HL7 FHIR Implementation Guide Laboratory Report, published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/lab-report/ and changes regularly. See the Directory of published versions

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Resource Profile: Patient - Lab Report

Descrizione delle informazioni del paziente nei documenti FHIR.

Usage:

• Use this Resource Profile: Bundle - Lab Report
• Refer to this Resource Profile: Composition - Lab Report, DiagnosticReport - Lab Report, Encounter - Lab Report, Media - Lab Report... Show 3 more, Observation - Lab Report, ServiceRequest - Lab Report and Specimen - Lab Report
• Examples for this Resource Profile: Patient/8472931c-fbd0-437b-9ed1-4f66472c78b5

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Patient Referto di Laboratorio This profile also imposes the profile Patient: Person
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
luogoNascita		0..1	AddressItBase	Luogo di nascita. URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://hl7.it/fhir/lab-report/StructureDefinition/birth-place-ita
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da una specifica entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace Binding: ISTAT - Comune/Stato di Nascita (example)
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Binding: ISTAT - Cittadinanza (example)
professione		0..1	CodeableConcept	Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: ISTAT - Professioni (example)
titoloStudio		0..1	CodeableConcept	Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: ISTAT - Titolo Studio (example)
Slices for identifier		1..*	Identifier	Identificativo del paziente. Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
type		0..1	CodeableConcept	Description of identifier Binding: Tipo identificatore (extensible)
value		1..1	string	ID del paziente (e.g. Codice Fiscale).
identifier:codiceFiscale		0..1	Identifier	Codice Fiscale.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
system		1..1	uri	Namespace per il valore dell'identifier. Fixed Value: http://hl7.it/sid/codiceFiscale
value	C	0..1	string	Valore dell'identifier. pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo.
identifier:anpr		0..1	Identifier	Identificativo del paziente nell'Anagrafe nazionale della popolazione residente.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
system		1..1	uri	Namespace per il valore dell'identifier. Required Pattern: http://hl7.it/sid/anpr
identifier:idRegionale		0..1	Identifier	Identificativo Regionale.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
system		1..1	uri	Namespace per il valore dell'identifier. Binding: Anagrafi Regionali (required)
identifier:codiceENI		0..1	Identifier	Codice ENI.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
system		1..1	uri	Namespace per il valore dell'identifier. Binding: Identificativi per codici ENI regionali (required)
identifier:codiceANA		0..1	Identifier	Codice ANA.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
system		1..1	uri	Namespace per il valore dell'identifier. Required Pattern: urn:oid:2.16.840.1.113883.2.9.4.3.15
identifier:tesseraTEAM		0..1	Identifier	Tessera TEAM.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
system		1..1	uri	Namespace per il valore dell'identifier. Required Pattern: urn:oid:2.16.840.1.113883.2.9.4.3.7
identifier:codiceSTP		0..1	Identifier	Codice STP.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
system		1..1	uri	Namespace per il valore dell'identifier. Binding: Identificativi per codici STP regionali (required)
name	C	1..*	HumanName	Nome associato al paziente. it-pat-name-1: Il nome deve contenere almeno una delle aprti che compongono il nome (nome, cognome)
birthDate		1..1	date	The date of birth for the individual
address		0..*	AddressItBase	Indirizzo fisico o postale
Slices for generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Principale fornitore di cure del paziente. Slice: Unordered, Open by profile:$this.resolve()
generalPractitioner:mmgPlsRole		0..*	Reference(PractitionerRole MMG/PLS - Lab Report)	Reference al ruolo MMG/PLS.
generalPractitioner:mmgPls		0..*	Reference(Practitioner - Lab Report)	Reference al MMG/PLS.
generalPractitioner:aziendaAssistenza		0..*	Reference(Organization operatore sanitario/socio sanitario - Lab Report)	Reference all'azienda che assiste il paziente.
managingOrganization		0..1	Reference(Organization - Lab Report)	Organizzazione a cui è lasciata la custodia del dei dati del paziente.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.extension:luogoNascitaCodeable [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace]]	example	VsIstatLuogoNascita http://hl7.it/fhir/lab-report/ValueSet/istat-luogoNascita from this IG
Patient.extension:cittadinanza [CanonicalType[http://hl7.org/fhir/StructureDefinition/patient-citizenship]]	example	VsIstatCittadinanza http://hl7.it/fhir/lab-report/ValueSet/istat-cittadinanza from this IG
Patient.extension:professione [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-occupation-it]]	preferred	VsIstatProfessionePaziente (a valid code from ISTAT - Classificazione delle professioni) http://hl7.it/fhir/lab-report/ValueSet/istat-professione from this IG
Patient.extension:titoloStudio [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-qualification-it]]	example	VsIstatTitoloStudio (a valid code from ISTAT - Classificazione dei titoli di studio italiani) http://hl7.it/fhir/lab-report/ValueSet/istat-titoloStudio from this IG
Patient.identifier.type	extensible	VstipoIdentificatore http://hl7.it/fhir/lab-report/ValueSet/VstipoIdentificatore from this IG
Patient.identifier:idRegionale.system	required	VsAnagrafiRegionali http://hl7.it/fhir/lab-report/ValueSet/vs-anagrafi-regionali from this IG
Patient.identifier:codiceENI.system	required	UriIdEni http://hl7.it/fhir/lab-report/ValueSet/uri-idEni from this IG
Patient.identifier:codiceSTP.system	required	VsURIIdStp http://hl7.it/fhir/lab-report/ValueSet/URI-idStp from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
it-pat-name-1	warning	Patient.name	Il nome deve contenere almeno una delle aprti che compongono il nome (nome, cognome) : family.exists() or given.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo. : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Patient Referto di Laboratorio This profile also imposes the profile Patient: Person
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
luogoNascita		0..1	AddressItBase	Luogo di nascita. URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://hl7.it/fhir/lab-report/StructureDefinition/birth-place-ita
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da una specifica entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
professione		0..1	CodeableConcept	Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: ISTAT - Professioni (example)
titoloStudio		0..1	CodeableConcept	Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: ISTAT - Titolo Studio (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identificativo del paziente. Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Tipo identificatore (extensible)
value	Σ	1..1	string	ID del paziente (e.g. Codice Fiscale). Example General: 123456
identifier:codiceFiscale	Σ	0..1	Identifier	Codice Fiscale.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Fixed Value: http://hl7.it/sid/codiceFiscale
value	ΣC	0..1	string	Valore dell'identifier. pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo. Example General: 123456
identifier:anpr	Σ	0..1	Identifier	Identificativo del paziente nell'Anagrafe nazionale della popolazione residente.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Required Pattern: http://hl7.it/sid/anpr
identifier:idRegionale	Σ	0..1	Identifier	Identificativo Regionale.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Binding: Anagrafi Regionali (required) Example General: http://www.acme.com/identifiers/patient
identifier:codiceENI	Σ	0..1	Identifier	Codice ENI.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Binding: Identificativi per codici ENI regionali (required) Example General: http://www.acme.com/identifiers/patient
identifier:codiceANA	Σ	0..1	Identifier	Codice ANA.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Required Pattern: urn:oid:2.16.840.1.113883.2.9.4.3.15
identifier:tesseraTEAM	Σ	0..1	Identifier	Tessera TEAM.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Required Pattern: urn:oid:2.16.840.1.113883.2.9.4.3.7
identifier:codiceSTP	Σ	0..1	Identifier	Codice STP.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Binding: Identificativi per codici STP regionali (required) Example General: http://www.acme.com/identifiers/patient
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	ΣC	1..*	HumanName	Nome associato al paziente. it-pat-name-1: Il nome deve contenere almeno una delle aprti che compongono il nome (nome, cognome)
birthDate	Σ	1..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	AddressItBase	Indirizzo fisico o postale
Slices for generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Principale fornitore di cure del paziente. Slice: Unordered, Open by profile:$this.resolve()
generalPractitioner:mmgPlsRole		0..*	Reference(PractitionerRole MMG/PLS - Lab Report)	Reference al ruolo MMG/PLS.
generalPractitioner:mmgPls		0..*	Reference(Practitioner - Lab Report)	Reference al MMG/PLS.
generalPractitioner:aziendaAssistenza		0..*	Reference(Organization operatore sanitario/socio sanitario - Lab Report)	Reference all'azienda che assiste il paziente.
managingOrganization	Σ	0..1	Reference(Organization - Lab Report)	Organizzazione a cui è lasciata la custodia del dei dati del paziente.
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	VstipoIdentificatore http://hl7.it/fhir/lab-report/ValueSet/VstipoIdentificatore from this IG
Patient.identifier:codiceFiscale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:anpr.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.system	required	VsAnagrafiRegionali http://hl7.it/fhir/lab-report/ValueSet/vs-anagrafi-regionali from this IG
Patient.identifier:codiceENI.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceENI.system	required	UriIdEni http://hl7.it/fhir/lab-report/ValueSet/uri-idEni from this IG
Patient.identifier:codiceANA.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:tesseraTEAM.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceSTP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceSTP.system	required	VsURIIdStp http://hl7.it/fhir/lab-report/ValueSet/URI-idStp from this IG
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
it-pat-name-1	warning	Patient.name	Il nome deve contenere almeno una delle aprti che compongono il nome (nome, cognome) : family.exists() or given.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo. : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Patient Referto di Laboratorio This profile also imposes the profile Patient: Person
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
luogoNascita		0..1	AddressItBase	Luogo di nascita. URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://hl7.it/fhir/lab-report/StructureDefinition/birth-place-ita
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da una specifica entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
professione		0..1	CodeableConcept	Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: ISTAT - Professioni (example)
titoloStudio		0..1	CodeableConcept	Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: ISTAT - Titolo Studio (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identificativo del paziente. Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Tipo identificatore (extensible)
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	ID del paziente (e.g. Codice Fiscale). Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceFiscale	Σ	0..1	Identifier	Codice Fiscale.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Fixed Value: http://hl7.it/sid/codiceFiscale
value	ΣC	0..1	string	Valore dell'identifier. pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo. Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:anpr	Σ	0..1	Identifier	Identificativo del paziente nell'Anagrafe nazionale della popolazione residente.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Required Pattern: http://hl7.it/sid/anpr
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:idRegionale	Σ	0..1	Identifier	Identificativo Regionale.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Binding: Anagrafi Regionali (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceENI	Σ	0..1	Identifier	Codice ENI.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Binding: Identificativi per codici ENI regionali (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceANA	Σ	0..1	Identifier	Codice ANA.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Required Pattern: urn:oid:2.16.840.1.113883.2.9.4.3.15
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:tesseraTEAM	Σ	0..1	Identifier	Tessera TEAM.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Required Pattern: urn:oid:2.16.840.1.113883.2.9.4.3.7
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceSTP	Σ	0..1	Identifier	Codice STP.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Binding: Identificativi per codici STP regionali (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	ΣC	1..*	HumanName	Nome associato al paziente. it-pat-name-1: Il nome deve contenere almeno una delle aprti che compongono il nome (nome, cognome)
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	1..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	AddressItBase	Indirizzo fisico o postale
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
Slices for generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Principale fornitore di cure del paziente. Slice: Unordered, Open by profile:$this.resolve()
generalPractitioner:mmgPlsRole		0..*	Reference(PractitionerRole MMG/PLS - Lab Report)	Reference al ruolo MMG/PLS.
generalPractitioner:mmgPls		0..*	Reference(Practitioner - Lab Report)	Reference al MMG/PLS.
generalPractitioner:aziendaAssistenza		0..*	Reference(Organization operatore sanitario/socio sanitario - Lab Report)	Reference all'azienda che assiste il paziente.
managingOrganization	Σ	0..1	Reference(Organization - Lab Report)	Organizzazione a cui è lasciata la custodia del dei dati del paziente.
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	VstipoIdentificatore http://hl7.it/fhir/lab-report/ValueSet/VstipoIdentificatore from this IG
Patient.identifier:codiceFiscale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceFiscale.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:anpr.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:anpr.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:idRegionale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:idRegionale.system	required	VsAnagrafiRegionali http://hl7.it/fhir/lab-report/ValueSet/vs-anagrafi-regionali from this IG
Patient.identifier:codiceENI.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceENI.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:codiceENI.system	required	UriIdEni http://hl7.it/fhir/lab-report/ValueSet/uri-idEni from this IG
Patient.identifier:codiceANA.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceANA.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:tesseraTEAM.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:tesseraTEAM.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:codiceSTP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceSTP.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:codiceSTP.system	required	VsURIIdStp http://hl7.it/fhir/lab-report/ValueSet/URI-idStp from this IG
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
it-pat-name-1	warning	Patient.name	Il nome deve contenere almeno una delle aprti che compongono il nome (nome, cognome) : family.exists() or given.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo. : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

This structure is derived from Patient

Summary

Mandatory: 4 elements (7 nested mandatory elements)
Fixed Value: 1 element

Structures

This structure refers to these other structures:

• Address - ITA (http://hl7.it/fhir/lab-report/StructureDefinition/address-it)
• PractitionerRole MMG/PLS - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitionerrole-MMGPLS-it-lab)
• Practitioner - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitioner-it-lab)
• Organization operatore sanitario/socio sanitario - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/organizationOperatore-it-lab)
• Organization - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/organization-it-lab)

Extensions

This structure refers to these extensions:

• http://hl7.it/fhir/lab-report/StructureDefinition/birth-place-ita
• http://hl7.it/fhir/StructureDefinition/recordCertification
• http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
• http://hl7.org/fhir/StructureDefinition/patient-citizenship
• http://hl7.it/fhir/StructureDefinition/patient-occupation-it
• http://hl7.it/fhir/StructureDefinition/patient-qualification-it

Slices

This structure defines the following Slices:

• The element Patient.identifier is sliced based on the value of value:$this.system
• The element Patient.generalPractitioner is sliced based on the value of profile:$this.resolve()

Maturity: 1

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Patient Referto di Laboratorio This profile also imposes the profile Patient: Person
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
luogoNascita		0..1	AddressItBase	Luogo di nascita. URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://hl7.it/fhir/lab-report/StructureDefinition/birth-place-ita
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da una specifica entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace Binding: ISTAT - Comune/Stato di Nascita (example)
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Binding: ISTAT - Cittadinanza (example)
professione		0..1	CodeableConcept	Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: ISTAT - Professioni (example)
titoloStudio		0..1	CodeableConcept	Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: ISTAT - Titolo Studio (example)
Slices for identifier		1..*	Identifier	Identificativo del paziente. Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
type		0..1	CodeableConcept	Description of identifier Binding: Tipo identificatore (extensible)
value		1..1	string	ID del paziente (e.g. Codice Fiscale).
identifier:codiceFiscale		0..1	Identifier	Codice Fiscale.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
system		1..1	uri	Namespace per il valore dell'identifier. Fixed Value: http://hl7.it/sid/codiceFiscale
value	C	0..1	string	Valore dell'identifier. pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo.
identifier:anpr		0..1	Identifier	Identificativo del paziente nell'Anagrafe nazionale della popolazione residente.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
system		1..1	uri	Namespace per il valore dell'identifier. Required Pattern: http://hl7.it/sid/anpr
identifier:idRegionale		0..1	Identifier	Identificativo Regionale.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
system		1..1	uri	Namespace per il valore dell'identifier. Binding: Anagrafi Regionali (required)
identifier:codiceENI		0..1	Identifier	Codice ENI.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
system		1..1	uri	Namespace per il valore dell'identifier. Binding: Identificativi per codici ENI regionali (required)
identifier:codiceANA		0..1	Identifier	Codice ANA.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
system		1..1	uri	Namespace per il valore dell'identifier. Required Pattern: urn:oid:2.16.840.1.113883.2.9.4.3.15
identifier:tesseraTEAM		0..1	Identifier	Tessera TEAM.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
system		1..1	uri	Namespace per il valore dell'identifier. Required Pattern: urn:oid:2.16.840.1.113883.2.9.4.3.7
identifier:codiceSTP		0..1	Identifier	Codice STP.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
system		1..1	uri	Namespace per il valore dell'identifier. Binding: Identificativi per codici STP regionali (required)
name	C	1..*	HumanName	Nome associato al paziente. it-pat-name-1: Il nome deve contenere almeno una delle aprti che compongono il nome (nome, cognome)
birthDate		1..1	date	The date of birth for the individual
address		0..*	AddressItBase	Indirizzo fisico o postale
Slices for generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Principale fornitore di cure del paziente. Slice: Unordered, Open by profile:$this.resolve()
generalPractitioner:mmgPlsRole		0..*	Reference(PractitionerRole MMG/PLS - Lab Report)	Reference al ruolo MMG/PLS.
generalPractitioner:mmgPls		0..*	Reference(Practitioner - Lab Report)	Reference al MMG/PLS.
generalPractitioner:aziendaAssistenza		0..*	Reference(Organization operatore sanitario/socio sanitario - Lab Report)	Reference all'azienda che assiste il paziente.
managingOrganization		0..1	Reference(Organization - Lab Report)	Organizzazione a cui è lasciata la custodia del dei dati del paziente.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.extension:luogoNascitaCodeable [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace]]	example	VsIstatLuogoNascita http://hl7.it/fhir/lab-report/ValueSet/istat-luogoNascita from this IG
Patient.extension:cittadinanza [CanonicalType[http://hl7.org/fhir/StructureDefinition/patient-citizenship]]	example	VsIstatCittadinanza http://hl7.it/fhir/lab-report/ValueSet/istat-cittadinanza from this IG
Patient.extension:professione [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-occupation-it]]	preferred	VsIstatProfessionePaziente (a valid code from ISTAT - Classificazione delle professioni) http://hl7.it/fhir/lab-report/ValueSet/istat-professione from this IG
Patient.extension:titoloStudio [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-qualification-it]]	example	VsIstatTitoloStudio (a valid code from ISTAT - Classificazione dei titoli di studio italiani) http://hl7.it/fhir/lab-report/ValueSet/istat-titoloStudio from this IG
Patient.identifier.type	extensible	VstipoIdentificatore http://hl7.it/fhir/lab-report/ValueSet/VstipoIdentificatore from this IG
Patient.identifier:idRegionale.system	required	VsAnagrafiRegionali http://hl7.it/fhir/lab-report/ValueSet/vs-anagrafi-regionali from this IG
Patient.identifier:codiceENI.system	required	UriIdEni http://hl7.it/fhir/lab-report/ValueSet/uri-idEni from this IG
Patient.identifier:codiceSTP.system	required	VsURIIdStp http://hl7.it/fhir/lab-report/ValueSet/URI-idStp from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
it-pat-name-1	warning	Patient.name	Il nome deve contenere almeno una delle aprti che compongono il nome (nome, cognome) : family.exists() or given.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo. : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Patient Referto di Laboratorio This profile also imposes the profile Patient: Person
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
luogoNascita		0..1	AddressItBase	Luogo di nascita. URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://hl7.it/fhir/lab-report/StructureDefinition/birth-place-ita
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da una specifica entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
professione		0..1	CodeableConcept	Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: ISTAT - Professioni (example)
titoloStudio		0..1	CodeableConcept	Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: ISTAT - Titolo Studio (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identificativo del paziente. Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Tipo identificatore (extensible)
value	Σ	1..1	string	ID del paziente (e.g. Codice Fiscale). Example General: 123456
identifier:codiceFiscale	Σ	0..1	Identifier	Codice Fiscale.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Fixed Value: http://hl7.it/sid/codiceFiscale
value	ΣC	0..1	string	Valore dell'identifier. pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo. Example General: 123456
identifier:anpr	Σ	0..1	Identifier	Identificativo del paziente nell'Anagrafe nazionale della popolazione residente.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Required Pattern: http://hl7.it/sid/anpr
identifier:idRegionale	Σ	0..1	Identifier	Identificativo Regionale.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Binding: Anagrafi Regionali (required) Example General: http://www.acme.com/identifiers/patient
identifier:codiceENI	Σ	0..1	Identifier	Codice ENI.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Binding: Identificativi per codici ENI regionali (required) Example General: http://www.acme.com/identifiers/patient
identifier:codiceANA	Σ	0..1	Identifier	Codice ANA.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Required Pattern: urn:oid:2.16.840.1.113883.2.9.4.3.15
identifier:tesseraTEAM	Σ	0..1	Identifier	Tessera TEAM.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Required Pattern: urn:oid:2.16.840.1.113883.2.9.4.3.7
identifier:codiceSTP	Σ	0..1	Identifier	Codice STP.
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Binding: Identificativi per codici STP regionali (required) Example General: http://www.acme.com/identifiers/patient
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	ΣC	1..*	HumanName	Nome associato al paziente. it-pat-name-1: Il nome deve contenere almeno una delle aprti che compongono il nome (nome, cognome)
birthDate	Σ	1..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	AddressItBase	Indirizzo fisico o postale
Slices for generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Principale fornitore di cure del paziente. Slice: Unordered, Open by profile:$this.resolve()
generalPractitioner:mmgPlsRole		0..*	Reference(PractitionerRole MMG/PLS - Lab Report)	Reference al ruolo MMG/PLS.
generalPractitioner:mmgPls		0..*	Reference(Practitioner - Lab Report)	Reference al MMG/PLS.
generalPractitioner:aziendaAssistenza		0..*	Reference(Organization operatore sanitario/socio sanitario - Lab Report)	Reference all'azienda che assiste il paziente.
managingOrganization	Σ	0..1	Reference(Organization - Lab Report)	Organizzazione a cui è lasciata la custodia del dei dati del paziente.
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	VstipoIdentificatore http://hl7.it/fhir/lab-report/ValueSet/VstipoIdentificatore from this IG
Patient.identifier:codiceFiscale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:anpr.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.system	required	VsAnagrafiRegionali http://hl7.it/fhir/lab-report/ValueSet/vs-anagrafi-regionali from this IG
Patient.identifier:codiceENI.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceENI.system	required	UriIdEni http://hl7.it/fhir/lab-report/ValueSet/uri-idEni from this IG
Patient.identifier:codiceANA.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:tesseraTEAM.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceSTP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceSTP.system	required	VsURIIdStp http://hl7.it/fhir/lab-report/ValueSet/URI-idStp from this IG
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
it-pat-name-1	warning	Patient.name	Il nome deve contenere almeno una delle aprti che compongono il nome (nome, cognome) : family.exists() or given.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo. : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Patient Referto di Laboratorio This profile also imposes the profile Patient: Person
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
luogoNascita		0..1	AddressItBase	Luogo di nascita. URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://hl7.it/fhir/lab-report/StructureDefinition/birth-place-ita
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da una specifica entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
professione		0..1	CodeableConcept	Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: ISTAT - Professioni (example)
titoloStudio		0..1	CodeableConcept	Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: ISTAT - Titolo Studio (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identificativo del paziente. Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Tipo identificatore (extensible)
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	ID del paziente (e.g. Codice Fiscale). Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceFiscale	Σ	0..1	Identifier	Codice Fiscale.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Fixed Value: http://hl7.it/sid/codiceFiscale
value	ΣC	0..1	string	Valore dell'identifier. pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo. Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:anpr	Σ	0..1	Identifier	Identificativo del paziente nell'Anagrafe nazionale della popolazione residente.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Required Pattern: http://hl7.it/sid/anpr
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:idRegionale	Σ	0..1	Identifier	Identificativo Regionale.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Binding: Anagrafi Regionali (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceENI	Σ	0..1	Identifier	Codice ENI.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Binding: Identificativi per codici ENI regionali (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceANA	Σ	0..1	Identifier	Codice ANA.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Required Pattern: urn:oid:2.16.840.1.113883.2.9.4.3.15
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:tesseraTEAM	Σ	0..1	Identifier	Tessera TEAM.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Required Pattern: urn:oid:2.16.840.1.113883.2.9.4.3.7
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceSTP	Σ	0..1	Identifier	Codice STP.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Namespace per il valore dell'identifier. Binding: Identificativi per codici STP regionali (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	ΣC	1..*	HumanName	Nome associato al paziente. it-pat-name-1: Il nome deve contenere almeno una delle aprti che compongono il nome (nome, cognome)
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	1..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	AddressItBase	Indirizzo fisico o postale
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
Slices for generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Principale fornitore di cure del paziente. Slice: Unordered, Open by profile:$this.resolve()
generalPractitioner:mmgPlsRole		0..*	Reference(PractitionerRole MMG/PLS - Lab Report)	Reference al ruolo MMG/PLS.
generalPractitioner:mmgPls		0..*	Reference(Practitioner - Lab Report)	Reference al MMG/PLS.
generalPractitioner:aziendaAssistenza		0..*	Reference(Organization operatore sanitario/socio sanitario - Lab Report)	Reference all'azienda che assiste il paziente.
managingOrganization	Σ	0..1	Reference(Organization - Lab Report)	Organizzazione a cui è lasciata la custodia del dei dati del paziente.
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	VstipoIdentificatore http://hl7.it/fhir/lab-report/ValueSet/VstipoIdentificatore from this IG
Patient.identifier:codiceFiscale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceFiscale.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:anpr.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:anpr.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:idRegionale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:idRegionale.system	required	VsAnagrafiRegionali http://hl7.it/fhir/lab-report/ValueSet/vs-anagrafi-regionali from this IG
Patient.identifier:codiceENI.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceENI.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:codiceENI.system	required	UriIdEni http://hl7.it/fhir/lab-report/ValueSet/uri-idEni from this IG
Patient.identifier:codiceANA.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceANA.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:tesseraTEAM.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:tesseraTEAM.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:codiceSTP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceSTP.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:codiceSTP.system	required	VsURIIdStp http://hl7.it/fhir/lab-report/ValueSet/URI-idStp from this IG
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
it-pat-name-1	warning	Patient.name	Il nome deve contenere almeno una delle aprti che compongono il nome (nome, cognome) : family.exists() or given.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo. : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

This structure is derived from Patient

Summary

Mandatory: 4 elements (7 nested mandatory elements)
Fixed Value: 1 element

Structures

This structure refers to these other structures:

• Address - ITA (http://hl7.it/fhir/lab-report/StructureDefinition/address-it)
• PractitionerRole MMG/PLS - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitionerrole-MMGPLS-it-lab)
• Practitioner - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/practitioner-it-lab)
• Organization operatore sanitario/socio sanitario - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/organizationOperatore-it-lab)
• Organization - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/organization-it-lab)

Extensions

This structure refers to these extensions:

• http://hl7.it/fhir/lab-report/StructureDefinition/birth-place-ita
• http://hl7.it/fhir/StructureDefinition/recordCertification
• http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
• http://hl7.org/fhir/StructureDefinition/patient-citizenship
• http://hl7.it/fhir/StructureDefinition/patient-occupation-it
• http://hl7.it/fhir/StructureDefinition/patient-qualification-it

Slices

This structure defines the following Slices:

• The element Patient.identifier is sliced based on the value of value:$this.system
• The element Patient.generalPractitioner is sliced based on the value of profile:$this.resolve()

Maturity: 1