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: Richiesta - XML Profile

Active as of 2025-11-18

XML representation of the Richiesta logical model.

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    <StructureDefinition xmlns="http://hl7.org/fhir">
      <id value="Richiesta"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DefinizioneStruttura Richiesta</b></p><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-Richiesta-definitions.html#Richiesta" title="Informazioni sulla richiesta (A.2) e motivazioni (A3).">Richiesta</a><a name="Richiesta"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/types.html#Base">Base</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A.2,A.3 - Richiesta</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Richiesta-definitions.html#Richiesta.dettagliRichiesta" title="A.2 Informazioni sulla richiesta (Laboratory Result Report could respond to multiple test orders) ">dettagliRichiesta</a><a name="Richiesta.dettagliRichiesta"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A.2 Informazioni sulla richiesta</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Richiesta-definitions.html#Richiesta.dettagliRichiesta.identificativo" title="Identificativo della richiesta dell'esame di laboratorio. Ad un unico identificativo possono corrispondere più richieste.">identificativo</a><a name="Richiesta.dettagliRichiesta.identificativo"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A.2.1 Identificativo della richiesta<br/></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Richiesta-definitions.html#Richiesta.dettagliRichiesta.dateTime" title="Data ed orario in cui è stata effettuata la richiesta - Preferred system(s): ISO 8601">dateTime</a><a name="Richiesta.dettagliRichiesta.dateTime"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A.2.2 Data ed ora della richiesta<br/></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Richiesta-definitions.html#Richiesta.dettagliRichiesta.mittenteRichiesta" title="Operatore sanitario che invia la richiesta.">mittenteRichiesta</a><a name="Richiesta.dettagliRichiesta.mittenteRichiesta"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A.2.3 Mittente della richiesta<br/></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Richiesta-definitions.html#Richiesta.dettagliRichiesta.codicePriorita" title="Priorità della richiesta">codicePriorita</a><a name="Richiesta.dettagliRichiesta.codicePriorita"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A.2.7 Codice priorità</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Richiesta-definitions.html#Richiesta.quesitoDiagnostico" title="A.3 Motivazione della richiesta (Laboratory Result Report could respond to multiple reasons) ">quesitoDiagnostico</a><a name="Richiesta.quesitoDiagnostico"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A.3 Motivazione della richiesta<br/></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Richiesta-definitions.html#Richiesta.quesitoDiagnostico.code" title="Condizioni di salute che incidono sulla salute del paziente e sono importanti da conoscere per un professionista sanitario durante un incontro sanitario. Condizioni cliniche del soggetto rilevanti per l'interpretazione dei risultati.
    - Sistema/i preferito/i: ICD-10 (ICD-11 when available)
    - Sistema/i preferito/i: SNOMED CT
    - Sistema/i preferito/i: Orphacode">code</a><a name="Richiesta.quesitoDiagnostico.code"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A.3.1 Quesito diagnostico associato alla richiesta<br/></td></tr>
    <tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
      </text>
      <url value="http://hl7.it/fhir/lab-report/StructureDefinition/Richiesta"/>
      <version value="0.2.0"/>
      <name value="Richiesta"/>
      <title value="A.2,A.3 - Richiesta"/>
      <status value="active"/>
      <date value="2025-11-18T15:38:51+00:00"/>
      <publisher value="HL7 Italia"/>
      <contact>
        <name value="HL7 Italia"/>
        <telecom>
          <system value="url"/>
          <value value="https://hl7.it"/>
        </telecom>
      </contact>
      <contact>
        <name value="HL7 Italia"/>
        <telecom>
          <system value="url"/>
          <value value="https://hl7.it"/>
        </telecom>
      </contact>
      <description
                   value="Informazioni sulla richiesta (A.2) e motivazioni (A3)."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="IT"/>
          <display value="Italy"/>
        </coding>
      </jurisdiction>
      <fhirVersion value="4.0.1"/>
      <mapping>
        <identity value="fhir"/>
        <uri value="hl7.org/fhir/r4"/>
        <name value="eHN Lab Modello Logico Richiesta - FHIR R4 Map"/>
      </mapping>
      <kind value="logical"/>
      <abstract value="false"/>
      <type value="http://hl7.it/fhir/lab-report/StructureDefinition/Richiesta"/>
      <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
      <derivation value="specialization"/>
      <snapshot>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
          <valueString value="4.0.1"/>
        </extension>
        <element id="Richiesta">
          <path value="Richiesta"/>
          <short value="A.2,A.3 - Richiesta"/>
          <definition
                      value="Informazioni sulla richiesta (A.2) e motivazioni (A3)."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Base"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <isModifier value="false"/>
        </element>
        <element id="Richiesta.dettagliRichiesta">
          <path value="Richiesta.dettagliRichiesta"/>
          <short value="A.2 Informazioni sulla richiesta"/>
          <definition
                      value="A.2 Informazioni sulla richiesta (Laboratory Result Report could respond to multiple test orders)"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Richiesta.dettagliRichiesta"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
        </element>
        <element id="Richiesta.dettagliRichiesta.id">
          <path value="Richiesta.dettagliRichiesta.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Richiesta.dettagliRichiesta.extension">
          <path value="Richiesta.dettagliRichiesta.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Richiesta.dettagliRichiesta.modifierExtension">
          <path value="Richiesta.dettagliRichiesta.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="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)."/>
          <comment
                   value="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."/>
          <requirements
                        value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Richiesta.dettagliRichiesta.identificativo">
          <path value="Richiesta.dettagliRichiesta.identificativo"/>
          <short value="A.2.1 Identificativo della richiesta"/>
          <definition
                      value="Identificativo della richiesta dell'esame di laboratorio. Ad un unico identificativo possono corrispondere più richieste."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Richiesta.dettagliRichiesta.identificativo"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Identifier"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map value="ServiceRequest.identifier"/>
          </mapping>
        </element>
        <element id="Richiesta.dettagliRichiesta.dateTime">
          <path value="Richiesta.dettagliRichiesta.dateTime"/>
          <short value="A.2.2 Data ed ora della richiesta"/>
          <definition
                      value="Data ed orario in cui è stata effettuata la richiesta - Preferred system(s): ISO 8601"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Richiesta.dettagliRichiesta.dateTime"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map value="ServiceRequest.authoredOn"/>
          </mapping>
        </element>
        <element id="Richiesta.dettagliRichiesta.mittenteRichiesta">
          <path value="Richiesta.dettagliRichiesta.mittenteRichiesta"/>
          <short value="A.2.3 Mittente della richiesta"/>
          <definition value="Operatore sanitario che invia la richiesta."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Richiesta.dettagliRichiesta.mittenteRichiesta"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Identifier"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map value="ServiceRequest.performer"/>
          </mapping>
        </element>
        <element id="Richiesta.dettagliRichiesta.codicePriorita">
          <path value="Richiesta.dettagliRichiesta.codicePriorita"/>
          <short value="A.2.7 Codice priorità"/>
          <definition value="Priorità della richiesta"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Richiesta.dettagliRichiesta.codicePriorita"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map value="ServiceRequest.priority"/>
          </mapping>
        </element>
        <element id="Richiesta.quesitoDiagnostico">
          <path value="Richiesta.quesitoDiagnostico"/>
          <short value="A.3 Motivazione della richiesta"/>
          <definition
                      value="A.3 Motivazione della richiesta (Laboratory Result Report could respond to multiple reasons)"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Richiesta.quesitoDiagnostico"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mapping>
            <identity value="fhir"/>
            <map value="ServiceRequest.reasonCode"/>
          </mapping>
        </element>
        <element id="Richiesta.quesitoDiagnostico.id">
          <path value="Richiesta.quesitoDiagnostico.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Richiesta.quesitoDiagnostico.extension">
          <path value="Richiesta.quesitoDiagnostico.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Richiesta.quesitoDiagnostico.modifierExtension">
          <path value="Richiesta.quesitoDiagnostico.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="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)."/>
          <comment
                   value="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."/>
          <requirements
                        value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Richiesta.quesitoDiagnostico.code">
          <path value="Richiesta.quesitoDiagnostico.code"/>
          <short value="A.3.1 Quesito diagnostico associato alla richiesta"/>
          <definition
                      value="Condizioni di salute che incidono sulla salute del paziente e sono importanti da conoscere per un professionista sanitario durante un incontro sanitario. Condizioni cliniche del soggetto rilevanti per l'interpretazione dei risultati.
    - Sistema/i preferito/i: ICD-10 (ICD-11 when available)
    - Sistema/i preferito/i: SNOMED CT
    - Sistema/i preferito/i: Orphacode"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Richiesta.quesitoDiagnostico.code"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map value="ServiceRequest.reasonCode"/>
          </mapping>
        </element>
      </snapshot>
      <differential>
        <element id="Richiesta">
          <path value="Richiesta"/>
          <short value="A.2,A.3 - Richiesta"/>
          <definition
                      value="Informazioni sulla richiesta (A.2) e motivazioni (A3)."/>
        </element>
        <element id="Richiesta.dettagliRichiesta">
          <path value="Richiesta.dettagliRichiesta"/>
          <short value="A.2 Informazioni sulla richiesta"/>
          <definition
                      value="A.2 Informazioni sulla richiesta (Laboratory Result Report could respond to multiple test orders) "/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="BackboneElement"/>
          </type>
        </element>
        <element id="Richiesta.dettagliRichiesta.identificativo">
          <path value="Richiesta.dettagliRichiesta.identificativo"/>
          <short value="A.2.1 Identificativo della richiesta"/>
          <definition
                      value="Identificativo della richiesta dell'esame di laboratorio. Ad un unico identificativo possono corrispondere più richieste."/>
          <min value="0"/>
          <max value="*"/>
          <type>
            <code value="Identifier"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map value="ServiceRequest.identifier"/>
          </mapping>
        </element>
        <element id="Richiesta.dettagliRichiesta.dateTime">
          <path value="Richiesta.dettagliRichiesta.dateTime"/>
          <short value="A.2.2 Data ed ora della richiesta"/>
          <definition
                      value="Data ed orario in cui è stata effettuata la richiesta - Preferred system(s): ISO 8601"/>
          <min value="0"/>
          <max value="*"/>
          <type>
            <code value="dateTime"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map value="ServiceRequest.authoredOn"/>
          </mapping>
        </element>
        <element id="Richiesta.dettagliRichiesta.mittenteRichiesta">
          <path value="Richiesta.dettagliRichiesta.mittenteRichiesta"/>
          <short value="A.2.3 Mittente della richiesta"/>
          <definition value="Operatore sanitario che invia la richiesta."/>
          <min value="0"/>
          <max value="*"/>
          <type>
            <code value="Identifier"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map value="ServiceRequest.performer"/>
          </mapping>
        </element>
        <element id="Richiesta.dettagliRichiesta.codicePriorita">
          <path value="Richiesta.dettagliRichiesta.codicePriorita"/>
          <short value="A.2.7 Codice priorità"/>
          <definition value="Priorità della richiesta"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="code"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map value="ServiceRequest.priority"/>
          </mapping>
        </element>
        <element id="Richiesta.quesitoDiagnostico">
          <path value="Richiesta.quesitoDiagnostico"/>
          <short value="A.3 Motivazione della richiesta"/>
          <definition
                      value="A.3 Motivazione della richiesta (Laboratory Result Report could respond to multiple reasons) "/>
          <min value="0"/>
          <max value="*"/>
          <type>
            <code value="BackboneElement"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map value="ServiceRequest.reasonCode"/>
          </mapping>
        </element>
        <element id="Richiesta.quesitoDiagnostico.code">
          <path value="Richiesta.quesitoDiagnostico.code"/>
          <short value="A.3.1 Quesito diagnostico associato alla richiesta"/>
          <definition
                      value="Condizioni di salute che incidono sulla salute del paziente e sono importanti da conoscere per un professionista sanitario durante un incontro sanitario. Condizioni cliniche del soggetto rilevanti per l'interpretazione dei risultati.
    - Sistema/i preferito/i: ICD-10 (ICD-11 when available)
    - Sistema/i preferito/i: SNOMED CT
    - Sistema/i preferito/i: Orphacode"/>
          <min value="0"/>
          <max value="*"/>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map value="ServiceRequest.reasonCode"/>
          </mapping>
        </element>
      </differential>
    </StructureDefinition>