<StructureDefinition xmlns="http://hl7.org/fhir">
  <url value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationLDO" />
  <name value="RLObservationLDO" />
  <status value="draft" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation.status">
      <path value="Observation.status" />
      <short value="Stato dell'osservazione" />
      <fixedCode value="final" />
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <short value="Codice dell'osservazione" />
      <definition value="In questa implementation guide può assumere i seguenti codici LOINC:&#xD;&#xA;Decorso ospedaliero: 8648-8&#xD;&#xA;Motivo del ricovero strutturata: 8646-2&#xD;&#xA;Motivo del ricovero non strutturata: 46241-6&#xD;&#xA;Diagnosi alla dimissione strutturata: 8651-2&#xD;&#xA;Diagnosi alla dimissione non strutturata: 11535-2" />
    </element>
    <element id="Observation.code.coding">
      <path value="Observation.code.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="code" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.code.coding:motivoDelRicoveroStrutturata">
      <path value="Observation.code.coding" />
      <sliceName value="motivoDelRicoveroStrutturata" />
      <fixedCoding>
        <system value="http://loinc.org" />
        <code value="8646-2" />
      </fixedCoding>
    </element>
    <element id="Observation.code.coding:motivoDelRicoveroNONStrutturata">
      <path value="Observation.code.coding" />
      <sliceName value="motivoDelRicoveroNONStrutturata" />
      <fixedCoding>
        <system value="http://loinc.org" />
        <code value="46241-6" />
      </fixedCoding>
    </element>
    <element id="Observation.code.coding:decorsoOspedaliero">
      <path value="Observation.code.coding" />
      <sliceName value="decorsoOspedaliero" />
      <fixedCoding>
        <system value="http://loinc.org" />
        <code value="8648-8" />
      </fixedCoding>
    </element>
    <element id="Observation.code.coding:diagnosiAllaDimissioneStrutturata">
      <path value="Observation.code.coding" />
      <sliceName value="diagnosiAllaDimissioneStrutturata" />
      <fixedCoding>
        <system value="http://loinc.org" />
        <code value="8651-2" />
      </fixedCoding>
    </element>
    <element id="Observation.code.coding:diagnsoiAllaDimissioneNONStrutturata">
      <path value="Observation.code.coding" />
      <sliceName value="diagnsoiAllaDimissioneNONStrutturata" />
      <fixedCoding>
        <system value="http://loinc.org" />
        <code value="11535-2" />
      </fixedCoding>
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCore" />
      </type>
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]" />
      <short value="Data dell'osservazione" />
      <definition value="Data in cui è stata registrata l'osservazione clinica oppure, in assenza della prima, il campo è valorizzato con la data in cui è stato creato il documento." />
    </element>
    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <type>
        <code value="CodeableConcept" />
      </type>
    </element>
    <element id="Observation.note">
      <path value="Observation.note" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <definition value="Note sull'osservazione. In caso di section non strutturate, questo campo contiene la valorizzazione corrispondente al campo section/text del CDA2." />
    </element>
    <element id="Observation.note:OsservazioneNarrativa">
      <path value="Observation.note" />
      <sliceName value="OsservazioneNarrativa" />
      <min value="1" />
    </element>
    <element id="Observation.note:OsservazioneStrutturata">
      <path value="Observation.note" />
      <sliceName value="OsservazioneStrutturata" />
    </element>
  </differential>
</StructureDefinition>