{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLMedicationRequestDimissioneLdo",
  "name": "RLMedicationRequestDimissioneLdo",
  "title": "MedicationRequest LDO - Terapia Farmacologica alla Dimissione",
  "status": "draft",
  "date": "2026-10-08",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "MedicationRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationRequest",
        "path": "MedicationRequest"
      },
      {
        "id": "MedicationRequest.status",
        "path": "MedicationRequest.status",
        "short": "Stato della richiesta",
        "comment": "Suggerimento: quando non c'è assumerà il valore unknown, nel caso in cui sia presente essere derivato dal Value set di R4 (https://r4.fhir.space/valueset-medicationrequest-status.html)",
        "min": 1,
        "max": "1"
      },
      {
        "id": "MedicationRequest.intent",
        "path": "MedicationRequest.intent",
        "short": "Scopo della richiesta",
        "comment": "Suggerimento: order",
        "min": 1,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction",
        "path": "MedicationRequest.dosageInstruction",
        "short": "Dati relatvi alla posologia (dosageInstruction.timing e dosageInstruction.doseAndRate) e l’intervallo di tempo in cui è in atto la terapia (sosageInstruction.timing)",
        "min": 0,
        "max": "*"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route",
        "path": "MedicationRequest.dosageInstruction.route",
        "short": "Via di somministrazione del farmaco",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route.coding",
        "path": "MedicationRequest.dosageInstruction.route.coding"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route.coding.system",
        "path": "MedicationRequest.dosageInstruction.route.coding.system",
        "short": "Sistema di codifica",
        "comment": "Valore previsto: http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration (OID 2.16.840.1.113883.5.112).",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route.coding.version",
        "path": "MedicationRequest.dosageInstruction.route.coding.version",
        "short": "Versione del sistema.",
        "comment": "Valore previsto: HL7 RouteOfAdministration.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route.coding.code",
        "path": "MedicationRequest.dosageInstruction.route.coding.code",
        "short": "Codice della via",
        "comment": "L’informazione inerente alla via di somministrazione viene inserita attraverso l’elemento l’attributo @code PUÒ essere valorizzato secondo il Value Set “HL7 RouteOfAdministration”",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route.coding.display",
        "path": "MedicationRequest.dosageInstruction.route.coding.display",
        "short": "Descrizione della via di somministrazione.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route.text",
        "path": "MedicationRequest.dosageInstruction.route.text",
        "short": "Testo libero.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.site",
        "path": "MedicationRequest.dosageInstruction.site",
        "short": "Sito anatomico di somministrazione.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.site.coding",
        "path": "MedicationRequest.dosageInstruction.site.coding"
      },
      {
        "id": "MedicationRequest.dosageInstruction.site.coding.system",
        "path": "MedicationRequest.dosageInstruction.site.coding.system",
        "short": "Sistema di codifica.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.site.coding.version",
        "path": "MedicationRequest.dosageInstruction.site.coding.version",
        "short": "Versione del sistema.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.site.coding.code",
        "path": "MedicationRequest.dosageInstruction.site.coding.code",
        "short": "Codice del sito",
        "comment": "L’attributo @code PUÒ essere valorizzato secondo il Value Set “ActSite”",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.site.coding.display",
        "path": "MedicationRequest.dosageInstruction.site.coding.display",
        "short": "Descrizione del sito.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.site.text",
        "path": "MedicationRequest.dosageInstruction.site.text",
        "short": "Testo libero.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationRequest.medication[x]",
        "path": "MedicationRequest.medication[x]",
        "short": "Riferimento al farmaco prescritto.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Medication"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.requester",
        "path": "MedicationRequest.requester",
        "short": "Professionista che ha richiesto la prescrizione.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerCore"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.subject",
        "path": "MedicationRequest.subject",
        "short": "Paziente a cui si riferisce la prescrizione.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCore"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest",
        "path": "MedicationRequest.dispenseRequest",
        "short": "Informazioni relative al numero di confezioni",
        "definition": "Autorizzazione alla fornitura del farmaco",
        "min": 0,
        "max": "1"
      }
    ]
  }
}