ReteLabConditionDiagnosiPatologia
Descrizione
Il profilo ReteLabConditionDiagnosiPatologia è stato strutturato a partire dalla risorsa generica FHIR Condition utilizzata per per registrare informazioni dettagliate su una patologia, un problema, una diagnosi o concetto clinico che ha raggiunto un livello di preoccupazione.
Di seguito è presentato il contenuto del profilo in diversi formati. La corrispondente definizione è consultabile al seguente link: ReteLabConditionDiagnosiPatologia.
Snapshot View
| ReteLabConditionDiagnosiPatologia (Condition) | C | Condition | Element idConditionShort description Condizioni/diagnosi del paziente DefinitionProfilo che contiene informazioni dettagliate su una condizione, un problema, una diagnosi o un altro evento, situazione, problema o concetto clinico che ha raggiunto un livello di preoccupazione. Corrispondente campo HL7 secondo specifiche regionali: DG1 Questo profilo può essere presente nei seguenti flussi: "Nuova Richiesta da LR a OMR", "Inoltro Nuova Richiesta da OMR a LS", "Modifica Ordine da LR a LS"
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| id | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||
| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idCondition.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idCondition.implicitRulesShort description A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
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| text | 0..1 | Narrative | There are no (further) constraints on this element Element idCondition.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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| contained | 0..* | Resource | There are no (further) constraints on this element Element idCondition.containedShort description Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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| extension | C | 0..* | Extension | Element idCondition.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Constraints
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| confidenzialitaDiagnosi | C | 0..1 | Extension(booleanstring) | Element idCondition.extension:confidenzialitaDiagnosiShort description Confidenzialità diagnosi Alternate namesextensions, user content DefinitionIndica se la diagnosi è confidenziale o no Corrispondente campo HL7 secondo specifiche regionali: DG1-18 https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabConditionConfidenzialitaDiagnosi ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.extension:confidenzialitaDiagnosi.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.extension:confidenzialitaDiagnosi.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| url | 1..1 | uriAuto Value | There are no (further) constraints on this element Element idCondition.extension:confidenzialitaDiagnosi.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabConditionConfidenzialitaDiagnosiMappings
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| value[x] | 0..1 | There are no (further) constraints on this element Element idCondition.extension:confidenzialitaDiagnosi.value[x]Short description Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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| valueString | string | Data type | ||||
| modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| identifier | Σ | 0..* | Identifier | Element idCondition.identifierShort description identificativo di una diagnosi DefinitionBusiness identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server. Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers. Corrispondente campo HL7 secondo specifiche regionali: DG1-20
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.identifier.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.identifier.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.identifier.useShort description usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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| type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.identifier.typeShort description Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints
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| system | Σ | 0..1 | uriAuto Value | Element idCondition.identifier.systemShort description The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
https://fhir.siss.regione.lombardia.it/sid/identificativoUnivocoDiagnosiExamples General http://www.acme.com/identifiers/patientMappings
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| value | Σ | 0..1 | string | Element idCondition.identifier.valueShort description Identificativo univoco della diagnosi DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456Mappings
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| period | Σ | 0..1 | Period | There are no (further) constraints on this element Element idCondition.identifier.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use.
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| assigner | Σ | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idCondition.identifier.assignerShort description Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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| clinicalStatus | Σ ?! C | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.clinicalStatusShort description active | recurrence | relapse | inactive | remission | resolved DefinitionThe clinical status of the condition. The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. The clinical status of the condition or diagnosis. ConditionClinicalStatusCodes (required) ConditionsThe cardinality or value of this element may be affected by these constraints: con-3, con-4, con-5 Constraints
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| verificationStatus | Σ ?! C | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.verificationStatusShort description unconfirmed | provisional | differential | confirmed | refuted | entered-in-error DefinitionThe verification status to support the clinical status of the condition. verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. The verification status to support or decline the clinical status of the condition or diagnosis. ConditionVerificationStatus (required) ConditionsThe cardinality or value of this element may be affected by these constraints: con-3, con-5 Constraints
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| category | 0..1 | CodeableConceptBinding | Element idCondition.categoryShort description Tipologia di diagnosi DefinitionA category assigned to the condition. The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts. Unordered, Open, by coding.code(Value) BindingA category assigned to the condition. ConditionCategoryCodes (extensible) Constraints
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| Diagnosi | 0..1 | CodeableConceptBindingAuto Value | Element idCondition.category:DiagnosiShort description problem-list-item | encounter-diagnosis DefinitionA category assigned to the condition. The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts. A category assigned to the condition. ConditionCategoryCodes (extensible) Constraints
{
"coding": [
{
"code": "Diagnosi"
}
]
}Mappings
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| Patologia | 0..1 | CodeableConceptBindingAuto Value | Element idCondition.category:PatologiaShort description problem-list-item | encounter-diagnosis DefinitionA category assigned to the condition. The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts. A category assigned to the condition. ConditionCategoryCodes (extensible) Constraints
{
"coding": [
{
"code": "Patologia"
}
]
}Mappings
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| severity | 0..1 | CodeableConceptBinding | Element idCondition.severityShort description Priorità della diagnosi o livello di cronicità per i pazienti cronici DefinitionA subjective assessment of the severity of the condition as evaluated by the clinician. Corrispondente campo HL7 secondo specifiche regionali: DG1-15 A subjective assessment of the severity of the condition as evaluated by the clinician. Condition/DiagnosisSeverity (preferred) Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.severity.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idCondition.severity.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.severity.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 0..1 | uri | There are no (further) constraints on this element Element idCondition.severity.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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| code | Σ | 0..1 | codeBinding | Element idCondition.severity.coding.codeShort description Priorità della diagnosi o livello di cronicità per i pazienti cronici DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Corrispondente campo HL7 secondo specifiche regionali: DG1-15 ValueSet relativo alla codifica della priorità della diagnosi
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| display | Σ | 0..1 | string | Element idCondition.severity.coding.displayShort description Descrizione della priorità della diagnosi DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.severity.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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| code | Σ | 0..1 | CodeableConcept | Element idCondition.codeShort description Codice della condizione, problema o diagnosi del paziente. Alternate namestype DefinitionIdentification of the condition, problem or diagnosis. 0..1 to account for primarily narrative only resources. Identification of the condition or diagnosis. Condition/Problem/DiagnosisCodes (example) Constraints
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| bodySite | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idCondition.bodySiteShort description Anatomical location, if relevant DefinitionThe anatomical location where this condition manifests itself. Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints
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| subject | Σ | 1..1 | Reference(ReteLabPatientCittadino) | Element idCondition.subjectShort description Paziente al quale la diagnosi fa riferimento Alternate namespatient DefinitionReference al profilo ReteLabPatientCittadino Group is typically used for veterinary or public health use cases. Reference(ReteLabPatientCittadino) Constraints
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| encounter | Σ | 0..1 | Reference(Encounter) | There are no (further) constraints on this element Element idCondition.encounterShort description Encounter created as part of DefinitionThe Encounter during which this Condition was created or to which the creation of this record is tightly associated. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".
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| onset[x] | Σ | 0..1 | There are no (further) constraints on this element Element idCondition.onset[x]Short description Estimated or actual date, date-time, or age DefinitionEstimated or actual date or date-time the condition began, in the opinion of the clinician. Age is generally used when the patient reports an age at which the Condition began to occur.
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| onsetDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
| onsetAge | Age | There are no (further) constraints on this element Data type | ||||
| onsetPeriod | Period | There are no (further) constraints on this element Data type | ||||
| onsetRange | Range | There are no (further) constraints on this element Data type | ||||
| onsetString | string | There are no (further) constraints on this element Data type | ||||
| abatement[x] | C | 0..1 | There are no (further) constraints on this element Element idCondition.abatement[x]Short description When in resolution/remission DefinitionThe date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate. There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated. The cardinality or value of this element may be affected by these constraints: con-4 Constraints
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| abatementDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
| abatementAge | Age | There are no (further) constraints on this element Data type | ||||
| abatementPeriod | Period | There are no (further) constraints on this element Data type | ||||
| abatementRange | Range | There are no (further) constraints on this element Data type | ||||
| abatementString | string | There are no (further) constraints on this element Data type | ||||
| recordedDate | Σ | 0..1 | dateTime | Element idCondition.recordedDateShort description Data e ora in cui è stata effettuata la diagnosi DefinitionFormato: YYYY-MM-DDThh:mm:ss+zz:zz secondo lo standard FHIR Corrispondente campo HL7 secondo specifiche regionali: DG1-5
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| recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | There are no (further) constraints on this element Element idCondition.recorderShort description Who recorded the condition DefinitionIndividual who recorded the record and takes responsibility for its content. Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Constraints
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| asserter | Σ | 0..1 | Reference(ReteLabPractitionerRoleMedico) | Element idCondition.asserterShort description Medico responsabile della diagnosi DefinitionReference al profilo ReteLabPractitionerRoleMedico DG1-16 Reference(ReteLabPractitionerRoleMedico) Constraints
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| stage | C | 0..* | BackboneElement | There are no (further) constraints on this element Element idCondition.stageShort description Stage/grade, usually assessed formally DefinitionClinical stage or grade of a condition. May include formal severity assessments.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.stage.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.stage.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.stage.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| summary | C | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.stage.summaryShort description Simple summary (disease specific) DefinitionA simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific. Codes describing condition stages (e.g. Cancer stages). The cardinality or value of this element may be affected by these constraints: con-1 Constraints
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| assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | There are no (further) constraints on this element Element idCondition.stage.assessmentShort description Formal record of assessment DefinitionReference to a formal record of the evidence on which the staging assessment is based. Reference(ClinicalImpression | DiagnosticReport | Observation) ConditionsThe cardinality or value of this element may be affected by these constraints: con-1 Constraints
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| type | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.stage.typeShort description Kind of staging DefinitionThe kind of staging, such as pathological or clinical staging. Codes describing the kind of condition staging (e.g. clinical or pathological).
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| evidence | C | 0..* | BackboneElement | There are no (further) constraints on this element Element idCondition.evidenceShort description Supporting evidence DefinitionSupporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition. The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| code | Σ C | 0..* | CodeableConcept | There are no (further) constraints on this element Element idCondition.evidence.codeShort description Manifestation/symptom DefinitionA manifestation or symptom that led to the recording of this condition. Codes that describe the manifestation or symptoms of a condition. ManifestationAndSymptomCodes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: con-2 Constraints
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| detail | Σ C | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idCondition.evidence.detailShort description Supporting information found elsewhere DefinitionLinks to other relevant information, including pathology reports. The cardinality or value of this element may be affected by these constraints: con-2 Constraints
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| note | 0..* | Annotation | Element idCondition.noteShort description Note aggiuntive sulla diagnosi/patologia DefinitionAdditional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis. Corrispondente campo HL7 secondo specifiche regionali: DG1-4
|
Differential View
| ReteLabConditionDiagnosiPatologia (Condition) | C | Condition | Element idConditionShort description Condizioni/diagnosi del paziente DefinitionProfilo che contiene informazioni dettagliate su una condizione, un problema, una diagnosi o un altro evento, situazione, problema o concetto clinico che ha raggiunto un livello di preoccupazione. Corrispondente campo HL7 secondo specifiche regionali: DG1 Questo profilo può essere presente nei seguenti flussi: "Nuova Richiesta da LR a OMR", "Inoltro Nuova Richiesta da OMR a LS", "Modifica Ordine da LR a LS"
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| id | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||
| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idCondition.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idCondition.implicitRulesShort description A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
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| text | 0..1 | Narrative | There are no (further) constraints on this element Element idCondition.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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| contained | 0..* | Resource | There are no (further) constraints on this element Element idCondition.containedShort description Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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| extension | C | 0..* | Extension | Element idCondition.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Constraints
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| confidenzialitaDiagnosi | C | 0..1 | Extension(booleanstring) | Element idCondition.extension:confidenzialitaDiagnosiShort description Confidenzialità diagnosi Alternate namesextensions, user content DefinitionIndica se la diagnosi è confidenziale o no Corrispondente campo HL7 secondo specifiche regionali: DG1-18 https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabConditionConfidenzialitaDiagnosi ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.extension:confidenzialitaDiagnosi.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.extension:confidenzialitaDiagnosi.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| url | 1..1 | uriAuto Value | There are no (further) constraints on this element Element idCondition.extension:confidenzialitaDiagnosi.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabConditionConfidenzialitaDiagnosiMappings
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| value[x] | 0..1 | There are no (further) constraints on this element Element idCondition.extension:confidenzialitaDiagnosi.value[x]Short description Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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| valueString | string | Data type | ||||
| modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| identifier | Σ | 0..* | Identifier | Element idCondition.identifierShort description identificativo di una diagnosi DefinitionBusiness identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server. Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers. Corrispondente campo HL7 secondo specifiche regionali: DG1-20
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.identifier.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.identifier.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.identifier.useShort description usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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| type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.identifier.typeShort description Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints
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| system | Σ | 0..1 | uriAuto Value | Element idCondition.identifier.systemShort description The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
https://fhir.siss.regione.lombardia.it/sid/identificativoUnivocoDiagnosiExamples General http://www.acme.com/identifiers/patientMappings
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| value | Σ | 0..1 | string | Element idCondition.identifier.valueShort description Identificativo univoco della diagnosi DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456Mappings
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| period | Σ | 0..1 | Period | There are no (further) constraints on this element Element idCondition.identifier.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use.
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| assigner | Σ | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idCondition.identifier.assignerShort description Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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| clinicalStatus | Σ ?! C | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.clinicalStatusShort description active | recurrence | relapse | inactive | remission | resolved DefinitionThe clinical status of the condition. The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. The clinical status of the condition or diagnosis. ConditionClinicalStatusCodes (required) ConditionsThe cardinality or value of this element may be affected by these constraints: con-3, con-4, con-5 Constraints
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| verificationStatus | Σ ?! C | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.verificationStatusShort description unconfirmed | provisional | differential | confirmed | refuted | entered-in-error DefinitionThe verification status to support the clinical status of the condition. verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. The verification status to support or decline the clinical status of the condition or diagnosis. ConditionVerificationStatus (required) ConditionsThe cardinality or value of this element may be affected by these constraints: con-3, con-5 Constraints
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| category | 0..1 | CodeableConceptBinding | Element idCondition.categoryShort description Tipologia di diagnosi DefinitionA category assigned to the condition. The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts. Unordered, Open, by coding.code(Value) BindingA category assigned to the condition. ConditionCategoryCodes (extensible) Constraints
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| Diagnosi | 0..1 | CodeableConceptBindingAuto Value | Element idCondition.category:DiagnosiShort description problem-list-item | encounter-diagnosis DefinitionA category assigned to the condition. The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts. A category assigned to the condition. ConditionCategoryCodes (extensible) Constraints
{
"coding": [
{
"code": "Diagnosi"
}
]
}Mappings
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| Patologia | 0..1 | CodeableConceptBindingAuto Value | Element idCondition.category:PatologiaShort description problem-list-item | encounter-diagnosis DefinitionA category assigned to the condition. The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts. A category assigned to the condition. ConditionCategoryCodes (extensible) Constraints
{
"coding": [
{
"code": "Patologia"
}
]
}Mappings
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| severity | 0..1 | CodeableConceptBinding | Element idCondition.severityShort description Priorità della diagnosi o livello di cronicità per i pazienti cronici DefinitionA subjective assessment of the severity of the condition as evaluated by the clinician. Corrispondente campo HL7 secondo specifiche regionali: DG1-15 A subjective assessment of the severity of the condition as evaluated by the clinician. Condition/DiagnosisSeverity (preferred) Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.severity.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idCondition.severity.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.severity.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 0..1 | uri | There are no (further) constraints on this element Element idCondition.severity.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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| code | Σ | 0..1 | codeBinding | Element idCondition.severity.coding.codeShort description Priorità della diagnosi o livello di cronicità per i pazienti cronici DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Corrispondente campo HL7 secondo specifiche regionali: DG1-15 ValueSet relativo alla codifica della priorità della diagnosi
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| display | Σ | 0..1 | string | Element idCondition.severity.coding.displayShort description Descrizione della priorità della diagnosi DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.severity.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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| code | Σ | 0..1 | CodeableConcept | Element idCondition.codeShort description Codice della condizione, problema o diagnosi del paziente. Alternate namestype DefinitionIdentification of the condition, problem or diagnosis. 0..1 to account for primarily narrative only resources. Identification of the condition or diagnosis. Condition/Problem/DiagnosisCodes (example) Constraints
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| bodySite | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idCondition.bodySiteShort description Anatomical location, if relevant DefinitionThe anatomical location where this condition manifests itself. Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints
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| subject | Σ | 1..1 | Reference(ReteLabPatientCittadino) | Element idCondition.subjectShort description Paziente al quale la diagnosi fa riferimento Alternate namespatient DefinitionReference al profilo ReteLabPatientCittadino Group is typically used for veterinary or public health use cases. Reference(ReteLabPatientCittadino) Constraints
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| encounter | Σ | 0..1 | Reference(Encounter) | There are no (further) constraints on this element Element idCondition.encounterShort description Encounter created as part of DefinitionThe Encounter during which this Condition was created or to which the creation of this record is tightly associated. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".
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| onset[x] | Σ | 0..1 | There are no (further) constraints on this element Element idCondition.onset[x]Short description Estimated or actual date, date-time, or age DefinitionEstimated or actual date or date-time the condition began, in the opinion of the clinician. Age is generally used when the patient reports an age at which the Condition began to occur.
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| onsetDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
| onsetAge | Age | There are no (further) constraints on this element Data type | ||||
| onsetPeriod | Period | There are no (further) constraints on this element Data type | ||||
| onsetRange | Range | There are no (further) constraints on this element Data type | ||||
| onsetString | string | There are no (further) constraints on this element Data type | ||||
| abatement[x] | C | 0..1 | There are no (further) constraints on this element Element idCondition.abatement[x]Short description When in resolution/remission DefinitionThe date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate. There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated. The cardinality or value of this element may be affected by these constraints: con-4 Constraints
| |||
| abatementDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
| abatementAge | Age | There are no (further) constraints on this element Data type | ||||
| abatementPeriod | Period | There are no (further) constraints on this element Data type | ||||
| abatementRange | Range | There are no (further) constraints on this element Data type | ||||
| abatementString | string | There are no (further) constraints on this element Data type | ||||
| recordedDate | Σ | 0..1 | dateTime | Element idCondition.recordedDateShort description Data e ora in cui è stata effettuata la diagnosi DefinitionFormato: YYYY-MM-DDThh:mm:ss+zz:zz secondo lo standard FHIR Corrispondente campo HL7 secondo specifiche regionali: DG1-5
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| recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | There are no (further) constraints on this element Element idCondition.recorderShort description Who recorded the condition DefinitionIndividual who recorded the record and takes responsibility for its content. Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Constraints
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| asserter | Σ | 0..1 | Reference(ReteLabPractitionerRoleMedico) | Element idCondition.asserterShort description Medico responsabile della diagnosi DefinitionReference al profilo ReteLabPractitionerRoleMedico DG1-16 Reference(ReteLabPractitionerRoleMedico) Constraints
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| stage | C | 0..* | BackboneElement | There are no (further) constraints on this element Element idCondition.stageShort description Stage/grade, usually assessed formally DefinitionClinical stage or grade of a condition. May include formal severity assessments.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.stage.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.stage.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.stage.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| summary | C | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.stage.summaryShort description Simple summary (disease specific) DefinitionA simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific. Codes describing condition stages (e.g. Cancer stages). The cardinality or value of this element may be affected by these constraints: con-1 Constraints
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| assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | There are no (further) constraints on this element Element idCondition.stage.assessmentShort description Formal record of assessment DefinitionReference to a formal record of the evidence on which the staging assessment is based. Reference(ClinicalImpression | DiagnosticReport | Observation) ConditionsThe cardinality or value of this element may be affected by these constraints: con-1 Constraints
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| type | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.stage.typeShort description Kind of staging DefinitionThe kind of staging, such as pathological or clinical staging. Codes describing the kind of condition staging (e.g. clinical or pathological).
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| evidence | C | 0..* | BackboneElement | There are no (further) constraints on this element Element idCondition.evidenceShort description Supporting evidence DefinitionSupporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition. The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| code | Σ C | 0..* | CodeableConcept | There are no (further) constraints on this element Element idCondition.evidence.codeShort description Manifestation/symptom DefinitionA manifestation or symptom that led to the recording of this condition. Codes that describe the manifestation or symptoms of a condition. ManifestationAndSymptomCodes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: con-2 Constraints
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| detail | Σ C | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idCondition.evidence.detailShort description Supporting information found elsewhere DefinitionLinks to other relevant information, including pathology reports. The cardinality or value of this element may be affected by these constraints: con-2 Constraints
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| note | 0..* | Annotation | Element idCondition.noteShort description Note aggiuntive sulla diagnosi/patologia DefinitionAdditional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis. Corrispondente campo HL7 secondo specifiche regionali: DG1-4
|
Hybrid View
| ReteLabConditionDiagnosiPatologia (Condition) | C | Condition | Element idConditionShort description Condizioni/diagnosi del paziente DefinitionProfilo che contiene informazioni dettagliate su una condizione, un problema, una diagnosi o un altro evento, situazione, problema o concetto clinico che ha raggiunto un livello di preoccupazione. Corrispondente campo HL7 secondo specifiche regionali: DG1 Questo profilo può essere presente nei seguenti flussi: "Nuova Richiesta da LR a OMR", "Inoltro Nuova Richiesta da OMR a LS", "Modifica Ordine da LR a LS"
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| id | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||
| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idCondition.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idCondition.implicitRulesShort description A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
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| text | 0..1 | Narrative | There are no (further) constraints on this element Element idCondition.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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| contained | 0..* | Resource | There are no (further) constraints on this element Element idCondition.containedShort description Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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| extension | C | 0..* | Extension | Element idCondition.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Constraints
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| confidenzialitaDiagnosi | C | 0..1 | Extension(booleanstring) | Element idCondition.extension:confidenzialitaDiagnosiShort description Confidenzialità diagnosi Alternate namesextensions, user content DefinitionIndica se la diagnosi è confidenziale o no Corrispondente campo HL7 secondo specifiche regionali: DG1-18 https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabConditionConfidenzialitaDiagnosi ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.extension:confidenzialitaDiagnosi.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.extension:confidenzialitaDiagnosi.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| url | 1..1 | uriAuto Value | There are no (further) constraints on this element Element idCondition.extension:confidenzialitaDiagnosi.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabConditionConfidenzialitaDiagnosiMappings
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| value[x] | 0..1 | There are no (further) constraints on this element Element idCondition.extension:confidenzialitaDiagnosi.value[x]Short description Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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| valueString | string | Data type | ||||
| modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| identifier | Σ | 0..* | Identifier | Element idCondition.identifierShort description identificativo di una diagnosi DefinitionBusiness identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server. Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers. Corrispondente campo HL7 secondo specifiche regionali: DG1-20
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.identifier.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.identifier.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.identifier.useShort description usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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| type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.identifier.typeShort description Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints
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| system | Σ | 0..1 | uriAuto Value | Element idCondition.identifier.systemShort description The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
https://fhir.siss.regione.lombardia.it/sid/identificativoUnivocoDiagnosiExamples General http://www.acme.com/identifiers/patientMappings
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| value | Σ | 0..1 | string | Element idCondition.identifier.valueShort description Identificativo univoco della diagnosi DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456Mappings
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| period | Σ | 0..1 | Period | There are no (further) constraints on this element Element idCondition.identifier.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use.
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| assigner | Σ | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idCondition.identifier.assignerShort description Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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| clinicalStatus | Σ ?! C | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.clinicalStatusShort description active | recurrence | relapse | inactive | remission | resolved DefinitionThe clinical status of the condition. The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. The clinical status of the condition or diagnosis. ConditionClinicalStatusCodes (required) ConditionsThe cardinality or value of this element may be affected by these constraints: con-3, con-4, con-5 Constraints
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| verificationStatus | Σ ?! C | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.verificationStatusShort description unconfirmed | provisional | differential | confirmed | refuted | entered-in-error DefinitionThe verification status to support the clinical status of the condition. verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. The verification status to support or decline the clinical status of the condition or diagnosis. ConditionVerificationStatus (required) ConditionsThe cardinality or value of this element may be affected by these constraints: con-3, con-5 Constraints
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| category | 0..1 | CodeableConceptBinding | Element idCondition.categoryShort description Tipologia di diagnosi DefinitionA category assigned to the condition. The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts. Unordered, Open, by coding.code(Value) BindingA category assigned to the condition. ConditionCategoryCodes (extensible) Constraints
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| Diagnosi | 0..1 | CodeableConceptBindingAuto Value | Element idCondition.category:DiagnosiShort description problem-list-item | encounter-diagnosis DefinitionA category assigned to the condition. The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts. A category assigned to the condition. ConditionCategoryCodes (extensible) Constraints
{
"coding": [
{
"code": "Diagnosi"
}
]
}Mappings
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| Patologia | 0..1 | CodeableConceptBindingAuto Value | Element idCondition.category:PatologiaShort description problem-list-item | encounter-diagnosis DefinitionA category assigned to the condition. The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts. A category assigned to the condition. ConditionCategoryCodes (extensible) Constraints
{
"coding": [
{
"code": "Patologia"
}
]
}Mappings
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| severity | 0..1 | CodeableConceptBinding | Element idCondition.severityShort description Priorità della diagnosi o livello di cronicità per i pazienti cronici DefinitionA subjective assessment of the severity of the condition as evaluated by the clinician. Corrispondente campo HL7 secondo specifiche regionali: DG1-15 A subjective assessment of the severity of the condition as evaluated by the clinician. Condition/DiagnosisSeverity (preferred) Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.severity.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idCondition.severity.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.severity.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 0..1 | uri | There are no (further) constraints on this element Element idCondition.severity.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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| code | Σ | 0..1 | codeBinding | Element idCondition.severity.coding.codeShort description Priorità della diagnosi o livello di cronicità per i pazienti cronici DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Corrispondente campo HL7 secondo specifiche regionali: DG1-15 ValueSet relativo alla codifica della priorità della diagnosi
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| display | Σ | 0..1 | string | Element idCondition.severity.coding.displayShort description Descrizione della priorità della diagnosi DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.severity.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.severity.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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| code | Σ | 0..1 | CodeableConcept | Element idCondition.codeShort description Codice della condizione, problema o diagnosi del paziente. Alternate namestype DefinitionIdentification of the condition, problem or diagnosis. 0..1 to account for primarily narrative only resources. Identification of the condition or diagnosis. Condition/Problem/DiagnosisCodes (example) Constraints
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| bodySite | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idCondition.bodySiteShort description Anatomical location, if relevant DefinitionThe anatomical location where this condition manifests itself. Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints
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| subject | Σ | 1..1 | Reference(ReteLabPatientCittadino) | Element idCondition.subjectShort description Paziente al quale la diagnosi fa riferimento Alternate namespatient DefinitionReference al profilo ReteLabPatientCittadino Group is typically used for veterinary or public health use cases. Reference(ReteLabPatientCittadino) Constraints
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| encounter | Σ | 0..1 | Reference(Encounter) | There are no (further) constraints on this element Element idCondition.encounterShort description Encounter created as part of DefinitionThe Encounter during which this Condition was created or to which the creation of this record is tightly associated. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".
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| onset[x] | Σ | 0..1 | There are no (further) constraints on this element Element idCondition.onset[x]Short description Estimated or actual date, date-time, or age DefinitionEstimated or actual date or date-time the condition began, in the opinion of the clinician. Age is generally used when the patient reports an age at which the Condition began to occur.
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| onsetDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
| onsetAge | Age | There are no (further) constraints on this element Data type | ||||
| onsetPeriod | Period | There are no (further) constraints on this element Data type | ||||
| onsetRange | Range | There are no (further) constraints on this element Data type | ||||
| onsetString | string | There are no (further) constraints on this element Data type | ||||
| abatement[x] | C | 0..1 | There are no (further) constraints on this element Element idCondition.abatement[x]Short description When in resolution/remission DefinitionThe date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate. There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated. The cardinality or value of this element may be affected by these constraints: con-4 Constraints
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| abatementDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
| abatementAge | Age | There are no (further) constraints on this element Data type | ||||
| abatementPeriod | Period | There are no (further) constraints on this element Data type | ||||
| abatementRange | Range | There are no (further) constraints on this element Data type | ||||
| abatementString | string | There are no (further) constraints on this element Data type | ||||
| recordedDate | Σ | 0..1 | dateTime | Element idCondition.recordedDateShort description Data e ora in cui è stata effettuata la diagnosi DefinitionFormato: YYYY-MM-DDThh:mm:ss+zz:zz secondo lo standard FHIR Corrispondente campo HL7 secondo specifiche regionali: DG1-5
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| recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | There are no (further) constraints on this element Element idCondition.recorderShort description Who recorded the condition DefinitionIndividual who recorded the record and takes responsibility for its content. Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Constraints
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| asserter | Σ | 0..1 | Reference(ReteLabPractitionerRoleMedico) | Element idCondition.asserterShort description Medico responsabile della diagnosi DefinitionReference al profilo ReteLabPractitionerRoleMedico DG1-16 Reference(ReteLabPractitionerRoleMedico) Constraints
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| stage | C | 0..* | BackboneElement | There are no (further) constraints on this element Element idCondition.stageShort description Stage/grade, usually assessed formally DefinitionClinical stage or grade of a condition. May include formal severity assessments.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.stage.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.stage.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.stage.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| summary | C | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.stage.summaryShort description Simple summary (disease specific) DefinitionA simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific. Codes describing condition stages (e.g. Cancer stages). The cardinality or value of this element may be affected by these constraints: con-1 Constraints
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| assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | There are no (further) constraints on this element Element idCondition.stage.assessmentShort description Formal record of assessment DefinitionReference to a formal record of the evidence on which the staging assessment is based. Reference(ClinicalImpression | DiagnosticReport | Observation) ConditionsThe cardinality or value of this element may be affected by these constraints: con-1 Constraints
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| type | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.stage.typeShort description Kind of staging DefinitionThe kind of staging, such as pathological or clinical staging. Codes describing the kind of condition staging (e.g. clinical or pathological).
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| evidence | C | 0..* | BackboneElement | There are no (further) constraints on this element Element idCondition.evidenceShort description Supporting evidence DefinitionSupporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition. The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| code | Σ C | 0..* | CodeableConcept | There are no (further) constraints on this element Element idCondition.evidence.codeShort description Manifestation/symptom DefinitionA manifestation or symptom that led to the recording of this condition. Codes that describe the manifestation or symptoms of a condition. ManifestationAndSymptomCodes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: con-2 Constraints
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| detail | Σ C | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idCondition.evidence.detailShort description Supporting information found elsewhere DefinitionLinks to other relevant information, including pathology reports. The cardinality or value of this element may be affected by these constraints: con-2 Constraints
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| note | 0..* | Annotation | Element idCondition.noteShort description Note aggiuntive sulla diagnosi/patologia DefinitionAdditional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis. Corrispondente campo HL7 secondo specifiche regionali: DG1-4
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Table View
| Condition | .. | |
| Condition.extension:confidenzialitaDiagnosi | Extension | ..1 |
| Condition.extension:confidenzialitaDiagnosi.value[x] | string | .. |
| Condition.identifier | .. | |
| Condition.identifier.system | .. | |
| Condition.identifier.value | .. | |
| Condition.category | ..1 | |
| Condition.category:Diagnosi | ..1 | |
| Condition.category:Patologia | ..1 | |
| Condition.severity | .. | |
| Condition.severity.coding | .. | |
| Condition.severity.coding.code | .. | |
| Condition.severity.coding.display | .. | |
| Condition.code | .. | |
| Condition.subject | Reference(ReteLabPatientCittadino) | .. |
| Condition.recordedDate | .. | |
| Condition.asserter | Reference(ReteLabPractitionerRoleMedico) | .. |
| Condition.note | .. |
XML View
JSON View
ValueSet
Attualmente non sono definiti value set specifici per il profilo ReteLabConditionDiagnosiPatologia.