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

## Extension: Certificazione

Official URL: http://hl7.it/fhir/StructureDefinition/recordCertification | Version: 0.2.0
Active as of 2025-11-18 | Computable Name: ExtRecordCertification

Estensione usata per indicare che l'informazione associata è stata certificata (od autocertificata) da una certa entità (persona, organizzazione). L'estensione è caratterizzata da: (a) una data di certificazione o da una periodo di validità (b) un codice od un riferimento al certificatore.

Context of Use

This extension may be used on the following element(s)

- Element ID: `Address`
- Element ID: `Patient`
- Element ID: `Patient.identifier`

Usage info

Usages:

- Use this Extension: Address - ITA and Patient - Lab Report
- Examples for this Extension: Bundle/Bundle-Lab-Esempio-2, Bundle/Bundle-Lab-Esempio and Patient/8472931c-fbd0-437b-9ed1-4f66472c78b5

You can also check for usages in the FHIR IG Statistics

### Formal Views of Extension Content

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

- Differential Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Certificazione del record
Slices for extension |  |  |  | Content/Rules for all slices
extension:when |  | 0..1 | Extension | Data/Periodo di certificazione
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "when"
value[x] |  | 0..1 |  | Value of extension
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
extension:who |  | 0..1 | Extension | Entità Certificante
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "who"
value[x] |  | 0..1 |  | Value of extension Binding: Tipo certificatore (extensible)
valueCodeableConcept |  |  | CodeableConcept |
valueReference |  |  | Reference(Any) |
extension:rank |  | 0..* | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "rank"
value[x] |  | 0..1 | decimal | Value of extension
url |  | 1..1 | uri | "http://hl7.it/fhir/StructureDefinition/recordCertification"
value[x] |  | 0..0 |  | Value of extension
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Certificazione del record
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
extension:when |  | 0..1 | Extension | Data/Periodo di certificazione
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "when"
value[x] |  | 0..1 |  | Value of extension
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
extension:who |  | 0..1 | Extension | Entità Certificante
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "who"
value[x] |  | 0..1 |  | Value of extension Binding: Tipo certificatore (extensible)
valueCodeableConcept |  |  | CodeableConcept |
valueReference |  |  | Reference(Any) |
extension:rank |  | 0..* | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "rank"
value[x] |  | 0..1 | decimal | Value of extension
url |  | 1..1 | uri | "http://hl7.it/fhir/StructureDefinition/recordCertification"
Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Estensione usata per indicare che l'informazione associata è stata certificata (od autocertificata) da una certa entità (persona, organizzazione). L'estensione è caratterizzata da: (a) una data di certificazione o da una periodo di validità (b) un codice od un riferimento al certificatore.

- when: dateTime, Period: An Extension
- who: CodeableConcept, Reference: An Extension
- rank: decimal: An Extension

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Certificazione del record
Slices for extension |  |  |  | Content/Rules for all slices
extension:when |  | 0..1 | Extension | Data/Periodo di certificazione
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "when"
value[x] |  | 0..1 |  | Value of extension
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
extension:who |  | 0..1 | Extension | Entità Certificante
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "who"
value[x] |  | 0..1 |  | Value of extension Binding: Tipo certificatore (extensible)
valueCodeableConcept |  |  | CodeableConcept |
valueReference |  |  | Reference(Any) |
extension:rank |  | 0..* | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "rank"
value[x] |  | 0..1 | decimal | Value of extension
url |  | 1..1 | uri | "http://hl7.it/fhir/StructureDefinition/recordCertification"
value[x] |  | 0..0 |  | Value of extension
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Certificazione del record
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
extension:when |  | 0..1 | Extension | Data/Periodo di certificazione
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "when"
value[x] |  | 0..1 |  | Value of extension
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
extension:who |  | 0..1 | Extension | Entità Certificante
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "who"
value[x] |  | 0..1 |  | Value of extension Binding: Tipo certificatore (extensible)
valueCodeableConcept |  |  | CodeableConcept |
valueReference |  |  | Reference(Any) |
extension:rank |  | 0..* | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "rank"
value[x] |  | 0..1 | decimal | Value of extension
url |  | 1..1 | uri | "http://hl7.it/fhir/StructureDefinition/recordCertification"
Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Estensione usata per indicare che l'informazione associata è stata certificata (od autocertificata) da una certa entità (persona, organizzazione). L'estensione è caratterizzata da: (a) una data di certificazione o da una periodo di validità (b) un codice od un riferimento al certificatore.

- when: dateTime, Period: An Extension
- who: CodeableConcept, Reference: An Extension
- rank: decimal: An Extension

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Extension.extension:who.​value[x] | Base | extensible | Tipo certificatore | 📦0.2.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`