{ "resourceType": "StructureDefinition", "url": "https://eng.it/fhir/StructureDefinition/Patient_Eng", "name": "Patient_Eng", "status": "draft", "date": "2024-12-18T16:00:29.9104527+00:00", "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "Patient", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient", "derivation": "constraint", "snapshot": { "element": [ { "id": "Patient", "path": "Patient", "short": "Informazioni su un individuo o su un animale che riceve servizi di assistenza sanitaria.", "definition": "Informazioni demografiche e altre informazioni amministrative su un individuo o su un animale che riceve cure o altri servizi sanitari.", "alias": [ "SubjectOfCare Client Resident" ], "min": 0, "max": "*", "base": { "path": "Patient", "min": 0, "max": "*" }, "constraint": [ { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-3", "severity": "error", "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource", "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()", "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." } ], "key": "dom-6", "severity": "warning", "human": "A resource should have narrative for robust management", "expression": "text.`div`.exists()", "xpath": "exists(f:text/h:div)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-5", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a security label", "expression": "contained.meta.security.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:security))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "Patient[classCode=PAT]" }, { "identity": "cda", "map": "ClinicalDocument.recordTarget.patientRole" } ] }, { "id": "Patient.id", "path": "Patient.id", "short": "Id logico di questo artefatto.", "definition": "Identifica la risorsa all’interno del dominio.", "comment": "L'unica volta che una risorsa non ha un id è quando viene inviata al server tramite un'operazione di creazione.", "min": 0, "max": "1", "base": { "path": "Resource.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "isSummary": true }, { "id": "Patient.meta", "path": "Patient.meta", "short": "Metadati sulla risorsa.", "definition": "I metadati sulla risorsa. Si tratta di contenuti mantenuti dall'infrastruttura. Le modifiche al contenuto potrebbero non essere sempre associate alle modifiche di versione della risorsa.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.meta.id", "path": "Patient.meta.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.meta.extension", "path": "Patient.meta.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.meta.versionId", "path": "Patient.meta.versionId", "short": "Identificatore specifico della versione.", "definition": "Contiene l’id della versione dell’ultima modifica della risorsa.", "comment": "Il server assegna questo valore e ignora quello specificato dal client, tranne nel caso in cui il server imponga l'integrità della versione agli aggiornamenti/cancellazioni.", "min": 0, "max": "1", "base": { "path": "Meta.versionId", "min": 0, "max": "1" }, "type": [ { "code": "id" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.meta.lastUpdated", "path": "Patient.meta.lastUpdated", "short": "Quando la versione della risorsa è stata modificata l'ultima volta.", "definition": "Contiene la data, l’ora e il time zone dell’ultima modifica della risorsa.", "comment": "Questo valore è sempre popolato, tranne quando la risorsa viene creata per la prima volta. Il server/gestore delle risorse imposta questo valore; ciò che il client fornisce è irrilevante. È equivalente all'HTTP Last-Modified e dovrebbe avere lo stesso valore in un'interazione [read](http.html#read).", "min": 0, "max": "1", "base": { "path": "Meta.lastUpdated", "min": 0, "max": "1" }, "type": [ { "code": "instant" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.meta.source", "path": "Patient.meta.source", "short": "Identifies where the resource comes from", "definition": "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) 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.", "comment": "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. \n\nThis 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.", "min": 0, "max": "1", "base": { "path": "Meta.source", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.meta.profile", "path": "Patient.meta.profile", "short": "Profiles this resource claims to conform to", "definition": "A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).", "comment": "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.", "min": 0, "max": "*", "base": { "path": "Meta.profile", "min": 0, "max": "*" }, "type": [ { "code": "canonical", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/StructureDefinition" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.meta.security", "path": "Patient.meta.security", "short": "Security Labels applied to this resource", "definition": "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.", "comment": "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.", "min": 0, "max": "*", "base": { "path": "Meta.security", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "SecurityLabels" } ], "strength": "extensible", "description": "Security Labels from the Healthcare Privacy and Security Classification System.", "valueSet": "http://hl7.org/fhir/ValueSet/security-labels" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" } ] }, { "id": "Patient.meta.tag", "path": "Patient.meta.tag", "short": "Tags applied to this resource", "definition": "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.", "comment": "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.", "min": 0, "max": "*", "base": { "path": "Meta.tag", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Tags" } ], "strength": "example", "description": "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\".", "valueSet": "http://hl7.org/fhir/ValueSet/common-tags" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" } ] }, { "id": "Patient.implicitRules", "path": "Patient.implicitRules", "short": "A set of rules under which this content was created", "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.", "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.", "min": 0, "max": "1", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.language", "path": "Patient.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" } ], "strength": "preferred", "description": "A human language.", "valueSet": "http://hl7.org/fhir/ValueSet/languages" }, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.text", "path": "Patient.text", "short": "Text summary of the resource, for human interpretation", "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "rim", "map": "Act.text?" } ] }, { "id": "Patient.contained", "path": "Patient.contained", "short": "Contained, inline Resources", "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.extension", "path": "Patient.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base della risorsa. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.extension:detention", "path": "Patient.extension", "sliceName": "detention", "short": "Regime di detenzione.", "definition": "Estensione di tipo boolean contenente l’informazione aggiuntiva sull’eventuale regime di detenzione del paziente.", "comment": "Valorizzare a true nel caso di detenzione, false nel caso contrario.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-detention" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.extension:poverty", "path": "Patient.extension", "sliceName": "poverty", "short": "Indigenza paziente.", "definition": "Estensione di tipo boolean contenente l’informazione aggiuntiva sull’eventuale indigenza del paziente.", "comment": "Settata a true nel caso in cui il paziente si trova in una situazione d'indigenza, false nel caso contrario.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-poverty" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.extension:unknown", "path": "Patient.extension", "sliceName": "unknown", "short": "Paziente sconosciuto.", "definition": "Estensione di tipo boolean che consente di inserire un flag a true nel caso in cui il paziente è sconosciuto.", "comment": "Settata a true quando il paziente è sconosciuto, false in caso contrario.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-unknown" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.extension:CFquality", "path": "Patient.extension", "sliceName": "CFquality", "short": "Indica se il CF è noto alla codifica SOGEI.", "definition": "Estensione di tipo composta che consente di indicare se il CF è noto alla codifica SOGEI.", "comment": "Estensione utilizzata nel contesto specifico delle integrazioni con RFC TOSCANA.\r\n\r\n* url: quality --> di tipo CodeableConcept rappresenta la codifica relativa alla qualità del CF.\r\n\r\n* url: qualityTrait --> di tipo CodeableConcept rappresenta un indicatore qualità dei dati anagrafici.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-CFQuality" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "Quest'estensione può contenere come url secondarie: 'quality' e 'qualityTrait'", "expression": "extension.select(url='quality' or url='qualityTrait').allTrue()", "source": "http://cct.eng.it/FHIR/schema/patient-CFQuality" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.extension:profession", "path": "Patient.extension", "sliceName": "profession", "short": "Professione paziente.", "definition": "Estensione di tipo CodeableConcept che consente di inserire l’informazione sulla professione del paziente.", "comment": "L'informazione è correlata ad un sistema di codifica aziendale: \"http://cct.eng.it/FHIR/schema/patient-professionCode\".", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-profession" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.extension:qualification", "path": "Patient.extension", "sliceName": "qualification", "short": "Qualifica paziente.", "definition": "Estensione di tipo CodeableConcept utilizzata per contenere la codifica relativa alle informazioni riguardanti il titolo di studi.", "comment": "I valori ammessi sono: \r\n\r\n* 1 = Nessuno,\r\n\r\n* 2 = Licenza elementare,\r\n\r\n* 3 = Licenza media inferiore,\r\n\r\n* 4 = Diploma media superiore,\r\n\r\n* 5 = Diploma universitario,\r\n\r\n* 6 = Laurea.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-qualification" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.extension:employment-status", "path": "Patient.extension", "sliceName": "employment-status", "short": "Stato occupazionale", "definition": "Estensione di tipo CodeableConcept contenente lo stato occupazionale del paziente.", "comment": "Valorizzare con:\r\n\n* Code: \"1\" --> Display: \"STUDENTE\";\r\n\r\n* Code: \"2\" --> Display: \"RELIGIOSO\";\r\n\r\n* Code: \"3\" --> Display: \"DISOCCUPATO\";\r\n\r\n* Code: \"4\" --> Display: \"ALTRA CONDIZIONE (PENSIONATO, INABILE, ETC) \";\r\n\r\n* Code: \"5\" --> Display: \"IMPRENDITORE O LIBERO PROFESSIONISTA\";\r\n\r\n* Code: \"6\" --> Display: \"ALTRO LAVORO AUTONOMO\";\r\n\r\n* Code: \"7\" --> Display: \"LAVORATORE DIPENDENTE: DIRIGENTE O DIRETTIVO\";\r\n\r\n* Code: \"8\" --> Display: \"8 LAVORATORE DIPENDENTE: IMPIEGATO\";\r\n\r\n* Code: \"9\" --> Display: \"LAVORATORE DIPENDENTE: OPERAIO\";\r\n\r\n* Code: \"10\" --> Display: \"ALTRO LAVORATORE\".", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-employment-status" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.extension:category", "path": "Patient.extension", "sliceName": "category", "short": "Categoria paziente.", "definition": "Estensione di tipo CodeableConcept che consente di inserire la codifica utile ad indicare la categoria di appartenenza del paziente.", "comment": "L'informazione è codifica tramite un system aziendale: \"http://cct.eng.it/FHIR/schema/patient-categoryCode\".", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-category" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.extension:citizenship", "path": "Patient.extension", "sliceName": "citizenship", "short": "Cittadinanza", "definition": "Estensione composta che consente di definire la codifica relativa alla cittadinanza del paziente e il periodo di validità della stessa.", "comment": "In particolare:\r\n\r\n* url: \"code\" --> di tipo CodeableConcept, consente di specificare la codifica della cittadinanza.\r\n\r\n* url: \"period\" --> di tipo Period, consente di specificare il periodo di validità della cittadinanza.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/patient-citizenship" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "Quest'estensione può contenere come url secondarie: 'code' e 'period'", "expression": "extension.select(url='code' or url='period').allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/patient-citizenship" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.extension:birthPlace", "path": "Patient.extension", "sliceName": "birthPlace", "short": "Luogo di nascita.", "definition": "Estensione di tipo Address che permette di inserire le informazioni relative al luogo di nascita del paziente.", "comment": "Nelle voci city, district, state e country è possibile inserire ulteriori informazioni sfruttando l'estensione iso21090-sc.\r\n\r\nIn city è possibile aggiungere il codice catastale e il codice ISTAT comunale.\r\n\r\nIn district la sigla della provincia e il codice ISTAT.\r\n\r\nIn state il codice ISTAT regionale.\r\n\r\nIn country il codice ISTAT dello stato.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/patient-birthPlace" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.extension:certificazioni", "path": "Patient.extension", "sliceName": "certificazioni", "short": "Livello certificazione dati anagrafici.", "definition": "Estensione di tipo composta contenente l'informazione sul livello di certificazione dei dati anagrafici, usata per indicare che l’informazione associata è stata certificata (o autocertificata) da una certa entità (persona, organizzazione).", "comment": "Estensione ereditata da hl7 italia, ed estesa con l'estensione con url= flag per esplicitare il livello di certificazione.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-cert" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "Quest'estensione può contenere come url secondarie: 'when', 'who', 'rank' e 'flag'", "expression": "extension.select(url='when' or url='who' or url='rank' or url='flag').allTrue()", "source": "http://cct.eng.it/FHIR/schema/patient-cert" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.extension:military-data", "path": "Patient.extension", "sliceName": "military-data", "short": "Dati militari.", "definition": "Estensione composta contente informazioni aggiuntive riguardanti i dati militari.", "comment": "In particolare l'estensione è composta da: \r\n\r\n* url: \"military-command\" --> di tipo Coding, consente di inserire la codifica relativa al comando di appartenenza.\r\n\r\n* url: \"armed-force\" --> di tipo Coding, consente di inserire la codifica relativa alla forza armata.\r\n\r\n* url: \"armed-force-rank\" --> di tipo Coding, consente di inserire la codifica relativa ai gradi della forza armata.\r\n\r\n* url: \"armed-force-administration\" --> di tipo Coding, consente di inserire la codifica relativa all'amministrazione della forza armata.\r\n\r\n* url: \"entitled-subject\" --> Estensione di tipo composta, consente di inserire i dati dell'avente diritto.\r\n\r\nA sua volta è composta da: \r\n\r\n* url: \"entitled-subject-name\" --> di tipo HumanName, consente di inserire il nome e il cognome dell'avente diritto.\r\n\r\n* url: \"entitled-subject-birthdate\" --> di tipo date, consente di inserire la data di nascita dell'avente diritto.\r\n\r\n* url: \"entitled-subject-gender\" --> di tipo Coding, consente di inserire la codifica relativa al sesso dell'avente diritto.\r\n\r\n* url: \"entitled-subject-birthplace\" --> di tipo Address, consente di inserire l'indirizzo del comune di nascita dell'avente diritto.\r\n\r\n* url: \"entitled-subject-professional-situation\" --> di tipo Coding, consente di inserire la codifica relativa alla posizione professionale dell'avente diritto.\r\n\r\n* url: \"entitled-subject-relationship\" --> di tipo Coding, consente di inserire la codifica relativa al tipo di relazione dell'avente diritto.\r\n\r\n* url: \"entitled-subject-card\" --> Estensione di tipo composta, consente di inserire i dati relativi alla tessera dell'avente diritto.\r\n\r\nA sua volta composta da:\r\n\r\n* url: \"entitled-subject-card-type\" --> di tipo Coding, consente di inserire la codifica relativa al tipo di tessera.\r\n\r\n* url: \"entitled-subject-number\" --> di tipo string, consente di inserire il numero della tessera.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-military-data" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "Quest'estensione può contenere come url secondarie: 'military-command', 'armed-force', 'armed-force-rank', 'armed-force-administration' e 'entitled-subject'.", "expression": "extension.select(url='military-command' or url='armed-force' or url='armed-force-rank' or url='armed-force-administration' or url='entitled-subject' ).allTrue()", "source": "http://cct.eng.it/FHIR/schema/patient-military-data" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.modifierExtension", "path": "Patient.modifierExtension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier", "path": "Patient.identifier", "slicing": { "discriminator": [ { "type": "value", "path": "type.coding.code" } ], "rules": "open" }, "short": "Un identificatore per questo paziente.", "definition": "Elemento di tipo Identifier contenente gli identificativi univoci del paziente.", "requirements": "Ai pazienti vengono quasi sempre assegnati specifici identificatori numerici.", "min": 0, "max": "*", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:tesseraTEAM", "path": "Patient.identifier", "sliceName": "tesseraTEAM", "short": "Identificativo tessera TEAM.", "definition": "Identificativo tessera TEAM.", "comment": "Rappresenta l'identificativo presente sul retro della tessera sanitaria.", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:tesseraTEAM.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:tesseraTEAM.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:tesseraTEAM.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:tesseraTEAM.extension:qualification", "path": "Patient.identifier.extension", "sliceName": "qualification", "short": "Qualifica paziente", "definition": "Estensione di tipo CodeableConcept utilizzata per contenere la codifica relativa alla qualifica del beneficiario della tessera TEAM.", "comment": "I valori ammessi sono: \r\n\r\n* 1 = Nessuno,\r\n\r\n* 2 = Licenza elementare,\r\n\r\n* 3 = Licenza media inferiore,\r\n\r\n* 4 = Diploma media superiore,\r\n\r\n* 5 = Diploma universitario,\r\n\r\n* 6 = Laurea.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-qualification" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:tesseraTEAM.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:tesseraTEAM.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:tesseraTEAM.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:tesseraTEAM.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:tesseraTEAM.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:tesseraTEAM.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:tesseraTEAM.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:tesseraTEAM.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:tesseraTEAM.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:tesseraTEAM.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "TESSERA TEAM", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:tesseraTEAM.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:tesseraTEAM.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:tesseraTEAM.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:tesseraTEAM.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://eng.it/sid/tesseraTEAM", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:tesseraTEAM.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:tesseraTEAM.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo tessera TEAM.", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'Organization tramite il suo id, è possibile referenziare l'Organization che assegna l'identificativo tessera TEAM attraverso una Reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner.id", "path": "Patient.identifier.assigner.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner.extension", "path": "Patient.identifier.assigner.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner.reference", "path": "Patient.identifier.assigner.reference", "short": "Literal reference, Relative, internal or absolute URL", "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 0, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner.type", "path": "Patient.identifier.assigner.type", "short": "Type the reference refers to (e.g. \"Patient\")", "definition": "The 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.\n\nThe 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).", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner.identifier", "path": "Patient.identifier.assigner.identifier", "short": "Riferimento logico, quando il riferimento letterale non è noto", "definition": "Un identificatore per la risorsa di destinazione. Si usa quando non c'è modo di fare riferimento all'altra risorsa direttamente, o perché l'entità che rappresenta non è disponibile attraverso un server FHIR, o perché non c'è modo per l'autore della risorsa di convertire un identificatore noto in una posizione effettiva. Non è richiesto che un Reference.identifier punti a qualcosa che sia effettivamente esposto come istanza FHIR, ma DEVE puntare a un concetto aziendale che ci si aspetta sia esposto come istanza FHIR, e tale istanza deve essere di un tipo di risorsa FHIR consentito dal riferimento.", "comment": "Quando viene fornito un identificatore al posto di un riferimento, qualsiasi sistema che elabora il riferimento sarà in grado di risolvere l'identificatore in un riferimento solo se comprende il contesto aziendale in cui l'identificatore è utilizzato. A volte si tratta di un contesto globale (ad esempio, un identificatore nazionale), ma spesso non è così. Per questo motivo, nessuno dei meccanismi utili descritti per lavorare con i riferimenti (ad esempio, concatenamento, inclusione) è possibile, né ci si deve aspettare che i server siano in grado di risolvere il riferimento. I server possono accettare un riferimento basato su un identificatore, risolverlo e/o rifiutarlo - vedere CapabilityStatement.rest.resource.referencePolicy. \r\n\r\nQuando vengono forniti sia un identificatore che un riferimento letterale, si preferisce il riferimento letterale. Le applicazioni che elaborano la risorsa possono, ma non devono, verificare che l'identificatore corrisponda al riferimento letterale.\r\n\r\nLe applicazioni che convertono un riferimento logico in un riferimento letterale possono scegliere di lasciare il riferimento logico presente o di rimuoverlo.\r\n\r\nIl riferimento è inteso per puntare a una struttura che può essere potenzialmente espressa come risorsa FHIR, anche se non è necessario che esista come istanza di risorsa FHIR vera e propria, se non nella misura in cui un'applicazione desidera trovare effettivamente l'oggetto del riferimento. Il contenuto a cui fa riferimento l'identificatore deve soddisfare i vincoli logici implicati da eventuali limitazioni sui tipi di risorsa consentiti per il riferimento. Ad esempio, non sarebbe legittimo inviare l'identificatore di un farmaco pres", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner.identifier.id", "path": "Patient.identifier.assigner.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner.identifier.extension", "path": "Patient.identifier.assigner.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner.identifier.use", "path": "Patient.identifier.assigner.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner.identifier.type", "path": "Patient.identifier.assigner.identifier.type", "short": "Description of identifier", "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment": "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.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner.identifier.system", "path": "Patient.identifier.assigner.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://eng.it/sid/idIstituzione", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner.identifier.value", "path": "Patient.identifier.assigner.identifier.value", "short": "Il valore che è unico", "definition": "La parte dell'identificatore tipicamente rilevante per l'utente e che è unica nel contesto del sistema.", "comment": "Se il valore è un URI completo, il sistema DEVE essere urn:ietf:rfc:3986. Lo scopo principale del valore è la mappatura computazionale. Un valore formattato per la visualizzazione umana può essere trasmesso utilizzando l'estensione [Rendered Value] (extension-rendered-value.html). Identifier.value deve essere trattato come sensibile alle maiuscole e alle minuscole, a meno che la conoscenza del sistema di Identifier.non consenta all'elaboratore di essere sicuro che l'elaborazione non sensibile alle maiuscole sia sicura.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner.identifier.period", "path": "Patient.identifier.assigner.identifier.period", "short": "Time period when id is/was valid for use", "definition": "Time period during which identifier is/was valid for use.", "comment": "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\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner.identifier.assigner", "path": "Patient.identifier.assigner.identifier.assigner", "short": "Organization that issued id (may be just text)", "definition": "Organization that issued/manages the identifier.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.assigner.display", "short": "Alternativa di testo per la risorsa", "definition": "Testo in chiaro che identifica la risorsa oltre al suo riferimento.", "comment": "Valorizzare con la denominazione dell'istituzione.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idTEAM", "path": "Patient.identifier", "sliceName": "idTEAM", "short": "Identificativo TEAM.", "definition": "Identificativo TEAM.", "comment": "Rappresenta il codice fiscale, per gli stranieri è differente.", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:idTEAM.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idTEAM.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idTEAM.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idTEAM.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:idTEAM.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:idTEAM.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idTEAM.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idTEAM.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:idTEAM.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idTEAM.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idTEAM.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:idTEAM.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:idTEAM.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "TEAM", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:idTEAM.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:idTEAM.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:idTEAM.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:idTEAM.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://eng.it/sid/idTEAM", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:idTEAM.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:idTEAM.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo id TEAM.", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:idTEAM.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo id TEAM attraverso una reference per identifier, utilizzando il system:\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio. \r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:idAziendale", "path": "Patient.identifier", "sliceName": "idAziendale", "short": "Identificativo id aziendale.", "definition": "Identificativo id aziendale.", "comment": "ID locale Aziendale, per tutti i soggetti che hanno avuto un contatto con una specifica Azienda.", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:idAziendale.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idAziendale.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idAziendale.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idAziendale.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:idAziendale.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:idAziendale.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idAziendale.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idAziendale.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:idAziendale.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idAziendale.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idAziendale.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:idAziendale.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:idAziendale.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "AZIENDALE", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:idAziendale.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:idAziendale.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:idAziendale.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:idAziendale.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Il system deve rispettare la struttura: \"http://eng.it/sid/[idAziendale]\".", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" }, { "label": "esempio di system", "valueUri": "http://eng.it/sid/idAziendale" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "key-system-2", "severity": "error", "human": "il system deve rispettare la struttura: \"http://eng.it/sid/[idAziendale]\"", "expression": "startsWith('http://eng.it/sid/')", "source": "https://eng.it/fhir/StructureDefinition/Patient_Eng" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:idAziendale.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:idAziendale.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo id Aziendale.", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:idAziendale.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo id Aziendale attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:STP", "path": "Patient.identifier", "sliceName": "STP", "short": "Identificativo STP", "definition": "Identificativo STP.", "comment": "Il codice STP (Straniero Temporaneamente Presente) è lo strumento per l'applicazione del diritto all'assistenza sanitaria da parte dei cittadini extra-UE irregolarmente presenti sul territorio.", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:STP.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:STP.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:STP.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:STP.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:STP.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:STP.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:STP.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:STP.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:STP.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:STP.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:STP.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:STP.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:STP.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "STP", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:STP.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:STP.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:STP.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:STP.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://hl7.it/sid/stp", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:STP.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:STP.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo STP.", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:STP.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo STP attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:ENI", "path": "Patient.identifier", "sliceName": "ENI", "short": "Identificativo ENI", "definition": "Identificativo ENI.", "comment": "Il codice ENI (Europeo Non Iscritto) è lo strumento con cui le Regioni possono garantire l'applicazione del diritto all'assistenza sanitaria da parte dei cittadini dell'Unione europea indigenti irregolarmente presenti sul territorio che non sono iscritti al servizio sanitario nazionale e non sono assicurati dalla cassa estera di competenza.", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:ENI.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:ENI.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ENI.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ENI.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:ENI.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:ENI.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:ENI.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ENI.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:ENI.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:ENI.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ENI.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:ENI.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:ENI.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "ENI", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:ENI.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:ENI.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:ENI.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:ENI.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://hl7.it/sid/eni", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:ENI.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:ENI.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo ENI.", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:ENI.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo ENI attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:AS", "path": "Patient.identifier", "sliceName": "AS", "short": "Identificativo AS.", "definition": "Identificativo AS.", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:AS.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:AS.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:AS.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:AS.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:AS.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:AS.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:AS.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:AS.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:AS.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:AS.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:AS.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:AS.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:AS.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "AS", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:AS.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:AS.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:AS.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:AS.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://eng.it/sid/AS", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:AS.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:AS.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo AS.", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:AS.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo AS attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:PSU", "path": "Patient.identifier", "sliceName": "PSU", "short": "Identificativo PSU.", "definition": "Identificativo PSU.", "comment": "La Regione Emilia Romagna ha disposto che ai titolari di permesso per protezione temporanea sia rilasciato il tesserino sanitario PSU con le medesime caratteristiche del tesserino sanitario STP per stranieri irregolarmente soggiornanti. Il tesserino PSU (Permesso di Soggiorno per motivi Umanitari) riporta dati anagrafici e codice identificativo composto di 16 caratteri, analogo a quello assegnato agli STP, sostituendo le lettere STP con le lettere PSU.", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:PSU.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:PSU.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:PSU.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:PSU.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:PSU.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:PSU.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:PSU.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:PSU.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:PSU.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:PSU.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:PSU.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:PSU.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:PSU.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "PSU", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:PSU.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:PSU.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:PSU.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:PSU.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://eng.it/sid/PSU", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:PSU.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:PSU.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo PSU.", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:PSU.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo PSU attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:ISI", "path": "Patient.identifier", "sliceName": "ISI", "short": "Identificativo ISI.", "definition": "Identificativo ISI.", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:ISI.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:ISI.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ISI.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ISI.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:ISI.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:ISI.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:ISI.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ISI.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:ISI.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:ISI.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ISI.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:ISI.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:ISI.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "ISI", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:ISI.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:ISI.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:ISI.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:ISI.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://eng.it/sid/ISI", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:ISI.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:ISI.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo ISI.", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:ISI.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo ISI attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:CF", "path": "Patient.identifier", "sliceName": "CF", "short": "Identificativo CF.", "definition": "Identificativo CF.", "comment": "Il codice fiscale italiano serve a identificare univocamente le persone fisiche e altri soggetti diversi nei loro rapporti con gli enti e le amministrazioni pubbliche dello Stato italiano.", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:CF.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:CF.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:CF.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:CF.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:CF.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:CF.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:CF.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:CF.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:CF.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:CF.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:CF.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:CF.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:CF.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "CF", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:CF.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:CF.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:CF.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:CF.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://hl7.it/sid/codiceFiscale", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:CF.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:CF.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo CF.", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:CF.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo CF attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:ANPR", "path": "Patient.identifier", "sliceName": "ANPR", "short": "Identificativo ANPR.", "definition": "Identificativo Anagrafe Nazionale della popolazione residente (quando applicabile).", "comment": "Lidentificativo ANPR è attribuito a ogni cittadino italiano all’atto della sua iscrizione all'anagrafe e conseguente registrazione all'interno dell’ANPR (Anagrafe Nazionale).", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:ANPR.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:ANPR.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ANPR.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ANPR.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:ANPR.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:ANPR.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:ANPR.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ANPR.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:ANPR.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:ANPR.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ANPR.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:ANPR.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:ANPR.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "ANPR", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:ANPR.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:ANPR.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:ANPR.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:ANPR.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://hl7.it/sid/anpr", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:ANPR.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:ANPR.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo ANPR.", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:ANPR.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo ANPR attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:idLocale", "path": "Patient.identifier", "sliceName": "idLocale", "short": "Identificativo locale.", "definition": "Identificativo locale.", "comment": "Identificativo locale che permette il collegamento all'identificativo aziendale (contesto PMA).", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:idLocale.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idLocale.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idLocale.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idLocale.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:idLocale.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:idLocale.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idLocale.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idLocale.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:idLocale.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idLocale.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idLocale.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:idLocale.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:idLocale.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "LOCALE", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:idLocale.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:idLocale.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:idLocale.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:idLocale.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://eng.it/sid/localCode", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:idLocale.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:idLocale.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo id Locale.", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:idLocale.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo id Locale attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:idRegionale", "path": "Patient.identifier", "sliceName": "idRegionale", "short": "Identificativo regionale.", "definition": "Identificativo regionale.", "comment": "ID locale Regionale, per tutti i soggetti che hanno avuto un contatto con una specifica Regione.", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:idRegionale.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idRegionale.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idRegionale.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idRegionale.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:idRegionale.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:idRegionale.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idRegionale.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idRegionale.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:idRegionale.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idRegionale.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idRegionale.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:idRegionale.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:idRegionale.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "REGIONALE", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:idRegionale.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:idRegionale.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:idRegionale.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:idRegionale.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Il system deve rispettare la struttura: \"http://eng.it/sid/[nomeRegione]/[nomeAnagrafica]\".", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" }, { "label": "esempio di system", "valueUri": "http://eng.it/sid/nomeRegione/nomeAnagrafica" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "key-system-patient", "severity": "error", "human": "Il system deve rispettare la struttura: \"http://eng.it/sid/[nomeRegione]/[nomeAnagrafica]\"", "expression": "startsWith('http://eng.it/sid/')", "source": "https://eng.it/fhir/StructureDefinition/Patient_Eng" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:idRegionale.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:idRegionale.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo id Regionale.", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:idRegionale.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo id Regionale attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:DOC", "path": "Patient.identifier", "sliceName": "DOC", "short": "Documento d'identità.", "definition": "Documento d'identità.", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:DOC.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:DOC.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:DOC.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:DOC.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:DOC.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:DOC.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:DOC.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:DOC.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:DOC.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:DOC.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:DOC.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:DOC.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:DOC.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistem.a", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "DOC", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:DOC.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:DOC.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:DOC.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:DOC.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://eng.it/sid/docIde", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:DOC.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:DOC.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo Documento d'identità.", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:DOC.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo DOC attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:passaporto", "path": "Patient.identifier", "sliceName": "passaporto", "short": "Passaporto", "definition": "Passaporto.", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:passaporto.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:passaporto.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:passaporto.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "Codifiche località", "definition": "Estensione di tipo Coding utilizzata per valorizzare le codifiche associate ai comuni, alle provincie, alle regioni, agli stati.", "comment": "Sono definiti i seguenti sistemi di codifica: \r\n\r\n* per il codice catastale dei comuni (agenzia dell'entrate): http://terminology.hl7.it/CodeSystem/mef-ae-comuni.\r\n\r\n* per la sigla delle provincie (agenzia delle entrate): http://terminology.hl7.it/CodeSystem/mef-ae-province.\r\n\r\n* per il minsan della regione (ministero della salute): http://terminology.hl7.it/CodeSystem/minsan-regione.\r\n\r\n* per ISTAT relativi ai comuni, alle province e alle regioni: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali. \r\n\r\n* per ISTAT relativi agli Stati: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere.\r\n\r\n* per i codici alpha2 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha2 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-2.\r\n\r\n* per i codici alpha3 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha3 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-3.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:passaporto.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:passaporto.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:passaporto.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:passaporto.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:passaporto.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:passaporto.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:passaporto.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:passaporto.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:passaporto.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:passaporto.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "PASSAPORTO", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:passaporto.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:passaporto.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:passaporto.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:passaporto.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://eng.it/sid/passaporto", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:passaporto.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:passaporto.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Period specifica un intervallo di tempo; il contesto d'uso specificherà se si applica l'intero intervallo (ad esempio, \"il paziente è stato ricoverato in ospedale per questo intervallo di tempo\") o se si applica un valore dell'intervallo (ad esempio, \"la somministrazione al paziente è avvenuta tra questi due momenti\"). Period non è usato per una durata (una misura del tempo trascorso). Vedere [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:passaporto.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo passaporto attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:idAnonimizzazione", "path": "Patient.identifier", "sliceName": "idAnonimizzazione", "short": "idAnonimizzazione", "definition": "idAnonimizzazione", "comment": "Identificativo utilizzato dal servizio regionale, associato ad un paziente di cui si conoscono solo informazioni minimali (es. solo nome e cognome).", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:idAnonimizzazione.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idAnonimizzazione.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idAnonimizzazione.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "Codifiche località", "definition": "Estensione di tipo Coding utilizzata per valorizzare le codifiche associate ai comuni, alle provincie, alle regioni, agli stati.", "comment": "Sono definiti i seguenti sistemi di codifica: \r\n\r\n* per il codice catastale dei comuni (agenzia dell'entrate): http://terminology.hl7.it/CodeSystem/mef-ae-comuni.\r\n\r\n* per la sigla delle provincie (agenzia delle entrate): http://terminology.hl7.it/CodeSystem/mef-ae-province.\r\n\r\n* per il minsan della regione (ministero della salute): http://terminology.hl7.it/CodeSystem/minsan-regione.\r\n\r\n* per ISTAT relativi ai comuni, alle province e alle regioni: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali. \r\n\r\n* per ISTAT relativi agli Stati: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere.\r\n\r\n* per i codici alpha2 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha2 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-2.\r\n\r\n* per i codici alpha3 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha3 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-3.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idAnonimizzazione.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:idAnonimizzazione.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:idAnonimizzazione.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idAnonimizzazione.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idAnonimizzazione.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:idAnonimizzazione.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idAnonimizzazione.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idAnonimizzazione.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:idAnonimizzazione.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:idAnonimizzazione.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "ANONIM", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:idAnonimizzazione.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:idAnonimizzazione.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:idAnonimizzazione.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:idAnonimizzazione.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://eng.it/sid/idAnonim", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:idAnonimizzazione.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:idAnonimizzazione.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Period specifica un intervallo di tempo; il contesto d'uso specificherà se si applica l'intero intervallo (ad esempio, \"il paziente è stato ricoverato in ospedale per questo intervallo di tempo\") o se si applica un valore dell'intervallo (ad esempio, \"la somministrazione al paziente è avvenuta tra questi due momenti\"). Period non è usato per una durata (una misura del tempo trascorso). Vedere [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:idAnonimizzazione.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo id Anonimizzazione attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:eta", "path": "Patient.identifier", "sliceName": "eta", "short": "eta", "definition": "eta", "comment": "L'età del paziente (calcolata dalla data di nascita o migliore approssimazione).", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:eta.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:eta.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:eta.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:eta.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:eta.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:eta.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:eta.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:eta.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:eta.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:eta.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:eta.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:eta.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "ETA", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:eta.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:eta.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:eta.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:eta.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://eng.it/sid/eta", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:eta.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:eta.period", "path": "Patient.identifier.period", "short": "Time period when id is/was valid for use", "definition": "Time period during which identifier is/was valid for use.", "comment": "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\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:eta.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo un testo).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo eta attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:idEMS", "path": "Patient.identifier", "sliceName": "idEMS", "short": "idEMS", "definition": "idEMS", "comment": "Identificativo per il paziente all'interno dell'organizzazione EMS (sistema emergenziale per integrazione 118).", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:idEMS.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idEMS.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idEMS.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:idEMS.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:idEMS.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idEMS.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idEMS.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:idEMS.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:idEMS.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:idEMS.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:idEMS.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:idEMS.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "EMS", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:idEMS.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:idEMS.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:idEMS.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:idEMS.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://eng.it/sid/idEms", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:idEMS.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:idEMS.period", "path": "Patient.identifier.period", "short": "Time period when id is/was valid for use", "definition": "Time period during which identifier is/was valid for use.", "comment": "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\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:idEMS.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo un testo).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo id EMS attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.identifier:ANA", "path": "Patient.identifier", "sliceName": "ANA", "short": "Identificativo ANA", "definition": "Identificativo ANA (Anagrafica Nazionale degli Assistiti).", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "1", "base": { "path": "Patient.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" } ] }, { "id": "Patient.identifier:ANA.id", "path": "Patient.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:ANA.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ANA.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "Codifiche località", "definition": "Estensione di tipo Coding utilizzata per valorizzare le codifiche associate ai comuni, alle provincie, alle regioni, agli stati.", "comment": "Sono definiti i seguenti sistemi di codifica: \r\n\r\n* per il codice catastale dei comuni (agenzia dell'entrate): http://terminology.hl7.it/CodeSystem/mef-ae-comuni.\r\n\r\n* per la sigla delle provincie (agenzia delle entrate): http://terminology.hl7.it/CodeSystem/mef-ae-province.\r\n\r\n* per il minsan della regione (ministero della salute): http://terminology.hl7.it/CodeSystem/minsan-regione.\r\n\r\n* per ISTAT relativi ai comuni, alle province e alle regioni: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali. \r\n\r\n* per ISTAT relativi agli Stati: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere.\r\n\r\n* per i codici alpha2 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha2 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-2.\r\n\r\n* per i codici alpha3 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha3 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-3.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ANA.use", "path": "Patient.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:ANA.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.identifier:ANA.type.id", "path": "Patient.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:ANA.type.extension", "path": "Patient.identifier.type.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ANA.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.identifier:ANA.type.coding.id", "path": "Patient.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.identifier:ANA.type.coding.extension", "path": "Patient.identifier.type.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.identifier:ANA.type.coding.system", "path": "Patient.identifier.type.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.identifier:ANA.type.coding.version", "path": "Patient.identifier.type.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.identifier:ANA.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "ANA", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.identifier:ANA.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.identifier:ANA.type.coding.userSelected", "path": "Patient.identifier.type.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.identifier:ANA.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.identifier.type.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.identifier:ANA.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://eng.it/sid/ANA", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.identifier:ANA.value", "path": "Patient.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.identifier:ANA.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Period specifica un intervallo di tempo; il contesto d'uso specificherà se si applica l'intero intervallo (ad esempio, \"il paziente è stato ricoverato in ospedale per questo intervallo di tempo\") o se si applica un valore dell'intervallo (ad esempio, \"la somministrazione al paziente è avvenuta tra questi due momenti\"). Period non è usato per una durata (una misura del tempo trascorso). Vedere [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.identifier:ANA.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo id Anonimizzazione attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.active", "path": "Patient.active", "short": "Se il record del paziente è in uso attivo.", "definition": "Elemento di tipo boolean che definisce se l'identità è attiva o storico.", "comment": "Se un record è inattivo e collegato a un record attivo, i futuri aggiornamenti del paziente/registro devono riguardare l'altro paziente.", "requirements": "Need to be able to mark a patient record as not to be used because it was created in error.", "min": 0, "max": "1", "base": { "path": "Patient.active", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "meaningWhenMissing": "This resource is generally assumed to be active if no value is provided for the active element", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "w5", "map": "FiveWs.status" }, { "identity": "rim", "map": "statusCode" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.name", "path": "Patient.name", "short": "Un nome associato al paziente.", "definition": "Elemento di tipo HumanName che contiene il nome del paziente.", "comment": "Un paziente può avere più nomi con usi o periodi di applicazione diversi. Per gli animali, il nome è un \"HumanName\" nel senso che viene assegnato e utilizzato dagli esseri umani e ha gli stessi schemi.", "requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.", "min": 0, "max": "*", "base": { "path": "Patient.name", "min": 0, "max": "*" }, "type": [ { "code": "HumanName" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XPN" }, { "identity": "rim", "map": "EN (actually, PN)" }, { "identity": "servd", "map": "ProviderName" }, { "identity": "v2", "map": "PID-5, PID-9" }, { "identity": "rim", "map": "name" }, { "identity": "cda", "map": ".patient.name" } ] }, { "id": "Patient.name.id", "path": "Patient.name.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.name.extension", "path": "Patient.name.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.name.use", "path": "Patient.name.use", "short": "usual | official | temp | nickname | anonymous | old | maiden", "definition": "Identifies the purpose for this name.", "comment": "Applications can assume that a name is current unless it explicitly says that it is temporary or old.", "requirements": "Allows the appropriate name for a particular context of use to be selected from among a set of names.", "min": 0, "max": "1", "base": { "path": "HumanName.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "NameUse" } ], "strength": "required", "description": "The use of a human name.", "valueSet": "http://hl7.org/fhir/ValueSet/name-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XPN.7, but often indicated by which field contains the name" }, { "identity": "rim", "map": "unique(./use)" }, { "identity": "servd", "map": "./NamePurpose" } ] }, { "id": "Patient.name.text", "path": "Patient.name.text", "short": "Text representation of the full name", "definition": "Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.", "comment": "Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.", "requirements": "A renderable, unencoded form.", "min": 0, "max": "1", "base": { "path": "HumanName.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "implied by XPN.11" }, { "identity": "rim", "map": "./formatted" } ] }, { "id": "Patient.name.family", "path": "Patient.name.family", "short": "Cognome", "definition": "Elemento che contiene il cognome del paziente a cui si riferisce il documento.", "comment": "Il nome della famiglia può essere scomposto in parti specifiche utilizzando le estensioni (de, nl, es culture correlate).", "alias": [ "surname" ], "min": 0, "max": "1", "base": { "path": "HumanName.family", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XPN.1/FN.1" }, { "identity": "rim", "map": "./part[partType = FAM]" }, { "identity": "servd", "map": "./FamilyName" } ] }, { "id": "Patient.name.given", "path": "Patient.name.given", "short": "Nome", "definition": "Elemento che contiene il nome del paziente (non solo il nome principale).", "comment": "Se sono registrate solo le iniziali, queste possono essere utilizzate al posto delle parti del nome completo. Le iniziali possono essere separate in più nomi, ma spesso non lo sono a causa di limitazioni parattiche. Questo elemento non è chiamato \"nome\" poiché i nomi non vengono sempre prima.", "alias": [ "first name", "middle name" ], "min": 0, "max": "*", "base": { "path": "HumanName.given", "min": 0, "max": "*" }, "type": [ { "code": "string" } ], "orderMeaning": "Given Names appear in the correct order for presenting the name", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XPN.2 + XPN.3" }, { "identity": "rim", "map": "./part[partType = GIV]" }, { "identity": "servd", "map": "./GivenNames" } ] }, { "id": "Patient.name.prefix", "path": "Patient.name.prefix", "short": "Prefisso", "definition": "Elemento che compare prima del nome.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "min": 0, "max": "*", "base": { "path": "HumanName.prefix", "min": 0, "max": "*" }, "type": [ { "code": "string" } ], "orderMeaning": "Prefixes appear in the correct order for presenting the name", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XPN.5" }, { "identity": "rim", "map": "./part[partType = PFX]" }, { "identity": "servd", "map": "./TitleCode" } ] }, { "id": "Patient.name.suffix", "path": "Patient.name.suffix", "short": "Suffisso", "definition": "Elemento che compare dopo il nome.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "min": 0, "max": "*", "base": { "path": "HumanName.suffix", "min": 0, "max": "*" }, "type": [ { "code": "string" } ], "orderMeaning": "Suffixes appear in the correct order for presenting the name", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XPN/4" }, { "identity": "rim", "map": "./part[partType = SFX]" } ] }, { "id": "Patient.name.period", "path": "Patient.name.period", "short": "Time period when name was/is in use", "definition": "Indicates the period of time when this name was valid for the named person.", "comment": "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\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "requirements": "Allows names to be placed in historical context.", "min": 0, "max": "1", "base": { "path": "HumanName.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "XPN.13 + XPN.14" }, { "identity": "rim", "map": "./usablePeriod[type=\"IVL\"]" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.telecom", "path": "Patient.telecom", "short": "Un recapito per contattare l'individuo.", "definition": "Elemento tipo ContactPoint che contiene i riferimenti di contatto del paziente.", "comment": "Un paziente può avere più modi per essere contattato con usi o periodi diversi. Potrebbe essere necessario disporre di opzioni per contattare la persona con urgenza e anche per aiutarla nell'identificazione. L'indirizzo potrebbe non arrivare direttamente alla persona, ma potrebbe raggiungere un altro soggetto in grado di delegare il paziente (ad esempio, il telefono di casa o il telefono del proprietario dell'animale domestico).", "requirements": "People have (primary) ways to contact them in some way such as phone, email.", "min": 0, "max": "*", "base": { "path": "Patient.telecom", "min": 0, "max": "*" }, "type": [ { "code": "ContactPoint" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "cpt-2", "severity": "error", "human": "A system is required if a value is provided.", "expression": "value.empty() or system.exists()", "xpath": "not(exists(f:value)) or exists(f:system)", "source": "http://hl7.org/fhir/StructureDefinition/ContactPoint" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XTN" }, { "identity": "rim", "map": "TEL" }, { "identity": "servd", "map": "ContactPoint" }, { "identity": "v2", "map": "PID-13, PID-14, PID-40" }, { "identity": "rim", "map": "telecom" }, { "identity": "cda", "map": ".telecom" } ] }, { "id": "Patient.telecom.id", "path": "Patient.telecom.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.telecom.extension", "path": "Patient.telecom.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.telecom.system", "path": "Patient.telecom.system", "short": "phone | fax | email | pager | url | sms | other", "definition": "Elemento che definisce il tipo di contatto.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "min": 0, "max": "1", "base": { "path": "ContactPoint.system", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1", "cpt-2" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ContactPointSystem" } ], "strength": "required", "description": "Telecommunications form for contact point.", "valueSet": "http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XTN.3" }, { "identity": "rim", "map": "./scheme" }, { "identity": "servd", "map": "./ContactPointType" } ] }, { "id": "Patient.telecom.value", "path": "Patient.telecom.value", "short": "Campo in cui inserire il valore.", "definition": "Elemento che contiene il riferimento del contatto.", "comment": "A volte nel valore sono inclusi dati di testo aggiuntivi, come numeri di estensione del telefono o note sull'uso del contatto.", "requirements": "Need to support legacy numbers that are not in a tightly controlled format.", "min": 0, "max": "1", "base": { "path": "ContactPoint.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XTN.1 (or XTN.12)" }, { "identity": "rim", "map": "./url" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.telecom.use", "path": "Patient.telecom.use", "short": "home | work | temp | old | mobile - purpose of this contact point", "definition": "Elemento che definisce l’uso del contatto.", "comment": "Le applicazioni possono presumere che un contatto sia attuale, a meno che non sia esplicitamente indicato che è temporaneo o vecchio.", "requirements": "Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.", "min": 0, "max": "1", "base": { "path": "ContactPoint.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old contact etc.for a current/permanent one", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ContactPointUse" } ], "strength": "required", "description": "Use of contact point.", "valueSet": "http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XTN.2 - but often indicated by field" }, { "identity": "rim", "map": "unique(./use)" }, { "identity": "servd", "map": "./ContactPointPurpose" } ] }, { "id": "Patient.telecom.rank", "path": "Patient.telecom.rank", "short": "Specify preferred order of use (1 = highest)", "definition": "Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.", "comment": "Note that rank does not necessarily follow the order in which the contacts are represented in the instance.", "min": 0, "max": "1", "base": { "path": "ContactPoint.rank", "min": 0, "max": "1" }, "type": [ { "code": "positiveInt" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "n/a" } ] }, { "id": "Patient.telecom.period", "path": "Patient.telecom.period", "short": "Time period when the contact point was/is in use", "definition": "Time period when the contact point was/is in use.", "comment": "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\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "ContactPoint.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "./usablePeriod[type=\"IVL\"]" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.gender", "path": "Patient.gender", "short": "male | female | other | unknown", "definition": "Elemento codificato per il sesso del paziente.", "comment": "Il genere potrebbe non corrispondere al sesso biologico determinato dalla genetica o dall'identificazione preferita dall'individuo. Si noti che sia per gli esseri umani che, in particolare, per gli animali, esistono altre possibilità legittime oltre a quella di maschio e femmina, anche se la stragrande maggioranza dei sistemi e dei contesti supporta solo maschio e femmina. I sistemi che forniscono supporto decisionale o applicano le regole aziendali dovrebbero idealmente farlo sulla base di osservazioni che riguardano il sesso specifico o l'aspetto del genere di interesse (anatomico, cromosomico, sociale, ecc.). Tuttavia, poiché queste osservazioni sono registrate di rado, la prassi comune è quella di assegnare il genere amministrativo. Laddove si verifica tale impostazione predefinita, l'applicazione delle regole deve consentire la variazione tra gli aspetti amministrativi e quelli biologici, cromosomici e di altro genere. Ad esempio, un avviso relativo a un'isterectomia su un uomo dovrebbe essere gestito come un avvertimento o un errore escludibile, e non come un errore \"duro\". Per ulteriori informazioni sulla comunicazione del sesso e del genere del paziente, consultare la sezione Genere e sesso del paziente.", "requirements": "Needed for identification of the individual, in combination with (at least) name and birth date.", "min": 0, "max": "1", "base": { "path": "Patient.gender", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "AdministrativeGender" } ], "strength": "required", "description": "The gender of a person used for administrative purposes.", "valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "PID-8" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" }, { "identity": "cda", "map": ".patient.administrativeGenderCode" } ] }, { "id": "Patient.birthDate", "path": "Patient.birthDate", "short": "La data di nascita dell'individuo.", "definition": "Elemento di tipo date che veicola la data di nascita del paziente.", "comment": "Se la data di nascita reale non è nota, si dovrebbe fornire almeno un anno stimato. Esiste un'estensione standard \"patient-birthTime\", che dovrebbe essere usata quando è richiesta l'ora (ad esempio nei sistemi di assistenza alla maternità/infanzia).", "requirements": "Age of the individual drives many clinical processes.", "min": 0, "max": "1", "base": { "path": "Patient.birthDate", "min": 0, "max": "1" }, "type": [ { "code": "date" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "PID-7" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime" }, { "identity": "cda", "map": ".patient.birthTime" }, { "identity": "loinc", "map": "21112-8" } ] }, { "id": "Patient.deceased[x]", "path": "Patient.deceased[x]", "short": "Indica se l'individuo è deceduto o meno.", "definition": "Contiene l’eventuale data e ora in cui è avvenuto il decesso tramite elemento di tipo dateTime. L'elemento deve essere presente se e solo se la persone appartiene alla categoria dei deceduti.", "comment": "Se non c'è alcun valore nell'istanza, significa che non c'è alcuna dichiarazione sul fatto che l'individuo sia o meno deceduto. La maggior parte dei sistemi interpreta l'assenza di un valore come un segno che la persona è viva.", "requirements": "The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.", "min": 0, "max": "1", "base": { "path": "Patient.deceased[x]", "min": 0, "max": "1" }, "type": [ { "code": "boolean" }, { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "PID-30 (bool) and PID-29 (datetime)" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.deceased[x].id", "path": "Patient.deceased[x].id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.deceased[x].extension", "path": "Patient.deceased[x].extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.deceased[x].extension:deceased", "path": "Patient.deceased[x].extension", "sliceName": "deceased", "short": "Informazioni aggiuntive al decesso.", "definition": "Estensione di tipo composta che consente di inserire il codice relativo alla causa del decesso e il luogo del decesso.", "comment": "In particolare:\r\n\r\nurl: code --> di tipo CodeableConcept, consente di inserire la codifica relativa alla motivazione del decesso.\r\n\r\nurl: place --> di tipo Address, consente di inserire le informazioni relative al luogo del decesso.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-deceased" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "Quest'estensione può contenere come url secondarie: 'code' e 'place'", "expression": "extension.select(url='code' or url='place').allTrue()", "source": "http://cct.eng.it/FHIR/schema/patient-deceased" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.address", "path": "Patient.address", "short": "Un indirizzo per l'individuo.", "definition": "Elemento tipo Address che contiene l’indirizzo.", "comment": "Il paziente può avere più indirizzi con usi diversi o periodi applicabili.", "requirements": "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.", "min": 0, "max": "*", "base": { "path": "Patient.address", "min": 0, "max": "*" }, "type": [ { "code": "Address" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XAD" }, { "identity": "rim", "map": "AD" }, { "identity": "servd", "map": "Address" }, { "identity": "v2", "map": "PID-11" }, { "identity": "rim", "map": "addr" }, { "identity": "cda", "map": ".addr" } ] }, { "id": "Patient.address.id", "path": "Patient.address.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.address.extension", "path": "Patient.address.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.address.extension:addressOfficial", "path": "Patient.address.extension", "sliceName": "addressOfficial", "short": "Indirizzo ufficiale", "definition": "Estensione di tipo boolean utilizzata per poter distinguere l'indirizzo di domicilio da quello di residenza.", "comment": "Viene settata a true, per indicare la residenza in combinazione con address.use (use= home).", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/address-official" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.address.extension:addressType", "path": "Patient.address.extension", "sliceName": "addressType", "short": "Informazioni aggiuntive indirizzo.", "definition": "Estensione di tipo CodeableConcept che definisce la tipologia di indirizzo da utilizzare SOLO nel caso in cui è necessario inserire le informazioni su:\r\n\r\n* immigrazione;\r\n\r\n* emigrazione.", "comment": "Il code può contere solo:\r\n\r\n'immigrazione' o 'emigrazione'.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-addressType" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "type-1", "severity": "error", "human": "il code può contenere solo uno di questi valori", "expression": "select(valueCodeableConcept.coding.code= 'immigrazione' or valueCodeableConcept.coding.code= 'emigrazione').allTrue()", "source": "http://cct.eng.it/FHIR/schema/patient-addressType" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.address.extension:addressNeighborhood", "path": "Patient.address.extension", "sliceName": "addressNeighborhood", "short": "Quartiere", "definition": "Estensione di tipo CodeableConcept.", "comment": "Estensione di tipo CodeableConcept che specifica il quartiere.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-addressNeighborhood" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.address.use", "path": "Patient.address.use", "short": "home | work | temp | old | billing - purpose of this address", "definition": "Elemento che definisce l’uso dell’indirizzo.", "comment": "Valorizzare con:\r\n\r\n* home per domicilio e residenza;\r\n\r\n* temp per indirizzo di reperibilità.", "requirements": "Allows an appropriate address to be chosen from a list of many.", "min": 0, "max": "1", "base": { "path": "Address.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "example": [ { "label": "General", "valueCode": "home" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "AddressUse" } ], "strength": "required", "description": "The use of an address.", "valueSet": "http://hl7.org/fhir/ValueSet/address-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XAD.7" }, { "identity": "rim", "map": "unique(./use)" }, { "identity": "servd", "map": "./AddressPurpose" } ] }, { "id": "Patient.address.type", "path": "Patient.address.type", "short": "postal | physical | both", "definition": "Distingue tra indirizzi fisici (quelli che si possono visitare) e indirizzi postali (ad esempio caselle postali e indirizzi di assistenza). La maggior parte degli indirizzi sono entrambi.", "comment": "La definizione di Indirizzo afferma che \"l'indirizzo è inteso per descrivere indirizzi postali, non luoghi fisici\". Tuttavia, molte applicazioni tengono conto del fatto che un indirizzo ha il duplice scopo di essere un luogo visitabile e di essere una destinazione di consegna valida, e gli indirizzi postali sono spesso usati come proxy per i luoghi fisici (si veda anche la risorsa [Location](location.html#)).", "min": 0, "max": "1", "base": { "path": "Address.type", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "example": [ { "label": "General", "valueCode": "both" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "AddressType" } ], "strength": "required", "description": "The type of an address (physical / postal).", "valueSet": "http://hl7.org/fhir/ValueSet/address-type|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XAD.18" }, { "identity": "rim", "map": "unique(./use)" }, { "identity": "vcard", "map": "address type parameter" } ] }, { "id": "Patient.address.text", "path": "Patient.address.text", "short": "Text representation of the address", "definition": "Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.", "comment": "Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.", "requirements": "A renderable, unencoded form.", "min": 0, "max": "1", "base": { "path": "Address.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "137 Nowhere Street, Erewhon 9132" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6" }, { "identity": "rim", "map": "./formatted" }, { "identity": "vcard", "map": "address label parameter" } ] }, { "id": "Patient.address.line", "path": "Patient.address.line", "short": "Nome della strada, numero, direzione e casella postale, ecc.", "definition": "Elemento che contiene la descrizione dell’indirizzo.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "min": 0, "max": "*", "base": { "path": "Address.line", "min": 0, "max": "*" }, "type": [ { "code": "string" } ], "orderMeaning": "The order in which lines should appear in an address label", "example": [ { "label": "General", "valueString": "137 Nowhere Street" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)" }, { "identity": "rim", "map": "AD.part[parttype = AL]" }, { "identity": "vcard", "map": "street" }, { "identity": "servd", "map": "./StreetAddress (newline delimitted)" } ] }, { "id": "Patient.address.city", "path": "Patient.address.city", "short": "Nome della città, del paese, ecc.", "definition": "Elemento che contiene il nome del comune.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "alias": [ "Municpality" ], "min": 0, "max": "1", "base": { "path": "Address.city", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "Erewhon" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XAD.3" }, { "identity": "rim", "map": "AD.part[parttype = CTY]" }, { "identity": "vcard", "map": "locality" }, { "identity": "servd", "map": "./Jurisdiction" } ] }, { "id": "Patient.address.city.id", "path": "Patient.address.city.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.address.city.extension", "path": "Patient.address.city.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.address.city.extension:iso21090-SC", "path": "Patient.address.city.extension", "sliceName": "iso21090-SC", "short": "Codifiche località", "definition": "Estensione di tipo Coding utilizzata per valorizzare le codifiche associate ai comuni, alle provincie, alle regioni, agli stati.", "comment": "Sono definiti i seguenti sistemi di codifica: \r\n\r\n* per il codice catastale dei comuni (agenzia dell'entrate): http://terminology.hl7.it/CodeSystem/mef-ae-comuni.\r\n\r\n* per la sigla delle provincie (agenzia delle entrate): http://terminology.hl7.it/CodeSystem/mef-ae-province.\r\n\r\n* per il minsan della regione (ministero della salute): http://terminology.hl7.it/CodeSystem/minsan-regione.\r\n\r\n* per ISTAT relativi ai comuni, alle province e alle regioni: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali.\r\n\r\n* per ISTAT relativi agli Stati: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere.\r\n\r\n* per i codici alpha2 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha2 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-2.\r\n\r\n* per i codici alpha3 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha3 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-3.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.address.city.value", "path": "Patient.address.city.value", "representation": [ "xmlAttr" ], "short": "Primitive value for string", "definition": "Primitive value for string", "min": 0, "max": "1", "base": { "path": "string.value", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/regex", "valueString": "[ \\r\\n\\t\\S]+" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "maxLength": 1048576 }, { "id": "Patient.address.district", "path": "Patient.address.district", "short": "Nome della provincia.", "definition": "Elemento che contiene il nome della provincia.", "comment": "Il distretto è talvolta noto come contea, ma in alcune regioni \"contea\" è usato al posto di città (comune), quindi il nome della contea dovrebbe essere trasmesso in città.", "alias": [ "County" ], "min": 0, "max": "1", "base": { "path": "Address.district", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "Madison" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XAD.9" }, { "identity": "rim", "map": "AD.part[parttype = CNT | CPA]" } ] }, { "id": "Patient.address.district.id", "path": "Patient.address.district.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.address.district.extension", "path": "Patient.address.district.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.address.district.extension:iso21090-SC", "path": "Patient.address.district.extension", "sliceName": "iso21090-SC", "short": "Codifiche località", "definition": "Estensione di tipo Coding utilizzata per valorizzare le codifiche associate ai comuni, alle provincie, alle regioni, agli stati.", "comment": "Sono definiti i seguenti sistemi di codifica: \r\n\r\n* per il codice catastale dei comuni (agenzia dell'entrate): http://terminology.hl7.it/CodeSystem/mef-ae-comuni. \r\n\r\n* per la sigla delle provincie (agenzia delle entrate): http://terminology.hl7.it/CodeSystem/mef-ae-province.\r\n\r\n* per il minsan della regione (ministero della salute): http://terminology.hl7.it/CodeSystem/minsan-regione.\r\n\r\n* per ISTAT relativi ai comuni, alle province e alle regioni: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali.\r\n\r\n* per ISTAT relativi agli Stati: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere.\r\n\r\n* per i codici alpha2 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha2 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-2.\r\n\r\n* per i codici alpha3 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha3 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-3.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.address.district.value", "path": "Patient.address.district.value", "representation": [ "xmlAttr" ], "short": "Primitive value for string", "definition": "Primitive value for string", "min": 0, "max": "1", "base": { "path": "string.value", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/regex", "valueString": "[ \\r\\n\\t\\S]+" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "maxLength": 1048576 }, { "id": "Patient.address.state", "path": "Patient.address.state", "short": "Nome della regione.", "definition": "Elemento che contiene il nome della regione.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "alias": [ "Province", "Territory" ], "min": 0, "max": "1", "base": { "path": "Address.state", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XAD.4" }, { "identity": "rim", "map": "AD.part[parttype = STA]" }, { "identity": "vcard", "map": "region" }, { "identity": "servd", "map": "./Region" } ] }, { "id": "Patient.address.state.id", "path": "Patient.address.state.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.address.state.extension", "path": "Patient.address.state.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.address.state.extension:iso21090-SC", "path": "Patient.address.state.extension", "sliceName": "iso21090-SC", "short": "Codifiche località", "definition": "Estensione di tipo Coding utilizzata per valorizzare le codifiche associate ai comuni, alle provincie, alle regioni, agli stati.", "comment": "Sono definiti i seguenti sistemi di codifica: \r\n\r\n* per il codice catastale dei comuni (agenzia dell'entrate): http://terminology.hl7.it/CodeSystem/mef-ae-comuni.\r\n\r\n* per la sigla delle provincie (agenzia delle entrate): http://terminology.hl7.it/CodeSystem/mef-ae-province.\r\n\r\n* per il minsan della regione (ministero della salute): http://terminology.hl7.it/CodeSystem/minsan-regione.\r\n\r\n* per ISTAT relativi ai comuni, alle province e alle regioni: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali.\r\n\r\n* per ISTAT relativi agli Stati: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere.\r\n\r\n* per i codici alpha2 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha2 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-2.\r\n\r\n* per i codici alpha3 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha3 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-3.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.address.state.value", "path": "Patient.address.state.value", "representation": [ "xmlAttr" ], "short": "Primitive value for string", "definition": "Primitive value for string", "min": 0, "max": "1", "base": { "path": "string.value", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/regex", "valueString": "[ \\r\\n\\t\\S]+" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "maxLength": 1048576 }, { "id": "Patient.address.postalCode", "path": "Patient.address.postalCode", "short": "CAP.", "definition": "Elemento che contiene il codice di avviamento postale.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "alias": [ "Zip" ], "min": 0, "max": "1", "base": { "path": "Address.postalCode", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "9132" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XAD.5" }, { "identity": "rim", "map": "AD.part[parttype = ZIP]" }, { "identity": "vcard", "map": "code" }, { "identity": "servd", "map": "./PostalIdentificationCode" } ] }, { "id": "Patient.address.country", "path": "Patient.address.country", "short": "Stato.", "definition": "Paese - una nazione come comunemente intesa o generalmente accettata.", "comment": "I codici ISO 3166 a 3 lettere possono essere utilizzati al posto di un nome di paese leggibile dall'uomo (fare riferimento all'estensione collegata per utilizzare il system corretto).", "min": 0, "max": "1", "base": { "path": "Address.country", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XAD.6" }, { "identity": "rim", "map": "AD.part[parttype = CNT]" }, { "identity": "vcard", "map": "country" }, { "identity": "servd", "map": "./Country" } ] }, { "id": "Patient.address.country.id", "path": "Patient.address.country.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.address.country.extension", "path": "Patient.address.country.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.address.country.extension:iso21090-SC", "path": "Patient.address.country.extension", "sliceName": "iso21090-SC", "short": "Codifiche località", "definition": "Estensione di tipo Coding utilizzata per valorizzare le codifiche associate ai comuni, alle provincie, alle regioni, agli stati.", "comment": "Sono definiti i seguenti sistemi di codifica: \r\n\r\n* per il codice catastale dei comuni (agenzia dell'entrate): http://terminology.hl7.it/CodeSystem/mef-ae-comuni.\r\n\r\n* per la sigla delle provincie (agenzia delle entrate): http://terminology.hl7.it/CodeSystem/mef-ae-province.\r\n\r\n* per il minsan della regione (ministero della salute): http://terminology.hl7.it/CodeSystem/minsan-regione.\r\n\r\n* per ISTAT relativi ai comuni, alle province e alle regioni: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali.\r\n\r\n* per ISTAT relativi agli Stati: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere.\r\n\r\n* per i codici alpha2 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha2 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-2.\r\n\r\n* per i codici alpha3 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha3 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-3.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "il system deve contenere uno dei seguenti valori in modo da poter inserire il corretto codice.", "expression": "select(valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' or valueCoding='http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-comuni' or valueCoding='http://terminology.hl7.it/CodeSystem/mef-ae-province' or valueCoding='http://terminology.hl7.it/CodeSystem/minsan-regione' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha2' or valueCoding='http://terminology.eng.it/CodeSystem/iso3166-alpha3' ).allTrue()", "source": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.address.country.value", "path": "Patient.address.country.value", "representation": [ "xmlAttr" ], "short": "Primitive value for string", "definition": "Primitive value for string", "min": 0, "max": "1", "base": { "path": "string.value", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/regex", "valueString": "[ \\r\\n\\t\\S]+" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "maxLength": 1048576 }, { "id": "Patient.address.period", "path": "Patient.address.period", "short": "Time period when address was/is in use", "definition": "Time period when address was/is in use.", "comment": "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\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "requirements": "Allows addresses to be placed in historical context.", "min": 0, "max": "1", "base": { "path": "Address.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "example": [ { "label": "General", "valuePeriod": { "start": "2010-03-23", "end": "2010-07-01" } } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "XAD.12 / XAD.13 + XAD.14" }, { "identity": "rim", "map": "./usablePeriod[type=\"IVL\"]" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.maritalStatus", "path": "Patient.maritalStatus", "short": "Stato civile del paziente.", "definition": "Contiene l’elemento codificato per lo stato civile e la sua descrizione. \r\n\r\nPer la valorizzazione dell'elemento è possibile utilizzare i seguenti system:\r\n\r\n* http://terminology.hl7.org/CodeSystem/v3-MaritalStatus.\r\n\r\n* http://terminology.hl7.org/CodeSystem/v3-NullFlavor.\r\n\r\n* http://terminology.hl7.it/CodeSystem/istat-statoCivile.\r\n\r\nPer consultare i valori disponibili, vedere la relativa slice.", "comment": "Non tutti gli usi della terminologia si adattano a questo schema generale. In alcuni casi, i modelli non dovrebbero usare CodeableConcept e utilizzare direttamente la codifica, fornendo la propria struttura per la gestione del testo, delle codifiche, delle traduzioni e delle relazioni tra gli elementi e il pre e post coordinamento.", "requirements": "Most, if not all systems capture it.", "min": 0, "max": "1", "base": { "path": "Patient.maritalStatus", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MaritalStatus" } ], "strength": "extensible", "description": "The domestic partnership status of a person.", "valueSet": "http://hl7.org/fhir/ValueSet/marital-status" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "PID-16" }, { "identity": "rim", "map": "player[classCode=PSN]/maritalStatusCode" }, { "identity": "cda", "map": ".patient.maritalStatusCode" } ] }, { "id": "Patient.maritalStatus.id", "path": "Patient.maritalStatus.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.maritalStatus.extension", "path": "Patient.maritalStatus.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.maritalStatus.coding", "path": "Patient.maritalStatus.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "closed" }, "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "strength": "preferred", "description": "Questo value set definisce una serie di codici per rappresentare lo stato civile di una persona. Specializza ed estende il value set http://hl7.org/fhir/ValueSet/marital-status.", "valueSet": "http://hl7.it/fhir/ValueSet/statoCivile" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.maritalStatus.coding:MaritalStatus-Org", "path": "Patient.maritalStatus.coding", "sliceName": "MaritalStatus-Org", "short": "MaritalStatus-Org.", "definition": "Terminologia legata al system http://terminology.hl7.org/CodeSystem/v3-MaritalStatus che accetta i valori:\r\nD, M , S , W , M , A.", "comment": "* D --> Divorziato/a.\r\n\r\n* M --> Coniugato/a.\r\n\r\n* S --> Celibe/nubile.\r\n\r\n* W --> Vedovo/a.\r\n\r\n* M --> Separato/a Legalmente.\r\n\r\n* A --> Annullato.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.maritalStatus.coding:MaritalStatus-Org.id", "path": "Patient.maritalStatus.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.maritalStatus.coding:MaritalStatus-Org.extension", "path": "Patient.maritalStatus.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.maritalStatus.coding:MaritalStatus-Org.system", "path": "Patient.maritalStatus.coding.system", "short": "Identità del sistema terminologico.", "definition": "L'identificazione del sistema di codice che definisce il significato del simbolo nel codice.", "comment": "L'URI può essere un OID (urn:oid:...) o un UUID (urn:uuid:...). Gli OID e gli UUID devono essere riferimenti al registro OID di HL7. Altrimenti, l'URI deve provenire dall'elenco di URI speciali definiti da HL7 per FHIR o deve fare riferimento a qualche definizione che stabilisca il sistema in modo chiaro e non ambiguo.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.maritalStatus.coding:MaritalStatus-Org.version", "path": "Patient.maritalStatus.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.maritalStatus.coding:MaritalStatus-Org.code", "path": "Patient.maritalStatus.coding.code", "short": "Symbol in syntax defined by the system", "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.maritalStatus.coding:MaritalStatus-Org.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.maritalStatus.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.maritalStatus.coding:MaritalStatus-Org.userSelected", "path": "Patient.maritalStatus.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.maritalStatus.coding:NullFlavor", "path": "Patient.maritalStatus.coding", "sliceName": "NullFlavor", "short": "NullFlavor.", "definition": "Terminologia legata al system http://terminology.hl7.org/CodeSystem/v3-NullFlavor che accetta i valori:\r\nUNK.", "comment": "* UNK --> Sconosciuto.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.maritalStatus.coding:NullFlavor.id", "path": "Patient.maritalStatus.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.maritalStatus.coding:NullFlavor.extension", "path": "Patient.maritalStatus.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.maritalStatus.coding:NullFlavor.system", "path": "Patient.maritalStatus.coding.system", "short": "Identità del sistema terminologico.", "definition": "L'identificazione del sistema di codice che definisce il significato del simbolo nel codice.", "comment": "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.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.maritalStatus.coding:NullFlavor.version", "path": "Patient.maritalStatus.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.maritalStatus.coding:NullFlavor.code", "path": "Patient.maritalStatus.coding.code", "short": "Symbol in syntax defined by the system", "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.maritalStatus.coding:NullFlavor.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.maritalStatus.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.maritalStatus.coding:NullFlavor.userSelected", "path": "Patient.maritalStatus.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.maritalStatus.coding:StatoCivile", "path": "Patient.maritalStatus.coding", "sliceName": "StatoCivile", "short": "StatoCivile.", "definition": "Terminologia legata al system http://terminology.hl7.it/CodeSystem/istat-statoCivile che accetta i valori:\r\n6, 7, 8.", "comment": "* 6 --> Unito civilmente.\r\n\r\n* 7 --> Stato libero a seguito di decesso della parte unita civilmente.\r\n\r\n* 8 --> Stato libero a seguito di scioglimento dell'unione.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.maritalStatus.coding:StatoCivile.id", "path": "Patient.maritalStatus.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.maritalStatus.coding:StatoCivile.extension", "path": "Patient.maritalStatus.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.maritalStatus.coding:StatoCivile.system", "path": "Patient.maritalStatus.coding.system", "short": "Identità del sistema terminologico.", "definition": "L'identificazione del sistema di codice che definisce il significato del simbolo nel codice.", "comment": "L'URI può essere un OID (urn:oid:...) o un UUID (urn:uuid:...). Gli OID e gli UUID devono essere riferimenti al registro OID di HL7. Altrimenti, l'URI deve provenire dall'elenco di URI speciali definiti da HL7 per FHIR o deve fare riferimento a qualche definizione che stabilisca il sistema in modo chiaro e non ambiguo.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://terminology.hl7.it/CodeSystem/istat-statoCivile", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.maritalStatus.coding:StatoCivile.version", "path": "Patient.maritalStatus.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.maritalStatus.coding:StatoCivile.code", "path": "Patient.maritalStatus.coding.code", "short": "Symbol in syntax defined by the system", "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.maritalStatus.coding:StatoCivile.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.maritalStatus.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.maritalStatus.coding:StatoCivile.userSelected", "path": "Patient.maritalStatus.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.maritalStatus.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.maritalStatus.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.multipleBirth[x]", "path": "Patient.multipleBirth[x]", "short": "Whether patient is part of a multiple birth", "definition": "Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).", "comment": "Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).", "requirements": "For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.", "min": 0, "max": "1", "base": { "path": "Patient.multipleBirth[x]", "min": 0, "max": "1" }, "type": [ { "code": "boolean" }, { "code": "integer" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "PID-24 (bool), PID-25 (integer)" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.photo", "path": "Patient.photo", "short": "Image of the patient", "definition": "Image of the patient.", "comment": "Guidelines:\n* Use id photos, not clinical photos.\n* Limit dimensions to thumbnail.\n* Keep byte count low to ease resource updates.", "requirements": "Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.", "min": 0, "max": "*", "base": { "path": "Patient.photo", "min": 0, "max": "*" }, "type": [ { "code": "Attachment" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "att-1", "severity": "error", "human": "If the Attachment has data, it SHALL have a contentType", "expression": "data.empty() or contentType.exists()", "xpath": "not(exists(f:data)) or exists(f:contentType)", "source": "http://hl7.org/fhir/StructureDefinition/Attachment" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "ED/RP" }, { "identity": "rim", "map": "ED" }, { "identity": "v2", "map": "OBX-5 - needs a profile" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "Contact" } ], "path": "Patient.contact", "short": "Una persona di riferimento (ad es. tutore, partner, amico) per il paziente", "definition": "Una persona di riferimento (ad es. tutore, partner, amico) per il paziente.", "comment": "Il contatto comprende tutti i tipi di interlocutori: familiari, contatti commerciali, tutori, assistenti. Non si applica alla registrazione del pedigree e dei legami familiari al di là dell'uso del contatto.", "requirements": "Need to track people you can contact about the patient.", "min": 0, "max": "*", "base": { "path": "Patient.contact", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "pat-1", "severity": "error", "human": "SHALL at least contain a contact's details or a reference to an organization", "expression": "name.exists() or telecom.exists() or address.exists() or organization.exists()", "xpath": "exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)", "source": "http://hl7.org/fhir/StructureDefinition/Patient" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact.id", "path": "Patient.contact.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.contact.extension", "path": "Patient.contact.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.contact.modifierExtension", "path": "Patient.contact.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.contact.relationship", "path": "Patient.contact.relationship", "short": "Il tipo di relazione", "definition": "La natura del rapporto tra il paziente e la persona di contatto.", "comment": "Non tutti gli usi della terminologia si adattano a questo schema generale. In alcuni casi, i modelli non dovrebbero usare CodeableConcept e utilizzare direttamente la codifica, fornendo la propria struttura per la gestione del testo, delle codifiche, delle traduzioni e delle relazioni tra gli elementi e il pre e post coordinamento.", "requirements": "Used to determine which contact person is the most relevant to approach, depending on circumstances.", "min": 0, "max": "*", "base": { "path": "Patient.contact.relationship", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ContactRelationship" } ], "strength": "extensible", "description": "The nature of the relationship between a patient and a contact person for that patient.", "valueSet": "http://hl7.org/fhir/ValueSet/patient-contactrelationship" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "NK1-7, NK1-3" }, { "identity": "rim", "map": "code" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact.relationship.id", "path": "Patient.contact.relationship.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.contact.relationship.extension", "path": "Patient.contact.relationship.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.contact.relationship.coding", "path": "Patient.contact.relationship.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" }, "short": "Codice definito da un sistema terminologico", "definition": "Riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles di HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere usato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.contact.relationship.coding:generico", "path": "Patient.contact.relationship.coding", "sliceName": "generico", "short": "Codice definito da un sistema terminologico", "definition": "Riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles di HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere usato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.contact.relationship.coding:generico.id", "path": "Patient.contact.relationship.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.contact.relationship.coding:generico.extension", "path": "Patient.contact.relationship.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.contact.relationship.coding:generico.system", "path": "Patient.contact.relationship.coding.system", "short": "Identità del sistema terminologico", "definition": "Identificazione del sistema di codice che definisce il significato del simbolo nel codice.", "comment": "L'URI può essere un OID (urn:oid:...) o un UUID (urn:uuid:...). Gli OID e gli UUID devono essere riferimenti al registro OID di HL7. Altrimenti, l'URI deve provenire dall'elenco di URI speciali definiti da HL7 per FHIR o deve fare riferimento a qualche definizione che stabilisca il sistema in modo chiaro e non ambiguo.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0131", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.contact.relationship.coding:generico.version", "path": "Patient.contact.relationship.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.contact.relationship.coding:generico.code", "path": "Patient.contact.relationship.coding.code", "short": "Simbolo nella sintassi definita dal sistema", "definition": "Simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "strength": "extensible", "description": "La natura del rapporto tra un paziente e una persona di contatto per quel paziente.", "valueSet": "http://hl7.org/fhir/ValueSet/patient-contactrelationship" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.contact.relationship.coding:generico.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.contact.relationship.coding.display", "short": "Rappresentazione definita dal sistema", "definition": "Rappresentazione del significato del codice nel sistema, secondo le regole del sistema.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.contact.relationship.coding:generico.userSelected", "path": "Patient.contact.relationship.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.contact.relationship.coding:aziendale", "path": "Patient.contact.relationship.coding", "sliceName": "aziendale", "short": "Codice definito da un sistema terminologico", "definition": "Riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles di HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere usato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Patient.contact.relationship.coding:aziendale.id", "path": "Patient.contact.relationship.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.contact.relationship.coding:aziendale.extension", "path": "Patient.contact.relationship.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.contact.relationship.coding:aziendale.system", "path": "Patient.contact.relationship.coding.system", "short": "Identità del sistema terminologico", "definition": "Identificazione del sistema di codice che definisce il significato del simbolo nel codice.", "comment": "L'URI può essere un OID (urn:oid:...) o un UUID (urn:uuid:...). Gli OID e gli UUID devono essere riferimenti al registro OID di HL7. Altrimenti, l'URI deve provenire dall'elenco di URI speciali definiti da HL7 per FHIR o deve fare riferimento a qualche definizione che stabilisca il sistema in modo chiaro e non ambiguo.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://cct.eng.it/FHIR/schema/patient-contact-relationship", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Patient.contact.relationship.coding:aziendale.version", "path": "Patient.contact.relationship.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Patient.contact.relationship.coding:aziendale.code", "path": "Patient.contact.relationship.coding.code", "short": "Simbolo nella sintassi definita dal sistema", "definition": "Simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Patient.contact.relationship.coding:aziendale.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.contact.relationship.coding.display", "short": "Rappresentazione definita dal sistema", "definition": "Rappresentazione del significato del codice nel sistema, secondo le regole del sistema.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Patient.contact.relationship.coding:aziendale.userSelected", "path": "Patient.contact.relationship.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "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.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Patient.contact.relationship.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.contact.relationship.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Patient.contact.name", "path": "Patient.contact.name", "short": "A name associated with the contact person", "definition": "A name associated with the contact person.", "comment": "Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.", "requirements": "Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.", "min": 0, "max": "1", "base": { "path": "Patient.contact.name", "min": 0, "max": "1" }, "type": [ { "code": "HumanName" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XPN" }, { "identity": "rim", "map": "EN (actually, PN)" }, { "identity": "servd", "map": "ProviderName" }, { "identity": "v2", "map": "NK1-2" }, { "identity": "rim", "map": "name" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact.telecom", "path": "Patient.contact.telecom", "short": "Un recapito per contattare la persona", "definition": "Un dettaglio di contatto per la persona, ad esempio un numero di telefono o un indirizzo e-mail.", "comment": "Il contatto può avere più modi per essere contattato con usi o periodi diversi. Potrebbe essere necessario disporre di opzioni per contattare la persona con urgenza e anche per aiutarla a identificarsi.", "requirements": "People have (primary) ways to contact them in some way such as phone, email.", "min": 0, "max": "*", "base": { "path": "Patient.contact.telecom", "min": 0, "max": "*" }, "type": [ { "code": "ContactPoint" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "cpt-2", "severity": "error", "human": "A system is required if a value is provided.", "expression": "value.empty() or system.exists()", "xpath": "not(exists(f:value)) or exists(f:system)", "source": "http://hl7.org/fhir/StructureDefinition/ContactPoint" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XTN" }, { "identity": "rim", "map": "TEL" }, { "identity": "servd", "map": "ContactPoint" }, { "identity": "v2", "map": "NK1-5, NK1-6, NK1-40" }, { "identity": "rim", "map": "telecom" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact.telecom.id", "path": "Patient.contact.telecom.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.contact.telecom.extension", "path": "Patient.contact.telecom.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.contact.telecom.system", "path": "Patient.contact.telecom.system", "short": "phone | fax | email | pager | url | sms | other", "definition": "Modulo di telecomunicazione per il punto di contatto - quale sistema di comunicazione è necessario per utilizzare il contatto.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "min": 0, "max": "1", "base": { "path": "ContactPoint.system", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1", "cpt-2" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ContactPointSystem" } ], "strength": "required", "description": "Telecommunications form for contact point.", "valueSet": "http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XTN.3" }, { "identity": "rim", "map": "./scheme" }, { "identity": "servd", "map": "./ContactPointType" } ] }, { "id": "Patient.contact.telecom.value", "path": "Patient.contact.telecom.value", "short": "I dettagli del punto di contatto effettivo", "definition": "I dati del punto di contatto effettivo, in una forma significativa per il sistema di comunicazione designato (ad esempio, numero di telefono o indirizzo e-mail).", "comment": "A volte nel valore sono inclusi dati di testo aggiuntivi, come numeri di estensione del telefono o note sull'uso del contatto.", "requirements": "Need to support legacy numbers that are not in a tightly controlled format.", "min": 0, "max": "1", "base": { "path": "ContactPoint.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XTN.1 (or XTN.12)" }, { "identity": "rim", "map": "./url" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.contact.telecom.use", "path": "Patient.contact.telecom.use", "short": "home | work | temp | old | mobile - purpose of this contact point", "definition": "Elemento che definisce l’uso del contatto.", "comment": "Le applicazioni possono presumere che un contatto sia attuale, a meno che non sia esplicitamente indicato che è temporaneo o vecchio.", "requirements": "Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.", "min": 0, "max": "1", "base": { "path": "ContactPoint.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old contact etc.for a current/permanent one", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ContactPointUse" } ], "strength": "required", "description": "Use of contact point.", "valueSet": "http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XTN.2 - but often indicated by field" }, { "identity": "rim", "map": "unique(./use)" }, { "identity": "servd", "map": "./ContactPointPurpose" } ] }, { "id": "Patient.contact.telecom.rank", "path": "Patient.contact.telecom.rank", "short": "Specify preferred order of use (1 = highest)", "definition": "Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.", "comment": "Note that rank does not necessarily follow the order in which the contacts are represented in the instance.", "min": 0, "max": "1", "base": { "path": "ContactPoint.rank", "min": 0, "max": "1" }, "type": [ { "code": "positiveInt" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "n/a" } ] }, { "id": "Patient.contact.telecom.period", "path": "Patient.contact.telecom.period", "short": "Time period when the contact point was/is in use", "definition": "Time period when the contact point was/is in use.", "comment": "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\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "ContactPoint.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "./usablePeriod[type=\"IVL\"]" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.contact.address", "path": "Patient.contact.address", "short": "Address for the contact person", "definition": "Address for the contact person.", "comment": "Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the [Location](location.html#) resource).", "requirements": "Need to keep track where the contact person can be contacted per postal mail or visited.", "min": 0, "max": "1", "base": { "path": "Patient.contact.address", "min": 0, "max": "1" }, "type": [ { "code": "Address" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "XAD" }, { "identity": "rim", "map": "AD" }, { "identity": "servd", "map": "Address" }, { "identity": "v2", "map": "NK1-4" }, { "identity": "rim", "map": "addr" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact.gender", "path": "Patient.contact.gender", "short": "male | female | other | unknown", "definition": "Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Needed to address the person correctly.", "min": 0, "max": "1", "base": { "path": "Patient.contact.gender", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "AdministrativeGender" } ], "strength": "required", "description": "The gender of a person used for administrative purposes.", "valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "NK1-15" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact.organization", "path": "Patient.contact.organization", "short": "Organization that is associated with the contact", "definition": "Organization on behalf of which the contact is acting or for which the contact is working.", "comment": "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.", "requirements": "For guardians or business related contacts, the organization is relevant.", "min": 0, "max": "1", "base": { "path": "Patient.contact.organization", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1", "pat-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41" }, { "identity": "rim", "map": "scoper" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact.period", "path": "Patient.contact.period", "short": "The period during which this contact person or organization is valid to be contacted relating to this patient", "definition": "The period during which this contact person or organization is valid to be contacted relating to this patient.", "comment": "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\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Patient.contact.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "rim", "map": "effectiveTime" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.communication", "path": "Patient.communication", "short": "A language which may be used to communicate with the patient about his or her health", "definition": "A language which may be used to communicate with the patient about his or her health.", "comment": "If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.", "requirements": "If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.", "min": 0, "max": "*", "base": { "path": "Patient.communication", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "LanguageCommunication" }, { "identity": "cda", "map": "patient.languageCommunication" } ] }, { "id": "Patient.communication.id", "path": "Patient.communication.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.communication.extension", "path": "Patient.communication.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.communication.modifierExtension", "path": "Patient.communication.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.communication.language", "path": "Patient.communication.language", "short": "The language which can be used to communicate with the patient about his or her health", "definition": "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English.", "comment": "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.", "requirements": "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.", "min": 1, "max": "1", "base": { "path": "Patient.communication.language", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" } ], "strength": "preferred", "description": "A human language.", "valueSet": "http://hl7.org/fhir/ValueSet/languages" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "PID-15, LAN-2" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code" }, { "identity": "cda", "map": ".languageCode" } ] }, { "id": "Patient.communication.preferred", "path": "Patient.communication.preferred", "short": "Language preference indicator", "definition": "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).", "comment": "This language is specifically identified for communicating healthcare information.", "requirements": "People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.", "min": 0, "max": "1", "base": { "path": "Patient.communication.preferred", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "PID-15" }, { "identity": "rim", "map": "preferenceInd" }, { "identity": "cda", "map": ".preferenceInd" } ] }, { "id": "Patient.generalPractitioner", "path": "Patient.generalPractitioner", "short": "Fornitore di cure primarie nominato dal paziente.", "definition": "Elemento di tipo reference contenente il riferimento alle risorse PractitionerRole e Organization: fornisce informazioni circa il MMG/PLS attivo e informazioni sul tipo di rapporto e validità con le ASL referenziate. La tipologia di rapporto con la ASL referenziata è regolata dall'estensione patient-asan definita nell'estensione apposita. Le risorse referenziate devono essere presenti all’interno dell’elemento contained. Per la struttura e la valorizzazione delle risorse PractitionerRole e Organization a cui è riferito il presente elemento, vedere il profilo dedicato.", "comment": "Può trattarsi del fornitore di cure primarie (in un contesto di medici di base), oppure di un care manager nominato dal paziente in un contesto di comunità/disabilità, o ancora di un'organizzazione che fornirà persone per svolgere i ruoli di fornitore di cure. Non deve essere usato per registrare i team di cura, che dovrebbero essere in una risorsa CareTeam che può essere collegata alle risorse CarePlan o EpisodeOfCare. È possibile registrare più medici di base rispetto al paziente per vari motivi, come ad esempio uno studente che ha il suo medico di base elencato insieme al medico di base all'università durante i semestri scolastici, o un lavoratore \"fly-in/fly-out\" che ha il medico di base in loco incluso insieme al suo medico di base per rimanere al corrente dei problemi medici. Le giurisdizioni possono decidere di ridurre il profilo a 1, se lo desiderano, o a 1 per tipo.", "alias": [ "careProvider" ], "min": 0, "max": "*", "base": { "path": "Patient.generalPractitioner", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/PractitionerRole_Eng", "https://eng.it/fhir/StructureDefinition/Organization_Eng" ], "aggregation": [ "contained", "referenced", "bundled" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "PD1-4" }, { "identity": "rim", "map": "subjectOf.CareEvent.performer.AssignedEntity" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.generalPractitioner.id", "path": "Patient.generalPractitioner.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.generalPractitioner.extension", "path": "Patient.generalPractitioner.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.generalPractitioner.extension:asan", "path": "Patient.generalPractitioner.extension", "sliceName": "asan", "short": "Rapporto ASL-paziente.", "definition": "Estensione composta contenente la tipologia di rapporto esistente tra la ASL ed il paziente ed il periodo di validità.", "comment": "In particolare:\r\n\r\n* url= code -->di tipo CodeableConcept, consente di inserire la codifica relativa alla tipologia di rapporto tra ASL e paziente.\r\n\r\n* url = period --> di tipo Period, consente di inserire il periodo di validità del rapporto.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-asan" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "key-1", "severity": "error", "human": "Quest'estensione può contenere come url secondarie: 'code' e 'period'", "expression": "extension.select(url='code' or url='period').allTrue()", "source": "http://cct.eng.it/FHIR/schema/patient-asan" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.generalPractitioner.extension:periodValMed", "path": "Patient.generalPractitioner.extension", "sliceName": "periodValMed", "short": "Periodo di validità del medico", "definition": "Estensione di tipo Period.", "comment": "Estensione di tipo Period che specifica il periodo di validità del rapporto fra il medico e il paziente.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-periodValMed" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.generalPractitioner.reference", "path": "Patient.generalPractitioner.reference", "short": "Literal reference, Relative, internal or absolute URL", "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 0, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.generalPractitioner.type", "path": "Patient.generalPractitioner.type", "short": "Type the reference refers to (e.g. \"Patient\")", "definition": "The 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.\n\nThe 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).", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.generalPractitioner.identifier", "path": "Patient.generalPractitioner.identifier", "short": "Riferimento logico, quando il riferimento letterale non è noto.", "definition": "Un identificatore per la risorsa di destinazione. Si usa quando non c'è modo di fare riferimento all'altra risorsa direttamente, o perché l'entità che rappresenta non è disponibile attraverso un server FHIR, o perché non c'è modo per l'autore della risorsa di convertire un identificatore noto in una posizione effettiva. Non è richiesto che un Reference.identifier punti a qualcosa che sia effettivamente esposto come istanza FHIR, ma deve puntare a un concetto aziendale che ci si aspetta sia esposto come istanza FHIR, e tale istanza deve essere di un tipo di risorsa FHIR consentito dal riferimento.", "comment": "Nel caso delle ASL di presidio o residenziali, si può scegliere di referenziare la risorsa Organization con una reference di tipo identifier, settando la voce identifier.system con \"http://terminology.hl7.it/CodeSystem/minsan-fls\".", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "Patient.generalPractitioner.identifier.id", "path": "Patient.generalPractitioner.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.generalPractitioner.identifier.extension", "path": "Patient.generalPractitioner.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.generalPractitioner.identifier.use", "path": "Patient.generalPractitioner.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.generalPractitioner.identifier.type", "path": "Patient.generalPractitioner.identifier.type", "short": "Description of identifier", "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment": "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.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Patient.generalPractitioner.identifier.system", "path": "Patient.generalPractitioner.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Settare il system con: \"http://terminology.hl7.it/CodeSystem/minsan-fls\".", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "http://terminology.hl7.it/CodeSystem/minsan-fls", "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Patient.generalPractitioner.identifier.value", "path": "Patient.generalPractitioner.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Patient.generalPractitioner.identifier.period", "path": "Patient.generalPractitioner.identifier.period", "short": "Time period when id is/was valid for use", "definition": "Time period during which identifier is/was valid for use.", "comment": "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\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Patient.generalPractitioner.identifier.assigner", "path": "Patient.generalPractitioner.identifier.assigner", "short": "Organization that issued id (may be just text)", "definition": "Organization that issued/manages the identifier.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Patient.generalPractitioner.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Patient.generalPractitioner.display", "short": "Text alternative for the resource", "definition": "Plain text narrative that identifies the resource in addition to the resource reference.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.managingOrganization", "path": "Patient.managingOrganization", "short": "Organization that is the custodian of the patient record", "definition": "Organization that is the custodian of the patient record.", "comment": "There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).", "requirements": "Need to know who recognizes this patient record, manages and updates it.", "min": 0, "max": "1", "base": { "path": "Patient.managingOrganization", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": "scoper" }, { "identity": "cda", "map": ".providerOrganization" } ] }, { "id": "Patient.link", "path": "Patient.link", "short": "Collegamento a un'altra risorsa del paziente che riguarda la stessa persona reale.", "definition": "Elemento di tipo BackBoneElement ripetibile che contiene informazioni riguardanti le altre identità collegate alla presente identità, in particolare:\r\n- identità slave (se esiste, deve essere presente);\r\n- identità master (nel caso in cui l’identità in oggetto sia non attivo - se esiste, deve essere presente).\r\nLa risorsa Patient che contiene l'elemento link.type='replaces' è il paziente master; la risorsa Patient referenziata è il paziente slave.", "comment": "Non si presuppone che le cartelle cliniche collegate abbiano legami reciproci.", "requirements": "There are multiple use cases: \n\n* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and \n* Distribution of patient information across multiple servers.", "min": 0, "max": "*", "base": { "path": "Patient.link", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "outboundLink" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.link.id", "path": "Patient.link.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Patient.link.extension", "path": "Patient.link.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.link.modifierExtension", "path": "Patient.link.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Patient.link.other", "path": "Patient.link.other", "short": "L'altra risorsa del paziente o della persona collegata a cui si riferisce il link.", "definition": "L'altra risorsa paziente o persona correlata a cui il link fa riferimento.", "comment": "Il riferimento a una Persona correlata elimina la necessità di utilizzare un record Persona per associare un Paziente e una Persona correlata allo stesso individuo.", "min": 1, "max": "1", "base": { "path": "Patient.link.other", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Patient_Eng" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "PID-3, MRG-1" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.link.type", "path": "Patient.link.type", "short": "replaced-by | replaces | refer | seealso", "definition": "Il tipo di collegamento tra questa risorsa paziente e un'altra risorsa paziente.", "comment": "Valorizzare a 'replaces' nel caso di merge anagrafico.", "min": 1, "max": "1", "base": { "path": "Patient.link.type", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "replaces", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "LinkType" } ], "strength": "required", "description": "The type of link between this patient resource and another patient resource.", "valueSet": "http://hl7.org/fhir/ValueSet/link-type|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "typeCode" }, { "identity": "cda", "map": "n/a" } ] } ] }, "differential": { "element": [ { "id": "Patient", "path": "Patient", "short": "Informazioni su un individuo o su un animale che riceve servizi di assistenza sanitaria.", "definition": "Informazioni demografiche e altre informazioni amministrative su un individuo o su un animale che riceve cure o altri servizi sanitari." }, { "id": "Patient.id", "path": "Patient.id", "short": "Id logico di questo artefatto.", "definition": "Identifica la risorsa all’interno del dominio.", "comment": "L'unica volta che una risorsa non ha un id è quando viene inviata al server tramite un'operazione di creazione." }, { "id": "Patient.meta", "path": "Patient.meta", "short": "Metadati sulla risorsa.", "definition": "I metadati sulla risorsa. Si tratta di contenuti mantenuti dall'infrastruttura. Le modifiche al contenuto potrebbero non essere sempre associate alle modifiche di versione della risorsa." }, { "id": "Patient.meta.versionId", "path": "Patient.meta.versionId", "short": "Identificatore specifico della versione.", "definition": "Contiene l’id della versione dell’ultima modifica della risorsa.", "comment": "Il server assegna questo valore e ignora quello specificato dal client, tranne nel caso in cui il server imponga l'integrità della versione agli aggiornamenti/cancellazioni." }, { "id": "Patient.meta.lastUpdated", "path": "Patient.meta.lastUpdated", "short": "Quando la versione della risorsa è stata modificata l'ultima volta.", "definition": "Contiene la data, l’ora e il time zone dell’ultima modifica della risorsa.", "comment": "Questo valore è sempre popolato, tranne quando la risorsa viene creata per la prima volta. Il server/gestore delle risorse imposta questo valore; ciò che il client fornisce è irrilevante. È equivalente all'HTTP Last-Modified e dovrebbe avere lo stesso valore in un'interazione [read](http.html#read)." }, { "id": "Patient.extension", "path": "Patient.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base della risorsa. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.extension:detention", "path": "Patient.extension", "sliceName": "detention", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-detention" ] } ], "isModifier": false }, { "id": "Patient.extension:poverty", "path": "Patient.extension", "sliceName": "poverty", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-poverty" ] } ], "isModifier": false }, { "id": "Patient.extension:unknown", "path": "Patient.extension", "sliceName": "unknown", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-unknown" ] } ], "isModifier": false }, { "id": "Patient.extension:CFquality", "path": "Patient.extension", "sliceName": "CFquality", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-CFQuality" ] } ], "isModifier": false }, { "id": "Patient.extension:profession", "path": "Patient.extension", "sliceName": "profession", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-profession" ] } ], "isModifier": false }, { "id": "Patient.extension:qualification", "path": "Patient.extension", "sliceName": "qualification", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-qualification" ] } ], "isModifier": false }, { "id": "Patient.extension:employment-status", "path": "Patient.extension", "sliceName": "employment-status", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-employment-status" ] } ], "isModifier": false }, { "id": "Patient.extension:category", "path": "Patient.extension", "sliceName": "category", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-category" ] } ], "isModifier": false }, { "id": "Patient.extension:citizenship", "path": "Patient.extension", "sliceName": "citizenship", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/patient-citizenship" ] } ], "isModifier": false }, { "id": "Patient.extension:birthPlace", "path": "Patient.extension", "sliceName": "birthPlace", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/patient-birthPlace" ] } ], "isModifier": false }, { "id": "Patient.extension:certificazioni", "path": "Patient.extension", "sliceName": "certificazioni", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-cert" ] } ], "isModifier": false }, { "id": "Patient.extension:military-data", "path": "Patient.extension", "sliceName": "military-data", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-military-data" ] } ], "isModifier": false }, { "id": "Patient.identifier", "path": "Patient.identifier", "slicing": { "discriminator": [ { "type": "value", "path": "type.coding.code" } ], "rules": "open" }, "short": "Un identificatore per questo paziente.", "definition": "Elemento di tipo Identifier contenente gli identificativi univoci del paziente.", "requirements": "Ai pazienti vengono quasi sempre assegnati specifici identificatori numerici." }, { "id": "Patient.identifier:tesseraTEAM", "path": "Patient.identifier", "sliceName": "tesseraTEAM", "short": "Identificativo tessera TEAM.", "definition": "Identificativo tessera TEAM.", "comment": "Rappresenta l'identificativo presente sul retro della tessera sanitaria.", "max": "1" }, { "id": "Patient.identifier:tesseraTEAM.extension", "path": "Patient.identifier.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.identifier:tesseraTEAM.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:tesseraTEAM.extension:qualification", "path": "Patient.identifier.extension", "sliceName": "qualification", "short": "Qualifica paziente", "definition": "Estensione di tipo CodeableConcept utilizzata per contenere la codifica relativa alla qualifica del beneficiario della tessera TEAM.", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-qualification" ] } ], "isModifier": false }, { "id": "Patient.identifier:tesseraTEAM.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:tesseraTEAM.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:tesseraTEAM.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "fixedCode": "TESSERA TEAM" }, { "id": "Patient.identifier:tesseraTEAM.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://eng.it/sid/tesseraTEAM" }, { "id": "Patient.identifier:tesseraTEAM.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo tessera TEAM." }, { "id": "Patient.identifier:tesseraTEAM.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'Organization tramite il suo id, è possibile referenziare l'Organization che assegna l'identificativo tessera TEAM attraverso una Reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:tesseraTEAM.assigner.identifier", "path": "Patient.identifier.assigner.identifier", "short": "Riferimento logico, quando il riferimento letterale non è noto", "definition": "Un identificatore per la risorsa di destinazione. Si usa quando non c'è modo di fare riferimento all'altra risorsa direttamente, o perché l'entità che rappresenta non è disponibile attraverso un server FHIR, o perché non c'è modo per l'autore della risorsa di convertire un identificatore noto in una posizione effettiva. Non è richiesto che un Reference.identifier punti a qualcosa che sia effettivamente esposto come istanza FHIR, ma DEVE puntare a un concetto aziendale che ci si aspetta sia esposto come istanza FHIR, e tale istanza deve essere di un tipo di risorsa FHIR consentito dal riferimento.", "comment": "Quando viene fornito un identificatore al posto di un riferimento, qualsiasi sistema che elabora il riferimento sarà in grado di risolvere l'identificatore in un riferimento solo se comprende il contesto aziendale in cui l'identificatore è utilizzato. A volte si tratta di un contesto globale (ad esempio, un identificatore nazionale), ma spesso non è così. Per questo motivo, nessuno dei meccanismi utili descritti per lavorare con i riferimenti (ad esempio, concatenamento, inclusione) è possibile, né ci si deve aspettare che i server siano in grado di risolvere il riferimento. I server possono accettare un riferimento basato su un identificatore, risolverlo e/o rifiutarlo - vedere CapabilityStatement.rest.resource.referencePolicy. \r\n\r\nQuando vengono forniti sia un identificatore che un riferimento letterale, si preferisce il riferimento letterale. Le applicazioni che elaborano la risorsa possono, ma non devono, verificare che l'identificatore corrisponda al riferimento letterale.\r\n\r\nLe applicazioni che convertono un riferimento logico in un riferimento letterale possono scegliere di lasciare il riferimento logico presente o di rimuoverlo.\r\n\r\nIl riferimento è inteso per puntare a una struttura che può essere potenzialmente espressa come risorsa FHIR, anche se non è necessario che esista come istanza di risorsa FHIR vera e propria, se non nella misura in cui un'applicazione desidera trovare effettivamente l'oggetto del riferimento. Il contenuto a cui fa riferimento l'identificatore deve soddisfare i vincoli logici implicati da eventuali limitazioni sui tipi di risorsa consentiti per il riferimento. Ad esempio, non sarebbe legittimo inviare l'identificatore di un farmaco pres" }, { "id": "Patient.identifier:tesseraTEAM.assigner.identifier.system", "path": "Patient.identifier.assigner.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://eng.it/sid/idIstituzione" }, { "id": "Patient.identifier:tesseraTEAM.assigner.identifier.value", "path": "Patient.identifier.assigner.identifier.value", "short": "Il valore che è unico", "definition": "La parte dell'identificatore tipicamente rilevante per l'utente e che è unica nel contesto del sistema.", "comment": "Se il valore è un URI completo, il sistema DEVE essere urn:ietf:rfc:3986. Lo scopo principale del valore è la mappatura computazionale. Un valore formattato per la visualizzazione umana può essere trasmesso utilizzando l'estensione [Rendered Value] (extension-rendered-value.html). Identifier.value deve essere trattato come sensibile alle maiuscole e alle minuscole, a meno che la conoscenza del sistema di Identifier.non consenta all'elaboratore di essere sicuro che l'elaborazione non sensibile alle maiuscole sia sicura." }, { "id": "Patient.identifier:tesseraTEAM.assigner.display", "path": "Patient.identifier.assigner.display", "short": "Alternativa di testo per la risorsa", "definition": "Testo in chiaro che identifica la risorsa oltre al suo riferimento.", "comment": "Valorizzare con la denominazione dell'istituzione." }, { "id": "Patient.identifier:idTEAM", "path": "Patient.identifier", "sliceName": "idTEAM", "short": "Identificativo TEAM.", "definition": "Identificativo TEAM.", "comment": "Rappresenta il codice fiscale, per gli stranieri è differente.", "max": "1" }, { "id": "Patient.identifier:idTEAM.extension", "path": "Patient.identifier.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.identifier:idTEAM.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:idTEAM.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:idTEAM.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:idTEAM.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "fixedCode": "TEAM" }, { "id": "Patient.identifier:idTEAM.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://eng.it/sid/idTEAM" }, { "id": "Patient.identifier:idTEAM.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo id TEAM." }, { "id": "Patient.identifier:idTEAM.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo id TEAM attraverso una reference per identifier, utilizzando il system:\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio. \r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:idAziendale", "path": "Patient.identifier", "sliceName": "idAziendale", "short": "Identificativo id aziendale.", "definition": "Identificativo id aziendale.", "comment": "ID locale Aziendale, per tutti i soggetti che hanno avuto un contatto con una specifica Azienda.", "max": "1" }, { "id": "Patient.identifier:idAziendale.extension", "path": "Patient.identifier.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.identifier:idAziendale.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:idAziendale.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:idAziendale.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:idAziendale.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "fixedCode": "AZIENDALE" }, { "id": "Patient.identifier:idAziendale.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Il system deve rispettare la struttura: \"http://eng.it/sid/[idAziendale]\".", "example": [ { "label": "esempio di system", "valueUri": "http://eng.it/sid/idAziendale" } ], "constraint": [ { "key": "key-system-2", "severity": "error", "human": "il system deve rispettare la struttura: \"http://eng.it/sid/[idAziendale]\"", "expression": "startsWith('http://eng.it/sid/')" } ] }, { "id": "Patient.identifier:idAziendale.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo id Aziendale." }, { "id": "Patient.identifier:idAziendale.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo id Aziendale attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:STP", "path": "Patient.identifier", "sliceName": "STP", "short": "Identificativo STP", "definition": "Identificativo STP.", "comment": "Il codice STP (Straniero Temporaneamente Presente) è lo strumento per l'applicazione del diritto all'assistenza sanitaria da parte dei cittadini extra-UE irregolarmente presenti sul territorio.", "max": "1" }, { "id": "Patient.identifier:STP.extension", "path": "Patient.identifier.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.identifier:STP.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:STP.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:STP.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:STP.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "fixedCode": "STP" }, { "id": "Patient.identifier:STP.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://hl7.it/sid/stp" }, { "id": "Patient.identifier:STP.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo STP." }, { "id": "Patient.identifier:STP.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo STP attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:ENI", "path": "Patient.identifier", "sliceName": "ENI", "short": "Identificativo ENI", "definition": "Identificativo ENI.", "comment": "Il codice ENI (Europeo Non Iscritto) è lo strumento con cui le Regioni possono garantire l'applicazione del diritto all'assistenza sanitaria da parte dei cittadini dell'Unione europea indigenti irregolarmente presenti sul territorio che non sono iscritti al servizio sanitario nazionale e non sono assicurati dalla cassa estera di competenza.", "max": "1" }, { "id": "Patient.identifier:ENI.extension", "path": "Patient.identifier.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.identifier:ENI.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:ENI.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:ENI.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:ENI.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "fixedCode": "ENI" }, { "id": "Patient.identifier:ENI.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://hl7.it/sid/eni" }, { "id": "Patient.identifier:ENI.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo ENI." }, { "id": "Patient.identifier:ENI.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo ENI attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:AS", "path": "Patient.identifier", "sliceName": "AS", "short": "Identificativo AS.", "definition": "Identificativo AS.", "max": "1" }, { "id": "Patient.identifier:AS.extension", "path": "Patient.identifier.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.identifier:AS.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:AS.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:AS.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:AS.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "fixedCode": "AS" }, { "id": "Patient.identifier:AS.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://eng.it/sid/AS" }, { "id": "Patient.identifier:AS.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo AS." }, { "id": "Patient.identifier:AS.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo AS attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:PSU", "path": "Patient.identifier", "sliceName": "PSU", "short": "Identificativo PSU.", "definition": "Identificativo PSU.", "comment": "La Regione Emilia Romagna ha disposto che ai titolari di permesso per protezione temporanea sia rilasciato il tesserino sanitario PSU con le medesime caratteristiche del tesserino sanitario STP per stranieri irregolarmente soggiornanti. Il tesserino PSU (Permesso di Soggiorno per motivi Umanitari) riporta dati anagrafici e codice identificativo composto di 16 caratteri, analogo a quello assegnato agli STP, sostituendo le lettere STP con le lettere PSU.", "max": "1" }, { "id": "Patient.identifier:PSU.extension", "path": "Patient.identifier.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.identifier:PSU.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:PSU.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:PSU.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:PSU.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "fixedCode": "PSU" }, { "id": "Patient.identifier:PSU.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://eng.it/sid/PSU" }, { "id": "Patient.identifier:PSU.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo PSU." }, { "id": "Patient.identifier:PSU.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo PSU attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:ISI", "path": "Patient.identifier", "sliceName": "ISI", "short": "Identificativo ISI.", "definition": "Identificativo ISI.", "max": "1" }, { "id": "Patient.identifier:ISI.extension", "path": "Patient.identifier.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.identifier:ISI.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:ISI.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:ISI.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:ISI.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "fixedCode": "ISI" }, { "id": "Patient.identifier:ISI.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://eng.it/sid/ISI" }, { "id": "Patient.identifier:ISI.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo ISI." }, { "id": "Patient.identifier:ISI.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo ISI attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:CF", "path": "Patient.identifier", "sliceName": "CF", "short": "Identificativo CF.", "definition": "Identificativo CF.", "comment": "Il codice fiscale italiano serve a identificare univocamente le persone fisiche e altri soggetti diversi nei loro rapporti con gli enti e le amministrazioni pubbliche dello Stato italiano.", "max": "1" }, { "id": "Patient.identifier:CF.extension", "path": "Patient.identifier.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.identifier:CF.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:CF.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:CF.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:CF.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "fixedCode": "CF" }, { "id": "Patient.identifier:CF.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://hl7.it/sid/codiceFiscale" }, { "id": "Patient.identifier:CF.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo CF." }, { "id": "Patient.identifier:CF.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo CF attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:ANPR", "path": "Patient.identifier", "sliceName": "ANPR", "short": "Identificativo ANPR.", "definition": "Identificativo Anagrafe Nazionale della popolazione residente (quando applicabile).", "comment": "Lidentificativo ANPR è attribuito a ogni cittadino italiano all’atto della sua iscrizione all'anagrafe e conseguente registrazione all'interno dell’ANPR (Anagrafe Nazionale).", "max": "1" }, { "id": "Patient.identifier:ANPR.extension", "path": "Patient.identifier.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.identifier:ANPR.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:ANPR.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:ANPR.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:ANPR.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "fixedCode": "ANPR" }, { "id": "Patient.identifier:ANPR.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://hl7.it/sid/anpr" }, { "id": "Patient.identifier:ANPR.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo ANPR." }, { "id": "Patient.identifier:ANPR.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo ANPR attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:idLocale", "path": "Patient.identifier", "sliceName": "idLocale", "short": "Identificativo locale.", "definition": "Identificativo locale.", "comment": "Identificativo locale che permette il collegamento all'identificativo aziendale (contesto PMA).", "max": "1" }, { "id": "Patient.identifier:idLocale.extension", "path": "Patient.identifier.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.identifier:idLocale.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:idLocale.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:idLocale.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:idLocale.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "fixedCode": "LOCALE" }, { "id": "Patient.identifier:idLocale.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://eng.it/sid/localCode" }, { "id": "Patient.identifier:idLocale.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo id Locale." }, { "id": "Patient.identifier:idLocale.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo id Locale attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:idRegionale", "path": "Patient.identifier", "sliceName": "idRegionale", "short": "Identificativo regionale.", "definition": "Identificativo regionale.", "comment": "ID locale Regionale, per tutti i soggetti che hanno avuto un contatto con una specifica Regione.", "max": "1" }, { "id": "Patient.identifier:idRegionale.extension", "path": "Patient.identifier.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.identifier:idRegionale.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:idRegionale.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:idRegionale.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:idRegionale.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "fixedCode": "REGIONALE" }, { "id": "Patient.identifier:idRegionale.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Il system deve rispettare la struttura: \"http://eng.it/sid/[nomeRegione]/[nomeAnagrafica]\".", "example": [ { "label": "esempio di system", "valueUri": "http://eng.it/sid/nomeRegione/nomeAnagrafica" } ], "constraint": [ { "key": "key-system-patient", "severity": "error", "human": "Il system deve rispettare la struttura: \"http://eng.it/sid/[nomeRegione]/[nomeAnagrafica]\"", "expression": "startsWith('http://eng.it/sid/')" } ] }, { "id": "Patient.identifier:idRegionale.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo id Regionale." }, { "id": "Patient.identifier:idRegionale.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo id Regionale attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:DOC", "path": "Patient.identifier", "sliceName": "DOC", "short": "Documento d'identità.", "definition": "Documento d'identità.", "max": "1" }, { "id": "Patient.identifier:DOC.extension", "path": "Patient.identifier.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.identifier:DOC.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "short": "ISTAT comune di rilascio tessera.", "definition": "Estensione da valorizzare per inserire l'ISTAT del comune di rilascio della tessera.", "comment": "Valorizzare il system con:\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali' --> per l'ISTAT del comune di rilascio della tessera.\r\n\r\n* 'http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere' --> per l'ISTAT dello Stato di rilascio della tessera.", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:DOC.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:DOC.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:DOC.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistem.a", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "fixedCode": "DOC" }, { "id": "Patient.identifier:DOC.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://eng.it/sid/docIde" }, { "id": "Patient.identifier:DOC.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Data di inizio e di fine validità dell'identificativo Documento d'identità." }, { "id": "Patient.identifier:DOC.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo DOC attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:passaporto", "path": "Patient.identifier", "sliceName": "passaporto", "short": "Passaporto", "definition": "Passaporto.", "max": "1" }, { "id": "Patient.identifier:passaporto.extension", "path": "Patient.identifier.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.identifier:passaporto.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:passaporto.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:passaporto.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:passaporto.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "fixedCode": "PASSAPORTO" }, { "id": "Patient.identifier:passaporto.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://eng.it/sid/passaporto" }, { "id": "Patient.identifier:passaporto.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo.", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Period specifica un intervallo di tempo; il contesto d'uso specificherà se si applica l'intero intervallo (ad esempio, \"il paziente è stato ricoverato in ospedale per questo intervallo di tempo\") o se si applica un valore dell'intervallo (ad esempio, \"la somministrazione al paziente è avvenuta tra questi due momenti\"). Period non è usato per una durata (una misura del tempo trascorso). Vedere [Duration](datatypes.html#Duration)." }, { "id": "Patient.identifier:passaporto.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo passaporto attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:idAnonimizzazione", "path": "Patient.identifier", "sliceName": "idAnonimizzazione", "short": "idAnonimizzazione", "definition": "idAnonimizzazione", "comment": "Identificativo utilizzato dal servizio regionale, associato ad un paziente di cui si conoscono solo informazioni minimali (es. solo nome e cognome).", "max": "1" }, { "id": "Patient.identifier:idAnonimizzazione.extension", "path": "Patient.identifier.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.identifier:idAnonimizzazione.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:idAnonimizzazione.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:idAnonimizzazione.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:idAnonimizzazione.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "fixedCode": "ANONIM" }, { "id": "Patient.identifier:idAnonimizzazione.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://eng.it/sid/idAnonim" }, { "id": "Patient.identifier:idAnonimizzazione.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Period specifica un intervallo di tempo; il contesto d'uso specificherà se si applica l'intero intervallo (ad esempio, \"il paziente è stato ricoverato in ospedale per questo intervallo di tempo\") o se si applica un valore dell'intervallo (ad esempio, \"la somministrazione al paziente è avvenuta tra questi due momenti\"). Period non è usato per una durata (una misura del tempo trascorso). Vedere [Duration](datatypes.html#Duration)." }, { "id": "Patient.identifier:idAnonimizzazione.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo id Anonimizzazione attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:eta", "path": "Patient.identifier", "sliceName": "eta", "short": "eta", "definition": "eta", "comment": "L'età del paziente (calcolata dalla data di nascita o migliore approssimazione).", "max": "1" }, { "id": "Patient.identifier:eta.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:eta.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:eta.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "fixedCode": "ETA" }, { "id": "Patient.identifier:eta.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://eng.it/sid/eta" }, { "id": "Patient.identifier:eta.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo un testo).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo eta attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:idEMS", "path": "Patient.identifier", "sliceName": "idEMS", "short": "idEMS", "definition": "idEMS", "comment": "Identificativo per il paziente all'interno dell'organizzazione EMS (sistema emergenziale per integrazione 118).", "max": "1" }, { "id": "Patient.identifier:idEMS.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:idEMS.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:idEMS.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.", "fixedCode": "EMS" }, { "id": "Patient.identifier:idEMS.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://eng.it/sid/idEms" }, { "id": "Patient.identifier:idEMS.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo un testo).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo id EMS attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.identifier:ANA", "path": "Patient.identifier", "sliceName": "ANA", "short": "Identificativo ANA", "definition": "Identificativo ANA (Anagrafica Nazionale degli Assistiti).", "max": "1" }, { "id": "Patient.identifier:ANA.extension:iso21090-SC-coding", "path": "Patient.identifier.extension", "sliceName": "iso21090-SC-coding", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.identifier:ANA.type", "path": "Patient.identifier.type", "short": "Descrizione dell'identificatore.", "definition": "Un tipo codificato per l'identificatore che può essere usato per determinare quale identificatore usare per uno scopo specifico.", "comment": "Questo elemento si occupa solo di categorie generali di identificatori. Non deve essere utilizzato per i codici che corrispondono a 1..1 con il sistema Identifier.system. Alcuni identificatori possono rientrare in più categorie a causa dell'uso comune. Quando il sistema è noto, un tipo non è necessario perché il tipo fa sempre parte della definizione del sistema. Tuttavia, spesso i sistemi devono gestire identificatori di cui non si conosce il sistema. Non esiste una relazione 1:1 tra tipo e sistema, poiché molti sistemi diversi hanno lo stesso tipo." }, { "id": "Patient.identifier:ANA.type.coding", "path": "Patient.identifier.type.coding", "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.identifier:ANA.type.coding.code", "path": "Patient.identifier.type.coding.code", "short": "Simbolo nella sintassi definita dal sistema.", "definition": "Un simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "fixedCode": "ANA" }, { "id": "Patient.identifier:ANA.system", "path": "Patient.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Identifier.system è sempre sensibile alle maiuscole e alle minuscole.", "fixedUri": "http://eng.it/sid/ANA" }, { "id": "Patient.identifier:ANA.period", "path": "Patient.identifier.period", "short": "Periodo di tempo in cui l'id è/era valido per l'utilizzo", "definition": "Periodo di tempo durante il quale l'identificatore è/era valido per l'uso.", "comment": "Period specifica un intervallo di tempo; il contesto d'uso specificherà se si applica l'intero intervallo (ad esempio, \"il paziente è stato ricoverato in ospedale per questo intervallo di tempo\") o se si applica un valore dell'intervallo (ad esempio, \"la somministrazione al paziente è avvenuta tra questi due momenti\"). Period non è usato per una durata (una misura del tempo trascorso). Vedere [Duration](datatypes.html#Duration)." }, { "id": "Patient.identifier:ANA.assigner", "path": "Patient.identifier.assigner", "short": "Organizzazione che ha emesso l'id (può essere solo text).", "definition": "Organizzazione che ha emesso/gestisce l'identificatore.", "comment": "Se la risorsa dell'assigner non esiste e quindi non è possibile referenziare l'organization tramite il suo id, è possibile referenziare l'organization che assegna l'identificativo id Anonimizzazione attraverso una reference per identifier, utilizzando il system: \r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-fls\" -> Se l'assigner è una ASL.\r\n\r\n* \"http://terminology.hl7.it/CodeSystem/minsan-hsp\" -> Se l'assigner è un'azienda sanitaria o un presidio.\r\n\r\n* \"http://eng.it/sid/idIstituzione\" -> Se l'assigner è l'istituzione di rilascio (ad esempio, per l'istituzione SSN-MIN SALUTE il codice sarà 500001).", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Organization_Eng" ] } ] }, { "id": "Patient.active", "path": "Patient.active", "short": "Se il record del paziente è in uso attivo.", "definition": "Elemento di tipo boolean che definisce se l'identità è attiva o storico.", "comment": "Se un record è inattivo e collegato a un record attivo, i futuri aggiornamenti del paziente/registro devono riguardare l'altro paziente." }, { "id": "Patient.name", "path": "Patient.name", "short": "Un nome associato al paziente.", "definition": "Elemento di tipo HumanName che contiene il nome del paziente.", "comment": "Un paziente può avere più nomi con usi o periodi di applicazione diversi. Per gli animali, il nome è un \"HumanName\" nel senso che viene assegnato e utilizzato dagli esseri umani e ha gli stessi schemi." }, { "id": "Patient.name.family", "path": "Patient.name.family", "short": "Cognome", "definition": "Elemento che contiene il cognome del paziente a cui si riferisce il documento.", "comment": "Il nome della famiglia può essere scomposto in parti specifiche utilizzando le estensioni (de, nl, es culture correlate)." }, { "id": "Patient.name.given", "path": "Patient.name.given", "short": "Nome", "definition": "Elemento che contiene il nome del paziente (non solo il nome principale).", "comment": "Se sono registrate solo le iniziali, queste possono essere utilizzate al posto delle parti del nome completo. Le iniziali possono essere separate in più nomi, ma spesso non lo sono a causa di limitazioni parattiche. Questo elemento non è chiamato \"nome\" poiché i nomi non vengono sempre prima." }, { "id": "Patient.name.prefix", "path": "Patient.name.prefix", "short": "Prefisso", "definition": "Elemento che compare prima del nome.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB." }, { "id": "Patient.name.suffix", "path": "Patient.name.suffix", "short": "Suffisso", "definition": "Elemento che compare dopo il nome.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB." }, { "id": "Patient.telecom", "path": "Patient.telecom", "short": "Un recapito per contattare l'individuo.", "definition": "Elemento tipo ContactPoint che contiene i riferimenti di contatto del paziente.", "comment": "Un paziente può avere più modi per essere contattato con usi o periodi diversi. Potrebbe essere necessario disporre di opzioni per contattare la persona con urgenza e anche per aiutarla nell'identificazione. L'indirizzo potrebbe non arrivare direttamente alla persona, ma potrebbe raggiungere un altro soggetto in grado di delegare il paziente (ad esempio, il telefono di casa o il telefono del proprietario dell'animale domestico)." }, { "id": "Patient.telecom.system", "path": "Patient.telecom.system", "definition": "Elemento che definisce il tipo di contatto.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB." }, { "id": "Patient.telecom.value", "path": "Patient.telecom.value", "short": "Campo in cui inserire il valore.", "definition": "Elemento che contiene il riferimento del contatto.", "comment": "A volte nel valore sono inclusi dati di testo aggiuntivi, come numeri di estensione del telefono o note sull'uso del contatto." }, { "id": "Patient.telecom.use", "path": "Patient.telecom.use", "definition": "Elemento che definisce l’uso del contatto.", "comment": "Le applicazioni possono presumere che un contatto sia attuale, a meno che non sia esplicitamente indicato che è temporaneo o vecchio." }, { "id": "Patient.gender", "path": "Patient.gender", "definition": "Elemento codificato per il sesso del paziente.", "comment": "Il genere potrebbe non corrispondere al sesso biologico determinato dalla genetica o dall'identificazione preferita dall'individuo. Si noti che sia per gli esseri umani che, in particolare, per gli animali, esistono altre possibilità legittime oltre a quella di maschio e femmina, anche se la stragrande maggioranza dei sistemi e dei contesti supporta solo maschio e femmina. I sistemi che forniscono supporto decisionale o applicano le regole aziendali dovrebbero idealmente farlo sulla base di osservazioni che riguardano il sesso specifico o l'aspetto del genere di interesse (anatomico, cromosomico, sociale, ecc.). Tuttavia, poiché queste osservazioni sono registrate di rado, la prassi comune è quella di assegnare il genere amministrativo. Laddove si verifica tale impostazione predefinita, l'applicazione delle regole deve consentire la variazione tra gli aspetti amministrativi e quelli biologici, cromosomici e di altro genere. Ad esempio, un avviso relativo a un'isterectomia su un uomo dovrebbe essere gestito come un avvertimento o un errore escludibile, e non come un errore \"duro\". Per ulteriori informazioni sulla comunicazione del sesso e del genere del paziente, consultare la sezione Genere e sesso del paziente." }, { "id": "Patient.birthDate", "path": "Patient.birthDate", "short": "La data di nascita dell'individuo.", "definition": "Elemento di tipo date che veicola la data di nascita del paziente.", "comment": "Se la data di nascita reale non è nota, si dovrebbe fornire almeno un anno stimato. Esiste un'estensione standard \"patient-birthTime\", che dovrebbe essere usata quando è richiesta l'ora (ad esempio nei sistemi di assistenza alla maternità/infanzia)." }, { "id": "Patient.deceased[x]", "path": "Patient.deceased[x]", "short": "Indica se l'individuo è deceduto o meno.", "definition": "Contiene l’eventuale data e ora in cui è avvenuto il decesso tramite elemento di tipo dateTime. L'elemento deve essere presente se e solo se la persone appartiene alla categoria dei deceduti.", "comment": "Se non c'è alcun valore nell'istanza, significa che non c'è alcuna dichiarazione sul fatto che l'individuo sia o meno deceduto. La maggior parte dei sistemi interpreta l'assenza di un valore come un segno che la persona è viva." }, { "id": "Patient.deceased[x].extension", "path": "Patient.deceased[x].extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.deceased[x].extension:deceased", "path": "Patient.deceased[x].extension", "sliceName": "deceased", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-deceased" ] } ], "isModifier": false }, { "id": "Patient.address", "path": "Patient.address", "short": "Un indirizzo per l'individuo.", "definition": "Elemento tipo Address che contiene l’indirizzo.", "comment": "Il paziente può avere più indirizzi con usi diversi o periodi applicabili." }, { "id": "Patient.address.extension", "path": "Patient.address.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.address.extension:addressOfficial", "path": "Patient.address.extension", "sliceName": "addressOfficial", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/address-official" ] } ], "isModifier": false }, { "id": "Patient.address.extension:addressType", "path": "Patient.address.extension", "sliceName": "addressType", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-addressType" ] } ], "isModifier": false }, { "id": "Patient.address.extension:addressNeighborhood", "path": "Patient.address.extension", "sliceName": "addressNeighborhood", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-addressNeighborhood" ] } ], "isModifier": false }, { "id": "Patient.address.use", "path": "Patient.address.use", "definition": "Elemento che definisce l’uso dell’indirizzo.", "comment": "Valorizzare con:\r\n\r\n* home per domicilio e residenza;\r\n\r\n* temp per indirizzo di reperibilità." }, { "id": "Patient.address.type", "path": "Patient.address.type", "definition": "Distingue tra indirizzi fisici (quelli che si possono visitare) e indirizzi postali (ad esempio caselle postali e indirizzi di assistenza). La maggior parte degli indirizzi sono entrambi.", "comment": "La definizione di Indirizzo afferma che \"l'indirizzo è inteso per descrivere indirizzi postali, non luoghi fisici\". Tuttavia, molte applicazioni tengono conto del fatto che un indirizzo ha il duplice scopo di essere un luogo visitabile e di essere una destinazione di consegna valida, e gli indirizzi postali sono spesso usati come proxy per i luoghi fisici (si veda anche la risorsa [Location](location.html#))." }, { "id": "Patient.address.line", "path": "Patient.address.line", "short": "Nome della strada, numero, direzione e casella postale, ecc.", "definition": "Elemento che contiene la descrizione dell’indirizzo.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB." }, { "id": "Patient.address.city", "path": "Patient.address.city", "short": "Nome della città, del paese, ecc.", "definition": "Elemento che contiene il nome del comune.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB." }, { "id": "Patient.address.city.extension", "path": "Patient.address.city.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.address.city.extension:iso21090-SC", "path": "Patient.address.city.extension", "sliceName": "iso21090-SC", "comment": "Sono definiti i seguenti sistemi di codifica: \r\n\r\n* per il codice catastale dei comuni (agenzia dell'entrate): http://terminology.hl7.it/CodeSystem/mef-ae-comuni.\r\n\r\n* per la sigla delle provincie (agenzia delle entrate): http://terminology.hl7.it/CodeSystem/mef-ae-province.\r\n\r\n* per il minsan della regione (ministero della salute): http://terminology.hl7.it/CodeSystem/minsan-regione.\r\n\r\n* per ISTAT relativi ai comuni, alle province e alle regioni: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali.\r\n\r\n* per ISTAT relativi agli Stati: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere.\r\n\r\n* per i codici alpha2 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha2 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-2.\r\n\r\n* per i codici alpha3 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha3 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-3.", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.address.district", "path": "Patient.address.district", "short": "Nome della provincia.", "definition": "Elemento che contiene il nome della provincia.", "comment": "Il distretto è talvolta noto come contea, ma in alcune regioni \"contea\" è usato al posto di città (comune), quindi il nome della contea dovrebbe essere trasmesso in città." }, { "id": "Patient.address.district.extension", "path": "Patient.address.district.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.address.district.extension:iso21090-SC", "path": "Patient.address.district.extension", "sliceName": "iso21090-SC", "comment": "Sono definiti i seguenti sistemi di codifica: \r\n\r\n* per il codice catastale dei comuni (agenzia dell'entrate): http://terminology.hl7.it/CodeSystem/mef-ae-comuni. \r\n\r\n* per la sigla delle provincie (agenzia delle entrate): http://terminology.hl7.it/CodeSystem/mef-ae-province.\r\n\r\n* per il minsan della regione (ministero della salute): http://terminology.hl7.it/CodeSystem/minsan-regione.\r\n\r\n* per ISTAT relativi ai comuni, alle province e alle regioni: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali.\r\n\r\n* per ISTAT relativi agli Stati: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere.\r\n\r\n* per i codici alpha2 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha2 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-2.\r\n\r\n* per i codici alpha3 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha3 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-3.", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.address.state", "path": "Patient.address.state", "short": "Nome della regione.", "definition": "Elemento che contiene il nome della regione.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB." }, { "id": "Patient.address.state.extension", "path": "Patient.address.state.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.address.state.extension:iso21090-SC", "path": "Patient.address.state.extension", "sliceName": "iso21090-SC", "comment": "Sono definiti i seguenti sistemi di codifica: \r\n\r\n* per il codice catastale dei comuni (agenzia dell'entrate): http://terminology.hl7.it/CodeSystem/mef-ae-comuni.\r\n\r\n* per la sigla delle provincie (agenzia delle entrate): http://terminology.hl7.it/CodeSystem/mef-ae-province.\r\n\r\n* per il minsan della regione (ministero della salute): http://terminology.hl7.it/CodeSystem/minsan-regione.\r\n\r\n* per ISTAT relativi ai comuni, alle province e alle regioni: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali.\r\n\r\n* per ISTAT relativi agli Stati: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere.\r\n\r\n* per i codici alpha2 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha2 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-2.\r\n\r\n* per i codici alpha3 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha3 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-3.", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.address.postalCode", "path": "Patient.address.postalCode", "short": "CAP.", "definition": "Elemento che contiene il codice di avviamento postale.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB." }, { "id": "Patient.address.country", "path": "Patient.address.country", "short": "Stato.", "definition": "Paese - una nazione come comunemente intesa o generalmente accettata.", "comment": "I codici ISO 3166 a 3 lettere possono essere utilizzati al posto di un nome di paese leggibile dall'uomo (fare riferimento all'estensione collegata per utilizzare il system corretto)." }, { "id": "Patient.address.country.extension", "path": "Patient.address.country.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.address.country.extension:iso21090-SC", "path": "Patient.address.country.extension", "sliceName": "iso21090-SC", "comment": "Sono definiti i seguenti sistemi di codifica: \r\n\r\n* per il codice catastale dei comuni (agenzia dell'entrate): http://terminology.hl7.it/CodeSystem/mef-ae-comuni.\r\n\r\n* per la sigla delle provincie (agenzia delle entrate): http://terminology.hl7.it/CodeSystem/mef-ae-province.\r\n\r\n* per il minsan della regione (ministero della salute): http://terminology.hl7.it/CodeSystem/minsan-regione.\r\n\r\n* per ISTAT relativi ai comuni, alle province e alle regioni: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritoriali.\r\n\r\n* per ISTAT relativi agli Stati: http://terminology.hl7.it/CodeSystem/istat-unitaAmministrativeTerritorialiEstere.\r\n\r\n* per i codici alpha2 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha2 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-2.\r\n\r\n* per i codici alpha3 relativi agli Stati: http://terminology.eng.it/CodeSystem/iso3166-alpha3 --> fa riferimento al ValueSet: http://hl7.org/fhir/ValueSet/iso3166-1-3.", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding" ] } ], "isModifier": false }, { "id": "Patient.maritalStatus", "path": "Patient.maritalStatus", "short": "Stato civile del paziente.", "definition": "Contiene l’elemento codificato per lo stato civile e la sua descrizione. \r\n\r\nPer la valorizzazione dell'elemento è possibile utilizzare i seguenti system:\r\n\r\n* http://terminology.hl7.org/CodeSystem/v3-MaritalStatus.\r\n\r\n* http://terminology.hl7.org/CodeSystem/v3-NullFlavor.\r\n\r\n* http://terminology.hl7.it/CodeSystem/istat-statoCivile.\r\n\r\nPer consultare i valori disponibili, vedere la relativa slice.", "comment": "Non tutti gli usi della terminologia si adattano a questo schema generale. In alcuni casi, i modelli non dovrebbero usare CodeableConcept e utilizzare direttamente la codifica, fornendo la propria struttura per la gestione del testo, delle codifiche, delle traduzioni e delle relazioni tra gli elementi e il pre e post coordinamento." }, { "id": "Patient.maritalStatus.coding", "path": "Patient.maritalStatus.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "closed" }, "short": "Codice definito da un sistema terminologico.", "definition": "Un riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere utilizzato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true.", "max": "1", "binding": { "strength": "preferred", "description": "Questo value set definisce una serie di codici per rappresentare lo stato civile di una persona. Specializza ed estende il value set http://hl7.org/fhir/ValueSet/marital-status.", "valueSet": "http://hl7.it/fhir/ValueSet/statoCivile" } }, { "id": "Patient.maritalStatus.coding:MaritalStatus-Org", "path": "Patient.maritalStatus.coding", "sliceName": "MaritalStatus-Org", "short": "MaritalStatus-Org.", "definition": "Terminologia legata al system http://terminology.hl7.org/CodeSystem/v3-MaritalStatus che accetta i valori:\r\nD, M , S , W , M , A.", "comment": "* D --> Divorziato/a.\r\n\r\n* M --> Coniugato/a.\r\n\r\n* S --> Celibe/nubile.\r\n\r\n* W --> Vedovo/a.\r\n\r\n* M --> Separato/a Legalmente.\r\n\r\n* A --> Annullato.", "max": "1" }, { "id": "Patient.maritalStatus.coding:MaritalStatus-Org.system", "path": "Patient.maritalStatus.coding.system", "short": "Identità del sistema terminologico.", "definition": "L'identificazione del sistema di codice che definisce il significato del simbolo nel codice.", "comment": "L'URI può essere un OID (urn:oid:...) o un UUID (urn:uuid:...). Gli OID e gli UUID devono essere riferimenti al registro OID di HL7. Altrimenti, l'URI deve provenire dall'elenco di URI speciali definiti da HL7 per FHIR o deve fare riferimento a qualche definizione che stabilisca il sistema in modo chiaro e non ambiguo.", "fixedUri": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus" }, { "id": "Patient.maritalStatus.coding:NullFlavor", "path": "Patient.maritalStatus.coding", "sliceName": "NullFlavor", "short": "NullFlavor.", "definition": "Terminologia legata al system http://terminology.hl7.org/CodeSystem/v3-NullFlavor che accetta i valori:\r\nUNK.", "comment": "* UNK --> Sconosciuto.", "max": "1" }, { "id": "Patient.maritalStatus.coding:NullFlavor.system", "path": "Patient.maritalStatus.coding.system", "short": "Identità del sistema terminologico.", "definition": "L'identificazione del sistema di codice che definisce il significato del simbolo nel codice.", "fixedUri": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" }, { "id": "Patient.maritalStatus.coding:StatoCivile", "path": "Patient.maritalStatus.coding", "sliceName": "StatoCivile", "short": "StatoCivile.", "definition": "Terminologia legata al system http://terminology.hl7.it/CodeSystem/istat-statoCivile che accetta i valori:\r\n6, 7, 8.", "comment": "* 6 --> Unito civilmente.\r\n\r\n* 7 --> Stato libero a seguito di decesso della parte unita civilmente.\r\n\r\n* 8 --> Stato libero a seguito di scioglimento dell'unione.", "max": "1" }, { "id": "Patient.maritalStatus.coding:StatoCivile.system", "path": "Patient.maritalStatus.coding.system", "short": "Identità del sistema terminologico.", "definition": "L'identificazione del sistema di codice che definisce il significato del simbolo nel codice.", "comment": "L'URI può essere un OID (urn:oid:...) o un UUID (urn:uuid:...). Gli OID e gli UUID devono essere riferimenti al registro OID di HL7. Altrimenti, l'URI deve provenire dall'elenco di URI speciali definiti da HL7 per FHIR o deve fare riferimento a qualche definizione che stabilisca il sistema in modo chiaro e non ambiguo.", "fixedUri": "http://terminology.hl7.it/CodeSystem/istat-statoCivile" }, { "id": "Patient.contact", "path": "Patient.contact", "short": "Una persona di riferimento (ad es. tutore, partner, amico) per il paziente", "definition": "Una persona di riferimento (ad es. tutore, partner, amico) per il paziente.", "comment": "Il contatto comprende tutti i tipi di interlocutori: familiari, contatti commerciali, tutori, assistenti. Non si applica alla registrazione del pedigree e dei legami familiari al di là dell'uso del contatto." }, { "id": "Patient.contact.relationship", "path": "Patient.contact.relationship", "short": "Il tipo di relazione", "definition": "La natura del rapporto tra il paziente e la persona di contatto.", "comment": "Non tutti gli usi della terminologia si adattano a questo schema generale. In alcuni casi, i modelli non dovrebbero usare CodeableConcept e utilizzare direttamente la codifica, fornendo la propria struttura per la gestione del testo, delle codifiche, delle traduzioni e delle relazioni tra gli elementi e il pre e post coordinamento." }, { "id": "Patient.contact.relationship.coding", "path": "Patient.contact.relationship.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" }, "short": "Codice definito da un sistema terminologico", "definition": "Riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles di HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere usato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.contact.relationship.coding:generico", "path": "Patient.contact.relationship.coding", "sliceName": "generico", "short": "Codice definito da un sistema terminologico", "definition": "Riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles di HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere usato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.contact.relationship.coding:generico.system", "path": "Patient.contact.relationship.coding.system", "short": "Identità del sistema terminologico", "definition": "Identificazione del sistema di codice che definisce il significato del simbolo nel codice.", "comment": "L'URI può essere un OID (urn:oid:...) o un UUID (urn:uuid:...). Gli OID e gli UUID devono essere riferimenti al registro OID di HL7. Altrimenti, l'URI deve provenire dall'elenco di URI speciali definiti da HL7 per FHIR o deve fare riferimento a qualche definizione che stabilisca il sistema in modo chiaro e non ambiguo.", "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0131" }, { "id": "Patient.contact.relationship.coding:generico.code", "path": "Patient.contact.relationship.coding.code", "short": "Simbolo nella sintassi definita dal sistema", "definition": "Simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB.", "binding": { "strength": "extensible", "description": "La natura del rapporto tra un paziente e una persona di contatto per quel paziente.", "valueSet": "http://hl7.org/fhir/ValueSet/patient-contactrelationship" } }, { "id": "Patient.contact.relationship.coding:generico.display", "path": "Patient.contact.relationship.coding.display", "short": "Rappresentazione definita dal sistema", "definition": "Rappresentazione del significato del codice nel sistema, secondo le regole del sistema.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB." }, { "id": "Patient.contact.relationship.coding:aziendale", "path": "Patient.contact.relationship.coding", "sliceName": "aziendale", "short": "Codice definito da un sistema terminologico", "definition": "Riferimento a un codice definito da un sistema terminologico.", "comment": "I codici possono essere definiti in modo molto casuale in enumerazioni o elenchi di codici, fino a definizioni molto formali come SNOMED CT - si vedano i Core Principles di HL7 v3 per maggiori informazioni. L'ordine dei codici non è definito e non deve essere usato per dedurre il significato. In generale, al massimo uno solo dei valori di codifica sarà etichettato come UserSelected = true." }, { "id": "Patient.contact.relationship.coding:aziendale.system", "path": "Patient.contact.relationship.coding.system", "short": "Identità del sistema terminologico", "definition": "Identificazione del sistema di codice che definisce il significato del simbolo nel codice.", "comment": "L'URI può essere un OID (urn:oid:...) o un UUID (urn:uuid:...). Gli OID e gli UUID devono essere riferimenti al registro OID di HL7. Altrimenti, l'URI deve provenire dall'elenco di URI speciali definiti da HL7 per FHIR o deve fare riferimento a qualche definizione che stabilisca il sistema in modo chiaro e non ambiguo.", "fixedUri": "http://cct.eng.it/FHIR/schema/patient-contact-relationship" }, { "id": "Patient.contact.relationship.coding:aziendale.code", "path": "Patient.contact.relationship.coding.code", "short": "Simbolo nella sintassi definita dal sistema", "definition": "Simbolo nella sintassi definita dal sistema. Il simbolo può essere un codice predefinito o un'espressione in una sintassi definita dal sistema di codifica (ad esempio, post-coordinazione).", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB." }, { "id": "Patient.contact.relationship.coding:aziendale.display", "path": "Patient.contact.relationship.coding.display", "short": "Rappresentazione definita dal sistema", "definition": "Rappresentazione del significato del codice nel sistema, secondo le regole del sistema.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB." }, { "id": "Patient.contact.telecom", "path": "Patient.contact.telecom", "short": "Un recapito per contattare la persona", "definition": "Un dettaglio di contatto per la persona, ad esempio un numero di telefono o un indirizzo e-mail.", "comment": "Il contatto può avere più modi per essere contattato con usi o periodi diversi. Potrebbe essere necessario disporre di opzioni per contattare la persona con urgenza e anche per aiutarla a identificarsi." }, { "id": "Patient.contact.telecom.system", "path": "Patient.contact.telecom.system", "definition": "Modulo di telecomunicazione per il punto di contatto - quale sistema di comunicazione è necessario per utilizzare il contatto.", "comment": "Si noti che le stringhe FHIR non devono superare la dimensione di 1MB." }, { "id": "Patient.contact.telecom.value", "path": "Patient.contact.telecom.value", "short": "I dettagli del punto di contatto effettivo", "definition": "I dati del punto di contatto effettivo, in una forma significativa per il sistema di comunicazione designato (ad esempio, numero di telefono o indirizzo e-mail).", "comment": "A volte nel valore sono inclusi dati di testo aggiuntivi, come numeri di estensione del telefono o note sull'uso del contatto." }, { "id": "Patient.contact.telecom.use", "path": "Patient.contact.telecom.use", "definition": "Elemento che definisce l’uso del contatto.", "comment": "Le applicazioni possono presumere che un contatto sia attuale, a meno che non sia esplicitamente indicato che è temporaneo o vecchio." }, { "id": "Patient.generalPractitioner", "path": "Patient.generalPractitioner", "short": "Fornitore di cure primarie nominato dal paziente.", "definition": "Elemento di tipo reference contenente il riferimento alle risorse PractitionerRole e Organization: fornisce informazioni circa il MMG/PLS attivo e informazioni sul tipo di rapporto e validità con le ASL referenziate. La tipologia di rapporto con la ASL referenziata è regolata dall'estensione patient-asan definita nell'estensione apposita. Le risorse referenziate devono essere presenti all’interno dell’elemento contained. Per la struttura e la valorizzazione delle risorse PractitionerRole e Organization a cui è riferito il presente elemento, vedere il profilo dedicato.", "comment": "Può trattarsi del fornitore di cure primarie (in un contesto di medici di base), oppure di un care manager nominato dal paziente in un contesto di comunità/disabilità, o ancora di un'organizzazione che fornirà persone per svolgere i ruoli di fornitore di cure. Non deve essere usato per registrare i team di cura, che dovrebbero essere in una risorsa CareTeam che può essere collegata alle risorse CarePlan o EpisodeOfCare. È possibile registrare più medici di base rispetto al paziente per vari motivi, come ad esempio uno studente che ha il suo medico di base elencato insieme al medico di base all'università durante i semestri scolastici, o un lavoratore \"fly-in/fly-out\" che ha il medico di base in loco incluso insieme al suo medico di base per rimanere al corrente dei problemi medici. Le giurisdizioni possono decidere di ridurre il profilo a 1, se lo desiderano, o a 1 per tipo.", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/PractitionerRole_Eng", "https://eng.it/fhir/StructureDefinition/Organization_Eng" ], "aggregation": [ "contained", "referenced", "bundled" ] } ] }, { "id": "Patient.generalPractitioner.extension", "path": "Patient.generalPractitioner.extension", "short": "Contenuti aggiuntivi definiti dalle implementazioni.", "definition": "Può essere utilizzato per rappresentare informazioni aggiuntive che non fanno parte della definizione di base dell'elemento. Per rendere l'uso delle estensioni sicuro e gestibile, esiste un rigoroso insieme di regole applicate alla definizione e all'uso delle estensioni. Sebbene qualsiasi implementatore possa definire un'estensione, esiste un insieme di requisiti che devono essere soddisfatti come parte della definizione dell'estensione.", "comment": "L'uso delle estensioni non può essere stigmatizzato da nessuna applicazione, progetto o standard, indipendentemente dall'istituzione o dalla giurisdizione che le utilizza o le definisce. L'uso delle estensioni è ciò che consente alla specifica FHIR di mantenere un livello di semplicità di base per tutti." }, { "id": "Patient.generalPractitioner.extension:asan", "path": "Patient.generalPractitioner.extension", "sliceName": "asan", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-asan" ] } ], "isModifier": false }, { "id": "Patient.generalPractitioner.extension:periodValMed", "path": "Patient.generalPractitioner.extension", "sliceName": "periodValMed", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://cct.eng.it/FHIR/schema/patient-periodValMed" ] } ], "isModifier": false }, { "id": "Patient.generalPractitioner.identifier", "path": "Patient.generalPractitioner.identifier", "short": "Riferimento logico, quando il riferimento letterale non è noto.", "definition": "Un identificatore per la risorsa di destinazione. Si usa quando non c'è modo di fare riferimento all'altra risorsa direttamente, o perché l'entità che rappresenta non è disponibile attraverso un server FHIR, o perché non c'è modo per l'autore della risorsa di convertire un identificatore noto in una posizione effettiva. Non è richiesto che un Reference.identifier punti a qualcosa che sia effettivamente esposto come istanza FHIR, ma deve puntare a un concetto aziendale che ci si aspetta sia esposto come istanza FHIR, e tale istanza deve essere di un tipo di risorsa FHIR consentito dal riferimento.", "comment": "Nel caso delle ASL di presidio o residenziali, si può scegliere di referenziare la risorsa Organization con una reference di tipo identifier, settando la voce identifier.system con \"http://terminology.hl7.it/CodeSystem/minsan-fls\"." }, { "id": "Patient.generalPractitioner.identifier.system", "path": "Patient.generalPractitioner.identifier.system", "short": "Lo spazio dei nomi per il valore dell'identificatore.", "definition": "Stabilisce lo spazio dei nomi per il valore, ovvero un URL che descrive un insieme di valori unici.", "comment": "Settare il system con: \"http://terminology.hl7.it/CodeSystem/minsan-fls\".", "fixedUri": "http://terminology.hl7.it/CodeSystem/minsan-fls" }, { "id": "Patient.link", "path": "Patient.link", "short": "Collegamento a un'altra risorsa del paziente che riguarda la stessa persona reale.", "definition": "Elemento di tipo BackBoneElement ripetibile che contiene informazioni riguardanti le altre identità collegate alla presente identità, in particolare:\r\n- identità slave (se esiste, deve essere presente);\r\n- identità master (nel caso in cui l’identità in oggetto sia non attivo - se esiste, deve essere presente).\r\nLa risorsa Patient che contiene l'elemento link.type='replaces' è il paziente master; la risorsa Patient referenziata è il paziente slave.", "comment": "Non si presuppone che le cartelle cliniche collegate abbiano legami reciproci." }, { "id": "Patient.link.other", "path": "Patient.link.other", "short": "L'altra risorsa del paziente o della persona collegata a cui si riferisce il link.", "definition": "L'altra risorsa paziente o persona correlata a cui il link fa riferimento.", "comment": "Il riferimento a una Persona correlata elimina la necessità di utilizzare un record Persona per associare un Paziente e una Persona correlata allo stesso individuo.", "type": [ { "code": "Reference", "targetProfile": [ "https://eng.it/fhir/StructureDefinition/Patient_Eng" ] } ] }, { "id": "Patient.link.type", "path": "Patient.link.type", "definition": "Il tipo di collegamento tra questa risorsa paziente e un'altra risorsa paziente.", "comment": "Valorizzare a 'replaces' nel caso di merge anagrafico.", "fixedCode": "replaces" } ] } }