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