RLPractitionerRoleOperatoreADI
Descrizione
Il profilo PractitionerRoleOperatoreADI è stato strutturato a partire dalla risorsa generica FHIR PractitionerRole in modo da contenere le informazioni riguardanti le tipologie di operatori che erogano prestazioni agli assistiti in regime di ricovero domiciliare.
Di seguito è presentato il contenuto del profilo in diversi formati. La corrispondente definizione è consultabile al seguente link: RLPractitionerRoleOperatoreADI.
Snapshot View
PractitionerRole | I | PractitionerRole | There are no (further) constraints on this element Element IdPractitionerRole Roles/organizations the practitioner is associated with DefinitionA specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.
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id | Σ | 1..1 | System.String | Element IdPractitionerRole.id UUID prodotto dal server FHIR (applicativo) che detiene la risorsa. Per maggiori informazioni su chi detiene la risorsa consultare il paragrafo API-Restful nella pagina di Contesto. DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. System.String |
meta | Σ | 1..1 | Meta | Element IdPractitionerRole.meta Metadati della risorsa DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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versionId | Σ | 1..1 | id | Element IdPractitionerRole.meta.versionId Versione della risorsa DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
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lastUpdated | Σ | 1..1 | instant | Element IdPractitionerRole.meta.lastUpdated Data e ora di ultimo aggiornamento dell risorsa DefinitionFormato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
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source | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPractitionerRole.meta.source Identifies where the resource comes from DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
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profile | Σ | 1..1 | canonical(StructureDefinition)Fixed Value | Element IdPractitionerRole.meta.profile Profilo al quale la risorsa si riferisce DefinitionA list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. canonical(StructureDefinition) Constraints
https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleOperatoreADI
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security | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element IdPractitionerRole.meta.security Security Labels applied to this resource DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible)Constraints
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tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element IdPractitionerRole.meta.tag Tags applied to this resource DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example)Constraints
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element IdPractitionerRole.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Constraints
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dettagliAttivazionePercorsoCure | I | 0..1 | Extension(Reference()) | Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure Riferimento ai dettagli dell'attivazione del percorso di cure domiciliari dove l'operatore sanitario fornirà assistenza Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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url | 1..1 | System.StringFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. System.String Fixed Valuehttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleDettagliAttivazionePercorsoCure
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value[x] | 0..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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reference | Σ I | 0..1 | RLServiceRequestServiziSocioAssistenziali | Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference Riferimento ai dettagli del percorso di cure domiciliari dove è stata inserita la figura professionale. DefinitionReference al profilo RLServiceRequestServiziSocioAssistenziali contenente i dettagli del percorso di cure domiciliari Il dato è detenuto dal SGDT RLServiceRequestServiziSocioAssistenziali Constraints
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Constraints
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soggettoProponentePIC | I | 0..1 | Extension(CodeableConcept) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC Soggetto che ha proposto la presa in carico dell'assistito Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. Per il dettaglio esaustivo della codifica consultare la Tabella del soggetto che ha proposto la presa in carico contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestSoggettoProponentePIC Constraints
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url | 1..1 | System.StringFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. System.String Fixed Valuehttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestSoggettoProponentePIC
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value[x] | 0..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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valueCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data Type | ||
coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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system | Σ | 0..1 | uriFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-ProponentePIC
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding.code Codice del soggetto che ha proposto la presa in carico dell'assistito DefinitionStringa numerica di 1 carattere Need to refer to a particular code in the system. Il dato è detenuto dal SGDT ValueSet relativo alla codifica del soggetto che ha proposto la presa in carico SIAD Proponente PIC (required)Constraints
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding.display Descrizione del soggetto che ha proposto la presa in carico dell'assistito DefinitionStringa alfanumerica al più di 100 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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causaleDimissione | I | 0..1 | Extension(integerstringCodeableConcept) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo contiene la causale di dimissione del paziente dal ricovero domiciliare Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. Per il dettaglio esaustivo della codifica consultare la Tabella della causale di dimissione di un ricovero domiciliare contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Extension(integerstringCodeableConcept) Extension URLhttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestCausaleDimissione Constraints
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url | 1..1 | System.StringFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. System.String Fixed Valuehttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestCausaleDimissione
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value[x] | 0..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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valueCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data Type | ||
coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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system | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding.code Codice del soggetto che ha proposto la presa in carico dell'assistito DefinitionStringa numerica di 1 carattere Need to refer to a particular code in the system. Il dato è detenuto dal SGDT ValueSet relativo alla causale di dimissione SIAD Causale Dimissione (required)Constraints
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding.display Descrizione del soggetto che ha proposto la presa in carico dell'assistito DefinitionStringa alfanumerica al più di 100 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto dal SGDT
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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dataDimissione | I | 0..1 | Extension(dateTime) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:dataDimissione Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo contiene la data di dimissione del paziente dal ricovero domiciliare Alternate namesextensions, user content DefinitionFormato: YYYY-MM-DD secondo lo standard FHIR 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. https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestDataDimissione Constraints
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medicoPrescrittore | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:medicoPrescrittore Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo contiene il codice regionale del medico che ha prescritto l'attivazione del servizio al cittadino Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestMedicoPrescrittore Constraints
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url | 1..1 | System.StringFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:medicoPrescrittore.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. System.String Fixed Valuehttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestMedicoPrescrittore
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value[x] | 1..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:medicoPrescrittore.value[x] Codice regionale del medico che ha prescritto l'attivazione del servizio sociosanitario al cittadino DefinitionStringa numerica di 5 caratteri se il prescrittore è un MMG o PLS, stringa alfanumerica di 6 caratteri se il prescrittore è un medico specialista La fonte del dato è il campo CD_REGIONALE o CD_MEDICO_SPEC dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01
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valueString | string | There are no (further) constraints on this element Data Type | ||
identifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier Codice identificativo del servizio socioassistenziale da attivare. Nel caso delle cure domiciliari (C-DOM) il codice corrisponde al numero della pratica DefinitionNel caso delle cure domiciliari (C-DOM) è un codice numerico progressivo di 10 cifre (da 0000000001 a 9999999999) The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. 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. 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
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. Identifier.system is always case sensitive.
https://fhir.siss.regione.lombardia.it/sid/codiceIdentificativoServizioSocioAssistenziale
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.value Codice identificativo del servizio socioassistenziale da attivare. Nel caso delle cure domiciliari (C-DOM) il codice corrisponde al numero della pratica DefinitionNel caso delle cure domiciliari (C-DOM) è un codice numerico progressivo di 6 cifre (da 000001 a 999999) Il dato è detenuto dal SGDT
General 123456 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. 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.
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instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.instantiatesCanonical Instantiates FHIR protocol or definition DefinitionThe URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest. Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. canonical(ActivityDefinition | PlanDefinition) Constraints
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instantiatesUri | Σ | 0..* | uri | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.instantiatesUri Instantiates external protocol or definition DefinitionThe URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest. This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
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basedOn | Σ I | 1..1 | Reference(RLCarePlanProgettoIndividuale) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.basedOn Riferimento al progetto individuale nel quale è prevista l'attivazione del servizio sociosanitario Alternate namesfulfills DefinitionReference al profilo RLCarePlanProgettoIndividuale contenente il progetto individuale del paziente. 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 Il dato è detenuto dal SGDT Reference(RLCarePlanProgettoIndividuale) Constraints
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replaces | Σ I | 0..* | Reference(ServiceRequest) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.replaces What request replaces Alternate namessupersedes, prior, renewed order DefinitionThe request takes the place of the referenced completed or terminated request(s). References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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requisition | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition Codice identificativo della ricetta medica o ricetta elettronica NRE. Nel caso delle cure domiciliari (C-DOM) il campo è obbligatorio Alternate namesgrouperId, groupIdentifier DefinitionA shared identifier common to all service requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier. Some business processes need to know if multiple items were ordered as part of the same "requisition" for billing or other purposes. Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. 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. 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
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system | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. Identifier.system is always case sensitive.
General http://www.acme.com/identifiers/patient Mappings
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.value Codice ricetta DefinitionStringa alfanumerica di 15 caratteri Il dato è detenuto da SGDT
General 123456 Mappings
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period | Σ I | 1..1 | Period | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
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start | Σ I | 1..1 | dateTime | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.period.start Data di decorrenza della ricetta medica DefinitionFormato: YYYY-MM-DD secondo lo standard FHIR Il dato è detenuto da SGDT
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end | Σ I | 0..1 | dateTime | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.period.end End time with inclusive boundary, if not ongoing DefinitionThe end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. If the end of the period is missing, it means that the period is ongoing
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. 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.
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status | Σ ?! | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.status Stato dell'attivazione del servizio socioassistenziale DefinitionValore fisso su "active" The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see Event Pattern for general discussion) or using the Task resource. The status of a service order. RequestStatus (required)Constraints
active
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intent | Σ ?! | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.intent Intento della richesta DefinitionValore fisso su "order" (la richiesta autorizza l'azione di un professionista) This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. The kind of service request. RequestIntent (required)Constraints
order
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category | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.category Classification of service DefinitionA code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure"). Used for filtering what service request are retrieved and displayed. There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set. Classification of the requested service. ServiceRequestCategoryCodes (example)Constraints
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priority | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.priority routine | urgent | asap | stat DefinitionIndicates how quickly the ServiceRequest should be addressed with respect to other requests. Note that FHIR strings SHALL NOT exceed 1MB in size If missing, this task should be performed with normal priority Identifies the level of importance to be assigned to actioning the request. RequestPriority (required)Constraints
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doNotPerform | Σ ?! | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.doNotPerform True if service/procedure should not be performed DefinitionSet this to true if the record is saying that the service/procedure should NOT be performed. Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc. In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation. If missing, the request is a positive request e.g. "do perform"
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code | Σ | 1..1 | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code Codice e descrizione della tipologia di servizio socioassistenziale da attivare Alternate namesservice requested DefinitionA code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested. 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. Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available [here](valueset-diagnostic-requests.html). ProcedureCodes(SNOMEDCT) (example)Constraints
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coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding Codice e descrizione della tipologia di servizio socioassistenziale da attivare DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DescL2
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding.code Codice della tipologia di servizio socioassistenziale da attivare DefinitionStringa alfanumerica al più di 10 caratteri Need to refer to a particular code in the system. Il dato è detenuto dal SGDT ValueSet relativo alla tipologia UdO DDC Desc L2 (required)Constraints
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding.display Descrizione della tipologia di servizio socioassistenziale da attivare DefinitionStringa alfanumerica al più di 100 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto dal SGDT
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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orderDetail | Σ I | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.orderDetail Additional order information Alternate namesdetailed instructions DefinitionAdditional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. For information from the medical record intended to support the delivery of the requested services, use the Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example)Constraints
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quantity[x] | Σ | 0..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x] Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo viene popolato con il numero di accessi domiciliari previsti DefinitionAn amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction). When ordering a service the number of service items may need to be specified separately from the the service item.
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quantityQuantity | Quantity | There are no (further) constraints on this element Data Type | ||
value | Σ | 1..1 | decimal | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x].value Numero di accessi domiciliari previsti DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. Il dato è detenuto dal SGDT
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comparator | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x].comparator < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Note that FHIR strings SHALL NOT exceed 1MB in size If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
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unit | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x].unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings SHALL NOT exceed 1MB in size
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system | Σ I | 0..1 | uri | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x].system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
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code | Σ | 0..1 | code | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x].code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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subject | Σ I | 1..1 | Reference(RLPatientCittadino) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.subject Paziente al quale deve essere fornito l'acceso al servizio socioassistenziale DefinitionReference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente Il dato è detenuto dal SGDT
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encounter | Σ I | 0..1 | Reference(Encounter) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.encounter Encounter in which the request was created Alternate namescontext DefinitionAn encounter that provides additional information about the healthcare context in which this request is made. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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occurrence[x] | Σ | 1..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.occurrence[x] Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo viene popolato con il periodo di ricovero domiciliare Alternate namesschedule DefinitionThe date/time at which the requested service should occur.
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occurrencePeriod | Period | There are no (further) constraints on this element Data Type | ||
start | Σ I | 1..1 | dateTime | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.occurrence[x].start Data di inizio prevista del ricovero domiciliare DefinitionFormato: YYYY-MM-DD secondo lo standard FHIR Il dato è detenuto dal SGDT
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end | Σ I | 1..1 | dateTime | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.occurrence[x].end Data di fine prevista del ricovero domiciliare DefinitionFormato: YYYY-MM-DD secondo lo standard FHIR Il dato è detenuto dal SGDT If the end of the period is missing, it means that the period is ongoing
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asNeeded[x] | Σ | 0..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.asNeeded[x] Preconditions for service DefinitionIf a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc. A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. SNOMEDCTMedicationAsNeededReasonCodes (example)Constraints
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asNeededBoolean | boolean | There are no (further) constraints on this element Data Type | ||
asNeededCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data Type | ||
authoredOn | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.authoredOn Date request signed Alternate namesorderedOn DefinitionWhen the request transitioned to being actionable.
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requester | Σ I | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requester Who/what is requesting service Alternate namesauthor, orderer DefinitionThe individual who initiated the request and has responsibility for its activation. This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource. Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Constraints
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performerType | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.performerType Performer role Alternate namesspecialty DefinitionDesired type of performer for doing the requested service. This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”. Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. ParticipantRoles (example)Constraints
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performer | Σ I | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.performer Requested performer Alternate namesrequest recipient DefinitionThe desired performer for doing the requested service. For example, the surgeon, dermatopathologist, endoscopist, etc. If multiple performers are present, it is interpreted as a list of alternative performers without any preference regardless of order. If order of preference is needed use the request-performerOrder extension. Use CareTeam to represent a group of performers (for example, Practitioner A and Practitioner B). Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Sliced:Unordered, Open, by reference(Value) Constraints
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organization | Σ I | 0..1 | Reference(RLOrganizationL2) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.performer:organization Unità d'offerta responsabile della presa in carico del paziente Alternate namesrequest recipient DefinitionReference ai profilo RLOrganizationL2 dell'unità d'offerta che prenderà in carico il paziente. 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 Il dato è detenuto dal SGDT
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practitionerRole | Σ I | 0..* | Reference(RLPractitionerRoleOperatoreADI) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.performer:practitionerRole Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo viene popolato obbligatoriamente con le tipologie di operatori sanitari necessari all'erogazioni delle prestazioni previste dal percorso di cure domiciliari (campo reasonCode) Alternate namesrequest recipient DefinitionReference ai profilo PractitionerRoleOperatoreADI contenente la tipologia di operatore sanitario di cure domiciliari Il dato è detenuto dal SGDT Reference(RLPractitionerRoleOperatoreADI) Constraints
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locationCode | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.locationCode Requested location DefinitionThe preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center. 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. A location type where services are delivered. v3.ServiceDeliveryLocationRoleType (example)Constraints
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locationReference | Σ I | 0..* | Reference(Location) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.locationReference Requested location DefinitionA reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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reasonCode | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo viene popolato con il percorso di cure domiciliari del paziente DefinitionAn explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in Per il dettaglio esaustivo della codifica consultare la Tabella dei percorsi di cure domiciliari contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Diagnosis or problem codes justifying the reason for requesting the service investigation. ProcedureReasonCodes (example)Constraints
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coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding Codice e descrizione del percorso di cure domiciliari DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-PercorsiCDom
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding.code Codice del percorso di cure domiciliari DefinitionStringa alfanumerica al più di 10 caratteri Need to refer to a particular code in the system. Il dato è detenuto dal SGDT ValueSet relativo ai percorsi di cure domiciliari SGDT Percorsi CDom (required)Constraints
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding.display Descrizione del percorso di cure domiciliari DefinitionStringa alfanumerica al più di 100 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto dal SGDT
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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reasonReference | Σ I | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonReference Explanation/Justification for service or service DefinitionIndicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to Observation or Condition should be used if available. Otherwise when referencing DiagnosticReport it should contain a finding in Reference(Condition | Observation | DiagnosticReport | DocumentReference) Constraints
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insurance | I | 0..* | Reference(Coverage | ClaimResponse) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.insurance Associated insurance coverage DefinitionInsurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Coverage | ClaimResponse) Constraints
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supportingInfo | I | 0..* | Reference(Resource) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.supportingInfo Additional clinical information Alternate namesAsk at order entry question, AOE DefinitionAdditional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as "ask at order entry questions (AOEs)". This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements. To represent information about how the services are to be delivered use the
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specimen | Σ I | 0..* | Reference(Specimen) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.specimen Procedure Samples DefinitionOne or more specimens that the laboratory procedure will use. Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the Specimen resource points to the ServiceRequest.
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bodySite | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.bodySite Location on Body Alternate nameslocation DefinitionAnatomic location where the procedure should be performed. This is the target site. Knowing where the procedure is performed is important for tracking if multiple sites are possible. Only used if not implicit in the code found in ServiceRequest.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension procedure-targetBodyStructure. Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example)Constraints
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note | 0..1 | Annotation | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.note Note / commenti aggiuntivi DefinitionStringa alfanumerica al più di 1000 caratteri Il dato è detenuto dal SGDT
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patientInstruction | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.patientInstruction Patient or consumer-oriented instructions DefinitionInstructions in terms that are understood by the patient or consumer. Note that FHIR strings SHALL NOT exceed 1MB in size
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relevantHistory | I | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.relevantHistory Request provenance DefinitionKey events in the history of the request. This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.
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type | Σ | 0..1 | uriBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].type Type the reference refers to (e.g. "Patient") DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible)Constraints
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identifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].identifier Logical reference, when literal reference is not known DefinitionAn identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].display Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
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valueReference | Reference() | There are no (further) constraints on this element Data Type | ||
numeroAccessi | I | 0..1 | Extension(integer) | Element IdPractitionerRole.extension:numeroAccessi Numero di accessi pianificati per l'operatore sanitario rispetto al percorso di cure domiciliari in cui è coinvolto Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleNumeroAccessi Constraints
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url | 1..1 | System.StringFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:numeroAccessi.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. System.String Fixed Valuehttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleNumeroAccessi
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value[x] | 0..1 | Element IdPractitionerRole.extension:numeroAccessi.value[x] Numero di accessi pianificati per l'operatore sanitario rispetto al percorso di cure domiciliari in cui è coinvolto DefinitionValore numerico di al più 3 cifre Il dato è detenuto dal SGDT
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valueInteger | integer | There are no (further) constraints on this element Data Type | ||
identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element IdPractitionerRole.identifier Business Identifiers that are specific to a role/location DefinitionBusiness Identifiers that are specific to a role/location. Often, specific identities are assigned for the agent.
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active | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.active Whether this practitioner role record is in active use DefinitionWhether this practitioner role record is in active use. Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use. If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active. This resource is generally assumed to be active if no value is provided for the active element
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitionerRole.period The period during which the practitioner is authorized to perform in these role(s) DefinitionThe period during which the person is authorized to act as a practitioner in these role(s) for the organization. Even after the agencies is revoked, the fact that it existed must still be recorded. 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.
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practitioner | Σ I | 0..1 | Reference(Practitioner) | There are no (further) constraints on this element Element IdPractitionerRole.practitioner Practitioner that is able to provide the defined services for the organization DefinitionPractitioner that is able to provide the defined services for the organization. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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organization | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPractitionerRole.organization Organization where the roles are available DefinitionThe organization where the Practitioner performs the roles associated. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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code | Σ | 1..1 | CodeableConcept | Element IdPractitionerRole.code Codice e descrizione della tipologia di operatore ADI DefinitionRoles which this practitioner is authorized to perform for the organization. Need to know what authority the practitioner has - what can they do? Per il dettaglio esaustivo della codifica consultare la Tabella delle tipologie degli operatori ADI contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. The role a person plays representing an organization. PractitionerRole (example)Constraints
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coding | Σ | 1..1 | Coding | Element IdPractitionerRole.code.coding Codice e descrizione della tipologia di operatore ADI DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Per il dettaglio esaustivo della codifica consultare la Tabella delle tipologie degli operatori ADI contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide.
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system | Σ | 1..1 | uriFixed Value | Element IdPractitionerRole.code.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-TipoOperatore
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.code.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | codeBinding | Element IdPractitionerRole.code.coding.code Codice della tipologia di operatore ADI DefinitionValore numerico di al più 2 cifre Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size ValueSet relativo alla tipologia di operatore SIAD Tipologia Operatori ADI (required)Constraints
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display | Σ | 1..1 | string | Element IdPractitionerRole.code.coding.display Descrizione della tipologia di operatore ADI DefinitionStringa alfanumerica di al più 100 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.code.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.code.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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specialty | Σ | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element IdPractitionerRole.specialty Specific specialty of the practitioner DefinitionSpecific specialty of the practitioner. 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. Specific specialty associated with the agency. PracticeSettingCodeValueSet (preferred)Constraints
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location | Σ I | 0..* | Reference(Location) | There are no (further) constraints on this element Element IdPractitionerRole.location The location(s) at which this practitioner provides care DefinitionThe location(s) at which this practitioner provides care. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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healthcareService | I | 0..* | Reference(HealthcareService) | There are no (further) constraints on this element Element IdPractitionerRole.healthcareService The list of healthcare services that this worker provides for this role's Organization/Location(s) DefinitionThe list of healthcare services that this worker provides for this role's Organization/Location(s). References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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telecom | Σ I | 0..* | ContactPoint | There are no (further) constraints on this element Element IdPractitionerRole.telecom Contact details that are specific to the role/location/service DefinitionContact details that are specific to the role/location/service. Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.
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availableTime | 0..* | BackboneElement | There are no (further) constraints on this element Element IdPractitionerRole.availableTime Times the Service Site is available DefinitionA collection of times the practitioner is available or performing this role at the location and/or healthcareservice. More detailed availability information may be provided in associated Schedule/Slot resources.
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daysOfWeek | 0..* | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.availableTime.daysOfWeek mon | tue | wed | thu | fri | sat | sun DefinitionIndicates which days of the week are available between the start and end Times. Note that FHIR strings SHALL NOT exceed 1MB in size The days of the week. DaysOfWeek (required)Constraints
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allDay | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.availableTime.allDay Always available? e.g. 24 hour service DefinitionIs this always available? (hence times are irrelevant) e.g. 24 hour service.
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availableStartTime | 0..1 | time | There are no (further) constraints on this element Element IdPractitionerRole.availableTime.availableStartTime Opening time of day (ignored if allDay = true) DefinitionThe opening time of day. Note: If the AllDay flag is set, then this time is ignored. The timezone is expected to be for where this HealthcareService is provided at.
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availableEndTime | 0..1 | time | There are no (further) constraints on this element Element IdPractitionerRole.availableTime.availableEndTime Closing time of day (ignored if allDay = true) DefinitionThe closing time of day. Note: If the AllDay flag is set, then this time is ignored. The timezone is expected to be for where this HealthcareService is provided at.
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notAvailable | 0..* | BackboneElement | There are no (further) constraints on this element Element IdPractitionerRole.notAvailable Not available during this time due to provided reason DefinitionThe practitioner is not available or performing this role during this period of time due to the provided reason.
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description | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.notAvailable.description Reason presented to the user explaining why time not available DefinitionThe reason that can be presented to the user as to why this time is not available. Note that FHIR strings SHALL NOT exceed 1MB in size
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during | I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitionerRole.notAvailable.during Service not available from this date DefinitionService is not available (seasonally or for a public holiday) from this date. 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.
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availabilityExceptions | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.availabilityExceptions Description of availability exceptions DefinitionA description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times. Note that FHIR strings SHALL NOT exceed 1MB in size
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endpoint | I | 0..* | Reference(Endpoint) | There are no (further) constraints on this element Element IdPractitionerRole.endpoint Technical endpoints providing access to services operated for the practitioner with this role DefinitionTechnical endpoints providing access to services operated for the practitioner with this role. Organizations have multiple systems that provide various services and ,ay also be different for practitioners too. So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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Differential View
PractitionerRole | I | PractitionerRole | There are no (further) constraints on this element Element IdPractitionerRole Roles/organizations the practitioner is associated with DefinitionA specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.
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id | Σ | 1..1 | System.String | Element IdPractitionerRole.id UUID prodotto dal server FHIR (applicativo) che detiene la risorsa. Per maggiori informazioni su chi detiene la risorsa consultare il paragrafo API-Restful nella pagina di Contesto. DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. System.String |
meta | Σ | 1..1 | Meta | Element IdPractitionerRole.meta Metadati della risorsa DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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versionId | Σ | 1..1 | id | Element IdPractitionerRole.meta.versionId Versione della risorsa DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
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lastUpdated | Σ | 1..1 | instant | Element IdPractitionerRole.meta.lastUpdated Data e ora di ultimo aggiornamento dell risorsa DefinitionFormato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
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source | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPractitionerRole.meta.source Identifies where the resource comes from DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
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profile | Σ | 1..1 | canonical(StructureDefinition)Fixed Value | Element IdPractitionerRole.meta.profile Profilo al quale la risorsa si riferisce DefinitionA list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. canonical(StructureDefinition) Constraints
https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleOperatoreADI
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security | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element IdPractitionerRole.meta.security Security Labels applied to this resource DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible)Constraints
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tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element IdPractitionerRole.meta.tag Tags applied to this resource DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example)Constraints
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element IdPractitionerRole.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Constraints
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dettagliAttivazionePercorsoCure | I | 0..1 | Extension(Reference()) | Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure Riferimento ai dettagli dell'attivazione del percorso di cure domiciliari dove l'operatore sanitario fornirà assistenza Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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url | 1..1 | System.StringFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. System.String Fixed Valuehttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleDettagliAttivazionePercorsoCure
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value[x] | 0..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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reference | Σ I | 0..1 | RLServiceRequestServiziSocioAssistenziali | Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference Riferimento ai dettagli del percorso di cure domiciliari dove è stata inserita la figura professionale. DefinitionReference al profilo RLServiceRequestServiziSocioAssistenziali contenente i dettagli del percorso di cure domiciliari Il dato è detenuto dal SGDT RLServiceRequestServiziSocioAssistenziali Constraints
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Constraints
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soggettoProponentePIC | I | 0..1 | Extension(CodeableConcept) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC Soggetto che ha proposto la presa in carico dell'assistito Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. Per il dettaglio esaustivo della codifica consultare la Tabella del soggetto che ha proposto la presa in carico contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestSoggettoProponentePIC Constraints
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url | 1..1 | System.StringFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. System.String Fixed Valuehttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestSoggettoProponentePIC
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value[x] | 0..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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valueCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data Type | ||
coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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system | Σ | 0..1 | uriFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-ProponentePIC
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding.code Codice del soggetto che ha proposto la presa in carico dell'assistito DefinitionStringa numerica di 1 carattere Need to refer to a particular code in the system. Il dato è detenuto dal SGDT ValueSet relativo alla codifica del soggetto che ha proposto la presa in carico SIAD Proponente PIC (required)Constraints
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding.display Descrizione del soggetto che ha proposto la presa in carico dell'assistito DefinitionStringa alfanumerica al più di 100 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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causaleDimissione | I | 0..1 | Extension(integerstringCodeableConcept) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo contiene la causale di dimissione del paziente dal ricovero domiciliare Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. Per il dettaglio esaustivo della codifica consultare la Tabella della causale di dimissione di un ricovero domiciliare contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Extension(integerstringCodeableConcept) Extension URLhttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestCausaleDimissione Constraints
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url | 1..1 | System.StringFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. System.String Fixed Valuehttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestCausaleDimissione
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value[x] | 0..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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valueCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data Type | ||
coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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system | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding.code Codice del soggetto che ha proposto la presa in carico dell'assistito DefinitionStringa numerica di 1 carattere Need to refer to a particular code in the system. Il dato è detenuto dal SGDT ValueSet relativo alla causale di dimissione SIAD Causale Dimissione (required)Constraints
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding.display Descrizione del soggetto che ha proposto la presa in carico dell'assistito DefinitionStringa alfanumerica al più di 100 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto dal SGDT
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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dataDimissione | I | 0..1 | Extension(dateTime) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:dataDimissione Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo contiene la data di dimissione del paziente dal ricovero domiciliare Alternate namesextensions, user content DefinitionFormato: YYYY-MM-DD secondo lo standard FHIR 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. https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestDataDimissione Constraints
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medicoPrescrittore | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:medicoPrescrittore Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo contiene il codice regionale del medico che ha prescritto l'attivazione del servizio al cittadino Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestMedicoPrescrittore Constraints
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url | 1..1 | System.StringFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:medicoPrescrittore.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. System.String Fixed Valuehttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestMedicoPrescrittore
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value[x] | 1..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:medicoPrescrittore.value[x] Codice regionale del medico che ha prescritto l'attivazione del servizio sociosanitario al cittadino DefinitionStringa numerica di 5 caratteri se il prescrittore è un MMG o PLS, stringa alfanumerica di 6 caratteri se il prescrittore è un medico specialista La fonte del dato è il campo CD_REGIONALE o CD_MEDICO_SPEC dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01
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valueString | string | There are no (further) constraints on this element Data Type | ||
identifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier Codice identificativo del servizio socioassistenziale da attivare. Nel caso delle cure domiciliari (C-DOM) il codice corrisponde al numero della pratica DefinitionNel caso delle cure domiciliari (C-DOM) è un codice numerico progressivo di 10 cifre (da 0000000001 a 9999999999) The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. 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. 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
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. Identifier.system is always case sensitive.
https://fhir.siss.regione.lombardia.it/sid/codiceIdentificativoServizioSocioAssistenziale
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.value Codice identificativo del servizio socioassistenziale da attivare. Nel caso delle cure domiciliari (C-DOM) il codice corrisponde al numero della pratica DefinitionNel caso delle cure domiciliari (C-DOM) è un codice numerico progressivo di 6 cifre (da 000001 a 999999) Il dato è detenuto dal SGDT
General 123456 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. 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.
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instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.instantiatesCanonical Instantiates FHIR protocol or definition DefinitionThe URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest. Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. canonical(ActivityDefinition | PlanDefinition) Constraints
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instantiatesUri | Σ | 0..* | uri | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.instantiatesUri Instantiates external protocol or definition DefinitionThe URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest. This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
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basedOn | Σ I | 1..1 | Reference(RLCarePlanProgettoIndividuale) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.basedOn Riferimento al progetto individuale nel quale è prevista l'attivazione del servizio sociosanitario Alternate namesfulfills DefinitionReference al profilo RLCarePlanProgettoIndividuale contenente il progetto individuale del paziente. 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 Il dato è detenuto dal SGDT Reference(RLCarePlanProgettoIndividuale) Constraints
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replaces | Σ I | 0..* | Reference(ServiceRequest) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.replaces What request replaces Alternate namessupersedes, prior, renewed order DefinitionThe request takes the place of the referenced completed or terminated request(s). References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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requisition | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition Codice identificativo della ricetta medica o ricetta elettronica NRE. Nel caso delle cure domiciliari (C-DOM) il campo è obbligatorio Alternate namesgrouperId, groupIdentifier DefinitionA shared identifier common to all service requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier. Some business processes need to know if multiple items were ordered as part of the same "requisition" for billing or other purposes. Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. 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. 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
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system | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. Identifier.system is always case sensitive.
General http://www.acme.com/identifiers/patient Mappings
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.value Codice ricetta DefinitionStringa alfanumerica di 15 caratteri Il dato è detenuto da SGDT
General 123456 Mappings
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period | Σ I | 1..1 | Period | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
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start | Σ I | 1..1 | dateTime | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.period.start Data di decorrenza della ricetta medica DefinitionFormato: YYYY-MM-DD secondo lo standard FHIR Il dato è detenuto da SGDT
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end | Σ I | 0..1 | dateTime | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.period.end End time with inclusive boundary, if not ongoing DefinitionThe end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. If the end of the period is missing, it means that the period is ongoing
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. 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.
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status | Σ ?! | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.status Stato dell'attivazione del servizio socioassistenziale DefinitionValore fisso su "active" The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see Event Pattern for general discussion) or using the Task resource. The status of a service order. RequestStatus (required)Constraints
active
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intent | Σ ?! | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.intent Intento della richesta DefinitionValore fisso su "order" (la richiesta autorizza l'azione di un professionista) This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. The kind of service request. RequestIntent (required)Constraints
order
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category | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.category Classification of service DefinitionA code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure"). Used for filtering what service request are retrieved and displayed. There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set. Classification of the requested service. ServiceRequestCategoryCodes (example)Constraints
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priority | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.priority routine | urgent | asap | stat DefinitionIndicates how quickly the ServiceRequest should be addressed with respect to other requests. Note that FHIR strings SHALL NOT exceed 1MB in size If missing, this task should be performed with normal priority Identifies the level of importance to be assigned to actioning the request. RequestPriority (required)Constraints
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doNotPerform | Σ ?! | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.doNotPerform True if service/procedure should not be performed DefinitionSet this to true if the record is saying that the service/procedure should NOT be performed. Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc. In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation. If missing, the request is a positive request e.g. "do perform"
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code | Σ | 1..1 | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code Codice e descrizione della tipologia di servizio socioassistenziale da attivare Alternate namesservice requested DefinitionA code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested. 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. Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available [here](valueset-diagnostic-requests.html). ProcedureCodes(SNOMEDCT) (example)Constraints
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coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding Codice e descrizione della tipologia di servizio socioassistenziale da attivare DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DescL2
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding.code Codice della tipologia di servizio socioassistenziale da attivare DefinitionStringa alfanumerica al più di 10 caratteri Need to refer to a particular code in the system. Il dato è detenuto dal SGDT ValueSet relativo alla tipologia UdO DDC Desc L2 (required)Constraints
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding.display Descrizione della tipologia di servizio socioassistenziale da attivare DefinitionStringa alfanumerica al più di 100 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto dal SGDT
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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orderDetail | Σ I | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.orderDetail Additional order information Alternate namesdetailed instructions DefinitionAdditional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. For information from the medical record intended to support the delivery of the requested services, use the Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example)Constraints
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quantity[x] | Σ | 0..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x] Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo viene popolato con il numero di accessi domiciliari previsti DefinitionAn amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction). When ordering a service the number of service items may need to be specified separately from the the service item.
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quantityQuantity | Quantity | There are no (further) constraints on this element Data Type | ||
value | Σ | 1..1 | decimal | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x].value Numero di accessi domiciliari previsti DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. Il dato è detenuto dal SGDT
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comparator | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x].comparator < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Note that FHIR strings SHALL NOT exceed 1MB in size If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
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unit | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x].unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings SHALL NOT exceed 1MB in size
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system | Σ I | 0..1 | uri | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x].system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
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code | Σ | 0..1 | code | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x].code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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subject | Σ I | 1..1 | Reference(RLPatientCittadino) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.subject Paziente al quale deve essere fornito l'acceso al servizio socioassistenziale DefinitionReference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente Il dato è detenuto dal SGDT
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encounter | Σ I | 0..1 | Reference(Encounter) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.encounter Encounter in which the request was created Alternate namescontext DefinitionAn encounter that provides additional information about the healthcare context in which this request is made. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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occurrence[x] | Σ | 1..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.occurrence[x] Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo viene popolato con il periodo di ricovero domiciliare Alternate namesschedule DefinitionThe date/time at which the requested service should occur.
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occurrencePeriod | Period | There are no (further) constraints on this element Data Type | ||
start | Σ I | 1..1 | dateTime | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.occurrence[x].start Data di inizio prevista del ricovero domiciliare DefinitionFormato: YYYY-MM-DD secondo lo standard FHIR Il dato è detenuto dal SGDT
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end | Σ I | 1..1 | dateTime | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.occurrence[x].end Data di fine prevista del ricovero domiciliare DefinitionFormato: YYYY-MM-DD secondo lo standard FHIR Il dato è detenuto dal SGDT If the end of the period is missing, it means that the period is ongoing
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asNeeded[x] | Σ | 0..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.asNeeded[x] Preconditions for service DefinitionIf a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc. A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. SNOMEDCTMedicationAsNeededReasonCodes (example)Constraints
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asNeededBoolean | boolean | There are no (further) constraints on this element Data Type | ||
asNeededCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data Type | ||
authoredOn | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.authoredOn Date request signed Alternate namesorderedOn DefinitionWhen the request transitioned to being actionable.
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requester | Σ I | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requester Who/what is requesting service Alternate namesauthor, orderer DefinitionThe individual who initiated the request and has responsibility for its activation. This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource. Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Constraints
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performerType | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.performerType Performer role Alternate namesspecialty DefinitionDesired type of performer for doing the requested service. This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”. Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. ParticipantRoles (example)Constraints
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performer | Σ I | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.performer Requested performer Alternate namesrequest recipient DefinitionThe desired performer for doing the requested service. For example, the surgeon, dermatopathologist, endoscopist, etc. If multiple performers are present, it is interpreted as a list of alternative performers without any preference regardless of order. If order of preference is needed use the request-performerOrder extension. Use CareTeam to represent a group of performers (for example, Practitioner A and Practitioner B). Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Sliced:Unordered, Open, by reference(Value) Constraints
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organization | Σ I | 0..1 | Reference(RLOrganizationL2) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.performer:organization Unità d'offerta responsabile della presa in carico del paziente Alternate namesrequest recipient DefinitionReference ai profilo RLOrganizationL2 dell'unità d'offerta che prenderà in carico il paziente. 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 Il dato è detenuto dal SGDT
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practitionerRole | Σ I | 0..* | Reference(RLPractitionerRoleOperatoreADI) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.performer:practitionerRole Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo viene popolato obbligatoriamente con le tipologie di operatori sanitari necessari all'erogazioni delle prestazioni previste dal percorso di cure domiciliari (campo reasonCode) Alternate namesrequest recipient DefinitionReference ai profilo PractitionerRoleOperatoreADI contenente la tipologia di operatore sanitario di cure domiciliari Il dato è detenuto dal SGDT Reference(RLPractitionerRoleOperatoreADI) Constraints
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locationCode | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.locationCode Requested location DefinitionThe preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center. 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. A location type where services are delivered. v3.ServiceDeliveryLocationRoleType (example)Constraints
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locationReference | Σ I | 0..* | Reference(Location) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.locationReference Requested location DefinitionA reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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reasonCode | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo viene popolato con il percorso di cure domiciliari del paziente DefinitionAn explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in Per il dettaglio esaustivo della codifica consultare la Tabella dei percorsi di cure domiciliari contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Diagnosis or problem codes justifying the reason for requesting the service investigation. ProcedureReasonCodes (example)Constraints
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coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding Codice e descrizione del percorso di cure domiciliari DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-PercorsiCDom
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding.code Codice del percorso di cure domiciliari DefinitionStringa alfanumerica al più di 10 caratteri Need to refer to a particular code in the system. Il dato è detenuto dal SGDT ValueSet relativo ai percorsi di cure domiciliari SGDT Percorsi CDom (required)Constraints
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding.display Descrizione del percorso di cure domiciliari DefinitionStringa alfanumerica al più di 100 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto dal SGDT
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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reasonReference | Σ I | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonReference Explanation/Justification for service or service DefinitionIndicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to Observation or Condition should be used if available. Otherwise when referencing DiagnosticReport it should contain a finding in Reference(Condition | Observation | DiagnosticReport | DocumentReference) Constraints
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insurance | I | 0..* | Reference(Coverage | ClaimResponse) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.insurance Associated insurance coverage DefinitionInsurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Coverage | ClaimResponse) Constraints
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supportingInfo | I | 0..* | Reference(Resource) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.supportingInfo Additional clinical information Alternate namesAsk at order entry question, AOE DefinitionAdditional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as "ask at order entry questions (AOEs)". This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements. To represent information about how the services are to be delivered use the
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specimen | Σ I | 0..* | Reference(Specimen) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.specimen Procedure Samples DefinitionOne or more specimens that the laboratory procedure will use. Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the Specimen resource points to the ServiceRequest.
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bodySite | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.bodySite Location on Body Alternate nameslocation DefinitionAnatomic location where the procedure should be performed. This is the target site. Knowing where the procedure is performed is important for tracking if multiple sites are possible. Only used if not implicit in the code found in ServiceRequest.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension procedure-targetBodyStructure. Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example)Constraints
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note | 0..1 | Annotation | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.note Note / commenti aggiuntivi DefinitionStringa alfanumerica al più di 1000 caratteri Il dato è detenuto dal SGDT
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patientInstruction | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.patientInstruction Patient or consumer-oriented instructions DefinitionInstructions in terms that are understood by the patient or consumer. Note that FHIR strings SHALL NOT exceed 1MB in size
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relevantHistory | I | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.relevantHistory Request provenance DefinitionKey events in the history of the request. This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.
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type | Σ | 0..1 | uriBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].type Type the reference refers to (e.g. "Patient") DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible)Constraints
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identifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].identifier Logical reference, when literal reference is not known DefinitionAn identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].display Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
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valueReference | Reference() | There are no (further) constraints on this element Data Type | ||
numeroAccessi | I | 0..1 | Extension(integer) | Element IdPractitionerRole.extension:numeroAccessi Numero di accessi pianificati per l'operatore sanitario rispetto al percorso di cure domiciliari in cui è coinvolto Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleNumeroAccessi Constraints
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url | 1..1 | System.StringFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:numeroAccessi.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. System.String Fixed Valuehttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleNumeroAccessi
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value[x] | 0..1 | Element IdPractitionerRole.extension:numeroAccessi.value[x] Numero di accessi pianificati per l'operatore sanitario rispetto al percorso di cure domiciliari in cui è coinvolto DefinitionValore numerico di al più 3 cifre Il dato è detenuto dal SGDT
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valueInteger | integer | There are no (further) constraints on this element Data Type | ||
identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element IdPractitionerRole.identifier Business Identifiers that are specific to a role/location DefinitionBusiness Identifiers that are specific to a role/location. Often, specific identities are assigned for the agent.
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active | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.active Whether this practitioner role record is in active use DefinitionWhether this practitioner role record is in active use. Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use. If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active. This resource is generally assumed to be active if no value is provided for the active element
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitionerRole.period The period during which the practitioner is authorized to perform in these role(s) DefinitionThe period during which the person is authorized to act as a practitioner in these role(s) for the organization. Even after the agencies is revoked, the fact that it existed must still be recorded. 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.
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practitioner | Σ I | 0..1 | Reference(Practitioner) | There are no (further) constraints on this element Element IdPractitionerRole.practitioner Practitioner that is able to provide the defined services for the organization DefinitionPractitioner that is able to provide the defined services for the organization. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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organization | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPractitionerRole.organization Organization where the roles are available DefinitionThe organization where the Practitioner performs the roles associated. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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code | Σ | 1..1 | CodeableConcept | Element IdPractitionerRole.code Codice e descrizione della tipologia di operatore ADI DefinitionRoles which this practitioner is authorized to perform for the organization. Need to know what authority the practitioner has - what can they do? Per il dettaglio esaustivo della codifica consultare la Tabella delle tipologie degli operatori ADI contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. The role a person plays representing an organization. PractitionerRole (example)Constraints
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coding | Σ | 1..1 | Coding | Element IdPractitionerRole.code.coding Codice e descrizione della tipologia di operatore ADI DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Per il dettaglio esaustivo della codifica consultare la Tabella delle tipologie degli operatori ADI contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide.
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system | Σ | 1..1 | uriFixed Value | Element IdPractitionerRole.code.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-TipoOperatore
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.code.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | codeBinding | Element IdPractitionerRole.code.coding.code Codice della tipologia di operatore ADI DefinitionValore numerico di al più 2 cifre Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size ValueSet relativo alla tipologia di operatore SIAD Tipologia Operatori ADI (required)Constraints
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display | Σ | 1..1 | string | Element IdPractitionerRole.code.coding.display Descrizione della tipologia di operatore ADI DefinitionStringa alfanumerica di al più 100 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.code.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.code.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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specialty | Σ | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element IdPractitionerRole.specialty Specific specialty of the practitioner DefinitionSpecific specialty of the practitioner. 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. Specific specialty associated with the agency. PracticeSettingCodeValueSet (preferred)Constraints
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location | Σ I | 0..* | Reference(Location) | There are no (further) constraints on this element Element IdPractitionerRole.location The location(s) at which this practitioner provides care DefinitionThe location(s) at which this practitioner provides care. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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healthcareService | I | 0..* | Reference(HealthcareService) | There are no (further) constraints on this element Element IdPractitionerRole.healthcareService The list of healthcare services that this worker provides for this role's Organization/Location(s) DefinitionThe list of healthcare services that this worker provides for this role's Organization/Location(s). References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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telecom | Σ I | 0..* | ContactPoint | There are no (further) constraints on this element Element IdPractitionerRole.telecom Contact details that are specific to the role/location/service DefinitionContact details that are specific to the role/location/service. Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.
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availableTime | 0..* | BackboneElement | There are no (further) constraints on this element Element IdPractitionerRole.availableTime Times the Service Site is available DefinitionA collection of times the practitioner is available or performing this role at the location and/or healthcareservice. More detailed availability information may be provided in associated Schedule/Slot resources.
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daysOfWeek | 0..* | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.availableTime.daysOfWeek mon | tue | wed | thu | fri | sat | sun DefinitionIndicates which days of the week are available between the start and end Times. Note that FHIR strings SHALL NOT exceed 1MB in size The days of the week. DaysOfWeek (required)Constraints
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allDay | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.availableTime.allDay Always available? e.g. 24 hour service DefinitionIs this always available? (hence times are irrelevant) e.g. 24 hour service.
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availableStartTime | 0..1 | time | There are no (further) constraints on this element Element IdPractitionerRole.availableTime.availableStartTime Opening time of day (ignored if allDay = true) DefinitionThe opening time of day. Note: If the AllDay flag is set, then this time is ignored. The timezone is expected to be for where this HealthcareService is provided at.
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availableEndTime | 0..1 | time | There are no (further) constraints on this element Element IdPractitionerRole.availableTime.availableEndTime Closing time of day (ignored if allDay = true) DefinitionThe closing time of day. Note: If the AllDay flag is set, then this time is ignored. The timezone is expected to be for where this HealthcareService is provided at.
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notAvailable | 0..* | BackboneElement | There are no (further) constraints on this element Element IdPractitionerRole.notAvailable Not available during this time due to provided reason DefinitionThe practitioner is not available or performing this role during this period of time due to the provided reason.
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description | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.notAvailable.description Reason presented to the user explaining why time not available DefinitionThe reason that can be presented to the user as to why this time is not available. Note that FHIR strings SHALL NOT exceed 1MB in size
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during | I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitionerRole.notAvailable.during Service not available from this date DefinitionService is not available (seasonally or for a public holiday) from this date. 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.
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availabilityExceptions | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.availabilityExceptions Description of availability exceptions DefinitionA description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times. Note that FHIR strings SHALL NOT exceed 1MB in size
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endpoint | I | 0..* | Reference(Endpoint) | There are no (further) constraints on this element Element IdPractitionerRole.endpoint Technical endpoints providing access to services operated for the practitioner with this role DefinitionTechnical endpoints providing access to services operated for the practitioner with this role. Organizations have multiple systems that provide various services and ,ay also be different for practitioners too. So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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Hybrid View
PractitionerRole | I | PractitionerRole | There are no (further) constraints on this element Element IdPractitionerRole Roles/organizations the practitioner is associated with DefinitionA specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.
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id | Σ | 1..1 | System.String | Element IdPractitionerRole.id UUID prodotto dal server FHIR (applicativo) che detiene la risorsa. Per maggiori informazioni su chi detiene la risorsa consultare il paragrafo API-Restful nella pagina di Contesto. DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. System.String |
meta | Σ | 1..1 | Meta | Element IdPractitionerRole.meta Metadati della risorsa DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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versionId | Σ | 1..1 | id | Element IdPractitionerRole.meta.versionId Versione della risorsa DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
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lastUpdated | Σ | 1..1 | instant | Element IdPractitionerRole.meta.lastUpdated Data e ora di ultimo aggiornamento dell risorsa DefinitionFormato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
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source | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPractitionerRole.meta.source Identifies where the resource comes from DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
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profile | Σ | 1..1 | canonical(StructureDefinition)Fixed Value | Element IdPractitionerRole.meta.profile Profilo al quale la risorsa si riferisce DefinitionA list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. canonical(StructureDefinition) Constraints
https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleOperatoreADI
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security | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element IdPractitionerRole.meta.security Security Labels applied to this resource DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible)Constraints
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tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element IdPractitionerRole.meta.tag Tags applied to this resource DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example)Constraints
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element IdPractitionerRole.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Constraints
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dettagliAttivazionePercorsoCure | I | 0..1 | Extension(Reference()) | Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure Riferimento ai dettagli dell'attivazione del percorso di cure domiciliari dove l'operatore sanitario fornirà assistenza Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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url | 1..1 | System.StringFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. System.String Fixed Valuehttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleDettagliAttivazionePercorsoCure
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value[x] | 0..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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reference | Σ I | 0..1 | RLServiceRequestServiziSocioAssistenziali | Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference Riferimento ai dettagli del percorso di cure domiciliari dove è stata inserita la figura professionale. DefinitionReference al profilo RLServiceRequestServiziSocioAssistenziali contenente i dettagli del percorso di cure domiciliari Il dato è detenuto dal SGDT RLServiceRequestServiziSocioAssistenziali Constraints
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Constraints
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soggettoProponentePIC | I | 0..1 | Extension(CodeableConcept) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC Soggetto che ha proposto la presa in carico dell'assistito Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. Per il dettaglio esaustivo della codifica consultare la Tabella del soggetto che ha proposto la presa in carico contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestSoggettoProponentePIC Constraints
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url | 1..1 | System.StringFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. System.String Fixed Valuehttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestSoggettoProponentePIC
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value[x] | 0..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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valueCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data Type | ||
coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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system | Σ | 0..1 | uriFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-ProponentePIC
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding.code Codice del soggetto che ha proposto la presa in carico dell'assistito DefinitionStringa numerica di 1 carattere Need to refer to a particular code in the system. Il dato è detenuto dal SGDT ValueSet relativo alla codifica del soggetto che ha proposto la presa in carico SIAD Proponente PIC (required)Constraints
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding.display Descrizione del soggetto che ha proposto la presa in carico dell'assistito DefinitionStringa alfanumerica al più di 100 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:soggettoProponentePIC.value[x].text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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causaleDimissione | I | 0..1 | Extension(integerstringCodeableConcept) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo contiene la causale di dimissione del paziente dal ricovero domiciliare Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. Per il dettaglio esaustivo della codifica consultare la Tabella della causale di dimissione di un ricovero domiciliare contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Extension(integerstringCodeableConcept) Extension URLhttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestCausaleDimissione Constraints
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url | 1..1 | System.StringFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. System.String Fixed Valuehttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestCausaleDimissione
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value[x] | 0..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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valueCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data Type | ||
coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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system | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding.code Codice del soggetto che ha proposto la presa in carico dell'assistito DefinitionStringa numerica di 1 carattere Need to refer to a particular code in the system. Il dato è detenuto dal SGDT ValueSet relativo alla causale di dimissione SIAD Causale Dimissione (required)Constraints
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding.display Descrizione del soggetto che ha proposto la presa in carico dell'assistito DefinitionStringa alfanumerica al più di 100 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto dal SGDT
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:causaleDimissione.value[x].text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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dataDimissione | I | 0..1 | Extension(dateTime) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:dataDimissione Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo contiene la data di dimissione del paziente dal ricovero domiciliare Alternate namesextensions, user content DefinitionFormato: YYYY-MM-DD secondo lo standard FHIR 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. https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestDataDimissione Constraints
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medicoPrescrittore | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:medicoPrescrittore Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo contiene il codice regionale del medico che ha prescritto l'attivazione del servizio al cittadino Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestMedicoPrescrittore Constraints
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url | 1..1 | System.StringFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:medicoPrescrittore.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. System.String Fixed Valuehttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestMedicoPrescrittore
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value[x] | 1..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.extension:medicoPrescrittore.value[x] Codice regionale del medico che ha prescritto l'attivazione del servizio sociosanitario al cittadino DefinitionStringa numerica di 5 caratteri se il prescrittore è un MMG o PLS, stringa alfanumerica di 6 caratteri se il prescrittore è un medico specialista La fonte del dato è il campo CD_REGIONALE o CD_MEDICO_SPEC dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01
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valueString | string | There are no (further) constraints on this element Data Type | ||
identifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier Codice identificativo del servizio socioassistenziale da attivare. Nel caso delle cure domiciliari (C-DOM) il codice corrisponde al numero della pratica DefinitionNel caso delle cure domiciliari (C-DOM) è un codice numerico progressivo di 10 cifre (da 0000000001 a 9999999999) The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. 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. 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
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. Identifier.system is always case sensitive.
https://fhir.siss.regione.lombardia.it/sid/codiceIdentificativoServizioSocioAssistenziale
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.value Codice identificativo del servizio socioassistenziale da attivare. Nel caso delle cure domiciliari (C-DOM) il codice corrisponde al numero della pratica DefinitionNel caso delle cure domiciliari (C-DOM) è un codice numerico progressivo di 6 cifre (da 000001 a 999999) Il dato è detenuto dal SGDT
General 123456 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. 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.
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instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.instantiatesCanonical Instantiates FHIR protocol or definition DefinitionThe URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest. Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. canonical(ActivityDefinition | PlanDefinition) Constraints
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instantiatesUri | Σ | 0..* | uri | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.instantiatesUri Instantiates external protocol or definition DefinitionThe URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest. This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
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basedOn | Σ I | 1..1 | Reference(RLCarePlanProgettoIndividuale) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.basedOn Riferimento al progetto individuale nel quale è prevista l'attivazione del servizio sociosanitario Alternate namesfulfills DefinitionReference al profilo RLCarePlanProgettoIndividuale contenente il progetto individuale del paziente. 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 Il dato è detenuto dal SGDT Reference(RLCarePlanProgettoIndividuale) Constraints
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replaces | Σ I | 0..* | Reference(ServiceRequest) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.replaces What request replaces Alternate namessupersedes, prior, renewed order DefinitionThe request takes the place of the referenced completed or terminated request(s). References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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requisition | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition Codice identificativo della ricetta medica o ricetta elettronica NRE. Nel caso delle cure domiciliari (C-DOM) il campo è obbligatorio Alternate namesgrouperId, groupIdentifier DefinitionA shared identifier common to all service requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier. Some business processes need to know if multiple items were ordered as part of the same "requisition" for billing or other purposes. Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. 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. 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
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system | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. Identifier.system is always case sensitive.
General http://www.acme.com/identifiers/patient Mappings
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.value Codice ricetta DefinitionStringa alfanumerica di 15 caratteri Il dato è detenuto da SGDT
General 123456 Mappings
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period | Σ I | 1..1 | Period | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
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start | Σ I | 1..1 | dateTime | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.period.start Data di decorrenza della ricetta medica DefinitionFormato: YYYY-MM-DD secondo lo standard FHIR Il dato è detenuto da SGDT
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end | Σ I | 0..1 | dateTime | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.period.end End time with inclusive boundary, if not ongoing DefinitionThe end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. If the end of the period is missing, it means that the period is ongoing
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requisition.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. 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.
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status | Σ ?! | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.status Stato dell'attivazione del servizio socioassistenziale DefinitionValore fisso su "active" The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see Event Pattern for general discussion) or using the Task resource. The status of a service order. RequestStatus (required)Constraints
active
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intent | Σ ?! | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.intent Intento della richesta DefinitionValore fisso su "order" (la richiesta autorizza l'azione di un professionista) This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. The kind of service request. RequestIntent (required)Constraints
order
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category | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.category Classification of service DefinitionA code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure"). Used for filtering what service request are retrieved and displayed. There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set. Classification of the requested service. ServiceRequestCategoryCodes (example)Constraints
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priority | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.priority routine | urgent | asap | stat DefinitionIndicates how quickly the ServiceRequest should be addressed with respect to other requests. Note that FHIR strings SHALL NOT exceed 1MB in size If missing, this task should be performed with normal priority Identifies the level of importance to be assigned to actioning the request. RequestPriority (required)Constraints
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doNotPerform | Σ ?! | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.doNotPerform True if service/procedure should not be performed DefinitionSet this to true if the record is saying that the service/procedure should NOT be performed. Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc. In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation. If missing, the request is a positive request e.g. "do perform"
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code | Σ | 1..1 | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code Codice e descrizione della tipologia di servizio socioassistenziale da attivare Alternate namesservice requested DefinitionA code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested. 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. Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available [here](valueset-diagnostic-requests.html). ProcedureCodes(SNOMEDCT) (example)Constraints
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coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding Codice e descrizione della tipologia di servizio socioassistenziale da attivare DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DescL2
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding.code Codice della tipologia di servizio socioassistenziale da attivare DefinitionStringa alfanumerica al più di 10 caratteri Need to refer to a particular code in the system. Il dato è detenuto dal SGDT ValueSet relativo alla tipologia UdO DDC Desc L2 (required)Constraints
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding.display Descrizione della tipologia di servizio socioassistenziale da attivare DefinitionStringa alfanumerica al più di 100 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto dal SGDT
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.code.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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orderDetail | Σ I | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.orderDetail Additional order information Alternate namesdetailed instructions DefinitionAdditional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. For information from the medical record intended to support the delivery of the requested services, use the Codified order entry details which are based on order context. ServiceRequestOrderDetailsCodes (example)Constraints
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quantity[x] | Σ | 0..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x] Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo viene popolato con il numero di accessi domiciliari previsti DefinitionAn amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction). When ordering a service the number of service items may need to be specified separately from the the service item.
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quantityQuantity | Quantity | There are no (further) constraints on this element Data Type | ||
value | Σ | 1..1 | decimal | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x].value Numero di accessi domiciliari previsti DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. Il dato è detenuto dal SGDT
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comparator | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x].comparator < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Note that FHIR strings SHALL NOT exceed 1MB in size If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
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unit | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x].unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings SHALL NOT exceed 1MB in size
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system | Σ I | 0..1 | uri | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x].system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
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code | Σ | 0..1 | code | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.quantity[x].code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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subject | Σ I | 1..1 | Reference(RLPatientCittadino) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.subject Paziente al quale deve essere fornito l'acceso al servizio socioassistenziale DefinitionReference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente Il dato è detenuto dal SGDT
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encounter | Σ I | 0..1 | Reference(Encounter) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.encounter Encounter in which the request was created Alternate namescontext DefinitionAn encounter that provides additional information about the healthcare context in which this request is made. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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occurrence[x] | Σ | 1..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.occurrence[x] Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo viene popolato con il periodo di ricovero domiciliare Alternate namesschedule DefinitionThe date/time at which the requested service should occur.
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occurrencePeriod | Period | There are no (further) constraints on this element Data Type | ||
start | Σ I | 1..1 | dateTime | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.occurrence[x].start Data di inizio prevista del ricovero domiciliare DefinitionFormato: YYYY-MM-DD secondo lo standard FHIR Il dato è detenuto dal SGDT
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end | Σ I | 1..1 | dateTime | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.occurrence[x].end Data di fine prevista del ricovero domiciliare DefinitionFormato: YYYY-MM-DD secondo lo standard FHIR Il dato è detenuto dal SGDT If the end of the period is missing, it means that the period is ongoing
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asNeeded[x] | Σ | 0..1 | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.asNeeded[x] Preconditions for service DefinitionIf a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc. A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. SNOMEDCTMedicationAsNeededReasonCodes (example)Constraints
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asNeededBoolean | boolean | There are no (further) constraints on this element Data Type | ||
asNeededCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data Type | ||
authoredOn | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.authoredOn Date request signed Alternate namesorderedOn DefinitionWhen the request transitioned to being actionable.
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requester | Σ I | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.requester Who/what is requesting service Alternate namesauthor, orderer DefinitionThe individual who initiated the request and has responsibility for its activation. This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource. Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Constraints
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performerType | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.performerType Performer role Alternate namesspecialty DefinitionDesired type of performer for doing the requested service. This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”. Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. ParticipantRoles (example)Constraints
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performer | Σ I | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.performer Requested performer Alternate namesrequest recipient DefinitionThe desired performer for doing the requested service. For example, the surgeon, dermatopathologist, endoscopist, etc. If multiple performers are present, it is interpreted as a list of alternative performers without any preference regardless of order. If order of preference is needed use the request-performerOrder extension. Use CareTeam to represent a group of performers (for example, Practitioner A and Practitioner B). Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Sliced:Unordered, Open, by reference(Value) Constraints
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organization | Σ I | 0..1 | Reference(RLOrganizationL2) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.performer:organization Unità d'offerta responsabile della presa in carico del paziente Alternate namesrequest recipient DefinitionReference ai profilo RLOrganizationL2 dell'unità d'offerta che prenderà in carico il paziente. 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 Il dato è detenuto dal SGDT
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practitionerRole | Σ I | 0..* | Reference(RLPractitionerRoleOperatoreADI) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.performer:practitionerRole Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo viene popolato obbligatoriamente con le tipologie di operatori sanitari necessari all'erogazioni delle prestazioni previste dal percorso di cure domiciliari (campo reasonCode) Alternate namesrequest recipient DefinitionReference ai profilo PractitionerRoleOperatoreADI contenente la tipologia di operatore sanitario di cure domiciliari Il dato è detenuto dal SGDT Reference(RLPractitionerRoleOperatoreADI) Constraints
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locationCode | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.locationCode Requested location DefinitionThe preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center. 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. A location type where services are delivered. v3.ServiceDeliveryLocationRoleType (example)Constraints
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locationReference | Σ I | 0..* | Reference(Location) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.locationReference Requested location DefinitionA reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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reasonCode | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode Nel caso in cui il codice del servizio sociosanitario (campo code) sia "C-DOM" questo campo viene popolato con il percorso di cure domiciliari del paziente DefinitionAn explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in Per il dettaglio esaustivo della codifica consultare la Tabella dei percorsi di cure domiciliari contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Diagnosis or problem codes justifying the reason for requesting the service investigation. ProcedureReasonCodes (example)Constraints
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coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding Codice e descrizione del percorso di cure domiciliari DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-PercorsiCDom
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding.code Codice del percorso di cure domiciliari DefinitionStringa alfanumerica al più di 10 caratteri Need to refer to a particular code in the system. Il dato è detenuto dal SGDT ValueSet relativo ai percorsi di cure domiciliari SGDT Percorsi CDom (required)Constraints
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding.display Descrizione del percorso di cure domiciliari DefinitionStringa alfanumerica al più di 100 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Il dato è detenuto dal SGDT
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonCode.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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reasonReference | Σ I | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.reasonReference Explanation/Justification for service or service DefinitionIndicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to Observation or Condition should be used if available. Otherwise when referencing DiagnosticReport it should contain a finding in Reference(Condition | Observation | DiagnosticReport | DocumentReference) Constraints
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insurance | I | 0..* | Reference(Coverage | ClaimResponse) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.insurance Associated insurance coverage DefinitionInsurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Coverage | ClaimResponse) Constraints
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supportingInfo | I | 0..* | Reference(Resource) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.supportingInfo Additional clinical information Alternate namesAsk at order entry question, AOE DefinitionAdditional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as "ask at order entry questions (AOEs)". This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements. To represent information about how the services are to be delivered use the
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specimen | Σ I | 0..* | Reference(Specimen) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.specimen Procedure Samples DefinitionOne or more specimens that the laboratory procedure will use. Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the Specimen resource points to the ServiceRequest.
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bodySite | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.bodySite Location on Body Alternate nameslocation DefinitionAnatomic location where the procedure should be performed. This is the target site. Knowing where the procedure is performed is important for tracking if multiple sites are possible. Only used if not implicit in the code found in ServiceRequest.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension procedure-targetBodyStructure. Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example)Constraints
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note | 0..1 | Annotation | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.note Note / commenti aggiuntivi DefinitionStringa alfanumerica al più di 1000 caratteri Il dato è detenuto dal SGDT
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patientInstruction | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.patientInstruction Patient or consumer-oriented instructions DefinitionInstructions in terms that are understood by the patient or consumer. Note that FHIR strings SHALL NOT exceed 1MB in size
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relevantHistory | I | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.relevantHistory Request provenance DefinitionKey events in the history of the request. This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.
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type | Σ | 0..1 | uriBinding | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].type Type the reference refers to (e.g. "Patient") DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible)Constraints
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identifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].identifier Logical reference, when literal reference is not known DefinitionAn identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].display Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
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valueReference | Reference() | There are no (further) constraints on this element Data Type | ||
numeroAccessi | I | 0..1 | Extension(integer) | Element IdPractitionerRole.extension:numeroAccessi Numero di accessi pianificati per l'operatore sanitario rispetto al percorso di cure domiciliari in cui è coinvolto Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleNumeroAccessi Constraints
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url | 1..1 | System.StringFixed Value | There are no (further) constraints on this element Element IdPractitionerRole.extension:numeroAccessi.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. System.String Fixed Valuehttps://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleNumeroAccessi
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value[x] | 0..1 | Element IdPractitionerRole.extension:numeroAccessi.value[x] Numero di accessi pianificati per l'operatore sanitario rispetto al percorso di cure domiciliari in cui è coinvolto DefinitionValore numerico di al più 3 cifre Il dato è detenuto dal SGDT
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valueInteger | integer | There are no (further) constraints on this element Data Type | ||
identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element IdPractitionerRole.identifier Business Identifiers that are specific to a role/location DefinitionBusiness Identifiers that are specific to a role/location. Often, specific identities are assigned for the agent.
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active | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.active Whether this practitioner role record is in active use DefinitionWhether this practitioner role record is in active use. Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use. If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active. This resource is generally assumed to be active if no value is provided for the active element
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitionerRole.period The period during which the practitioner is authorized to perform in these role(s) DefinitionThe period during which the person is authorized to act as a practitioner in these role(s) for the organization. Even after the agencies is revoked, the fact that it existed must still be recorded. 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.
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practitioner | Σ I | 0..1 | Reference(Practitioner) | There are no (further) constraints on this element Element IdPractitionerRole.practitioner Practitioner that is able to provide the defined services for the organization DefinitionPractitioner that is able to provide the defined services for the organization. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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organization | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPractitionerRole.organization Organization where the roles are available DefinitionThe organization where the Practitioner performs the roles associated. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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code | Σ | 1..1 | CodeableConcept | Element IdPractitionerRole.code Codice e descrizione della tipologia di operatore ADI DefinitionRoles which this practitioner is authorized to perform for the organization. Need to know what authority the practitioner has - what can they do? Per il dettaglio esaustivo della codifica consultare la Tabella delle tipologie degli operatori ADI contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. The role a person plays representing an organization. PractitionerRole (example)Constraints
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coding | Σ | 1..1 | Coding | Element IdPractitionerRole.code.coding Codice e descrizione della tipologia di operatore ADI DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Per il dettaglio esaustivo della codifica consultare la Tabella delle tipologie degli operatori ADI contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide.
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system | Σ | 1..1 | uriFixed Value | Element IdPractitionerRole.code.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-TipoOperatore
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.code.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | codeBinding | Element IdPractitionerRole.code.coding.code Codice della tipologia di operatore ADI DefinitionValore numerico di al più 2 cifre Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size ValueSet relativo alla tipologia di operatore SIAD Tipologia Operatori ADI (required)Constraints
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display | Σ | 1..1 | string | Element IdPractitionerRole.code.coding.display Descrizione della tipologia di operatore ADI DefinitionStringa alfanumerica di al più 100 caratteri Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.code.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.code.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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specialty | Σ | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element IdPractitionerRole.specialty Specific specialty of the practitioner DefinitionSpecific specialty of the practitioner. 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. Specific specialty associated with the agency. PracticeSettingCodeValueSet (preferred)Constraints
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location | Σ I | 0..* | Reference(Location) | There are no (further) constraints on this element Element IdPractitionerRole.location The location(s) at which this practitioner provides care DefinitionThe location(s) at which this practitioner provides care. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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healthcareService | I | 0..* | Reference(HealthcareService) | There are no (further) constraints on this element Element IdPractitionerRole.healthcareService The list of healthcare services that this worker provides for this role's Organization/Location(s) DefinitionThe list of healthcare services that this worker provides for this role's Organization/Location(s). References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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telecom | Σ I | 0..* | ContactPoint | There are no (further) constraints on this element Element IdPractitionerRole.telecom Contact details that are specific to the role/location/service DefinitionContact details that are specific to the role/location/service. Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.
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availableTime | 0..* | BackboneElement | There are no (further) constraints on this element Element IdPractitionerRole.availableTime Times the Service Site is available DefinitionA collection of times the practitioner is available or performing this role at the location and/or healthcareservice. More detailed availability information may be provided in associated Schedule/Slot resources.
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daysOfWeek | 0..* | codeBinding | There are no (further) constraints on this element Element IdPractitionerRole.availableTime.daysOfWeek mon | tue | wed | thu | fri | sat | sun DefinitionIndicates which days of the week are available between the start and end Times. Note that FHIR strings SHALL NOT exceed 1MB in size The days of the week. DaysOfWeek (required)Constraints
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allDay | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitionerRole.availableTime.allDay Always available? e.g. 24 hour service DefinitionIs this always available? (hence times are irrelevant) e.g. 24 hour service.
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availableStartTime | 0..1 | time | There are no (further) constraints on this element Element IdPractitionerRole.availableTime.availableStartTime Opening time of day (ignored if allDay = true) DefinitionThe opening time of day. Note: If the AllDay flag is set, then this time is ignored. The timezone is expected to be for where this HealthcareService is provided at.
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availableEndTime | 0..1 | time | There are no (further) constraints on this element Element IdPractitionerRole.availableTime.availableEndTime Closing time of day (ignored if allDay = true) DefinitionThe closing time of day. Note: If the AllDay flag is set, then this time is ignored. The timezone is expected to be for where this HealthcareService is provided at.
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notAvailable | 0..* | BackboneElement | There are no (further) constraints on this element Element IdPractitionerRole.notAvailable Not available during this time due to provided reason DefinitionThe practitioner is not available or performing this role during this period of time due to the provided reason.
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description | 1..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.notAvailable.description Reason presented to the user explaining why time not available DefinitionThe reason that can be presented to the user as to why this time is not available. Note that FHIR strings SHALL NOT exceed 1MB in size
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during | I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitionerRole.notAvailable.during Service not available from this date DefinitionService is not available (seasonally or for a public holiday) from this date. 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.
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availabilityExceptions | 0..1 | string | There are no (further) constraints on this element Element IdPractitionerRole.availabilityExceptions Description of availability exceptions DefinitionA description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times. Note that FHIR strings SHALL NOT exceed 1MB in size
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endpoint | I | 0..* | Reference(Endpoint) | There are no (further) constraints on this element Element IdPractitionerRole.endpoint Technical endpoints providing access to services operated for the practitioner with this role DefinitionTechnical endpoints providing access to services operated for the practitioner with this role. Organizations have multiple systems that provide various services and ,ay also be different for practitioners too. So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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Table View
PractitionerRole | .. | |
PractitionerRole.id | 1.. | |
PractitionerRole.meta | 1.. | |
PractitionerRole.meta.versionId | 1.. | |
PractitionerRole.meta.lastUpdated | 1.. | |
PractitionerRole.meta.profile | 1..1 | |
PractitionerRole.extension | Extension | ..1 |
PractitionerRole.extension.value[x] | .. | |
PractitionerRole.extension.value[x].reference | RLServiceRequestServiziSocioAssistenziali | .. |
PractitionerRole.extension.value[x].reference.performer | .. | |
PractitionerRole.extension | Extension | ..1 |
PractitionerRole.extension.value[x] | .. | |
PractitionerRole.code | 1..1 | |
PractitionerRole.code.coding | 1..1 | |
PractitionerRole.code.coding.system | 1.. | |
PractitionerRole.code.coding.code | 1.. | |
PractitionerRole.code.coding.display | 1.. |
XML View
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="UUID" /> <url value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleOperatoreADI" /> <name value="RLPractitionerRoleOperatoreADI" /> <status value="active" /> <description value="Profilo contentente le tipologie di operatori ADI" /> <keyword> <system value="https://fhir.siss.regione.lombardia.it/CodeSystem/Tag" /> <code value="C-DOM" /> </keyword> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="PractitionerRole" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> <derivation value="constraint" /> <differential> <element id="PractitionerRole.id"> <path value="PractitionerRole.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="PractitionerRole.meta"> <path value="PractitionerRole.meta" /> <short value="Metadati della risorsa" /> <min value="1" /> </element> <element id="PractitionerRole.meta.versionId"> <path value="PractitionerRole.meta.versionId" /> <short value="Versione della risorsa" /> <min value="1" /> </element> <element id="PractitionerRole.meta.lastUpdated"> <path value="PractitionerRole.meta.lastUpdated" /> <short value="Data e ora di ultimo aggiornamento dell risorsa" /> <definition value="Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz" /> <min value="1" /> </element> <element id="PractitionerRole.meta.profile"> <path value="PractitionerRole.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/RLPractitionerRoleOperatoreADI" /> </element> <element id="PractitionerRole.extension:dettagliAttivazionePercorsoCure"> <path value="PractitionerRole.extension" /> <sliceName value="dettagliAttivazionePercorsoCure" /> <short value="Riferimento ai dettagli dell'attivazione del percorso di cure domiciliari dove l'operatore sanitario fornirà assistenza" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleDettagliAttivazionePercorsoCure" /> </type> <isModifier value="false" /> </element> <element id="PractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference"> <path value="PractitionerRole.extension.value[x].reference" /> <short value="Riferimento ai dettagli del percorso di cure domiciliari dove è stata inserita la figura professionale." /> <definition value="Reference al profilo RLServiceRequestServiziSocioAssistenziali contenente i dettagli del percorso di cure domiciliari" /> <comment value="Il dato è detenuto dal SGDT" /> <type> <code value="string" /> <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestServiziSocioAssistenziali" /> </type> </element> <element id="PractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.performer"> <path value="PractitionerRole.extension.value[x].reference.performer" /> <slicing> <discriminator> <type value="value" /> <path value="reference" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="PractitionerRole.extension:numeroAccessi"> <path value="PractitionerRole.extension" /> <sliceName value="numeroAccessi" /> <short value="Numero di accessi pianificati per l'operatore sanitario rispetto al percorso di cure domiciliari in cui è coinvolto" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleNumeroAccessi" /> </type> <isModifier value="false" /> </element> <element id="PractitionerRole.extension:numeroAccessi.value[x]"> <path value="PractitionerRole.extension.value[x]" /> <short value="Numero di accessi pianificati per l'operatore sanitario rispetto al percorso di cure domiciliari in cui è coinvolto" /> <definition value="Valore numerico di al più 3 cifre" /> <comment value="Il dato è detenuto dal SGDT" /> </element> <element id="PractitionerRole.code"> <path value="PractitionerRole.code" /> <short value="Codice e descrizione della tipologia di operatore ADI" /> <comment value="Per il dettaglio esaustivo della codifica consultare la Tabella delle tipologie degli operatori ADI contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide." /> <min value="1" /> <max value="1" /> </element> <element id="PractitionerRole.code.coding"> <path value="PractitionerRole.code.coding" /> <short value="Codice e descrizione della tipologia di operatore ADI" /> <comment value="Per il dettaglio esaustivo della codifica consultare la Tabella delle tipologie degli operatori ADI contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide." /> <min value="1" /> <max value="1" /> </element> <element id="PractitionerRole.code.coding.system"> <path value="PractitionerRole.code.coding.system" /> <min value="1" /> <fixedUri value="https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-TipoOperatore" /> </element> <element id="PractitionerRole.code.coding.code"> <path value="PractitionerRole.code.coding.code" /> <short value="Codice della tipologia di operatore ADI" /> <definition value="Valore numerico di al più 2 cifre" /> <min value="1" /> <binding> <strength value="required" /> <description value="ValueSet relativo alla tipologia di operatore" /> <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-TipoOperatore" /> </binding> </element> <element id="PractitionerRole.code.coding.display"> <path value="PractitionerRole.code.coding.display" /> <short value="Descrizione della tipologia di operatore ADI" /> <definition value="Stringa alfanumerica di al più 100 caratteri" /> <min value="1" /> </element> </differential> </StructureDefinition>
JSON View
{ "resourceType": "StructureDefinition", "id": "UUID", "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleOperatoreADI", "name": "RLPractitionerRoleOperatoreADI", "status": "active", "description": "Profilo contentente le tipologie di operatori ADI", "keyword": [ { "system": "https://fhir.siss.regione.lombardia.it/CodeSystem/Tag", "code": "C-DOM" } ], "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "PractitionerRole", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "derivation": "constraint", "differential": { "element": [ { "id": "PractitionerRole.id", "path": "PractitionerRole.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": "PractitionerRole.meta", "path": "PractitionerRole.meta", "short": "Metadati della risorsa", "min": 1 }, { "id": "PractitionerRole.meta.versionId", "path": "PractitionerRole.meta.versionId", "short": "Versione della risorsa", "min": 1 }, { "id": "PractitionerRole.meta.lastUpdated", "path": "PractitionerRole.meta.lastUpdated", "short": "Data e ora di ultimo aggiornamento dell risorsa", "definition": "Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz", "min": 1 }, { "id": "PractitionerRole.meta.profile", "path": "PractitionerRole.meta.profile", "short": "Profilo al quale la risorsa si riferisce", "min": 1, "max": "1", "fixedCanonical": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleOperatoreADI" }, { "id": "PractitionerRole.extension:dettagliAttivazionePercorsoCure", "path": "PractitionerRole.extension", "sliceName": "dettagliAttivazionePercorsoCure", "short": "Riferimento ai dettagli dell'attivazione del percorso di cure domiciliari dove l'operatore sanitario fornirà assistenza", "max": "1", "type": [ { "code": "Extension", "profile": [ "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleDettagliAttivazionePercorsoCure" ] } ], "isModifier": false }, { "id": "PractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference", "path": "PractitionerRole.extension.value[x].reference", "short": "Riferimento ai dettagli del percorso di cure domiciliari dove è stata inserita la figura professionale.", "definition": "Reference al profilo RLServiceRequestServiziSocioAssistenziali contenente i dettagli del percorso di cure domiciliari", "comment": "Il dato è detenuto dal SGDT", "type": [ { "code": "string", "profile": [ "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestServiziSocioAssistenziali" ] } ] }, { "id": "PractitionerRole.extension:dettagliAttivazionePercorsoCure.value[x].reference.performer", "path": "PractitionerRole.extension.value[x].reference.performer", "slicing": { "discriminator": [ { "type": "value", "path": "reference" } ], "rules": "open" } }, { "id": "PractitionerRole.extension:numeroAccessi", "path": "PractitionerRole.extension", "sliceName": "numeroAccessi", "short": "Numero di accessi pianificati per l'operatore sanitario rispetto al percorso di cure domiciliari in cui è coinvolto", "max": "1", "type": [ { "code": "Extension", "profile": [ "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleNumeroAccessi" ] } ], "isModifier": false }, { "id": "PractitionerRole.extension:numeroAccessi.value[x]", "path": "PractitionerRole.extension.value[x]", "short": "Numero di accessi pianificati per l'operatore sanitario rispetto al percorso di cure domiciliari in cui è coinvolto", "definition": "Valore numerico di al più 3 cifre", "comment": "Il dato è detenuto dal SGDT" }, { "id": "PractitionerRole.code", "path": "PractitionerRole.code", "short": "Codice e descrizione della tipologia di operatore ADI", "comment": "Per il dettaglio esaustivo della codifica consultare la Tabella delle tipologie degli operatori ADI contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide.", "min": 1, "max": "1" }, { "id": "PractitionerRole.code.coding", "path": "PractitionerRole.code.coding", "short": "Codice e descrizione della tipologia di operatore ADI", "comment": "Per il dettaglio esaustivo della codifica consultare la Tabella delle tipologie degli operatori ADI contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide.", "min": 1, "max": "1" }, { "id": "PractitionerRole.code.coding.system", "path": "PractitionerRole.code.coding.system", "min": 1, "fixedUri": "https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-TipoOperatore" }, { "id": "PractitionerRole.code.coding.code", "path": "PractitionerRole.code.coding.code", "short": "Codice della tipologia di operatore ADI", "definition": "Valore numerico di al più 2 cifre", "min": 1, "binding": { "strength": "required", "description": "ValueSet relativo alla tipologia di operatore", "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-TipoOperatore" } }, { "id": "PractitionerRole.code.coding.display", "path": "PractitionerRole.code.coding.display", "short": "Descrizione della tipologia di operatore ADI", "definition": "Stringa alfanumerica di al più 100 caratteri", "min": 1 } ] } }
Tipologie di ricerca
Attualmente non sono stati definiti criteri di ricerca.
Search parameter
Attualmente non sono definiti Search Parameters oltre quelli previsti dallo standard per la risorsa PractitionerRole.
ValueSet
Nella seguente tabella sono elencati i value set relativi al profilo RLPractitionerRoleOperatoreADI:
Nome | Descrizione | Riferimento al dettaglio della codifica | |
---|---|---|---|
code | Codice e descrizione della tipologia di operatore ADI | Codifica delle qualifiche dei medici prescrittori | La codifica è definita dal ValueSet SIAD Tipologia Operatori ADI |