<status value="draft" /> <date value="2026-10-08" /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Composition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Composition" /> <derivation value="constraint" /> <differential> <element id="Composition"> <path value="Composition" /> </element> <element id="Composition.type"> <path value="Composition.type" /> <short value="Identifica la tipologia di documento." /> <min value="1" /> <max value="1" /> </element> <element id="Composition.type.coding"> <path value="Composition.type.coding" /> </element> <element id="Composition.type.coding.system"> <path value="Composition.type.coding.system" /> <short value="Sistema di codifica." /> <min value="0" /> <max value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Composition.type.coding.version"> <path value="Composition.type.coding.version" /> <short value="Versione del sistema di codifica." /> <comment value="Esempio di valorizzazione: LOINC 2.19." /> <min value="0" /> <max value="1" /> </element> <element id="Composition.type.coding.code"> <path value="Composition.type.coding.code" /> <short value="Codice LOINC del tipo di documento." /> <min value="0" /> <max value="1" /> <fixedCode value="34105-7" /> </element> <element id="Composition.type.coding.display"> <path value="Composition.type.coding.display" /> <short value="Descrizione leggibile del codice." /> <comment value="Valore previsto: Lettera di dimissione ospedaliera." /> <min value="0" /> <max value="1" /> </element> <element id="Composition.title"> <path value="Composition.title" /> <short value="L'elemento title specifica il titolo del documento." /> <comment value="Valore previsto: LETTERA DI DIMISSIONE OSPEDALIERA." /> <min value="1" /> <max value="1" /> </element> <element id="Composition.status"> <path value="Composition.status" /> <short value="Stato del documento." /> <comment value="Valore previsto: final." /> <min value="1" /> <max value="1" /> </element> <element id="Composition.date"> <path value="Composition.date" /> <short value="Data di creazione del documento." /> <min value="1" /> <max value="1" /> </element> <element id="Composition.subject"> <path value="Composition.subject" /> <short value="Paziente a cui si riferisce il documento." /> <comment value="Cardinalità 1..1 rispetto a 0..1 dell'Excel: in un documento clinico il paziente è sempre presente." /> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCore" /> </type> </element> <element id="Composition.author"> <path value="Composition.author" /> <short value="Rappresenta l'autore del documento." /> <comment value="La reference identifica principalmente il professionista autore del documento tramite PractitionerCore. Qualora sia necessario rappresentare anche la struttura di appartenenza, si suggerisce l'utilizzo di PractitionerRoleCore, che referenzia sia il Practitioner sia l'Organization." /> <min value="1" /> <max value="*" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleCore" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerCore" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationCore" /> </type> </element> <element id="Composition.extension:dataEnterer"> <path value="Composition.extension" /> <sliceName value="dataEnterer" /> <short value="Persona o dispositivo che trasforma un testo dettato nel documento FHIR." /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it" /> </type> </element> <element id="Composition.custodian"> <path value="Composition.custodian" /> <short value="Organizzazione responsabile della conservazione dell’originale del documento, al momento della generazione." /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationCore" /> </type> </element> <element id="Composition.attester"> <path value="Composition.attester" /> <slicing> <discriminator> <type value="value" /> <path value="mode" /> </discriminator> <rules value="open" /> </slicing> <short value="Professionisti che attestano la validità del documento. Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento." /> <min value="1" /> <max value="*" /> </element> <element id="Composition.attester:legalAuthenticator"> <path value="Composition.attester" /> <sliceName value="legalAuthenticator" /> <short value="Firmatario del documento FHIR." /> <min value="0" /> <max value="1" /> </element> <element id="Composition.attester:legalAuthenticator.time"> <path value="Composition.attester.time" /> <short value="Riferimento temporale della firma." /> <min value="1" /> <max value="1" /> </element> <element id="Composition.attester:legalAuthenticator.mode"> <path value="Composition.attester.mode" /> <short value="Modalità di attestazione." /> <min value="1" /> <max value="1" /> <fixedCode value="legal" /> </element> <element id="Composition.attester:legalAuthenticator.party"> <path value="Composition.attester.party" /> <short value="Riferimento al firmatario." /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerCore" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleCore" /> </type> </element> <element id="Composition.extension:information-recipient"> <path value="Composition.extension" /> <sliceName value="information-recipient" /> <short value="Professionisti sanitari che ricevono una copia del documento (es. 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/> <sliceName value="versionNumber" /> <short value="Identificatore specifico della versione per la composizione, assegnato quando ciascuna versione viene creata o aggiornata." /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber" /> </type> </element> <element id="Composition.section"> <path value="Composition.section" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Composition.section:motivoRicovero"> <path value="Composition.section" /> <sliceName value="motivoRicovero" /> <short value="Composition - Sezione Motivo del Ricovero" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:motivoRicovero.title"> <path value="Composition.section.title" /> <short value="Titolo della sezione" /> <comment value="Valore previsto: Motivo del ricovero." /> <min value="0" /> <max value="1" /> </element> <element id="Composition.section:motivoRicovero.code"> <path value="Composition.section.code" /> <short value="Codice che identifica il tipo di sezione" /> <min value="0" /> <max value="1" /> </element> <element id="Composition.section:motivoRicovero.code.coding"> <path value="Composition.section.code.coding" /> </element> <element id="Composition.section:motivoRicovero.code.coding.system"> <path value="Composition.section.code.coding.system" /> <short value="Sistema di codifica" /> <min value="0" /> <max value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Composition.section:motivoRicovero.code.coding.version"> <path value="Composition.section.code.coding.version" /> <short value="Versione del sistema di codifica" /> <comment value="Esempio di valorizzazione: LOINC 2.19." /> <min value="0" /> <max value="1" /> </element> <element id="Composition.section:motivoRicovero.code.coding.code"> <path value="Composition.section.code.coding.code" /> <short value="Valore del codice" /> <min value="0" /> <max value="1" /> <fixedCode value="46241-6" /> </element> <element id="Composition.section:motivoRicovero.code.coding.display"> <path value="Composition.section.code.coding.display" /> <short value="Descrizione leggibile del codice" /> <min value="0" /> <max value="1" /> <fixedString value="Diagnosi di Accettazione" /> </element> <element id="Composition.section:motivoRicovero.text"> <path value="Composition.section.text" /> <short value="Sintesi testuale della sezione" /> <min value="0" /> <max value="1" /> </element> <element id="Composition.section:motivoRicovero.entry"> <path value="Composition.section.entry" /> <short value="Observation - Sezione Motivo del Ricovero" /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationMotivoRicoveroLdo" /> </type> </element> <element id="Composition.section:inquadramentoClinicoIniziale"> <path value="Composition.section" /> <sliceName value="inquadramentoClinicoIniziale" /> <short value="Composition - Sezione Inquadramento Clinico Iniziale" /> <min value="0" /> <max value="1" /> </element> <element id="Composition.section:inquadramentoClinicoIniziale.title"> <path value="Composition.section.title" /> <short value="Titolo della sezione" /> <comment value="Valore previsto: Inquadramento Clinico Iniziale." /> <min value="0" /> <max value="1" /> </element> <element id="Composition.section:inquadramentoClinicoIniziale.code"> <path value="Composition.section.code" /> <short value="Codice che identifica il tipo di sezione" /> <min value="0" /> <max value="1" /> </element> <element id="Composition.section:inquadramentoClinicoIniziale.code.coding"> <path value="Composition.section.code.coding" /> </element> <element id="Composition.section:inquadramentoClinicoIniziale.code.coding.system"> <path value="Composition.section.code.coding.system" /> <short value="Sistema di codifica" /> <min value="0" /> <max value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Composition.section:inquadramentoClinicoIniziale.code.coding.version"> <path value="Composition.section.code.coding.version" /> <short value="Versione del sistema di codifica" /> <comment value="Esempio di valorizzazione: LOINC 2.19." /> <min value="0" /> <max value="1" /> </element> <element id="Composition.section:inquadramentoClinicoIniziale.code.coding.code"> <path value="Composition.section.code.coding.code" /> <short value="Valore del codice" /> <min value="0" /> <max value="1" /> <fixedCode value="47039-3" /> </element> <element id="Composition.section:inquadramentoClinicoIniziale.code.coding.display"> <path value="Composition.section.code.coding.display" /> <short value="Descrizione leggibile del codice" /> <min value="0" /> <max value="1" /> <fixedString value="Ricovero Ospedaliero, anamnesi ed 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id="Composition.section:inquadramentoClinicoIniziale.section:esameObiettivo"> <path value="Composition.section.section" /> <sliceName value="esameObiettivo" /> <short value="Sotto-sezione Esame Obiettivo" /> <min value="0" /> <max value="*" /> </element> <element id="Composition.section:inquadramentoClinicoIniziale.section:esameObiettivo.title"> <path value="Composition.section.section.title" /> <short value="Titolo della sezione" /> <comment value="Valore previsto: Esame Obiettivo." /> <min value="0" /> <max value="1" /> </element> <element id="Composition.section:inquadramentoClinicoIniziale.section:esameObiettivo.code"> <path value="Composition.section.section.code" /> <short value="Codice che identifica il tipo di sezione" /> <min value="0" /> <max value="1" /> </element> <element id="Composition.section:inquadramentoClinicoIniziale.section:esameObiettivo.code.coding"> <path value="Composition.section.section.code.coding" /> </element> <element 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