{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLMedicationAdministrationRicoveroLdo",
  "name": "RLMedicationAdministrationRicoveroLdo",
  "title": "MedicationAdministration LDO - Terapia Farmacologica durante il Ricovero",
  "status": "draft",
  "date": "2026-10-08",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "MedicationAdministration",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationAdministration",
        "path": "MedicationAdministration"
      },
      {
        "id": "MedicationAdministration.status",
        "path": "MedicationAdministration.status",
        "short": "Stato della somministrazione",
        "comment": "Il valore DEVE essere derivato dal Value set X_ActStatusActiveSuspendedAbortedCompleted STATIC.",
        "min": 1,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.effective[x]",
        "path": "MedicationAdministration.effective[x]",
        "short": "Periodo di somministrazione",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "MedicationAdministration.effectivePeriod",
        "path": "MedicationAdministration.effectivePeriod",
        "min": 1,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.effectivePeriod.start",
        "path": "MedicationAdministration.effectivePeriod.start",
        "short": "Data di inizio",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.effectivePeriod.end",
        "path": "MedicationAdministration.effectivePeriod.end",
        "short": "Data di fine",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.dosage",
        "path": "MedicationAdministration.dosage"
      },
      {
        "id": "MedicationAdministration.dosage.route",
        "path": "MedicationAdministration.dosage.route",
        "short": "Via di somministrazione del farmaco.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.dosage.route.coding",
        "path": "MedicationAdministration.dosage.route.coding"
      },
      {
        "id": "MedicationAdministration.dosage.route.coding.system",
        "path": "MedicationAdministration.dosage.route.coding.system",
        "short": "Sistema di codifica",
        "comment": "Valore previsto: http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration (OID 2.16.840.1.113883.5.112).",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.dosage.route.coding.version",
        "path": "MedicationAdministration.dosage.route.coding.version",
        "short": "Versione del sistema.",
        "comment": "Valore previsto: HL7 RouteOfAdministration.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.dosage.route.coding.code",
        "path": "MedicationAdministration.dosage.route.coding.code",
        "short": "Codice della via",
        "comment": "L’informazione inerente alla via di somministrazione viene inserita attraverso l’elemento l’attributo @code PUÒ essere valorizzato secondo il Value Set “HL7 RouteOfAdministration”",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.dosage.route.coding.display",
        "path": "MedicationAdministration.dosage.route.coding.display",
        "short": "Descrizione della via di somministrazione.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.dosage.route.text",
        "path": "MedicationAdministration.dosage.route.text",
        "short": "Testo libero",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.dosage.site",
        "path": "MedicationAdministration.dosage.site",
        "short": "Sito anatomico di somministrazione.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.dosage.site.coding",
        "path": "MedicationAdministration.dosage.site.coding"
      },
      {
        "id": "MedicationAdministration.dosage.site.coding.system",
        "path": "MedicationAdministration.dosage.site.coding.system",
        "short": "Sistema di codifica.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.dosage.site.coding.version",
        "path": "MedicationAdministration.dosage.site.coding.version",
        "short": "Versione del sistema",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.dosage.site.coding.code",
        "path": "MedicationAdministration.dosage.site.coding.code",
        "short": "Codice del sito",
        "comment": "L’attributo @code PUÒ essere valorizzato secondo il Value Set “ActSite”",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.dosage.site.coding.display",
        "path": "MedicationAdministration.dosage.site.coding.display",
        "short": "Descrizione del sito.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.dosage.site.text",
        "path": "MedicationAdministration.dosage.site.text",
        "short": "Testo libero",
        "min": 0,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.request",
        "path": "MedicationAdministration.request",
        "short": "Riferimento alla richiesta di somministrazione.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLMedicationRequestRicoveroLdo"
            ]
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x]",
        "path": "MedicationAdministration.medication[x]",
        "short": "Riferimento al farmaco somministrato.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Medication"
            ]
          }
        ]
      },
      {
        "id": "MedicationAdministration.performer",
        "path": "MedicationAdministration.performer",
        "min": 1,
        "max": "*"
      },
      {
        "id": "MedicationAdministration.performer.actor",
        "path": "MedicationAdministration.performer.actor",
        "short": "Professionista che ha effettuato la somministrazione.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerCore"
            ]
          }
        ]
      },
      {
        "id": "MedicationAdministration.subject",
        "path": "MedicationAdministration.subject",
        "short": "Paziente a cui è stato somministrato il farmaco.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCore"
            ]
          }
        ]
      }
    ]
  }
}