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: SoggettoCura - Detailed Descriptions

Active as of 2025-11-18

Definitions for the SoggettoCura 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. SoggettoCura
Definition | Paziente o Soggetto delle cure.
Short | A.1.1, A.1.2 - Soggetto delle cure
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. SoggettoCura.identificazione
Definition | A.1.1 Identificazione del paziente/soggetto
Short | A.1.1 Identificazione del paziente/soggetto
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
4. SoggettoCura.identificazione.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. SoggettoCura.identificazione.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 `SoggettoCura.identificazione.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
8. SoggettoCura.identificazione.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. SoggettoCura.identificazione.cognome
Definition | Il cognome del paziente. Questo campo può contenere più di un elemento oppure possono essere presenti più campi.
Short | A.1.1.1 Cognome
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
12. SoggettoCura.identificazione.nome
Definition | Il nome del paziente . Questo campo può contenere più di un elemento.
Short | A.1.1.2 Nome
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. SoggettoCura.identificazione.dataNascita
Definition | La data di nascita del paziente [ISO TS 22220]. Poiché l'età del paziente potrebbe essere importante per la corretta interpretazione dei valori dei risultati del test, è necessario fornire la data di nascita completa - Sistema/i preferito/i: data completa, senza ora, seguendo la norma ISO 8601
Short | A.1.1.3 Data di nascita
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. SoggettoCura.identificazione.identificativo
Definition | Un identificatore del paziente unico all'interno di un ambito definito. Esempio: ID nazionale (numero di nascita) per il paziente ceco. Potrebbero essere forniti identificatori multipli.
Short | A.1.1.4 Identificativo personale
Control | 0..1
Type | Identifier
18. SoggettoCura.identificazione.gender
Definition | Questo campo deve contenere un valore valido riconosciuto per 'genere amministrativo'. Se diverso, il "genere fisiologico" dovrebbe essere comunicato altrove Sistema: - Sistema: HL7 Administrative Gender
Short | A.1.1.5 Gender
Control | 0..1
Type | CodeableConcept
20. SoggettoCura.recapito
Definition | A.1.2 Informazioni di contatto relative al paziente/soggetto
Short | A.1.2 Informazioni di contatto relative al paziente/soggetto
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. SoggettoCura.recapito.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
24. SoggettoCura.recapito.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 `SoggettoCura.recapito.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
26. SoggettoCura.recapito.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())
28. SoggettoCura.recapito.indirizzo
Definition | Indirizzi postali e di casa o ufficio. Gli indirizzi sono sempre sequenze di parti di indirizzo (ad es. riga dell'indirizzo, paese, codice postale, città) anche se i formati dell'indirizzo postale possono variare a seconda del paese Un indirizzo può includere o meno uno specifico codice d'uso, se tale attributo non è presente si assume che sia l'indirizzo di default utile per qualsiasi scopo - Sistema/i preferito/i: ISO 3166
Short | A.1.2.1 Indirizzo
Control | 0..*
Type | Address
30. SoggettoCura.recapito.telefono
Definition | Informazioni sui contatti di telecomunicazione (indirizzi) associati a una persona. Potrebbero essere forniti più indirizzi di telecomunicazione. - Sistema/i preferito/i:
Short | A.1.2.2 Telecom
Control | 0..*
Type | ContactPoint

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

0. SoggettoCura
Definition | Paziente o Soggetto delle cure.
Short | A.1.1, A.1.2 - Soggetto delle cure
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. SoggettoCura.identificazione
Definition | A.1.1 Identificazione del paziente/soggetto
Short | A.1.1 Identificazione del paziente/soggetto
Control | 1..1
Type | BackboneElement
4. SoggettoCura.identificazione.cognome
Definition | Il cognome del paziente. Questo campo può contenere più di un elemento oppure possono essere presenti più campi.
Short | A.1.1.1 Cognome
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
6. SoggettoCura.identificazione.nome
Definition | Il nome del paziente . Questo campo può contenere più di un elemento.
Short | A.1.1.2 Nome
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
8. SoggettoCura.identificazione.dataNascita
Definition | La data di nascita del paziente [ISO TS 22220]. Poiché l'età del paziente potrebbe essere importante per la corretta interpretazione dei valori dei risultati del test, è necessario fornire la data di nascita completa - Sistema/i preferito/i: data completa, senza ora, seguendo la norma ISO 8601
Short | A.1.1.3 Data di nascita
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. SoggettoCura.identificazione.identificativo
Definition | Un identificatore del paziente unico all'interno di un ambito definito. Esempio: ID nazionale (numero di nascita) per il paziente ceco. Potrebbero essere forniti identificatori multipli.
Short | A.1.1.4 Identificativo personale
Control | 0..1
Type | Identifier
12. SoggettoCura.identificazione.gender
Definition | Questo campo deve contenere un valore valido riconosciuto per 'genere amministrativo'. Se diverso, il "genere fisiologico" dovrebbe essere comunicato altrove Sistema: - Sistema: HL7 Administrative Gender
Short | A.1.1.5 Gender
Control | 0..1
Type | CodeableConcept
14. SoggettoCura.recapito
Definition | A.1.2 Informazioni di contatto relative al paziente/soggetto
Short | A.1.2 Informazioni di contatto relative al paziente/soggetto
Control | 0..*
Type | BackboneElement
16. SoggettoCura.recapito.indirizzo
Definition | Indirizzi postali e di casa o ufficio. Gli indirizzi sono sempre sequenze di parti di indirizzo (ad es. riga dell'indirizzo, paese, codice postale, città) anche se i formati dell'indirizzo postale possono variare a seconda del paese Un indirizzo può includere o meno uno specifico codice d'uso, se tale attributo non è presente si assume che sia l'indirizzo di default utile per qualsiasi scopo - Sistema/i preferito/i: ISO 3166
Short | A.1.2.1 Indirizzo
Control | 0..*
Type | Address
18. SoggettoCura.recapito.telefono
Definition | Informazioni sui contatti di telecomunicazione (indirizzi) associati a una persona. Potrebbero essere forniti più indirizzi di telecomunicazione. - Sistema/i preferito/i:
Short | A.1.2.2 Telecom
Control | 0..*
Type | ContactPoint

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

0. SoggettoCura
Definition | Paziente o Soggetto delle cure.
Short | A.1.1, A.1.2 - Soggetto delle cure
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. SoggettoCura.identificazione
Definition | A.1.1 Identificazione del paziente/soggetto
Short | A.1.1 Identificazione del paziente/soggetto
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
4. SoggettoCura.identificazione.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. SoggettoCura.identificazione.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 `SoggettoCura.identificazione.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
8. SoggettoCura.identificazione.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. SoggettoCura.identificazione.cognome
Definition | Il cognome del paziente. Questo campo può contenere più di un elemento oppure possono essere presenti più campi.
Short | A.1.1.1 Cognome
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
12. SoggettoCura.identificazione.nome
Definition | Il nome del paziente . Questo campo può contenere più di un elemento.
Short | A.1.1.2 Nome
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. SoggettoCura.identificazione.dataNascita
Definition | La data di nascita del paziente [ISO TS 22220]. Poiché l'età del paziente potrebbe essere importante per la corretta interpretazione dei valori dei risultati del test, è necessario fornire la data di nascita completa - Sistema/i preferito/i: data completa, senza ora, seguendo la norma ISO 8601
Short | A.1.1.3 Data di nascita
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. SoggettoCura.identificazione.identificativo
Definition | Un identificatore del paziente unico all'interno di un ambito definito. Esempio: ID nazionale (numero di nascita) per il paziente ceco. Potrebbero essere forniti identificatori multipli.
Short | A.1.1.4 Identificativo personale
Control | 0..1
Type | Identifier
18. SoggettoCura.identificazione.gender
Definition | Questo campo deve contenere un valore valido riconosciuto per 'genere amministrativo'. Se diverso, il "genere fisiologico" dovrebbe essere comunicato altrove Sistema: - Sistema: HL7 Administrative Gender
Short | A.1.1.5 Gender
Control | 0..1
Type | CodeableConcept
20. SoggettoCura.recapito
Definition | A.1.2 Informazioni di contatto relative al paziente/soggetto
Short | A.1.2 Informazioni di contatto relative al paziente/soggetto
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. SoggettoCura.recapito.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
24. SoggettoCura.recapito.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 `SoggettoCura.recapito.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
26. SoggettoCura.recapito.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()`)
28. SoggettoCura.recapito.indirizzo
Definition | Indirizzi postali e di casa o ufficio. Gli indirizzi sono sempre sequenze di parti di indirizzo (ad es. riga dell'indirizzo, paese, codice postale, città) anche se i formati dell'indirizzo postale possono variare a seconda del paese Un indirizzo può includere o meno uno specifico codice d'uso, se tale attributo non è presente si assume che sia l'indirizzo di default utile per qualsiasi scopo - Sistema/i preferito/i: ISO 3166
Short | A.1.2.1 Indirizzo
Control | 0..*
Type | Address
30. SoggettoCura.recapito.telefono
Definition | Informazioni sui contatti di telecomunicazione (indirizzi) associati a una persona. Potrebbero essere forniti più indirizzi di telecomunicazione. - Sistema/i preferito/i:
Short | A.1.2.2 Telecom
Control | 0..*
Type | ContactPoint