{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCompositionVPS",
  "name": "RLCompositionVPS",
  "title": "Composition VPS",
  "status": "draft",
  "date": "2026-10-02",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Composition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Composition",
        "path": "Composition",
        "short": "Verbale di Pronto Soccorso"
      },
      {
        "id": "Composition.extension",
        "path": "Composition.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Composition.extension:dataEnterer",
        "path": "Composition.extension",
        "sliceName": "dataEnterer",
        "short": "Persona o dispositivo che trasforma un testo dettato nel documento FHIR",
        "comment": "Fare riferimento a: http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it (riferimento a PractitionerRoleCore)",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.it/fhir/StructureDefinition/composition-dataenterer-it"
            ]
          }
        ]
      },
      {
        "id": "Composition.extension:versionNumber",
        "path": "Composition.extension",
        "sliceName": "versionNumber",
        "short": "Identificatore specifico della versione per la composizione, assegnato quando ciascuna versione viene creata o aggiornata",
        "comment": "Fare riferimento a: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber"
            ]
          }
        ]
      },
      {
        "id": "Composition.status",
        "path": "Composition.status",
        "short": "Stato del documento",
        "fixedCode": "final",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "short": "Identifica la tipologia di documento",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.type.coding",
        "path": "Composition.type.coding",
        "min": 1,
        "max": "*"
      },
      {
        "id": "Composition.type.coding.system",
        "path": "Composition.type.coding.system",
        "short": "Sistema di codifica",
        "min": 1,
        "max": "1",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.type.coding.version",
        "path": "Composition.type.coding.version",
        "short": "Versione del sistema di codifica",
        "comment": "Es. LOINC 2.19",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.type.coding.code",
        "path": "Composition.type.coding.code",
        "short": "Codice locale per il tipo di documento",
        "min": 1,
        "max": "1",
        "fixedCode": "59258-4"
      },
      {
        "id": "Composition.type.coding.display",
        "path": "Composition.type.coding.display",
        "short": "Descrizione leggibile del sistema locale",
        "comment": "Verbale di Pronto Soccorso",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.subject",
        "path": "Composition.subject",
        "short": "Paziente a cui si riferisce il documento",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCore"
            ]
          }
        ]
      },
      {
        "id": "Composition.encounter",
        "path": "Composition.encounter",
        "short": "Rappresenta coloro coinvolti nell'atto descritto",
        "comment": "Numero del verbale",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLEncounterCore"
            ]
          }
        ]
      },
      {
        "id": "Composition.date",
        "path": "Composition.date",
        "short": "Giorno e ora della creazione dell'istanza del documento",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.author",
        "path": "Composition.author",
        "short": "Rappresenta l'autore del documento",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleCore",
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerCore",
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationCore"
            ]
          }
        ]
      },
      {
        "id": "Composition.title",
        "path": "Composition.title",
        "short": "L'elemento title specifica il titolo del documento",
        "fixedString": "VERBALE DI PRONTO SOCCORSO",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.attester",
        "path": "Composition.attester",
        "short": "Professionisti che attestano la validità del documento",
        "comment": "Se la risorsa è creata a fine documentale uno degli attester dovrebbe essere il firmatario, ovvero chi allega la firma digitale al documento.",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "mode"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "max": "*"
      },
      {
        "id": "Composition.attester:legalAuthenticator",
        "path": "Composition.attester",
        "sliceName": "legalAuthenticator",
        "short": "Firmatario del documento FHIR",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.attester:legalAuthenticator.mode",
        "path": "Composition.attester.mode",
        "short": "Identificazione del firmatario tra gli attester FHIR",
        "min": 1,
        "max": "1",
        "fixedCode": "legal"
      },
      {
        "id": "Composition.attester:legalAuthenticator.time",
        "path": "Composition.attester.time",
        "short": "Riferimento temporale della firma",
        "comment": "Data e ora di firma",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.attester:legalAuthenticator.party",
        "path": "Composition.attester.party",
        "short": "Riferimento al firmatario",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleCore",
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerCore"
            ]
          }
        ]
      },
      {
        "id": "Composition.custodian",
        "path": "Composition.custodian",
        "short": "Organizzazione responsabile della conservazione dell'originale del documento, al momento della generazione",
        "comment": "Azienda Sanitaria PS",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationCore"
            ]
          }
        ]
      },
      {
        "id": "Composition.event",
        "path": "Composition.event",
        "short": "L'evento di Pronto Soccorso documentato",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Composition.event.detail",
        "path": "Composition.event.detail",
        "short": "Soggetto che effettua il serviceEvent",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleCore"
            ]
          }
        ]
      },
      {
        "id": "Composition.encounter",
        "path": "Composition.encounter",
        "short": "Rappresenta coloro coinvolti nell'atto descritto",
        "comment": "Suggerimento indicativo facendo riferimento ai dataset ministeriali, in quanto è implicito che partendo da EncounterCore si possa referenziare LocationCore.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLEncounterCore"
            ]
          }
        ]
      },
      {
        "id": "Composition.section",
        "path": "Composition.section",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "code"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Composition.section:modalitaTrasporto",
        "path": "Composition.section",
        "sliceName": "modalitaTrasporto",
        "short": "Modalità di trasporto",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.section:modalitaTrasporto.title",
        "path": "Composition.section.title",
        "short": "Titolo della sezione",
        "min": 0,
        "max": "1",
        "fixedString": "Modalità di trasporto"
      },
      {
        "id": "Composition.section:modalitaTrasporto.code",
        "path": "Composition.section.code",
        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "11459-5"
            }
          ]
        }
      },
      {
        "id": "Composition.section:modalitaTrasporto.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "short": "Sistema di codifica",
        "min": 0,
        "max": "1",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:modalitaTrasporto.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "short": "Versione del sistema di codifica",
        "comment": "Es. LOINC 2.19",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:modalitaTrasporto.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "short": "Valore del codice",
        "min": 0,
        "max": "1",
        "fixedCode": "11459-5"
      },
      {
        "id": "Composition.section:modalitaTrasporto.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 0,
        "max": "1",
        "fixedString": "Modalità di Trasporto"
      },
      {
        "id": "Composition.section:modalitaTrasporto.text",
        "path": "Composition.section.text",
        "short": "Sintesi testuale della sezione",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:modalitaTrasporto.entry",
        "path": "Composition.section.entry",
        "short": "Mezzo di trasporto",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLEncounterCore"
            ]
          }
        ],
        "comment": "Utilizzare l'extension prevista dallo standard per mappare le informazioni relative alla modalità di trasporto: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival"
      },
      {
        "id": "Composition.section:motivoVisita",
        "path": "Composition.section",
        "sliceName": "motivoVisita",
        "short": "Motivo della visita",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.section:motivoVisita.title",
        "path": "Composition.section.title",
        "short": "Titolo della sezione",
        "min": 0,
        "max": "1",
        "fixedString": "Motivo della visita"
      },
      {
        "id": "Composition.section:motivoVisita.code",
        "path": "Composition.section.code",
        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "46239-0"
            }
          ]
        }
      },
      {
        "id": "Composition.section:motivoVisita.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "short": "Sistema di codifica",
        "min": 0,
        "max": "1",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:motivoVisita.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "short": "Versione del sistema di codifica",
        "comment": "Es. LOINC 2.19",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:motivoVisita.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "short": "Valore del codice",
        "min": 0,
        "max": "1",
        "fixedCode": "46239-0"
      },
      {
        "id": "Composition.section:motivoVisita.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 0,
        "max": "1",
        "fixedString": "Motivo della visita"
      },
      {
        "id": "Composition.section:motivoVisita.text",
        "path": "Composition.section.text",
        "short": "Sintesi testuale della sezione",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:motivoVisita.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Composition.section:motivoVisita.entry:problemaAccesso",
        "path": "Composition.section.entry",
        "sliceName": "problemaAccesso",
        "short": "Problema Principale",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationProblemaAccessoVPS"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:motivoVisita.entry:ragioneVisita",
        "path": "Composition.section.entry",
        "sliceName": "ragioneVisita",
        "short": "Causa accesso",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationRagioneVisitaVPS"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:triage",
        "path": "Composition.section",
        "sliceName": "triage",
        "short": "Triage",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.section:triage.code",
        "path": "Composition.section.code",
        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "11283-9"
            }
          ]
        }
      },
      {
        "id": "Composition.section:triage.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "short": "Sistema di codifica",
        "min": 0,
        "max": "1",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:triage.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "short": "Versione del sistema di codifica",
        "comment": "Es. LOINC 2.19",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:triage.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "short": "Valore del codice",
        "min": 0,
        "max": "1",
        "fixedCode": "11283-9"
      },
      {
        "id": "Composition.section:triage.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 0,
        "max": "1",
        "fixedString": "Valutazione acutezza"
      },
      {
        "id": "Composition.section:triage.title",
        "path": "Composition.section.title",
        "short": "Titolo della sezione",
        "fixedString": "Triage",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:triage.text",
        "path": "Composition.section.text",
        "short": "Sintesi testuale della sezione",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:triage.entry",
        "path": "Composition.section.entry",
        "short": "Misurazioni Triage, Codice Triage, Note Triage",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationTriageVPS"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:inquadramentoClinico",
        "path": "Composition.section",
        "sliceName": "inquadramentoClinico",
        "short": "Valutazione clinica Iniziale",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:inquadramentoClinico.title",
        "path": "Composition.section.title",
        "short": "Titolo della sezione",
        "min": 0,
        "max": "1",
        "fixedString": "Inquadramento clinico iniziale"
      },
      {
        "id": "Composition.section:inquadramentoClinico.code",
        "path": "Composition.section.code",
        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "78337-3"
            }
          ]
        }
      },
      {
        "id": "Composition.section:inquadramentoClinico.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "short": "Sistema di codifica",
        "min": 0,
        "max": "1",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:inquadramentoClinico.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "short": "Versione del sistema di codifica",
        "comment": "Es. LOINC 2.19",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:inquadramentoClinico.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "short": "Valore del codice",
        "min": 0,
        "max": "1",
        "fixedCode": "78337-3"
      },
      {
        "id": "Composition.section:inquadramentoClinico.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 0,
        "max": "1",
        "fixedString": "Inquadramento clinico iniziale"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section",
        "path": "Composition.section.section",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "code"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:anamnesi",
        "path": "Composition.section.section",
        "sliceName": "anamnesi",
        "short": "Anamnesi",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:anamnesi.title",
        "path": "Composition.section.section.title",
        "short": "Titolo della sezione",
        "min": 0,
        "max": "1",
        "comment": "Es. Anamnesi"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:anamnesi.code",
        "path": "Composition.section.section.code",
        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "11329-0"
            }
          ]
        }
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:anamnesi.code.coding.system",
        "path": "Composition.section.section.code.coding.system",
        "short": "Sistema di codifica",
        "min": 0,
        "max": "1",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:anamnesi.code.coding.version",
        "path": "Composition.section.section.code.coding.version",
        "short": "Versione del sistema di codifica",
        "comment": "Es. LOINC 2.19",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:anamnesi.code.coding.code",
        "path": "Composition.section.section.code.coding.code",
        "short": "Valore del codice",
        "min": 0,
        "max": "1",
        "fixedCode": "11329-0"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:anamnesi.code.coding.display",
        "path": "Composition.section.section.code.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 0,
        "max": "1",
        "fixedString": "Anamnesi Generale"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:anamnesi.text",
        "path": "Composition.section.section.text",
        "short": "Contenuto narrativo della sezione",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:anamnesi.entry",
        "path": "Composition.section.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:anamnesi.entry:condition",
        "path": "Composition.section.section.entry",
        "sliceName": "condition",
        "short": "Anamnesi",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
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          }
        ]
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:anamnesi.entry:familyMemberHistory",
        "path": "Composition.section.section.entry",
        "sliceName": "familyMemberHistory",
        "short": "Anamnesi familiare",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
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              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLFamilyMemberHistoryCore"
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          }
        ]
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:esameObiettivo",
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        "sliceName": "esameObiettivo",
        "short": "Esame Obiettivo",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:esameObiettivo.title",
        "path": "Composition.section.section.title",
        "short": "Titolo della sezione",
        "min": 0,
        "max": "1",
        "comment": "Es. Esame Obiettivo"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:esameObiettivo.code",
        "path": "Composition.section.section.code",
        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
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          ]
        }
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:esameObiettivo.code.coding.system",
        "path": "Composition.section.section.code.coding.system",
        "short": "Sistema di codifica",
        "min": 0,
        "max": "1",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:esameObiettivo.code.coding.version",
        "path": "Composition.section.section.code.coding.version",
        "short": "Versione del sistema di codifica",
        "comment": "Es. LOINC 2.19",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:esameObiettivo.code.coding.code",
        "path": "Composition.section.section.code.coding.code",
        "short": "Valore del codice",
        "min": 0,
        "max": "1",
        "fixedCode": "29545-1"
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      {
        "id": "Composition.section:inquadramentoClinico.section:esameObiettivo.code.coding.display",
        "path": "Composition.section.section.code.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 0,
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        "min": 0,
        "max": "1",
        "comment": "Es. Terapia farmacologica all'ingresso"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:terapiaIngresso.code",
        "path": "Composition.section.section.code",
        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
        "max": "1",
        "patternCodeableConcept": {
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        }
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:terapiaIngresso.code.coding.system",
        "path": "Composition.section.section.code.coding.system",
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        "min": 0,
        "max": "1",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:terapiaIngresso.code.coding.version",
        "path": "Composition.section.section.code.coding.version",
        "short": "Versione del sistema di codifica",
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      },
      {
        "id": "Composition.section:inquadramentoClinico.section:terapiaIngresso.code.coding.code",
        "path": "Composition.section.section.code.coding.code",
        "short": "Valore del codice",
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        "fixedCode": "42346-7"
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      {
        "id": "Composition.section:inquadramentoClinico.section:terapiaIngresso.code.coding.display",
        "path": "Composition.section.section.code.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 0,
        "max": "1",
        "fixedString": "Medications on admission"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:allergie",
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        "min": 0,
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        "path": "Composition.section.section.title",
        "short": "Titolo della sezione",
        "min": 0,
        "max": "1",
        "comment": "Es. Allergie e/o Reazioni Avverse"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:allergie.code",
        "path": "Composition.section.section.code",
        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
        "max": "1",
        "patternCodeableConcept": {
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          ]
        }
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:allergie.code.coding.system",
        "path": "Composition.section.section.code.coding.system",
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        "min": 0,
        "max": "1",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:allergie.code.coding.version",
        "path": "Composition.section.section.code.coding.version",
        "short": "Versione del sistema di codifica",
        "comment": "Es. LOINC 2.19",
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      },
      {
        "id": "Composition.section:inquadramentoClinico.section:allergie.code.coding.code",
        "path": "Composition.section.section.code.coding.code",
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        "fixedCode": "48765-2"
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      {
        "id": "Composition.section:inquadramentoClinico.section:allergie.code.coding.display",
        "path": "Composition.section.section.code.coding.display",
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        "fixedString": "Allergie e/o Reazioni Avverse"
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        "path": "Composition.section.section.title",
        "short": "Titolo della sezione",
        "min": 0,
        "max": "1",
        "comment": "Es. Problemi aperti"
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:problemiAperti.code",
        "path": "Composition.section.section.code",
        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
        "max": "1",
        "patternCodeableConcept": {
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        }
      },
      {
        "id": "Composition.section:inquadramentoClinico.section:problemiAperti.code.coding.system",
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        "id": "Composition.section:inquadramentoClinico.section:problemiAperti.code.coding.version",
        "path": "Composition.section.section.code.coding.version",
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      },
      {
        "id": "Composition.section:inquadramentoClinico.section:problemiAperti.code.coding.code",
        "path": "Composition.section.section.code.coding.code",
        "short": "Valore del codice",
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      {
        "id": "Composition.section:inquadramentoClinico.section:problemiAperti.code.coding.display",
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        "short": "Descrizione leggibile del codice",
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        "path": "Composition.section.title",
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        "comment": "Es. Fasi dell'episodio di Pronto Soccorso"
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        "path": "Composition.section.code",
        "short": "Codice che identifica il tipo di sezione",
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        "patternCodeableConcept": {
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      },
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        "id": "Composition.section:encounters.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "short": "Sistema di codifica",
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        "fixedUri": "http://loinc.org"
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        "id": "Composition.section:encounters.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "short": "Versione del sistema di codifica",
        "comment": "Es. LOINC 2.19",
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      },
      {
        "id": "Composition.section:encounters.code.coding.code",
        "path": "Composition.section.code.coding.code",
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        "min": 0,
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      },
      {
        "id": "Composition.section:encounters.code.coding.display",
        "path": "Composition.section.code.coding.display",
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        "fixedString": "History of Hospitalizations+Outpatient visits Narrative"
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      {
        "id": "Composition.section:encounters.text",
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        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:encounters.entry",
        "path": "Composition.section.entry",
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        "max": "1"
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        "path": "Composition.section.title",
        "short": "Titolo della sezione",
        "min": 0,
        "max": "1",
        "comment": "Es. Decorso Ospedaliero"
      },
      {
        "id": "Composition.section:decorsoOspedaliero.code",
        "path": "Composition.section.code",
        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
        "max": "1",
        "patternCodeableConcept": {
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        }
      },
      {
        "id": "Composition.section:decorsoOspedaliero.code.coding.system",
        "path": "Composition.section.code.coding.system",
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        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:decorsoOspedaliero.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "short": "Versione del sistema di codifica",
        "comment": "Es. LOINC 2.19",
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      },
      {
        "id": "Composition.section:decorsoOspedaliero.code.coding.code",
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        "short": "Valore del codice",
        "min": 0,
        "max": "1",
        "fixedCode": "8648-8"
      },
      {
        "id": "Composition.section:decorsoOspedaliero.code.coding.display",
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        "short": "Descrizione leggibile del codice",
        "min": 0,
        "max": "1",
        "fixedString": "Decorso Ospedaliero"
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        "min": 0,
        "max": "1",
        "comment": "Es. Complicanze"
      },
      {
        "id": "Composition.section:complicanze.code",
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        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
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        "patternCodeableConcept": {
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      },
      {
        "id": "Composition.section:complicanze.code.coding.system",
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      {
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      },
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        "id": "Composition.section:complicanze.code.coding.code",
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      {
        "id": "Composition.section:complicanze.code.coding.display",
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        "max": "1",
        "comment": "Es. Interventi Prestazioni Consulenze"
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      {
        "id": "Composition.section:interventi.code",
        "path": "Composition.section.code",
        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
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        "patternCodeableConcept": {
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        "id": "Composition.section:interventi.code.coding.system",
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        "id": "Composition.section:interventi.code.coding.code",
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        "id": "Composition.section:interventi.code.coding.display",
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        "fixedString": "Procedure ed Interventi"
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        "min": 0,
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        "comment": "Es. Accertamenti"
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        "short": "Codice che identifica il tipo di sezione",
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      },
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      {
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      },
      {
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        "path": "Composition.section.code.coding.display",
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        "fixedString": "Relevant diagnostic tests/laboratory data"
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      {
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        "min": 0,
        "max": "1",
        "comment": "Es. Parametri Vitali"
      },
      {
        "id": "Composition.section:parametriVitali.code",
        "path": "Composition.section.code",
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        "patternCodeableConcept": {
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              "code": "8716-3"
            }
          ]
        }
      },
      {
        "id": "Composition.section:parametriVitali.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "short": "Sistema di codifica",
        "min": 0,
        "max": "1",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:parametriVitali.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "short": "Versione del sistema di codifica",
        "comment": "Es. LOINC 2.19",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:parametriVitali.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "short": "Valore del codice",
        "min": 0,
        "max": "1",
        "fixedCode": "8716-3"
      },
      {
        "id": "Composition.section:parametriVitali.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 0,
        "max": "1",
        "fixedString": "Parametri Vitali"
      },
      {
        "id": "Composition.section:parametriVitali.text",
        "path": "Composition.section.text",
        "short": "Contenuto narrativo della sezione",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:parametriVitali.entry",
        "path": "Composition.section.entry",
        "short": "Parametri vitali",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/vitalsigns",
              "http://hl7.org/fhir/StructureDefinition/Observation"
            ]
          }
        ],
        "comment": "Per la rappresentazione dei parametri vitali si consiglia l'utilizzo dei profili FHIR ObservationVitalSigns, in particolare quando vengono impiegati gli stessi codici LOINC previsti dallo standard. Qualora vengano utilizzati codici differenti o il dato non sia riconducibile ai profili Vital Signs, si consiglia invece l'uso della risorsa Observation generica di FHIR R4."
      },
      {
        "id": "Composition.section:terapiaPS",
        "path": "Composition.section",
        "sliceName": "terapiaPS",
        "short": "Terapia Farmacologica in Pronto Soccorso",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:terapiaPS.title",
        "path": "Composition.section.title",
        "short": "Titolo della sezione",
        "min": 0,
        "max": "1",
        "comment": "Es. Terapia Farmacologica in Pronto Soccorso"
      },
      {
        "id": "Composition.section:terapiaPS.code",
        "path": "Composition.section.code",
        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "29549-3"
            }
          ]
        }
      },
      {
        "id": "Composition.section:terapiaPS.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "short": "Sistema di codifica",
        "min": 0,
        "max": "1",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:terapiaPS.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "short": "Versione del sistema di codifica",
        "comment": "Es. LOINC 2.19",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:terapiaPS.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "short": "Valore del codice",
        "min": 0,
        "max": "1",
        "fixedCode": "29549-3"
      },
      {
        "id": "Composition.section:terapiaPS.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 0,
        "max": "1",
        "fixedString": "Medication administered Narrative"
      },
      {
        "id": "Composition.section:terapiaPS.text",
        "path": "Composition.section.text",
        "short": "Contenuto narrativo della sezione",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:terapiaPS.entry",
        "path": "Composition.section.entry",
        "short": "Terapia in pronto soccorso",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLMedicationAdministrationVPS"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:dimissione",
        "path": "Composition.section",
        "sliceName": "dimissione",
        "short": "Dimissione",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.section:dimissione.title",
        "path": "Composition.section.title",
        "short": "Titolo della sezione",
        "min": 0,
        "max": "1",
        "comment": "Es. Dimissione"
      },
      {
        "id": "Composition.section:dimissione.code",
        "path": "Composition.section.code",
        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "28574-2"
            }
          ]
        }
      },
      {
        "id": "Composition.section:dimissione.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "short": "Sistema di codifica",
        "min": 0,
        "max": "1",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:dimissione.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "short": "Versione del sistema di codifica",
        "comment": "Es. LOINC 2.19",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:dimissione.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "short": "Valore del codice",
        "min": 0,
        "max": "1",
        "fixedCode": "28574-2"
      },
      {
        "id": "Composition.section:dimissione.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 0,
        "max": "1",
        "fixedString": "Note di Dimissione"
      },
      {
        "id": "Composition.section:dimissione.text",
        "path": "Composition.section.text",
        "short": "Contenuto narrativo della sezione",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:dimissione.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Composition.section:dimissione.entry:encounter",
        "path": "Composition.section.entry",
        "sliceName": "encounter",
        "short": "Encounter di dimissione",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLEncounterCore"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:dimissione.entry:prognosi",
        "path": "Composition.section.entry",
        "sliceName": "prognosi",
        "short": "Prognosi",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationPrognosiVPS"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:dimissione.entry:livelloAppropriatezza",
        "path": "Composition.section.entry",
        "sliceName": "livelloAppropriatezza",
        "short": "Livello appropriatezza",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationLivelloAppropriatezzaVPS"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:dimissione.entry:dataDecesso",
        "path": "Composition.section.entry",
        "sliceName": "dataDecesso",
        "short": "Data Ora Decesso",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationDataDecessoVPS"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:dimissione.entry:richiestaAutopsia",
        "path": "Composition.section.entry",
        "sliceName": "richiestaAutopsia",
        "short": "Richiesta Autopsia",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationRichiestaAutopsiaVPS"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:pianoDiCura",
        "path": "Composition.section",
        "sliceName": "pianoDiCura",
        "short": "Piano di Cura alla Dimissione",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:pianoDiCura.title",
        "path": "Composition.section.title",
        "short": "Titolo della sezione",
        "min": 0,
        "max": "1",
        "comment": "Es. Piano di Cura"
      },
      {
        "id": "Composition.section:pianoDiCura.code",
        "path": "Composition.section.code",
        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "18776-5"
            }
          ]
        }
      },
      {
        "id": "Composition.section:pianoDiCura.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "short": "Sistema di codifica",
        "min": 0,
        "max": "1",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:pianoDiCura.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "short": "Versione del sistema di codifica",
        "comment": "Es. LOINC 2.19",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:pianoDiCura.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "short": "Valore del codice",
        "min": 0,
        "max": "1",
        "fixedCode": "18776-5"
      },
      {
        "id": "Composition.section:pianoDiCura.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 0,
        "max": "1",
        "fixedString": "Piano di Cura"
      },
      {
        "id": "Composition.section:pianoDiCura.entry",
        "path": "Composition.section.entry",
        "short": "Piano di cura",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanVPS"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:terapiaFarmacologicaDimissione",
        "path": "Composition.section",
        "sliceName": "terapiaFarmacologicaDimissione",
        "short": "Terapia Farmacologica alla Dimissione",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:terapiaFarmacologicaDimissione.title",
        "path": "Composition.section.title",
        "short": "Titolo della sezione",
        "min": 0,
        "max": "1",
        "comment": "Es. Terapia farmacologica alla dimissione"
      },
      {
        "id": "Composition.section:terapiaFarmacologicaDimissione.code",
        "path": "Composition.section.code",
        "short": "Codice che identifica il tipo di sezione",
        "min": 0,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "5311-1"
            }
          ]
        }
      },
      {
        "id": "Composition.section:terapiaFarmacologicaDimissione.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "short": "Sistema di codifica",
        "min": 0,
        "max": "1",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:terapiaFarmacologicaDimissione.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "short": "Versione del sistema di codifica",
        "comment": "Es. LOINC 2.19",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:terapiaFarmacologicaDimissione.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "short": "Valore del codice",
        "min": 0,
        "max": "1",
        "fixedCode": "5311-1"
      },
      {
        "id": "Composition.section:terapiaFarmacologicaDimissione.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 0,
        "max": "1",
        "fixedString": "Terapia farmacologica alla dimissione"
      },
      {
        "id": "Composition.section:terapiaFarmacologicaDimissione.entry",
        "path": "Composition.section.entry",
        "short": "Terapie farmacologiche prescritte",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLMedicationRequestVPS"
            ]
          }
        ]
      }
    ]
  }
}