<StructureDefinition xmlns="http://hl7.org/fhir">
  <url value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLEncounterMP" />
  <name value="RLEncounterMP" />
  <status value="draft" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Encounter" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Encounter" />
  <derivation value="constraint" />
  <differential>
    <element id="Encounter.extension:datiDimissione">
      <path value="Encounter.extension" />
      <sliceName value="datiDimissione" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLEncounterDatiDimissione" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Encounter.extension:datiDimissione.extension:pzDimissibile">
      <path value="Encounter.extension.extension" />
      <sliceName value="pzDimissibile" />
      <short value="Indicazione di paziente dimissibile" />
    </element>
    <element id="Encounter.extension:datiDimissione.extension:motivoPzNonDimesso">
      <path value="Encounter.extension.extension" />
      <sliceName value="motivoPzNonDimesso" />
      <short value="Se paziente dimissibile, motivo per cui rimane in reparto" />
    </element>
    <element id="Encounter.extension:datiDimissione.extension:dimissioneProtetta">
      <path value="Encounter.extension.extension" />
      <sliceName value="dimissioneProtetta" />
      <short value="Indicazione di dimissione protetta" />
    </element>
    <element id="Encounter.extension:dataDimissionePrevista">
      <path value="Encounter.extension" />
      <sliceName value="dataDimissionePrevista" />
      <short value="Data/ora prevista di dimissione" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/6.0/StructureDefinition/extension-Encounter.plannedEndDate" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Encounter.identifier">
      <path value="Encounter.identifier" />
      <short value="Codice identificazione univoco dell’episodio" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Encounter.identifier.system">
      <path value="Encounter.identifier.system" />
      <fixedUri value="https://fhir.siss.regione.lombardia.it/Valueset/numeroEpisodio" />
    </element>
    <element id="Encounter.identifier.value">
      <path value="Encounter.identifier.value" />
      <short value="Identificativo dell'episodio" />
    </element>
    <element id="Encounter.subject">
      <path value="Encounter.subject" />
      <short value="Paziente soggetto del ricovero." />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCore" />
      </type>
    </element>
    <element id="Encounter.period">
      <path value="Encounter.period" />
      <min value="1" />
    </element>
    <element id="Encounter.period.start">
      <path value="Encounter.period.start" />
      <definition value="Data/ora ingresso" />
      <min value="1" />
    </element>
    <element id="Encounter.period.end">
      <path value="Encounter.period.end" />
      <definition value="Data/ora dimissione" />
    </element>
    <element id="Encounter.reasonCode">
      <path value="Encounter.reasonCode" />
      <definition value="Motivo del ricovero" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Encounter.reasonCode.coding">
      <path value="Encounter.reasonCode.coding" />
      <binding>
        <strength value="required" />
        <valueSet value="https://terminology.hl7.org/5.5.0/CodeSystem-icd9.html" />
      </binding>
    </element>
    <element id="Encounter.reasonCode.coding.system">
      <path value="Encounter.reasonCode.coding.system" />
      <fixedUri value="https://terminology.hl7.org/CodeSystem-icd9" />
    </element>
    <element id="Encounter.reasonCode.coding.code">
      <path value="Encounter.reasonCode.coding.code" />
      <binding>
        <strength value="required" />
        <valueSet value="https://terminology.hl7.org/CodeSystem-icd9" />
      </binding>
    </element>
    <element id="Encounter.diagnosis">
      <path value="Encounter.diagnosis" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="use.coding.code" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Encounter.diagnosis.condition">
      <path value="Encounter.diagnosis.condition" />
      <short value="Diagnosi" />
      <definition value="Il profilo target Condition può contenere una diagnosi strutturata (Condition.code) oppure una diagnosi non strutturata (Condition.note)." />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" />
      </type>
    </element>
    <element id="Encounter.diagnosis.condition.use">
      <path value="Encounter.diagnosis.condition.use" />
      <short value="Diagnosi" />
      <definition value="Il profilo target Condition può contenere una diagnosi strutturata (Condition.code) oppure una diagnosi non strutturata (Condition.note)." />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" />
      </type>
    </element>
    <element id="Encounter.diagnosis:DiagnosiDimissione">
      <path value="Encounter.diagnosis" />
      <sliceName value="DiagnosiDimissione" />
    </element>
    <element id="Encounter.diagnosis:DiagnosiDimissione.use">
      <path value="Encounter.diagnosis.use" />
      <fixedCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/ValueSet/diagnosis-role" />
          <code value="DD" />
          <display value="Discharge diagnosis" />
        </coding>
      </fixedCodeableConcept>
    </element>
    <element id="Encounter.hospitalization">
      <path value="Encounter.hospitalization" />
      <min value="1" />
    </element>
    <element id="Encounter.hospitalization.origin">
      <path value="Encounter.hospitalization.origin" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationCore" />
        <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLLocationCore" />
      </type>
    </element>
    <element id="Encounter.hospitalization.destination">
      <path value="Encounter.hospitalization.destination" />
      <short value="Destinazione del trasferimento" />
      <definition value="Destinazione, in caso di trasferimento presso altra struttura." />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLLocationCore" />
        <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationCore" />
      </type>
    </element>
    <element id="Encounter.location">
      <path value="Encounter.location" />
      <short value="Posto letto di ricovero" />
      <definition value="Il reparto fisico e il reparto clinico a cui afferisce il posto letto, sono contenuti all'interno del profilo RLLocationPLOLetto.&#xD;&#xA;Qualora il paziente dovesse effettuare un trasferimento, la data di fine del period potrebbe non coincidere con la data di fine dell'encounter stesso." />
      <min value="1" />
    </element>
    <element id="Encounter.location.location">
      <path value="Encounter.location.location" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLLocationPLOLetto" />
      </type>
    </element>
    <element id="Encounter.location.physicalType">
      <path value="Encounter.location.physicalType" />
      <fixedCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/ValueSet/location-physical-type" />
          <code value="bd" />
          <display value="bed" />
        </coding>
      </fixedCodeableConcept>
    </element>
    <element id="Encounter.location.period">
      <path value="Encounter.location.period" />
      <short value="Periodo durante il quale il paziente ha occupato il posto letto indicato" />
      <definition value="Qualora il paziente dovesse effettuare un trasferimento, la data di fine del period potrebbe non coincidere con la data di fine dell'encounter stesso." />
    </element>
  </differential>
</StructureDefinition>