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Source1

{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationCoreStoriaClinica",
  "version": "3.16.1-new",
  "name": "RLObservationCoreStoriaClinica",
  "title": "Observation Core - Storia Clinica",
  "status": "draft",
  "date": "2026-08-04",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation"
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "short": "Indica lo stato dell'osservazione",
        "min": 1,
        "max": "1",
        "fixedCode": "final"
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "short": "Codice identificativo",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "short": "Sistema di codifica",
        "min": 0,
        "max": "1",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.code.coding.version",
        "path": "Observation.code.coding.version",
        "short": "Versione del sistema di codifica",
        "definition": "Versione LOINC utilizzata (es. \"2.19\"). Non fissata a un valore univoco perche' variabile nel tempo.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "short": "Valore del codice",
        "min": 0,
        "max": "1",
        "fixedCode": "89261-2"
      },
      {
        "id": "Observation.code.coding.display",
        "path": "Observation.code.coding.display",
        "short": "Descrizione leggibile del codice",
        "min": 0,
        "max": "1",
        "fixedString": "Decorso Clinico"
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "short": "Soggetto a cui si riferisce l'osservazione",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCore"
            ]
          }
        ]
      },
      {
        "id": "Observation.encounter",
        "path": "Observation.encounter",
        "short": "Episodio clinico in cui è stata fatta la richiesta",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLEncounterCore"
            ]
          }
        ]
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "short": "Codice identificativo",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/CriticitaClinica"
        }
      },
      {
        "id": "Observation.valueCodeableConcept.coding",
        "path": "Observation.valueCodeableConcept.coding",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Observation.valueCodeableConcept.coding.system",
        "path": "Observation.valueCodeableConcept.coding.system",
        "short": "Sistema di codifica",
        "min": 0,
        "max": "1",
        "fixedUri": "https://fhir.siss.regione.lombardia.it/ValueSet/CriticitaClinica"
      },
      {
        "id": "Observation.valueCodeableConcept.coding.version",
        "path": "Observation.valueCodeableConcept.coding.version",
        "short": "Versione del sistema di codifica",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Observation.valueCodeableConcept.coding.code",
        "path": "Observation.valueCodeableConcept.coding.code",
        "short": "Valore del codice",
        "min": 0,
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/CriticitaClinica"
        }
      },
      {
        "id": "Observation.valueCodeableConcept.coding.display",
        "path": "Observation.valueCodeableConcept.coding.display",
        "short": "Descrizione leggibile del concetto codificato",
        "min": 0,
        "max": "1"
      }
    ]
  }
}