HL7 FHIR Implementation Guide Laboratory Report
0.2.0 - trial-use

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.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

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

0. Risultato
Definition | Risultato dell'esame.
Short | A.5 - Risultato
Control | 0..*
Is Modifier | false
Logical Model | Instances 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
Short | A.5.1 Parte Narrativa del Referto di Laboratorio
Control | 0..1
Type | BackboneElement
Invariants | ele-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.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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())
Slicing | This 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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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.
Short | A.5.1.1 Report
Control | 0..*
Type | Narrative
12. Risultato.bloccoNarrativo.note
Definition | Commenti, ad esempio un'interpretazione testuale o consigli che accompagnano il rapporto sui risultati.
Short | A.5.1.2 Commenti, interpretazione e raccomandazioni
Control | 0..*
Type | Narrative
14. Risultato.osservazione
Definition | A.5.2 Dettagli dell'osservazione (il rapporto può consistere di più osservazioni)
Short | A.5.2 Dettagli dell'osservazione
Control | 0..*
Type | BackboneElement
Invariants | ele-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.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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())
Slicing | This 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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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
Short | A.5.2.1 Data dell'osservazione
Control | 0..*
Type | CodeableConcept
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
Short | A.5.2.3 Codice dell'osservazione
Control | 0..*
Type | CodeableConcept
Invariants | ele-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.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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())
Slicing | This 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.
Short | Code 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.
Control | 0..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-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.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
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.
Invariants | ele-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.
Short | A.5.2.3.1 Nome dell'osservazione
Control | 0..*
Type | string
Primitive Value | This 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.
Short | A.5.2.3.2 Nome originale dell'osservazione
Control | 0..*
Type | string
Primitive Value | This 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
Short | A.5.2.3.3 Nome visualizzato dell'osservazione
Control | 0..*
Type | string
Primitive Value | This 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
Short | A.5.2.4 Metodo di osservazione
Control | 0..*
Type | CodeableConcept
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
Short | A.5.2.5 Dispositivo utilizzato per l'osservazione
Control | 0..*
Type | CodeableConcept
44. Risultato.osservazione.ordine
Definition | Identifica l'esame e chi effettua l'esame.
Short | A.5.2.8 Ordine
Control | 0..*
Type | BackboneElement
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.
Short | A.5.2.9 Esecutore
Control | 0..*
Type | BackboneElement
48. Risultato.osservazione.reporter
Definition | A seguito dei risultati ottenuti, ci può essere un interprete o una persona responsabile della convalida.
Short | A.5.2.10 Reporter
Control | 0..*
Type | BackboneElement
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)
Short | A.5.2.11 Risultato dell'osservazione
Control | 0..*
Type | BackboneElement
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
Short | A.5.2.12 Interpretazione dell'osservazione
Control | 0..*
Type | CodeableConcept
54. Risultato.osservazione.descrizione
Definition | Commenti e rappresentazione narrativa del risultato dell'osservazione e dei risultati.
Short | A.5.2.13 Descrizione del risultato
Control | 0..*
Type | Narrative
56. Risultato.osservazione.statoAccreditamento
Definition | Stato di accreditamento del laboratorio per la particolare osservazione.
Short | A.5.2.14 Stato di accreditamento
Control | 0..*
Type | BackboneElement

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

0. Risultato
Definition | Risultato dell'esame.
Short | A.5 - Risultato
Logical Model | Instances 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
Short | A.5.1 Parte Narrativa del Referto di Laboratorio
Control | 0..1
Type | BackboneElement
4. Risultato.bloccoNarrativo.report
Definition | Referto completo (sintesi testuale del documento del Referto di laboratorio) così come emesso dal laboratorio.
Short | A.5.1.1 Report
Control | 0..*
Type | Narrative
6. Risultato.bloccoNarrativo.note
Definition | Commenti, ad esempio un'interpretazione testuale o consigli che accompagnano il rapporto sui risultati.
Short | A.5.1.2 Commenti, interpretazione e raccomandazioni
Control | 0..*
Type | Narrative
8. Risultato.osservazione
Definition | A.5.2 Dettagli dell'osservazione (il rapporto può consistere di più osservazioni)
Short | A.5.2 Dettagli dell'osservazione
Control | 0..*
Type | BackboneElement
10. Risultato.osservazione.data
Definition | Data e ora dell'osservazione - Sistema di codifica: ISO 8601
Short | A.5.2.1 Data dell'osservazione
Control | 0..*
Type | CodeableConcept
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
Short | A.5.2.3 Codice dell'osservazione
Control | 0..*
Type | CodeableConcept
14. Risultato.osservazione.codice.nome
Definition | Nome completo dell'osservazione in base allo standard di codifica utilizzato.
Short | A.5.2.3.1 Nome dell'osservazione
Control | 0..*
Type | string
Primitive Value | This 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.
Short | A.5.2.3.2 Nome originale dell'osservazione
Control | 0..*
Type | string
Primitive Value | This 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
Short | A.5.2.3.3 Nome visualizzato dell'osservazione
Control | 0..*
Type | string
Primitive Value | This 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
Short | A.5.2.4 Metodo di osservazione
Control | 0..*
Type | CodeableConcept
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
Short | A.5.2.5 Dispositivo utilizzato per l'osservazione
Control | 0..*
Type | CodeableConcept
24. Risultato.osservazione.ordine
Definition | Identifica l'esame e chi effettua l'esame.
Short | A.5.2.8 Ordine
Control | 0..*
Type | BackboneElement
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.
Short | A.5.2.9 Esecutore
Control | 0..*
Type | BackboneElement
28. Risultato.osservazione.reporter
Definition | A seguito dei risultati ottenuti, ci può essere un interprete o una persona responsabile della convalida.
Short | A.5.2.10 Reporter
Control | 0..*
Type | BackboneElement
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)
Short | A.5.2.11 Risultato dell'osservazione
Control | 0..*
Type | BackboneElement
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
Short | A.5.2.12 Interpretazione dell'osservazione
Control | 0..*
Type | CodeableConcept
34. Risultato.osservazione.descrizione
Definition | Commenti e rappresentazione narrativa del risultato dell'osservazione e dei risultati.
Short | A.5.2.13 Descrizione del risultato
Control | 0..*
Type | Narrative
36. Risultato.osservazione.statoAccreditamento
Definition | Stato di accreditamento del laboratorio per la particolare osservazione.
Short | A.5.2.14 Stato di accreditamento
Control | 0..*
Type | BackboneElement

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

0. Risultato
Definition | Risultato dell'esame.
Short | A.5 - Risultato
Control | 0..*
Is Modifier | false
Logical Model | Instances 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
Short | A.5.1 Parte Narrativa del Referto di Laboratorio
Control | 0..1
Type | BackboneElement
Invariants | ele-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.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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()`)
Slicing | This 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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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.
Short | A.5.1.1 Report
Control | 0..*
Type | Narrative
12. Risultato.bloccoNarrativo.note
Definition | Commenti, ad esempio un'interpretazione testuale o consigli che accompagnano il rapporto sui risultati.
Short | A.5.1.2 Commenti, interpretazione e raccomandazioni
Control | 0..*
Type | Narrative
14. Risultato.osservazione
Definition | A.5.2 Dettagli dell'osservazione (il rapporto può consistere di più osservazioni)
Short | A.5.2 Dettagli dell'osservazione
Control | 0..*
Type | BackboneElement
Invariants | ele-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.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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()`)
Slicing | This 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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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
Short | A.5.2.1 Data dell'osservazione
Control | 0..*
Type | CodeableConcept
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
Short | A.5.2.3 Codice dell'osservazione
Control | 0..*
Type | CodeableConcept
Invariants | ele-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.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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()`)
Slicing | This 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.
Short | Code 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.
Control | 0..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-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.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
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.
Invariants | ele-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.
Short | A.5.2.3.1 Nome dell'osservazione
Control | 0..*
Type | string
Primitive Value | This 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.
Short | A.5.2.3.2 Nome originale dell'osservazione
Control | 0..*
Type | string
Primitive Value | This 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
Short | A.5.2.3.3 Nome visualizzato dell'osservazione
Control | 0..*
Type | string
Primitive Value | This 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
Short | A.5.2.4 Metodo di osservazione
Control | 0..*
Type | CodeableConcept
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
Short | A.5.2.5 Dispositivo utilizzato per l'osservazione
Control | 0..*
Type | CodeableConcept
44. Risultato.osservazione.ordine
Definition | Identifica l'esame e chi effettua l'esame.
Short | A.5.2.8 Ordine
Control | 0..*
Type | BackboneElement
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.
Short | A.5.2.9 Esecutore
Control | 0..*
Type | BackboneElement
48. Risultato.osservazione.reporter
Definition | A seguito dei risultati ottenuti, ci può essere un interprete o una persona responsabile della convalida.
Short | A.5.2.10 Reporter
Control | 0..*
Type | BackboneElement
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)
Short | A.5.2.11 Risultato dell'osservazione
Control | 0..*
Type | BackboneElement
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
Short | A.5.2.12 Interpretazione dell'osservazione
Control | 0..*
Type | CodeableConcept
54. Risultato.osservazione.descrizione
Definition | Commenti e rappresentazione narrativa del risultato dell'osservazione e dei risultati.
Short | A.5.2.13 Descrizione del risultato
Control | 0..*
Type | Narrative
56. Risultato.osservazione.statoAccreditamento
Definition | Stato di accreditamento del laboratorio per la particolare osservazione.
Short | A.5.2.14 Stato di accreditamento
Control | 0..*
Type | BackboneElement