HL7 FHIR Implementation Guide Laboratory Report
0.2.0 - trial-use Italy flag

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

Logical Model: ResultLabEhn - Detailed Descriptions

Active as of 2025-11-18

Definitions for the Risultato logical model.

Guidance on how to interpret the contents of this table can be foundhere

0. Risultato
Definition

Risultato dell'esame.

ShortA.5 - Risultato
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Risultato.bloccoNarrativo
Definition

A.5.1 Parte Narrativa del Referto di Laboratorio

ShortA.5.1 Parte Narrativa del Referto di Laboratorio
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Risultato.bloccoNarrativo.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
6. Risultato.bloccoNarrativo.extension
Definition

May 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.

ShortAdditional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Risultato.bloccoNarrativo.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. Risultato.bloccoNarrativo.modifierExtension
    Definition

    May 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).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    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.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Risultato.bloccoNarrativo.report
    Definition

    Referto completo (sintesi testuale del documento del Referto di laboratorio) così come emesso dal laboratorio.

    ShortA.5.1.1 Report
    Control0..*
    TypeNarrative
    12. Risultato.bloccoNarrativo.note
    Definition

    Commenti, ad esempio un'interpretazione testuale o consigli che accompagnano il rapporto sui risultati.

    ShortA.5.1.2 Commenti, interpretazione e raccomandazioni
    Control0..*
    TypeNarrative
    14. Risultato.osservazione
    Definition

    A.5.2 Dettagli dell'osservazione (il rapporto può consistere di più osservazioni)

    ShortA.5.2 Dettagli dell'osservazione
    Control0..*
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Risultato.osservazione.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    18. Risultato.osservazione.extension
    Definition

    May 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.

    ShortAdditional content defined by implementations
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Risultato.osservazione.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 20. Risultato.osservazione.modifierExtension
      Definition

      May 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).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      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.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      22. Risultato.osservazione.data
      Definition

      Data e ora dell'osservazione - Sistema di codifica: ISO 8601

      ShortA.5.2.1 Data dell'osservazione
      Control0..*
      TypeCodeableConcept
      24. Risultato.osservazione.codice
      Definition

      Codice che rappresenta l'osservazione utilizzando i sistemi di codici concordati.

      • Sistema/i preferito/i: LOINC
      • Sistema/i preferito/i: NPU
      • Sistema/i preferito/i: SNOMED CT
      ShortA.5.2.3 Codice dell'osservazione
      Control0..*
      TypeCodeableConcept
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      26. Risultato.osservazione.codice.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      28. Risultato.osservazione.codice.extension
      Definition

      May 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.

      ShortAdditional content defined by implementations
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Risultato.osservazione.codice.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 30. Risultato.osservazione.codice.coding
        Definition

        A reference to a code defined by a terminology system.

        ShortCode defined by a terminology system
        Comments

        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.

        Control0..*
        TypeCoding
        Is Modifierfalse
        Summarytrue
        Requirements

        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        32. Risultato.osservazione.codice.text
        Definition

        A 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.

        ShortPlain text representation of the concept
        Comments

        Very often the text is the same as a displayName of one of the codings.

        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        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.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        34. Risultato.osservazione.codice.nome
        Definition

        Nome completo dell'osservazione in base allo standard di codifica utilizzato.

        ShortA.5.2.3.1 Nome dell'osservazione
        Control0..*
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        36. Risultato.osservazione.codice.nomeConvenzionale
        Definition

        Nome originale (convenzionale) dell'osservazione utilizzato dal laboratorio.

        ShortA.5.2.3.2 Nome originale dell'osservazione
        Control0..*
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        38. Risultato.osservazione.codice.displayName
        Definition

        Nome dell'osservazione semplificato (nome breve dell'osservazione) per la visualizzazione

        ShortA.5.2.3.3 Nome visualizzato dell'osservazione
        Control0..*
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        40. Risultato.osservazione.metodo
        Definition

        Metodo di osservazione (principio di misurazione) per ottenere il risultato.

        • Sistema/i preferito/i: SNOMED CT
        ShortA.5.2.4 Metodo di osservazione
        Control0..*
        TypeCodeableConcept
        42. Risultato.osservazione.device
        Definition

        Informazioni sul dispositivo (analizzatore), sul kit utilizzato per il test di laboratorio e sul calibratore (identificatore, tipo, nome, modello, produttore)

        • Sistema/i preferito/i: SNOMED CT
        • Sistema/i preferito/i: EMDN
        ShortA.5.2.5 Dispositivo utilizzato per l'osservazione
        Control0..*
        TypeCodeableConcept
        44. Risultato.osservazione.ordine
        Definition

        Identifica l'esame e chi effettua l'esame.

        ShortA.5.2.8 Ordine
        Control0..*
        TypeBackboneElement
        46. Risultato.osservazione.esecutore
        Definition

        Identifica l'autore e fornisce informazioni sulla provenienza dei dati (del risultato) che potrebbero non essere derivati dal referto di laboratorio stessp.

        ShortA.5.2.9 Esecutore
        Control0..*
        TypeBackboneElement
        48. Risultato.osservazione.reporter
        Definition

        A seguito dei risultati ottenuti, ci può essere un interprete o una persona responsabile della convalida.

        ShortA.5.2.10 Reporter
        Control0..*
        TypeBackboneElement
        50. Risultato.osservazione.risultato
        Definition

        Risultato e codifica della misura relativa all'osservazione inclusi testo, risultati numerici e codificati. Il contenuto del risultato dell'osservazione varierà a seconda del tipo di osservazione.

        • Sistema/i preferito/i: SNOMED CT (per i risultati in scala ordinale o nominale e codifica dei risultati)
        • Sistema/i preferito/i: UCUM (per unità)
        ShortA.5.2.11 Risultato dell'osservazione
        Control0..*
        TypeBackboneElement
        52. Risultato.osservazione.interprete
        Definition

        Informazioni sugli intervalli di riferimento e sull'interpretazione dei risultati.

        • Sistema/i preferito/i: SNOMED CT
        • Sistema/i preferito/i: HL7 v3 Code System ObservationInterpretation
        ShortA.5.2.12 Interpretazione dell'osservazione
        Control0..*
        TypeCodeableConcept
        54. Risultato.osservazione.descrizione
        Definition

        Commenti e rappresentazione narrativa del risultato dell'osservazione e dei risultati.

        ShortA.5.2.13 Descrizione del risultato
        Control0..*
        TypeNarrative
        56. Risultato.osservazione.statoAccreditamento
        Definition

        Stato di accreditamento del laboratorio per la particolare osservazione.

        ShortA.5.2.14 Stato di accreditamento
        Control0..*
        TypeBackboneElement

        Guidance on how to interpret the contents of this table can be foundhere

        0. Risultato
        Definition

        Risultato dell'esame.

        ShortA.5 - Risultato
        Logical ModelInstances of this logical model are not marked to be the target of a Reference
        2. Risultato.bloccoNarrativo
        Definition

        A.5.1 Parte Narrativa del Referto di Laboratorio

        ShortA.5.1 Parte Narrativa del Referto di Laboratorio
        Control0..1
        TypeBackboneElement
        4. Risultato.bloccoNarrativo.report
        Definition

        Referto completo (sintesi testuale del documento del Referto di laboratorio) così come emesso dal laboratorio.

        ShortA.5.1.1 Report
        Control0..*
        TypeNarrative
        6. Risultato.bloccoNarrativo.note
        Definition

        Commenti, ad esempio un'interpretazione testuale o consigli che accompagnano il rapporto sui risultati.

        ShortA.5.1.2 Commenti, interpretazione e raccomandazioni
        Control0..*
        TypeNarrative
        8. Risultato.osservazione
        Definition

        A.5.2 Dettagli dell'osservazione (il rapporto può consistere di più osservazioni)

        ShortA.5.2 Dettagli dell'osservazione
        Control0..*
        TypeBackboneElement
        10. Risultato.osservazione.data
        Definition

        Data e ora dell'osservazione - Sistema di codifica: ISO 8601

        ShortA.5.2.1 Data dell'osservazione
        Control0..*
        TypeCodeableConcept
        12. Risultato.osservazione.codice
        Definition

        Codice che rappresenta l'osservazione utilizzando i sistemi di codici concordati.

        • Sistema/i preferito/i: LOINC
        • Sistema/i preferito/i: NPU
        • Sistema/i preferito/i: SNOMED CT
        ShortA.5.2.3 Codice dell'osservazione
        Control0..*
        TypeCodeableConcept
        14. Risultato.osservazione.codice.nome
        Definition

        Nome completo dell'osservazione in base allo standard di codifica utilizzato.

        ShortA.5.2.3.1 Nome dell'osservazione
        Control0..*
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        16. Risultato.osservazione.codice.nomeConvenzionale
        Definition

        Nome originale (convenzionale) dell'osservazione utilizzato dal laboratorio.

        ShortA.5.2.3.2 Nome originale dell'osservazione
        Control0..*
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        18. Risultato.osservazione.codice.displayName
        Definition

        Nome dell'osservazione semplificato (nome breve dell'osservazione) per la visualizzazione

        ShortA.5.2.3.3 Nome visualizzato dell'osservazione
        Control0..*
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        20. Risultato.osservazione.metodo
        Definition

        Metodo di osservazione (principio di misurazione) per ottenere il risultato.

        • Sistema/i preferito/i: SNOMED CT
        ShortA.5.2.4 Metodo di osservazione
        Control0..*
        TypeCodeableConcept
        22. Risultato.osservazione.device
        Definition

        Informazioni sul dispositivo (analizzatore), sul kit utilizzato per il test di laboratorio e sul calibratore (identificatore, tipo, nome, modello, produttore)

        • Sistema/i preferito/i: SNOMED CT
        • Sistema/i preferito/i: EMDN
        ShortA.5.2.5 Dispositivo utilizzato per l'osservazione
        Control0..*
        TypeCodeableConcept
        24. Risultato.osservazione.ordine
        Definition

        Identifica l'esame e chi effettua l'esame.

        ShortA.5.2.8 Ordine
        Control0..*
        TypeBackboneElement
        26. Risultato.osservazione.esecutore
        Definition

        Identifica l'autore e fornisce informazioni sulla provenienza dei dati (del risultato) che potrebbero non essere derivati dal referto di laboratorio stessp.

        ShortA.5.2.9 Esecutore
        Control0..*
        TypeBackboneElement
        28. Risultato.osservazione.reporter
        Definition

        A seguito dei risultati ottenuti, ci può essere un interprete o una persona responsabile della convalida.

        ShortA.5.2.10 Reporter
        Control0..*
        TypeBackboneElement
        30. Risultato.osservazione.risultato
        Definition

        Risultato e codifica della misura relativa all'osservazione inclusi testo, risultati numerici e codificati. Il contenuto del risultato dell'osservazione varierà a seconda del tipo di osservazione.

        • Sistema/i preferito/i: SNOMED CT (per i risultati in scala ordinale o nominale e codifica dei risultati)
        • Sistema/i preferito/i: UCUM (per unità)
        ShortA.5.2.11 Risultato dell'osservazione
        Control0..*
        TypeBackboneElement
        32. Risultato.osservazione.interprete
        Definition

        Informazioni sugli intervalli di riferimento e sull'interpretazione dei risultati.

        • Sistema/i preferito/i: SNOMED CT
        • Sistema/i preferito/i: HL7 v3 Code System ObservationInterpretation
        ShortA.5.2.12 Interpretazione dell'osservazione
        Control0..*
        TypeCodeableConcept
        34. Risultato.osservazione.descrizione
        Definition

        Commenti e rappresentazione narrativa del risultato dell'osservazione e dei risultati.

        ShortA.5.2.13 Descrizione del risultato
        Control0..*
        TypeNarrative
        36. Risultato.osservazione.statoAccreditamento
        Definition

        Stato di accreditamento del laboratorio per la particolare osservazione.

        ShortA.5.2.14 Stato di accreditamento
        Control0..*
        TypeBackboneElement

        Guidance on how to interpret the contents of this table can be foundhere

        0. Risultato
        Definition

        Risultato dell'esame.

        ShortA.5 - Risultato
        Control0..*
        Is Modifierfalse
        Logical ModelInstances of this logical model are not marked to be the target of a Reference
        2. Risultato.bloccoNarrativo
        Definition

        A.5.1 Parte Narrativa del Referto di Laboratorio

        ShortA.5.1 Parte Narrativa del Referto di Laboratorio
        Control0..1
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        4. Risultato.bloccoNarrativo.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        6. Risultato.bloccoNarrativo.extension
        Definition

        May 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.

        ShortAdditional content defined by implementations
        Comments

        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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Risultato.bloccoNarrativo.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 8. Risultato.bloccoNarrativo.modifierExtension
          Definition

          May 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).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          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.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          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.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          10. Risultato.bloccoNarrativo.report
          Definition

          Referto completo (sintesi testuale del documento del Referto di laboratorio) così come emesso dal laboratorio.

          ShortA.5.1.1 Report
          Control0..*
          TypeNarrative
          12. Risultato.bloccoNarrativo.note
          Definition

          Commenti, ad esempio un'interpretazione testuale o consigli che accompagnano il rapporto sui risultati.

          ShortA.5.1.2 Commenti, interpretazione e raccomandazioni
          Control0..*
          TypeNarrative
          14. Risultato.osservazione
          Definition

          A.5.2 Dettagli dell'osservazione (il rapporto può consistere di più osservazioni)

          ShortA.5.2 Dettagli dell'osservazione
          Control0..*
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. Risultato.osservazione.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          18. Risultato.osservazione.extension
          Definition

          May 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.

          ShortAdditional content defined by implementations
          Comments

          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.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Risultato.osservazione.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 20. Risultato.osservazione.modifierExtension
            Definition

            May 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).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            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.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            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.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            22. Risultato.osservazione.data
            Definition

            Data e ora dell'osservazione - Sistema di codifica: ISO 8601

            ShortA.5.2.1 Data dell'osservazione
            Control0..*
            TypeCodeableConcept
            24. Risultato.osservazione.codice
            Definition

            Codice che rappresenta l'osservazione utilizzando i sistemi di codici concordati.

            • Sistema/i preferito/i: LOINC
            • Sistema/i preferito/i: NPU
            • Sistema/i preferito/i: SNOMED CT
            ShortA.5.2.3 Codice dell'osservazione
            Control0..*
            TypeCodeableConcept
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. Risultato.osservazione.codice.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            28. Risultato.osservazione.codice.extension
            Definition

            May 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.

            ShortAdditional content defined by implementations
            Comments

            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.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Risultato.osservazione.codice.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 30. Risultato.osservazione.codice.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

              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.

              Control0..*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              32. Risultato.osservazione.codice.text
              Definition

              A 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.

              ShortPlain text representation of the concept
              Comments

              Very often the text is the same as a displayName of one of the codings.

              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              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.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              34. Risultato.osservazione.codice.nome
              Definition

              Nome completo dell'osservazione in base allo standard di codifica utilizzato.

              ShortA.5.2.3.1 Nome dell'osservazione
              Control0..*
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              36. Risultato.osservazione.codice.nomeConvenzionale
              Definition

              Nome originale (convenzionale) dell'osservazione utilizzato dal laboratorio.

              ShortA.5.2.3.2 Nome originale dell'osservazione
              Control0..*
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              38. Risultato.osservazione.codice.displayName
              Definition

              Nome dell'osservazione semplificato (nome breve dell'osservazione) per la visualizzazione

              ShortA.5.2.3.3 Nome visualizzato dell'osservazione
              Control0..*
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              40. Risultato.osservazione.metodo
              Definition

              Metodo di osservazione (principio di misurazione) per ottenere il risultato.

              • Sistema/i preferito/i: SNOMED CT
              ShortA.5.2.4 Metodo di osservazione
              Control0..*
              TypeCodeableConcept
              42. Risultato.osservazione.device
              Definition

              Informazioni sul dispositivo (analizzatore), sul kit utilizzato per il test di laboratorio e sul calibratore (identificatore, tipo, nome, modello, produttore)

              • Sistema/i preferito/i: SNOMED CT
              • Sistema/i preferito/i: EMDN
              ShortA.5.2.5 Dispositivo utilizzato per l'osservazione
              Control0..*
              TypeCodeableConcept
              44. Risultato.osservazione.ordine
              Definition

              Identifica l'esame e chi effettua l'esame.

              ShortA.5.2.8 Ordine
              Control0..*
              TypeBackboneElement
              46. Risultato.osservazione.esecutore
              Definition

              Identifica l'autore e fornisce informazioni sulla provenienza dei dati (del risultato) che potrebbero non essere derivati dal referto di laboratorio stessp.

              ShortA.5.2.9 Esecutore
              Control0..*
              TypeBackboneElement
              48. Risultato.osservazione.reporter
              Definition

              A seguito dei risultati ottenuti, ci può essere un interprete o una persona responsabile della convalida.

              ShortA.5.2.10 Reporter
              Control0..*
              TypeBackboneElement
              50. Risultato.osservazione.risultato
              Definition

              Risultato e codifica della misura relativa all'osservazione inclusi testo, risultati numerici e codificati. Il contenuto del risultato dell'osservazione varierà a seconda del tipo di osservazione.

              • Sistema/i preferito/i: SNOMED CT (per i risultati in scala ordinale o nominale e codifica dei risultati)
              • Sistema/i preferito/i: UCUM (per unità)
              ShortA.5.2.11 Risultato dell'osservazione
              Control0..*
              TypeBackboneElement
              52. Risultato.osservazione.interprete
              Definition

              Informazioni sugli intervalli di riferimento e sull'interpretazione dei risultati.

              • Sistema/i preferito/i: SNOMED CT
              • Sistema/i preferito/i: HL7 v3 Code System ObservationInterpretation
              ShortA.5.2.12 Interpretazione dell'osservazione
              Control0..*
              TypeCodeableConcept
              54. Risultato.osservazione.descrizione
              Definition

              Commenti e rappresentazione narrativa del risultato dell'osservazione e dei risultati.

              ShortA.5.2.13 Descrizione del risultato
              Control0..*
              TypeNarrative
              56. Risultato.osservazione.statoAccreditamento
              Definition

              Stato di accreditamento del laboratorio per la particolare osservazione.

              ShortA.5.2.14 Stato di accreditamento
              Control0..*
              TypeBackboneElement