{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestPAI",
  "name": "RLServiceRequestPAI",
  "title": "ServiceRequest PAI",
  "status": "draft",
  "date": "2026-10-28",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "ServiceRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "ServiceRequest",
        "path": "ServiceRequest",
        "short": "Prestazione programmata"
      },
      {
        "id": "ServiceRequest.extension",
        "path": "ServiceRequest.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "ServiceRequest.extension:validitaBisogno",
        "path": "ServiceRequest.extension",
        "sliceName": "validitaBisogno",
        "short": "Validità",
        "comment": "Codice di validità (OID 2.16.840.1.113883.2.9.2.30.3.1.3.13.6.41) da convertire in Duration.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestValiditaBisogno"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.extension:intervalloTemporale",
        "path": "ServiceRequest.extension",
        "sliceName": "intervalloTemporale",
        "short": "Intervallo temporale",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestIntervalloTemporale"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.status",
        "path": "ServiceRequest.status",
        "short": "Stato della richiesta",
        "min": 1,
        "max": "1",
        "fixedCode": "active"
      },
      {
        "id": "ServiceRequest.intent",
        "path": "ServiceRequest.intent",
        "short": "Scopo della richiesta",
        "min": 1,
        "max": "1",
        "fixedCode": "order"
      },
      {
        "id": "ServiceRequest.category",
        "path": "ServiceRequest.category",
        "short": "Tipologia prestazione",
        "min": 1,
        "max": "1"
      },
      {
        "id": "ServiceRequest.category.coding",
        "path": "ServiceRequest.category.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "ServiceRequest.category.coding.system",
        "path": "ServiceRequest.category.coding.system",
        "short": "Sistema di codifica",
        "min": 1,
        "max": "1",
        "fixedUri": "urn:oid:2.16.840.1.113883.2.9.2.30.3.1.3.13.6.18"
      },
      {
        "id": "ServiceRequest.category.coding.code",
        "path": "ServiceRequest.category.coding.code",
        "short": "Valore del codice",
        "min": 1,
        "max": "1"
      },
      {
        "id": "ServiceRequest.category.coding.display",
        "path": "ServiceRequest.category.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 1,
        "max": "1"
      },
      {
        "id": "ServiceRequest.code",
        "path": "ServiceRequest.code",
        "short": "Prestazione",
        "comment": "Un coding per tipologia di prestazione. Per la prestazione vaccinale: coding con la prestazione vaccinale e, se presente, una seconda coding con il codice regionale del vaccino.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "ServiceRequest.code.coding",
        "path": "ServiceRequest.code.coding",
        "min": 1,
        "max": "*"
      },
      {
        "id": "ServiceRequest.code.coding.system",
        "path": "ServiceRequest.code.coding.system",
        "short": "Sistema di codifica",
        "comment": "Sistemi ammessi: Ambulatoriale urn:oid:2.16.840.1.113883.2.9.2.30.6.11; Vaccinale urn:oid:2.16.840.1.113883.2.9.2.30.3.1.3.13.6.26; Codice regionale vaccino urn:oid:2.16.840.1.113883.2.9.2.30.6.2 (in aggiunta alla vaccinale); Ricovero ...6.28; ADI ...6.29; Cure intermedie ...6.30; CDI ...6.32; CDD ...6.50; RIA ...6.39; Cure palliative ...6.51; Intervento educazionale ...6.35.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "ServiceRequest.code.coding.code",
        "path": "ServiceRequest.code.coding.code",
        "short": "Valore del codice",
        "comment": "Obbligatorio per ricovero, ADI, cure intermedie, RIA, cure palliative, interventi educazionali e prestazione vaccinale.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "ServiceRequest.code.coding.display",
        "path": "ServiceRequest.code.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 1,
        "max": "1"
      },
      {
        "id": "ServiceRequest.quantity[x]",
        "path": "ServiceRequest.quantity[x]",
        "short": "Quantità annua / Quantità",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "ServiceRequest.quantity[x].value",
        "path": "ServiceRequest.quantity[x].value",
        "short": "Valore della quantità",
        "min": 1,
        "max": "1"
      },
      {
        "id": "ServiceRequest.quantity[x].unit",
        "path": "ServiceRequest.quantity[x].unit",
        "short": "Unità",
        "comment": "Per la Quantità annua: {times}/a.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "ServiceRequest.subject",
        "path": "ServiceRequest.subject",
        "short": "Paziente a cui si riferisce la richiesta",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCore"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.occurrence[x]",
        "path": "ServiceRequest.occurrence[x]",
        "short": "Frequenza e durata",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Timing"
          }
        ]
      },
      {
        "id": "ServiceRequest.occurrence[x].repeat",
        "path": "ServiceRequest.occurrence[x].repeat",
        "min": 0,
        "max": "1"
      },
      {
        "id": "ServiceRequest.occurrence[x].repeat.bounds[x]",
        "path": "ServiceRequest.occurrence[x].repeat.bounds[x]",
        "short": "Durata",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Duration"
          }
        ]
      },
      {
        "id": "ServiceRequest.occurrence[x].repeat.bounds[x].value",
        "path": "ServiceRequest.occurrence[x].repeat.bounds[x].value",
        "short": "Durata",
        "min": 0,
        "max": "1"
      },
      {
        "id": "ServiceRequest.occurrence[x].repeat.bounds[x].code",
        "path": "ServiceRequest.occurrence[x].repeat.bounds[x].code",
        "short": "Unità di misura",
        "comment": "Unità di misura (OID 2.16.840.1.113883.2.9.2.30.3.1.3.13.6.43).",
        "min": 0,
        "max": "1"
      },
      {
        "id": "ServiceRequest.occurrence[x].repeat.count",
        "path": "ServiceRequest.occurrence[x].repeat.count",
        "short": "Numero sedute per ciclo",
        "min": 0,
        "max": "1"
      },
      {
        "id": "ServiceRequest.occurrence[x].code",
        "path": "ServiceRequest.occurrence[x].code",
        "min": 0,
        "max": "1"
      },
      {
        "id": "ServiceRequest.occurrence[x].code.text",
        "path": "ServiceRequest.occurrence[x].code.text",
        "short": "Tipologia frequenza / Frequenza",
        "comment": "Tipologia frequenza (CRS-SISS OID 2.16.840.1.113883.2.9.2.30.3.1.3.13.6.42) oppure frequenza in testo libero.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "ServiceRequest.performer",
        "path": "ServiceRequest.performer",
        "short": "Erogatore",
        "comment": "Erogatori ADI, Cure intermedie, CDI, CDD, RIA, Cure palliative.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.locationCode",
        "path": "ServiceRequest.locationCode",
        "short": "Flag telemedicina",
        "min": 0,
        "max": "1"
      },
      {
        "id": "ServiceRequest.locationCode.coding",
        "path": "ServiceRequest.locationCode.coding",
        "min": 0,
        "max": "1"
      },
      {
        "id": "ServiceRequest.locationCode.coding.system",
        "path": "ServiceRequest.locationCode.coding.system",
        "short": "Sistema di codifica",
        "min": 0,
        "max": "1",
        "fixedUri": "urn:oid:2.16.840.1.113883.2.9.2.30.3.1.3.13.6.55"
      },
      {
        "id": "ServiceRequest.locationCode.coding.code",
        "path": "ServiceRequest.locationCode.coding.code",
        "short": "Valore del codice",
        "min": 0,
        "max": "1"
      },
      {
        "id": "ServiceRequest.locationCode.coding.display",
        "path": "ServiceRequest.locationCode.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 0,
        "max": "1"
      },
      {
        "id": "ServiceRequest.reasonReference",
        "path": "ServiceRequest.reasonReference",
        "short": "Data ultima valutazione / Indicatore di gravità",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationValutazionePAI"
            ]
          }
        ]
      }
    ]
  }
}