<StructureDefinition xmlns="http://hl7.org/fhir">
  <url value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationReazioniAvverse" />
  <name value="RLObservationReazioniAvverse" />
  <title value="RL Observation Reazioni Avverse" />
  <status value="draft" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation">
      <path value="Observation" />
      <short value="Reazioni Avverse" />
      <definition value="Descrizione delle reazioni, manifestazione avversa al vaccino." />
    </element>
    <element id="Observation.identifier">
      <path value="Observation.identifier" />
      <definition value="Codice identificativo." />
      <min value="0" />
      <max value="*" />
    </element>
    <element id="Observation.identifier.system">
      <path value="Observation.identifier.system" />
      <definition value="Identifica il sistema di assegnazione dell'ID." />
      <min value="0" />
      <max value="1" />
      <fixedUri value="urn:oid:2.16.840.1.113883.2.9.10.1.11.4.8" />
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <definition value="Codice identificativo." />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Observation.code.coding.system">
      <path value="Observation.code.coding.system" />
      <comment value="Fixed: LOINC (OID 2.16.840.1.113883.6.1)" />
      <min value="0" />
      <max value="1" />
      <fixedUri value="http://loinc.org" />
    </element>
    <element id="Observation.code.coding.version">
      <path value="Observation.code.coding.version" />
      <min value="0" />
      <max value="1" />
      <example>
        <label value="Esempio" />
        <valueString value="LOINC 2.19" />
      </example>
    </element>
    <element id="Observation.code.coding.code">
      <path value="Observation.code.coding.code" />
      <min value="0" />
      <max value="1" />
      <fixedCode value="31044-1" />
    </element>
    <element id="Observation.code.coding.display">
      <path value="Observation.code.coding.display" />
      <min value="0" />
      <max value="1" />
      <fixedString value="Reazione alla vaccinazione" />
    </element>
    <element id="Observation.status">
      <path value="Observation.status" />
      <definition value="Indica lo stato dell'osservazione." />
      <comment value="La fonte riportava 'Fixed: completed' (codice non valido per Observation.status); corretto a 'final'." />
      <min value="1" />
      <max value="1" />
      <fixedCode value="final" />
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]" />
      <definition value="Intervallo temporale clinicamente rilevante per l'osservazione." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Period" />
      </type>
    </element>
    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <definition value="Codice identificativo della reazione avversa." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
    </element>
    <element id="Observation.value[x].coding.code">
      <path value="Observation.value[x].coding.code" />
      <short value="Valore del codice (es. CODICE REAZIONE)" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Observation.value[x].coding.system">
      <path value="Observation.value[x].coding.system" />
      <comment value="Opzioni dalla fonte: urn:oid:2.16.840.1.113883.6.103 (ICD-9CM) | urn:oid:2.16.840.1.113883.2.9.6.1.56.1 (classificazione regionale). Non fissato: binding da formalizzare." />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Observation.value[x].coding.version">
      <path value="Observation.value[x].coding.version" />
      <comment value="Opzioni dalla fonte: 'ICD-9CM' | 'Classificazione reazioni avverse'." />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Observation.value[x].coding.display">
      <path value="Observation.value[x].coding.display" />
      <short value="Descrizione leggibile del codice (es. DESCRIZIONE REAZIONE)" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <definition value="Riferimento al paziente o soggetto dell'osservazione." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCore" />
      </type>
    </element>
  </differential>
</StructureDefinition>