<status value="draft" /> <date value="2026-10-27" /> <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" /> <short value="Piano Assistenziale Individuale" /> </element> <element id="Composition.extension"> <path value="Composition.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </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" /> <comment value="Fare riferimento a: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it (riferimento a PractitionerRoleCore)" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it" /> </type> </element> <element id="Composition.extension:informationRecipient"> <path value="Composition.extension" /> <sliceName value="informationRecipient" /> <short value="Professionisti sanitari che ricevono una copia del documento (es. MMG/PLS)" /> <comment value="Destinatario del documento, Azienda Sanitaria/Presidio. Fare riferimento a: http://hl7.eu/fhir/StructureDefinition/information-recipient (riferimento a PractitionerCore | OrganizationCore)" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://hl7.eu/fhir/StructureDefinition/information-recipient" /> </type> </element> <element id="Composition.extension:basedOn"> <path value="Composition.extension" /> <sliceName value="basedOn" /> <short value="Richiesta che ha determinato la produzione del documento" /> <comment value="Identificativo ricetta. L'extension referenzia la ServiceRequestCore, utilizzando l'extension di progetto RLBasedOnOrderOrRequisition; il Medico Prescrittore è rappresentato in ServiceRequest.requester (Reference(PractitionerRoleCore))." /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLBasedOnOrderOrRequisition" /> </type> </element> <element id="Composition.extension:versionNumber"> <path value="Composition.extension" /> <sliceName value="versionNumber" /> <short value="Identificatore specifico della versione per la composizione, assegnato quando ciascuna versione viene creata o aggiornata" /> <comment value="Fare riferimento a: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber" /> </type> </element> <element id="Composition.identifier"> <path value="Composition.identifier" /> <short value="Identificativo del documento" /> <definition value="Identificativo univoco del documento" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.status"> <path value="Composition.status" /> <short value="Stato del documento" /> <comment value="Valore atteso: final" /> <min value="1" /> <max value="1" /> </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" /> <min value="1" /> <max value="*" /> </element> <element id="Composition.type.coding.system"> <path value="Composition.type.coding.system" /> <short value="Sistema di codifica" /> <comment value="CRS-SISS (OID 2.16.840.1.113883.2.9.2.30.3.1.6.10)" /> <min value="0" /> <max value="1" /> <fixedUri value="urn:oid:2.16.840.1.113883.2.9.2.30.3.1.6.10" /> </element> <element id="Composition.type.coding.version"> <path value="Composition.type.coding.version" /> <short value="Versione del sistema di codifica" /> <min value="0" /> <max value="1" /> <fixedString value="CRS-SISS" /> </element> <element id="Composition.type.coding.code"> <path value="Composition.type.coding.code" /> <short value="Codice locale per il tipo di documento" /> <min value="0" /> <max value="1" /> <fixedCode value="31" /> </element> <element id="Composition.type.coding.display"> <path value="Composition.type.coding.display" /> <short value="Descrizione leggibile del sistema locale" /> <comment value="Es. PIANO ASSISTENZIALE INDIVIDUALE" /> <min value="0" /> <max value="1" /> </element> <element id="Composition.subject"> <path value="Composition.subject" /> <short value="Paziente a cui si riferisce il documento" /> <comment value="Assistito" /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCore" /> </type> </element> <element id="Composition.encounter"> <path value="Composition.encounter" /> <short value="Rappresenta coloro coinvolti nell'atto descritto" /> <comment value="Data e ora di inizio e fine presa in carico, nosologico. L'unità operativa (identificativo e nome) in cui è avvenuta la presa in carico va rappresentata in Encounter.location.location (LocationCore); struttura, presidio, e-mail e recapito telefonico della segreteria di reparto in Location.managingOrganization (OrganizationCore)." /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLEncounterCore" /> </type> </element> <element id="Composition.date"> <path value="Composition.date" /> <short value="Data di creazione del documento" /> <comment value="Data del documento" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.author"> <path value="Composition.author" /> <short value="Rappresenta l'autore del documento" /> <comment value="Il dato rappresenta il Practitioner; se è presente il dettaglio della struttura si utilizza il PractitionerRole, 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.title"> <path value="Composition.title" /> <short value="L'elemento title specifica il titolo del documento" /> <comment value="Valore atteso: PIANO ASSISTENZIALE INDIVIDUALE" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.confidentiality"> <path value="Composition.confidentiality" /> <short value="Livello di riservatezza del documento" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.attester"> <path value="Composition.attester" /> <slicing> <discriminator> <type value="value" /> <path value="mode" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <short value="Professionisti che attestano la validità del documento" /> <comment value="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" /> <comment value="Medico Firmatario" /> <min value="0" /> <max value="1" /> </element> <element id="Composition.attester:legalAuthenticator.mode"> <path value="Composition.attester.mode" /> <short value="Identificazione del firmatario tra gli attester FHIR" /> <min value="1" /> <max value="1" /> <fixedCode value="legal" /> </element> <element id="Composition.attester:legalAuthenticator.time"> <path value="Composition.attester.time" /> <short value="Quando è stato firmato il documento" /> <comment value="Data e ora di firma" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.custodian"> <path value="Composition.custodian" /> <short value="Organizzazione responsabile della conservazione dell'originale del documento, al momento della generazione" /> <comment value="Azienda Sanitaria" /> <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.relatesTo"> <path value="Composition.relatesTo" /> <short value="Altri documenti correlati" /> <min value="0" /> <max value="*" /> </element> <element id="Composition.event"> <path value="Composition.event" /> <short value="Tipologia di accesso che ha determinato la prestazione" /> <comment value="Tipologia di accesso" /> <min value="0" /> <max value="*" /> </element> <element id="Composition.event.detail"> <path value="Composition.event.detail" /> <short value="Soggetto che effettua il serviceEvent" /> <min value="0" /> <max value="*" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleCore" /> </type> </element> <element id="Composition.section"> <path value="Composition.section" /> <slicing> <discriminator> <type value="pattern" /> <path value="code" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Composition.section:attributiSistema"> <path value="Composition.section" /> <sliceName value="attributiSistema" /> <short value="Attributi di sistema" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:attributiSistema.title"> <path value="Composition.section.title" /> <short value="Titolo della sezione" /> <comment value="Valore atteso: Attributi di sistema" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:attributiSistema.code"> <path value="Composition.section.code" /> <short value="Codice che identifica il tipo di sezione" /> <min value="1" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.113883.2.9.2.30.3.1.3.13.6.1" /> <code value="1" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:attributiSistema.code.coding.system"> <path value="Composition.section.code.coding.system" /> <short value="Sistema di codifica" /> <comment value="CRS-SISS (OID 2.16.840.1.113883.2.9.2.30.3.1.3.13.6.1)" /> <min value="1" /> <max value="1" /> <fixedUri value="urn:oid:2.16.840.1.113883.2.9.2.30.3.1.3.13.6.1" /> </element> <element id="Composition.section:attributiSistema.code.coding.code"> <path value="Composition.section.code.coding.code" /> <short value="Valore del codice" /> <min value="1" /> <max value="1" /> <fixedCode value="1" /> </element> <element id="Composition.section:attributiSistema.code.coding.display"> <path value="Composition.section.code.coding.display" /> <short value="Descrizione leggibile del codice" /> <min value="1" /> <max value="1" /> <fixedString value="Attributi di sistema" /> </element> <element id="Composition.section:attributiSistema.text"> <path value="Composition.section.text" /> <short value="Contenuto narrativo della sezione" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:attributiSistema.entry"> <path value="Composition.section.entry" /> <short value="Risorse FHIR referenziate dalla sezione" /> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanPAI" /> </type> </element> <element id="Composition.section:obiettivoPresaInCarico"> <path value="Composition.section" /> <sliceName value="obiettivoPresaInCarico" /> <short value="Obiettivo presa in carico" /> <comment value="Si usa la CarePlan già creata nella sezione Attributi di Sistema; gli obiettivi sono referenziati tramite CarePlan.goal (Goal)." /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:obiettivoPresaInCarico.title"> <path value="Composition.section.title" /> <short value="Titolo della sezione" /> <comment value="Valore atteso: Obiettivo presa in carico" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:obiettivoPresaInCarico.code"> <path value="Composition.section.code" /> <short value="Codice che identifica il tipo di sezione" /> <min value="1" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.113883.2.9.2.30.3.1.3.13.6.1" /> <code value="9" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:obiettivoPresaInCarico.code.coding.system"> <path value="Composition.section.code.coding.system" /> <short value="Sistema di codifica" /> <comment value="CRS-SISS (OID 2.16.840.1.113883.2.9.2.30.3.1.3.13.6.1)" /> <min value="1" /> <max value="1" /> <fixedUri value="urn:oid:2.16.840.1.113883.2.9.2.30.3.1.3.13.6.1" /> </element> <element id="Composition.section:obiettivoPresaInCarico.code.coding.code"> <path value="Composition.section.code.coding.code" /> <short value="Valore del codice" /> <min value="1" /> <max value="1" /> <fixedCode value="9" /> </element> <element id="Composition.section:obiettivoPresaInCarico.code.coding.display"> <path value="Composition.section.code.coding.display" /> <short value="Descrizione leggibile del codice" /> <min value="1" /> <max value="1" /> <fixedString value="Obiettivo presa in carico" /> </element> <element id="Composition.section:obiettivoPresaInCarico.text"> <path value="Composition.section.text" /> <short value="Contenuto narrativo della sezione" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:obiettivoPresaInCarico.entry"> <path value="Composition.section.entry" /> <short value="Risorse FHIR referenziate dalla sezione" /> <min value="1" /> <max value="*" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanPAI" /> </type> </element> <element id="Composition.section:presaInCarico"> <path value="Composition.section" /> <sliceName value="presaInCarico" /> <short value="Presa in carico" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:presaInCarico.title"> <path value="Composition.section.title" /> <short value="Titolo della sezione" /> <comment value="Valore atteso: Presa in carico" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:presaInCarico.code"> <path value="Composition.section.code" /> <short value="Codice che identifica il tipo di sezione" /> <min value="1" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.113883.2.9.2.30.3.1.3.13.6.1" /> <code value="2" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:presaInCarico.code.coding.system"> <path value="Composition.section.code.coding.system" /> <short value="Sistema di codifica" /> <comment value="CRS-SISS (OID 2.16.840.1.113883.2.9.2.30.3.1.3.13.6.1)" /> <min value="1" /> <max value="1" /> <fixedUri value="urn:oid:2.16.840.1.113883.2.9.2.30.3.1.3.13.6.1" /> </element> <element id="Composition.section:presaInCarico.code.coding.code"> <path value="Composition.section.code.coding.code" /> <short value="Valore del codice" /> <min value="1" /> <max value="1" /> <fixedCode value="2" /> </element> <element id="Composition.section:presaInCarico.code.coding.display"> <path value="Composition.section.code.coding.display" /> <short value="Descrizione leggibile del codice" /> <min value="1" /> <max value="1" /> <fixedString value="Presa in carico" /> </element> <element id="Composition.section:presaInCarico.text"> <path value="Composition.section.text" /> <short value="Contenuto narrativo della sezione" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:presaInCarico.entry"> <path value="Composition.section.entry" /> <short value="Risorse FHIR referenziate dalla sezione" /> <min value="1" /> <max value="*" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLChargeItemPAI" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter" /> </type> </element> <element id="Composition.section:anamnesiStiliVita"> <path value="Composition.section" /> <sliceName value="anamnesiStiliVita" /> <short value="Anamnesi Fisiologica e Stili di Vita" /> <comment value="Devono essere referenziate tutte le risorse create in questa section." /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:anamnesiStiliVita.title"> <path value="Composition.section.title" /> <short value="Titolo della sezione" /> <comment value="Valore atteso: Anamnesi Fisiologica e Stili di Vita" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:anamnesiStiliVita.code"> <path value="Composition.section.code" /> <short value="Codice che identifica il tipo di sezione" /> <min value="1" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.113883.2.9.2.30.3.1.3.13.6.1" /> <code value="3" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:anamnesiStiliVita.code.coding.system"> <path value="Composition.section.code.coding.system" /> <short value="Sistema di codifica" /> <comment value="CRS-SISS (OID 2.16.840.1.113883.2.9.2.30.3.1.3.13.6.1)" /> <min value="1" /> <max value="1" /> <fixedUri value="urn:oid:2.16.840.1.113883.2.9.2.30.3.1.3.13.6.1" /> </element> <element id="Composition.section:anamnesiStiliVita.code.coding.code"> <path value="Composition.section.code.coding.code" /> <short value="Valore del codice" /> <min value="1" /> <max value="1" /> <fixedCode value="3" /> </element> <element id="Composition.section:anamnesiStiliVita.code.coding.display"> <path value="Composition.section.code.coding.display" /> <short value="Descrizione leggibile del codice" /> <min value="1" /> <max value="1" /> <fixedString value="Anamnesi Fisiologica e Stili di Vita" /> </element> <element id="Composition.section:anamnesiStiliVita.text"> <path value="Composition.section.text" /> <short value="Contenuto narrativo della sezione" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:anamnesiStiliVita.entry"> <path value="Composition.section.entry" /> <short value="Risorse FHIR referenziate dalla sezione" /> <min value="1" /> <max value="*" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" /> </type> </element> <element id="Composition.section:allergie"> <path value="Composition.section" /> <sliceName value="allergie" /> <short value="Allergie" /> <comment value="Ogni entry crea una risorsa AllergyIntolerance; devono essere referenziate tutte le risorse create in questa section." /> <min value="0" /> <max value="1" /> </element> <element id="Composition.section:allergie.title"> <path value="Composition.section.title" /> <short value="Titolo della sezione" /> <comment value="Valore atteso: Allergie" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:allergie.code"> <path value="Composition.section.code" /> <short value="Codice che identifica il tipo di sezione" /> <min value="0" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="48765-2" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:allergie.code.coding.system"> <path value="Composition.section.code.coding.system" /> <short value="Sistema di codifica" /> <comment value="LOINC (OID 2.16.840.1.113883.6.1)" /> <min value="0" /> <max value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Composition.section:allergie.code.coding.version"> <path value="Composition.section.code.coding.version" /> <short value="Versione del sistema di codifica" /> <comment value="Es. LOINC 2.19" /> <min value="0" /> <max value="1" /> </element> <element id="Composition.section:allergie.code.coding.code"> <path value="Composition.section.code.coding.code" /> <short value="Valore del codice" /> <min value="0" /> <max value="1" /> <fixedCode value="48765-2" /> </element> <element id="Composition.section:allergie.code.coding.display"> <path value="Composition.section.code.coding.display" /> <short value="Descrizione leggibile del codice" /> <min value="0" /> <max value="1" /> <fixedString value="Allergie" /> </element> <element id="Composition.section:allergie.text"> <path value="Composition.section.text" /> <short value="Contenuto narrativo della sezione" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:allergie.entry"> <path value="Composition.section.entry" /> <short value="Risorse FHIR referenziate dalla sezione" /> <min value="1" /> <max value="*" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance" /> </type> </element> <element id="Composition.section:programmazioneClinicoAssistenziale"> <path value="Composition.section" /> <sliceName value="programmazioneClinicoAssistenziale" /> <short value="Programmazione Clinico Assistenziale" /> <comment value="Devono essere referenziate tutte le risorse create in questa section." /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:programmazioneClinicoAssistenziale.title"> <path value="Composition.section.title" /> <short value="Titolo della sezione" /> <comment value="Valore atteso: Programmazione Clinico Assistenziale" /> <min value="1" /> <max value="1" /> </element> <element id="Composition.section:programmazioneClinicoAssistenziale.code"> <path value="Composition.section.code" /> <short value="Codice che identifica il tipo di sezione" /> <min value="1" /> <max value="1" /> <patternCodeableConcept> <coding> <system 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