding.code" />
            <short value="Codice della ATS di appartenenza del Distretto" />
            <definition value="Stringa alfanumerica di al pi&#249; 6 caratteri" />
            <comment value="La fonte del dato &#232; il campo CD_ATS_DI_AFFERENZA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
            <binding>
                <strength value="required" />
                <description value="ValueSet relativo alla codifica ATS Afferenza" />
                <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ATSAfferenza" />
            </binding>
        </element>
        <element id="Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.display">
            <path value="Organization.address.extension.extension.value[x].coding.display" />
            <short value="Nome della ATS di appartenenza del Distretto" />
            <definition value="Stringa alfanumerica al pi&#249; di 250 caratteri" />
            <comment value="La fonte del dato &#232; il campo DS_ATS della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
        </element>
        <element id="Organization.address.use">
            <path value="Organization.address.use" />
            <short value="Da valorizzare con &#39;work&#39;" />
            <definition value="Valore costante secondo lo standard FHIR" />
            <min value="1" />
            <fixedCode value="work" />
        </element>
        <element id="Organization.address.type">
            <path value="Organization.address.type" />
            <short value="Da valorizzare con &#39;physical&#39;" />
            <definition value="Valore costante secondo lo standard FHIR" />
            <min value="1" />
            <fixedCode value="physical" />
        </element>
        <element id="Organization.address.line">
            <path value="Organization.address.line" />
            <short value="Indirizzo e numero civico dell&#39;azienda" />
            <definition value="Stringa alfanumerica di al pi&#249; 250 caratteri" />
            <comment value="La fonte del dato &#232; il campo DS_INDIRIZZO_STRUTTURA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <max value="1" />
        </element>
        <element id="Organization.address.city">
            <path value="Organization.address.city" />
            <short value="Comune nel quale l&#39;ente &#232; ubicato" />
            <definition value="Stringa alfanumerica di al pi&#249; 6 caratteri" />
            <comment value="La fonte del dato &#232; il campo DS_COMUNE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
        </element>
        <element id="Organization.address.district">
            <path value="Organization.address.district" />
            <short value="Sigla della provincia in cui l&#39;ente &#232; ubicato" />
            <definition value="Stringa alfanumerica di al pi&#249; 2 caratteri" />
            <comment value="La fonte del dato &#232; il campo CD_SIGLA_PROVINCIA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
        </element>
        <element id="Organization.address.postalCode">
            <path value="Organization.address.postalCode" />
            <short value="Codice di avviamento postale (CAP) dell&#39;indirizzo" />
            <definition value="Stringa alfanumerica di al pi&#249; 5 caratteri" />
            <comment value="La fonte del dato &#232; il campo CD_CAPDIST della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
        </element>
        <element id="Organization.partOf">
            <path value="Organization.partOf" />
            <short value="Riferimento all&#39;ente di codice L1 al quale l&#39;ente di codice L2 afferisce amministrativamente." />
            <definition value="Reference alla risorsa RLOrganizationL1. Deve essere inserito l&#39;UUID generato dal server FHIR (applicativo) detentore della risorsa. Per tutte le informazioni sui server FHIR (applicativi) e le relative risorse detenute consultare la pagina API RESTful della sezione Contesto di questa Implementation Guide" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL1" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2",
    "name": "RLOrganizationL2",
    "status": "active",
    "description": "Profilo che descrive una struttura o un ente identificato univocamente da un codice di ente L2",
    "keyword":  [
        {
            "system": "https://fhir.siss.regione.lombardia.it/CodeSystem/Tag",
            "code": "DDC"
        }
    ],
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "Organization",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Organization",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Organization.id",
                "path": "Organization.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": "Organization.meta",
                "path": "Organization.meta",
                "short": "Metadati della risorsa",
                "min": 1
            },
            {
                "id": "Organization.meta.versionId",
                "path": "Organization.meta.versionId",
                "short": "Versione della risorsa",
                "min": 1
            },
            {
                "id": "Organization.meta.lastUpdated",
                "path": "Organization.meta.lastUpdated",
                "short": "Data e ora di ultimo aggiornamento della risorsa",
                "definition": "Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz",
                "min": 1
            },
            {
                "id": "Organization.meta.profile",
                "path": "Organization.meta.profile",
                "short": "Profilo al quale la risorsa si riferisce",
                "min": 1,
                "max": "1",
                "fixedCanonical": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2"
            },
            {
                "id": "Organization.extension:dataCessazione",
                "path": "Organization.extension",
                "sliceName": "dataCessazione",
                "short": "Data di cessazione del presidio",
                "definition": "Formato: YYYY-MM-DD secondo lo standard FHIR",
                "comment": "La fonte del dato è il campo DT_CESSAZIONE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCessazione"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Organization.extension:dataCessazione.value[x]",
                "path": "Organization.extension.value[x]",
                "type":  [
                    {
                        "code": "date"
                    }
                ]
            },
            {
                "id": "Organization.extension:dataInsert",
                "path": "Organization.extension",
                "sliceName": "dataInsert",
                "short": "Data di inserimento del record",
                "definition": "Formato: YYYY-MM-DD secondo lo standard FHIR",
                "comment": "La fonte del dato è il campo DT_INSERT della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataInsert"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Organization.extension:dataUpdate",
                "path": "Organization.extension",
                "sliceName": "dataUpdate",
                "short": "Data di aggiornamento del record",
                "definition": "Formato: YYYY-MM-DD secondo lo standard FHIR",
                "comment": "La fonte del dato è il campo DT_UPDATE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataUpdate"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Organization.extension:dataCostituzione",
                "path": "Organization.extension",
                "sliceName": "dataCostituzione",
                "short": "Data di costituzione del presidio",
                "definition": "Formato: YYYY-MM-DD secondo lo standard FHIR",
                "comment": "La fonte del dato è il campo DT_COSTITUZIONE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataCostituzione"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Organization.extension:dataCostituzione.value[x]",
                "path": "Organization.extension.value[x]",
                "type":  [
                    {
                        "code": "date"
                    }
                ]
            },
            {
                "id": "Organization.extension:dataInizioValidta",
                "path": "Organization.extension",
                "sliceName": "dataInizioValidta",
                "short": "Data di inizio della validità di esercizio del presidio",
                "definition": "Formato: YYYY-MM-DD secondo lo standard FHIR",
                "comment": "La fonte del dato è il campo DT_INIZIO_VALIDITA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataInizioValidita"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Organization.extension:dataFineValidita",
                "path": "Organization.extension",
                "sliceName": "dataFineValidita",
                "short": "Data di fine della validità di esercizio del presidio",
                "definition": "Formato: YYYY-MM-DD secondo lo standard FHIR",
                "comment": "La fonte del dato è il campo DT_FINE_VALIDITA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDataFineValidita"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Organization.extension:distrettoAccreditamento",
                "path": "Organization.extension",
                "sliceName": "distrettoAccreditamento",
                "short": "Distretti nei quali l'ente si è accreditato",
                "comment": "La correlazione tra i Distretti di Accreditamento, l'ASST di Afferenza e la relativa ATS è definita nella tabella presente nel paragrafo 3 del capitolo 1 dell'allegato 14 della DGR n. XI/7758 del 28 dicembre 2022.",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoAccreditamento"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Organization.extension:distrettoAccreditamento.extension:codiceDistretto",
                "path": "Organization.extension.extension",
                "sliceName": "codiceDistretto"
            },
            {
                "id": "Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.system",
                "path": "Organization.extension.extension.value[x].coding.system",
                "min": 1,
                "fixedUri": "https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DistrettoSanitario"
            },
            {
                "id": "Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.code",
                "path": "Organization.extension.extension.value[x].coding.code",
                "short": "Codice del Distretto sanitario nel quale l'ente si è accreditato",
                "definition": "Stringa alfanumerica di al più 5 caratteri",
                "comment": "La fonte del dato è il campo CD_DISTRETTO della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1,
                "binding": {
                    "strength": "required",
                    "description": "ValueSet relativo alla codifica del distretto sanitario",
                    "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DistrettoSanitario"
                }
            },
            {
                "id": "Organization.extension:distrettoAccreditamento.extension:codiceDistretto.value[x].coding.display",
                "path": "Organization.extension.extension.value[x].coding.display",
                "short": "Nome del Distretto sanitario nel quale l'ente si è accreditato",
                "definition": "Stringa alfanumerica di al più di 250 caratteri",
                "comment": "La fonte del dato è il campo DS_DISTRETTO della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1
            },
            {
                "id": "Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza",
                "path": "Organization.extension.extension",
                "sliceName": "ASSTAfferenza",
                "short": "ASST sotto la quale l'ente eroga servizi sociosanitari sul territorio di competenza"
            },
            {
                "id": "Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.system",
                "path": "Organization.extension.extension.value[x].coding.system",
                "min": 1,
                "fixedUri": "https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ASSTAfferenza"
            },
            {
                "id": "Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.code",
                "path": "Organization.extension.extension.value[x].coding.code",
                "short": "Codice della ASST sotto la quale l'ente eroga servizi sociosanitari sul territorio di competenza",
                "definition": "Stringa alfanumerica di al più 6 caratteri",
                "comment": "La fonte del dato è il campo CD_ASST della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1,
                "binding": {
                    "strength": "required",
                    "description": "ValueSet relativo alla codifica ASST Afferenza",
                    "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ASSTAfferenza"
                }
            },
            {
                "id": "Organization.extension:distrettoAccreditamento.extension:ASSTAfferenza.value[x].coding.display",
                "path": "Organization.extension.extension.value[x].coding.display",
                "short": "Nome della ASST sotto la quale l'ente eroga servizi sociosanitari sul territorio di competenza",
                "definition": "Stringa alfanumerica di al più di 250 caratteri",
                "comment": "La fonte del dato è il campo DS_ASST della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1
            },
            {
                "id": "Organization.extension:distrettoAccreditamento.extension:ATSAfferenza",
                "path": "Organization.extension.extension",
                "sliceName": "ATSAfferenza",
                "short": "ATS alla quale il presidio afferisce"
            },
            {
                "id": "Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.system",
                "path": "Organization.extension.extension.value[x].coding.system",
                "min": 1,
                "fixedUri": "https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ATSAfferenza"
            },
            {
                "id": "Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.code",
                "path": "Organization.extension.extension.value[x].coding.code",
                "short": "Codice della ATS alla quale il presidio afferisce",
                "definition": "Stringa alfanumerica di al più 6 caratteri",
                "comment": "La fonte del dato è il campo CD_ATS della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1,
                "binding": {
                    "strength": "required",
                    "description": "ValueSet relativo alla codifica ATS Afferenza",
                    "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ATSAfferenza"
                }
            },
            {
                "id": "Organization.extension:distrettoAccreditamento.extension:ATSAfferenza.value[x].coding.display",
                "path": "Organization.extension.extension.value[x].coding.display",
                "short": "Nome della ATS alla quale il presidio afferisce",
                "definition": "Stringa alfanumerica di al più di 250 caratteri",
                "comment": "La fonte del dato è il campo DS_ATS della tabella Master Data delle strutture operanti in più distretti i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1
            },
            {
                "id": "Organization.identifier",
                "path": "Organization.identifier",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "system"
                        }
                    ],
                    "rules": "open"
                },
                "min": 2,
                "max": "2"
            },
            {
                "id": "Organization.identifier:codiceL2",
                "path": "Organization.identifier",
                "sliceName": "codiceL2",
                "short": "Codice CUDES dell'Ente",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Organization.identifier:codiceL2.system",
                "path": "Organization.identifier.system",
                "min": 1,
                "fixedUri": "https://fhir.siss.regione.lombardia.it/sid/codiceMinisterialePresidio"
            },
            {
                "id": "Organization.identifier:codiceL2.value",
                "path": "Organization.identifier.value",
                "short": "Codice di livello 2 dell'Ente",
                "definition": "Stringa alfanumerica di al più 13 caratteri",
                "min": 1
            },
            {
                "id": "Organization.identifier:idUnivocoCredenziale",
                "path": "Organization.identifier",
                "sliceName": "idUnivocoCredenziale",
                "short": "Codice identificativo riportato nel campo della sottostruttura di livello 2 della credenziale dell'operatore che opera per l'Ente",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Organization.identifier:idUnivocoCredenziale.system",
                "path": "Organization.identifier.system",
                "min": 1,
                "fixedUri": "https://fhir.siss.regione.lombardia.it/sid/identificativoUnivocoCredenziale"
            },
            {
                "id": "Organization.identifier:idUnivocoCredenziale.value",
                "path": "Organization.identifier.value",
                "short": "Identificativo univoco dell'Ente",
                "definition": "Stringa alfanumerica al più di 8 caratteri se la struttura è un Ente di ricovero.\nStringa alfanumerica al più di 9 caratteri se la struttura è un Ente sociosanitario o di cure domiciliari",
                "comment": "La fonte del dato è il campo CD_LIVELLO_2 (stringa alfanumerica al più di 8 caratteri) della tabella Master Data delle Strutture Socio Sanitarie se il campo CD_TIPO_MACRO_LIVELLO_2 è valorizzato con 'RIC'. Altrimenti, la fonte del dato è il campo ID_LIVELLO_2 (stringa alfanumerica al più di 9 caratteri). I dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1
            },
            {
                "id": "Organization.type",
                "path": "Organization.type",
                "short": "Codifica della tipologia del servizio socioassistenziale erogato dall’Ente",
                "comment": "Per il dettaglio esaustivo della codifica consultare la Tabella della tipologia del servizio socioassistenziale erogato dall’Ente contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide.",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Organization.type.coding",
                "path": "Organization.type.coding",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Organization.type.coding.system",
                "path": "Organization.type.coding.system",
                "min": 1,
                "fixedUri": "https://fhir.siss.regione.lombardia.it/CodeSystem/TipoStruttura"
            },
            {
                "id": "Organization.type.coding.code",
                "path": "Organization.type.coding.code",
                "short": "Codice della tipologia del servizio socioassistenziale erogato dall’Ente",
                "definition": "Stringa alfanumerica di al più 10 caratteri",
                "comment": "Il dato è detenuto dal SGDT",
                "min": 1,
                "binding": {
                    "strength": "required",
                    "description": "ValueSet relativo alla tipologia UdO",
                    "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DescL2"
                }
            },
            {
                "id": "Organization.type.coding.display",
                "path": "Organization.type.coding.display",
                "short": "Descrizione della tipologia del servizio socioassistenziale erogato dall’Ente",
                "definition": "Stringa alfanumerica di al più 50 caratteri",
                "comment": "Il dato è detenuto dal SGDT",
                "min": 1
            },
            {
                "id": "Organization.name",
                "path": "Organization.name",
                "short": "Denominazione del presidio",
                "definition": "Stringa alfanumerica di al più 250 caratteri",
                "comment": "La fonte del dato è il campo DS_LIVELLO_2  della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1
            },
            {
                "id": "Organization.telecom",
                "path": "Organization.telecom",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "use"
                        }
                    ],
                    "rules": "open"
                },
                "short": "Contatti del presidio",
                "definition": "Telefono, mail, fax ed url del sito internet"
            },
            {
                "id": "Organization.telecom:phone",
                "path": "Organization.telecom",
                "sliceName": "phone",
                "short": "Numero di telefono del presidio",
                "max": "2"
            },
            {
                "id": "Organization.telecom:phone.system",
                "path": "Organization.telecom.system",
                "fixedCode": "phone"
            },
            {
                "id": "Organization.telecom:phone.value",
                "path": "Organization.telecom.value",
                "short": "Numero di telefono del presidio",
                "comment": "La fonte del dato è il campo NR_TEL1 e NR_TEL2 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01"
            },
            {
                "id": "Organization.telecom:fax",
                "path": "Organization.telecom",
                "sliceName": "fax",
                "short": "Numero di fax del presidio",
                "comment": "La fonte del dato è il campo NR_FAX della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "max": "1"
            },
            {
                "id": "Organization.telecom:fax.system",
                "path": "Organization.telecom.system",
                "fixedCode": "fax"
            },
            {
                "id": "Organization.telecom:fax.value",
                "path": "Organization.telecom.value",
                "definition": "Stringa alfanumerica di al più 50 caratteri",
                "comment": "La fonte del dato è il campo NR_FAX della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01"
            },
            {
                "id": "Organization.telecom:url",
                "path": "Organization.telecom",
                "sliceName": "url",
                "short": "Indirizzo della pagina web del presidio",
                "max": "1"
            },
            {
                "id": "Organization.telecom:url.system",
                "path": "Organization.telecom.system",
                "fixedCode": "url"
            },
            {
                "id": "Organization.telecom:url.value",
                "path": "Organization.telecom.value",
                "short": "Indirizzo della pagina web del presidio",
                "definition": "Stringa alfanumerica di al più 250 caratteri"
            },
            {
                "id": "Organization.telecom:mail",
                "path": "Organization.telecom",
                "sliceName": "mail",
                "short": "Indirizzo mail del presidio",
                "max": "1"
            },
            {
                "id": "Organization.telecom:mail.system",
                "path": "Organization.telecom.system",
                "fixedCode": "mail"
            },
            {
                "id": "Organization.telecom:mail.value",
                "path": "Organization.telecom.value",
                "short": "Indirizzo mail del presidio",
                "comment": "La fonte del dato è il campo DS_EMAIL della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01"
            },
            {
                "id": "Organization.address",
                "path": "Organization.address",
                "short": "Indirizzo dell'organizzazione",
                "max": "1"
            },
            {
                "id": "Organization.address.extension:istatCode",
                "path": "Organization.address.extension",
                "sliceName": "istatCode",
                "short": "Codice ISTAT del comune a cui fa riferimento l'indirizzo",
                "definition": "Stringa alfanumerica di al più 6 caratteri",
                "comment": "La fonte del dato è il campo CD_COMUNE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationAddressIstatCode"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Organization.address.extension:istatCode.value[x]",
                "path": "Organization.address.extension.value[x]",
                "short": "Codice ISTAT del comune a cui fa riferimento l'indirizzo",
                "definition": "Stringa alfanumerica di al più 6 caratteri",
                "comment": "La fonte del dato è il campo CD_COMUNE dell'anagrafe delle aziende ospedaliere, ASL, enti gestori privati i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01"
            },
            {
                "id": "Organization.address.extension:distrettoTerritoriale",
                "path": "Organization.address.extension",
                "sliceName": "distrettoTerritoriale",
                "short": "Distretto nel quale l'ente ha la sede",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationDistrettoTerritoriale"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Organization.address.extension:distrettoTerritoriale.extension",
                "path": "Organization.address.extension.extension",
                "min": 3
            },
            {
                "id": "Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto",
                "path": "Organization.address.extension.extension",
                "sliceName": "codiceDistretto",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.system",
                "path": "Organization.address.extension.extension.value[x].coding.system",
                "min": 1,
                "fixedUri": "https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DistrettoSanitario"
            },
            {
                "id": "Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.code",
                "path": "Organization.address.extension.extension.value[x].coding.code",
                "short": "Codice del Distretto nel quale l'ente ha la sede",
                "definition": "Stringa alfanumerica di al più 3 caratteri",
                "comment": "La fonte del dato è il campo CD_DISTRETTO_LR22 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1,
                "binding": {
                    "strength": "required",
                    "description": "ValueSet relativo alla codifica del distretto sanitario",
                    "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DistrettoSanitario"
                }
            },
            {
                "id": "Organization.address.extension:distrettoTerritoriale.extension:codiceDistretto.value[x].coding.display",
                "path": "Organization.address.extension.extension.value[x].coding.display",
                "short": "Nome del Distretto nel quale l'ente ha la sede",
                "definition": "Stringa alfanumerica al più di 250 caratteri",
                "comment": "La fonte del dato è il campo DS_DISTRETTO_LR22 della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1
            },
            {
                "id": "Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza",
                "path": "Organization.address.extension.extension",
                "sliceName": "ASSTAfferenza",
                "short": "ASST di appartenenza del Distretto",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.system",
                "path": "Organization.address.extension.extension.value[x].coding.system",
                "min": 1,
                "fixedUri": "https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ASSTAfferenza"
            },
            {
                "id": "Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.code",
                "path": "Organization.address.extension.extension.value[x].coding.code",
                "short": "Codice della ASST di appartenenza del Distretto",
                "definition": "Stringa alfanumerica di al più 6 caratteri",
                "comment": "La fonte del dato è il campo CD_ASST_DI_AFFERENZA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1,
                "binding": {
                    "strength": "required",
                    "description": "ValueSet relativo alla codifica ASST Afferenza",
                    "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ASSTAfferenza"
                }
            },
            {
                "id": "Organization.address.extension:distrettoTerritoriale.extension:ASSTAfferenza.value[x].coding.display",
                "path": "Organization.address.extension.extension.value[x].coding.display",
                "short": "Nome della ASST di appartenenza del Distretto",
                "definition": "Stringa alfanumerica al più di 250 caratteri",
                "comment": "La fonte del dato è il campo DS_ASST della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1
            },
            {
                "id": "Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza",
                "path": "Organization.address.extension.extension",
                "sliceName": "ATSAfferenza",
                "short": "ATS di appartenenza del Distretto",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.system",
                "path": "Organization.address.extension.extension.value[x].coding.system",
                "min": 1,
                "fixedUri": "https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ATSAfferenza"
            },
            {
                "id": "Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.code",
                "path": "Organization.address.extension.extension.value[x].coding.code",
                "short": "Codice della ATS di appartenenza del Distretto",
                "definition": "Stringa alfanumerica di al più 6 caratteri",
                "comment": "La fonte del dato è il campo CD_ATS_DI_AFFERENZA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1,
                "binding": {
                    "strength": "required",
                    "description": "ValueSet relativo alla codifica ATS Afferenza",
                    "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/DDC-ATSAfferenza"
                }
            },
            {
                "id": "Organization.address.extension:distrettoTerritoriale.extension:ATSAfferenza.value[x].coding.display",
                "path": "Organization.address.extension.extension.value[x].coding.display",
                "short": "Nome della ATS di appartenenza del Distretto",
                "definition": "Stringa alfanumerica al più di 250 caratteri",
                "comment": "La fonte del dato è il campo DS_ATS della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1
            },
            {
                "id": "Organization.address.use",
                "path": "Organization.address.use",
                "short": "Da valorizzare con 'work'",
                "definition": "Valore costante secondo lo standard FHIR",
                "min": 1,
                "fixedCode": "work"
            },
            {
                "id": "Organization.address.type",
                "path": "Organization.address.type",
                "short": "Da valorizzare con 'physical'",
                "definition": "Valore costante secondo lo standard FHIR",
                "min": 1,
                "fixedCode": "physical"
            },
            {
                "id": "Organization.address.line",
                "path": "Organization.address.line",
                "short": "Indirizzo e numero civico dell'azienda",
                "definition": "Stringa alfanumerica di al più 250 caratteri",
                "comment": "La fonte del dato è il campo DS_INDIRIZZO_STRUTTURA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "max": "1"
            },
            {
                "id": "Organization.address.city",
                "path": "Organization.address.city",
                "short": "Comune nel quale l'ente è ubicato",
                "definition": "Stringa alfanumerica di al più 6 caratteri",
                "comment": "La fonte del dato è il campo DS_COMUNE della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01"
            },
            {
                "id": "Organization.address.district",
                "path": "Organization.address.district",
                "short": "Sigla della provincia in cui l'ente è ubicato",
                "definition": "Stringa alfanumerica di al più 2 caratteri",
                "comment": "La fonte del dato è il campo CD_SIGLA_PROVINCIA della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01"
            },
            {
                "id": "Organization.address.postalCode",
                "path": "Organization.address.postalCode",
                "short": "Codice di avviamento postale (CAP) dell'indirizzo",
                "definition": "Stringa alfanumerica di al più 5 caratteri",
                "comment": "La fonte del dato è il campo CD_CAPDIST della tabella Master Data delle Strutture Socio Sanitarie i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01"
            },
            {
                "id": "Organization.partOf",
                "path": "Organization.partOf",
                "short": "Riferimento all'ente di codice L1 al quale l'ente di codice L2 afferisce amministrativamente.",
                "definition": "Reference alla risorsa RLOrganizationL1. Deve essere inserito l'UUID generato dal server FHIR (applicativo) detentore della risorsa. Per tutte le informazioni sui server FHIR (applicativi) e le relative risorse detenute consultare la pagina API RESTful della sezione Contesto di questa Implementation Guide",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL1"
                        ]
                    }
                ]
            }
        ]
    }
}

Esempi

NUOVA SAIR

Tipologie di ricerca

Di seguito la descrizione dei criteri di ricerca inerenti al profilo RLOrganizationL2.

1. Enti erogatori gestiti amministrativamente da un ente di codice L1

Questa ricerca può essere effettuata per ricavare gli entri erogatori di servizi socioassistenziali che afferiscono amministrativamente ad un ente di codice L1. Dunque, questa ricerca permette, ad esempio, di ricavare tutte le ASST che afferiscono ad una ATS, oppure tutti gli Enti Erogatori di servizi socioassistenziali privati accreditati.

Il parametro da valorizzare obbligatoriamente per effettuare la ricerca è:

partOf.reference(RLOrganizationL1).identifier: codice L1 dell’ente di interesse

Inoltre, è possibile valorizzare il seguente parametro per raffinare la ricerca escludendo eventuali strutture che abbiano cessato l’erogazione dei servizi:

dataFineValidità: data di interesse

Nella tabella di seguito vengono riportati i dettagli tecnici per l’implementazione della ricerca:

SCOPE	Ricerca tutti gli enti erogatori gestiti amministrativamente da un ente di codice L1
VERB	GET
BASE	https://api.servizirl.it/c/operatori.siss/fhir/v1.0.0/npri
URL	/Organization?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2&dataFineValidita={datadiRiferimento}&partof:Organization.identifier={codicelivelloL1}

A titolo esemplificativo, la chiamata:

http://localhost:52773/nprifhirgtw/api/v1/fhir/r4/operatori-siss-fhir-service-v1/Organization?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2&dataFineValidita=gt2018-04-05&partof:Organization.identifier=030720

restituirà tutte le strutture afferenti alla ASST Bergamo Est (030720) con una data di fine validità superiore al 05/04/2018.

2. Enti erogatori presenti nell’ambito territoriale di una ASST

Questa ricerca può essere effettuata per ricercare tutti gli enti erogatori di servizi socioassistenziali la cui sede operativa ricade in un distretto afferente ad una determinata ASST.

Il parametro da valorizzare obbligatoriamente per effettuare la ricerca è:

distrettoTerritoriale.ASSTAfferenza.coding.code: codice dell’ASST di afferenza di interesse

Inoltre, è possibile valorizzare il seguente parametro per raffinare la ricerca escludendo eventuali strutture che abbiano cessato l’erogazione dei servizi:

dataFineValidità: data di interesse

Nella tabella di seguito vengono riportati i dettagli tecnici per l’implementazione della ricerca:

SCOPE	Ricerca tutti gli enti erogatori presenti nell’ambito territoriale di una ASST
VERB	GET
BASE	https://api.servizirl.it/c/operatori.siss/fhir/v1.0.0/npri
URL	/Organization?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2&dataFineValidita={datadiRiferimento} &distrettoTerritorialeASSTAfferenza={ASSTAfferenza}

A titolo esemplificativo, la chiamata:

http://localhost:52773/nprifhirgtw/api/v1/fhir/r4/operatori-siss-fhir-service-v1/Organization?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2&dataFineValidita=gt2018-04-05&distrettoTerritorialeASSTAfferenza=030718

restituirà tutte le strutture la cui sede operativa ricade nel distretto afferente della ASST Papa Giovanni XXIII (030718) con una data di fine validità superiore al 05/04/2018.

3. Enti erogatori accreditati nell’ambito territoriale di una ASST

Questa ricerca può essere effettuata per ricercare tutti gli entri erogatori di servizi socioassistenziali che si sono accreditati in almeno un distretto afferente ad una determinata ASST. Verranno restituite dalla ricerca anche le stesse ASST nel caso eroghino servizi socioassistenziali (es. cure domiciliari).

Il parametro da valorizzare obbligatoriamente per effettuare la ricerca è:

distrettoAccreditamento.ASSTAfferenza.coding.code: codice dell’ASST di afferenza di interesse

Inoltre, è possibile valorizzare il seguente parametro per raffinare la ricerca escludendo eventuali strutture che abbiano cessato l’erogazione dei servizi:

dataFineValidità: data di interesse

Nella tabella di seguito vengono riportati i dettagli tecnici per l’implementazione della ricerca:

SCOPE	Ricerca tutti gli enti erogatori accreditati nell’ambito territoriale di una ASST
VERB	GET
BASE	https://api.servizirl.it/c/operatori.siss/fhir/v1.0.0/npri
URL	/Organization?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2&dataFineValidita={datadiRiferimento} &distrettoAccreditamentoAsstAfferenza={ASSTAfferenza}

A titolo esemplificativo, la chiamata:

http://localhost:52773/nprifhirgtw/api/v1/fhir/r4/operatori-siss-fhir-service-v1/Organization?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2&dataFineValidita=gt2018-04-05&distrettoAccreditamentoAsstAfferenza=714

restituirà tutte le strutture che si sono accreditate in almeno un distretto afferente alla ASST della Valcamonica (714) con una data di fine validità superiore al 05/04/2018.

4. Enti erogatori accreditati nell’ambito territoriale di una ASST di una specifica tipologia

Questa ricerca può essere effettuata per ricercare tutti gli entri erogatori di uno specifico servizio socioassistenziale che si sono accreditati in almeno un distretto afferente ad una determinata ASST. Verranno restituite dalla ricerca anche le stesse ASST nel caso siano enti erogatori del servizio socioassistenziale d’interesse (es. cure domiciliari).

I parametri da valorizzare obbligatoriamente per effettuare la ricerca sono:

distrettoAccreditamento.ASSTAfferenza.coding.code: codice dell’ASST di afferenza di interesse
type.coding.code: codice della tipologia del servizio socioassistenziale ente erogatore

Inoltre, è possibile valorizzare il seguente parametro per raffinare la ricerca escludendo eventuali strutture che abbiano cessato l’erogazione dei servizi:

dataFineValidità: data di interesse

Nella tabella di seguito vengono riportati i dettagli tecnici per l’implementazione della ricerca:

SCOPE	Ricerca tutti gli enti erogatori accreditati nell’ambito territoriale di una ASST di una specifica tipologia
VERB	GET
BASE	https://api.servizirl.it/c/operatori.siss/fhir/v1.0.0/npri
URL	/Organization?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2&dataFineValidita={datadiRiferimento} &distrettoAccreditamentoAsstAfferenza={ASSTAfferenza} &type={tipologia}

A titolo esemplificativo, la chiamata:

http://localhost:52773/nprifhirgtw/api/v1/fhir/r4/operatori-siss-fhir-service-v1/Organization?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2&dataFineValidita=gt2018-04-05&distrettoAccreditamentoAsstAfferenza=714&type=C-DOM

restituirà tutte le strutture di tipo C-DOM che si sono accreditate in almeno un distretto afferente alla ASST della Valcamonica (714) con una data di fine validità superiore al 05/04/2018.

5. Enti erogatori accreditati nell’ambito territoriale di una ATS di una specifica tipologia

Questa ricerca può essere effettuata per ricercare tutti gli enti erogatori di uno specifico servizio socioassistenziale che si sono accreditati in almeno un distretto afferente ad una ASST o più ASST che afferiscono alla medesima ATS. Verranno restituite dalla ricerca anche le stesse ASST nel caso siano enti erogatori del servizio socioassistenziale d’interesse (es. cure domiciliari).

Il parametro da valorizzare obbligatoriamente per effettuare la ricerca è:

distrettoAccreditamento.ATSAfferenza.coding.code: codice dell’ATS di afferenza di interesse
type.coding.code: codice della tipologia del servizio socioassistenziale ente erogatore

Inoltre, è possibile valorizzare il seguente parametro per raffinare la ricerca escludendo eventuali strutture che abbiano cessato l’erogazione dei servizi:

dataFineValidità: data di interesse

Nella tabella di seguito vengono riportati i dettagli tecnici per l’implementazione della ricerca:

SCOPE	Ricerca tutti gli enti erogatori accreditati nell’ambito territoriale di una ATS di una specifica tipologia
VERB	GET
BASE	https://api.servizirl.it/c/operatori.siss/fhir/v1.0.0/npri
URL	/Organization?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2&dataFineValidita={datadiRiferimento} &distrettoAccreditamentoAtsAfferenza={ATSAfferenza} &type={tipologia}

A titolo esemplificativo, la chiamata:

http://localhost:52773/nprifhirgtw/api/v1/fhir/r4/operatori-siss-fhir-service-v1/Organization?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2&dataFineValidita=gt2018-04-05&distrettoAccreditamentoAtsAfferenza=323&type=C-DOM

restituirà tutte le strutture di tipo C-DOM che si sono accreditate nelle ASST che afferiscono all'ATS della Montagna con una data di fine validità superiore al 05/04/2018.

6. Enti erogatori accreditati in uno specifico distretto

Questa ricerca può essere effettuata per ricercare tutti gli entri erogatori di servizi socioassistenziali che si sono accreditati in uno determinato distretto sanitario.

Il parametro da valorizzare obbligatoriamente per effettuare la ricerca è:

distrettoAccreditamento.codiceDistretto.coding.code: codice del distretto sanitario di interesse

Inoltre, è possibile valorizzare il seguente parametro per raffinare la ricerca escludendo eventuali strutture che abbiano cessato l’erogazione dei servizi:

dataFineValidità: data di interesse

Nella tabella di seguito vengono riportati i dettagli tecnici per l’implementazione della ricerca:

SCOPE	Ricerca tutti gli enti erogatori accreditati in uno specifico distretto
VERB	GET
BASE	https://api.servizirl.it/c/operatori.siss/fhir/v1.0.0/npri
URL	/Organization?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2&dataFineValidita={datadiRiferimento} &distrettoAccreditamentoCodiceDistretto={CodiceDistretto}

A titolo esemplificativo, la chiamata:

http://localhost:52773/nprifhirgtw/api/v1/fhir/r4/operatori-siss-fhir-service-v1/Organization?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL2&dataFineValidita=gt2018-04-05&distrettoAccreditamentoCodiceDistretto=22038

restituirà tutte le strutture che si sono accreditate nel distretto sanitario 22038 (Tavernerio) con una data di fine validità superiore al 05/04/2018.

Search parameter

Per questo profilo sono utilizzati i seguenti parametri di ricerca previsti dallo standard:

_profile
Identifier
type
partOf

I parametri di ricerca del profilo RLOrganizationL2, oltre ai campi standard della risorsa Organization, sono definiti nella seguente tabella:

Nome	Descrizione	Link Simplifier
dataFineValidita	Data di fine validità per strutture SISS.	RLOrganizationDataFineValidita
dataInizioValidita	Data inizio validità per strutture SISS.	RLOrganizationDataInizioValidita
distrettoAccreditamentoAsstAfferenza	ASST di afferenza del distretto territoriale sotto la quale l'Ente Erogatore si è accreditato per erogare i servizi sociosanitari.	RLOrganizationDistrettoAccreditamentoAsstAfferenza
distrettoAccreditamentoAtsAfferenza	ATS di afferenza del distretto territoriale sotto la quale l'Ente Erogatore si è accreditato per erogare i servizi sociosanitari.	RLOrganizationDistrettoAccreditamentoAtsAfferenza
distrettoAccreditamentoCodiceDistretto	Distretto di accreditamento nel quale l'Ente eroga i servizi sociosanitari.	RLOrganizationDistrettoAccreditamentoCodiceDistretto
distrettoTerritorialeASSTAfferenza	ASST nella quale l'Ente erogatore ha la sede operativa.	RLOrganizationDistrettoTerritorialeASSTAfferenza

ValueSet

Nella seguente tabella sono elencati i value set relativi al profilo RLOrganizationL2:

Nome	Descrizione	Riferimento al dettaglio della codifica
type	Codifica del tipo di presidio L2	La codifica è definita dal ValueSet DDC Desc L2