PackagesCanonicalsLogsProblems
    Packages
    eng.fhir.profile.dev@0.0.7-beta
    https://pnt.gov/fhir/StructureDefinition/Appointment
{
  "description": null,
  "_filename": "Appointment.StructureDefinition.json",
  "package_name": "eng.fhir.profile.dev",
  "date": "2023-06-29T13:34:44.0765802+00:00",
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "Appointment",
  "abstract": false,
  "type": "Appointment",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "0.0.7-beta",
  "snapshot": {
    "element": [ {
      "constraint": [ {
        "key": "dom-2",
        "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
        "xpath": "not(parent::f:contained and f:contained)",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.contained.empty()"
      }, {
        "key": "dom-4",
        "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
        "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
      }, {
        "key": "dom-3",
        "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
        "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"
      }, {
        "key": "dom-6",
        "human": "A resource should have narrative for robust management",
        "xpath": "exists(f:text/h:div)",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "warning",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean": true
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
        } ],
        "expression": "text.`div`.exists()"
      }, {
        "key": "dom-5",
        "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
        "xpath": "not(exists(f:contained/*/f:meta/f:security))",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.meta.security.empty()"
      }, {
        "key": "app-4",
        "human": "Cancelation reason is only used for appointments that have been cancelled, or no-show",
        "xpath": "not(exists(f:cancellationReason)) or f:status/@value=('no-show', 'cancelled')",
        "source": "http://hl7.org/fhir/StructureDefinition/Appointment",
        "severity": "error",
        "expression": "Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')"
      }, {
        "key": "app-3",
        "human": "Only proposed or cancelled appointments can be missing start/end dates",
        "xpath": "((exists(f:start) and exists(f:end)) or (f:status/@value='proposed') or (f:status/@value='cancelled') or (f:status/@value='waitlist'))",
        "source": "http://hl7.org/fhir/StructureDefinition/Appointment",
        "severity": "error",
        "expression": "(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))"
      }, {
        "key": "app-2",
        "human": "Either start and end are specified, or neither",
        "xpath": "((exists(f:start) and exists(f:end)) or (not(exists(f:start)) and not(exists(f:end))))",
        "source": "http://hl7.org/fhir/StructureDefinition/Appointment",
        "severity": "error",
        "expression": "start.exists() = end.exists()"
      } ],
      "path": "Appointment",
      "min": 0,
      "definition": "A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s).",
      "short": "A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)",
      "mapping": [ {
        "map": "Entity. Role, or Act",
        "identity": "rim"
      }, {
        "map": "Request",
        "identity": "workflow"
      }, {
        "map": "Act[@moodCode <= 'INT']",
        "identity": "rim"
      }, {
        "map": "VEVENT",
        "identity": "ical"
      } ],
      "max": "*",
      "id": "Appointment",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Appointment"
      }
    }, {
      "path": "Appointment.id",
      "min": 1,
      "definition": "ID logico della risorsa, come utilizzato nell'URL della risorsa. Una volta assegnato, questo valore non cambia mai.",
      "short": "ID logico della risorsa",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Appointment.id",
      "comment": "Il valore associato al campo deve rispettare il seguente formalismo:\r\nPOD.GUID\r\ndove POD = point of delivery identification",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.id"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.meta",
      "min": 0,
      "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
      "short": "Metadata about the resource",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Meta"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "1",
      "id": "Appointment.meta",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.meta"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.implicitRules",
      "min": 0,
      "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
      "isModifier": true,
      "short": "A set of rules under which this content was created",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "max": "1",
      "id": "Appointment.implicitRules",
      "condition": [ "ele-1" ],
      "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.implicitRules"
      },
      "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.language",
      "min": 0,
      "definition": "The base language in which the resource is written.",
      "short": "Language of the resource content",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/languages",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "Language"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "A human language."
      },
      "max": "1",
      "id": "Appointment.language",
      "condition": [ "ele-1" ],
      "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.language"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.text",
      "min": 0,
      "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
      "short": "Text summary of the resource, for human interpretation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "Act.text?",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "alias": [ "narrative", "html", "xhtml", "display" ],
      "max": "1",
      "id": "Appointment.text",
      "condition": [ "ele-1" ],
      "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "DomainResource.text"
      }
    }, {
      "path": "Appointment.contained",
      "min": 0,
      "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
      "short": "Contained, inline Resources",
      "mapping": [ {
        "map": "Entity. Role, or Act",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Resource"
      } ],
      "alias": [ "inline resources", "anonymous resources", "contained resources" ],
      "max": "*",
      "id": "Appointment.contained",
      "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.contained"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Appointment.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the resource. 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",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Appointment.extension",
      "condition": [ "ele-1" ],
      "comment": "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.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Appointment.modifierExtension",
      "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](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 is allowed to 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Appointment.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "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.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.identifier",
      "min": 0,
      "definition": "Elemento di tipo identifier contenente gli identificativi univoci della risorsa.",
      "short": "id esterni per la risorsa",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)",
        "identity": "v2"
      }, {
        "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",
        "identity": "rim"
      }, {
        "map": "Identifier",
        "identity": "servd"
      }, {
        "map": "Request.identifier",
        "identity": "workflow"
      }, {
        "map": "FiveWs.identifier",
        "identity": "w5"
      }, {
        "map": "SCH-1, SCH-2, ARQ-1, ARQ-2",
        "identity": "v2"
      }, {
        "map": ".id",
        "identity": "rim"
      }, {
        "map": "UID",
        "identity": "ical"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "type.coding.code",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Identifier"
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "1",
      "id": "Appointment.identifier",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Appointment.identifier"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.identifier",
      "min": 0,
      "definition": "Identificativo associato alla singola istanza di prenotazione generato da chi eroga la prestazione.",
      "short": "Identificativo associata alla singola istanza di prenotazione",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)",
        "identity": "v2"
      }, {
        "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",
        "identity": "rim"
      }, {
        "map": "Identifier",
        "identity": "servd"
      }, {
        "map": "Request.identifier",
        "identity": "workflow"
      }, {
        "map": "FiveWs.identifier",
        "identity": "w5"
      }, {
        "map": "SCH-1, SCH-2, ARQ-1, ARQ-2",
        "identity": "v2"
      }, {
        "map": ".id",
        "identity": "rim"
      }, {
        "map": "UID",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "sliceName": "identificativoPrenotazione",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Appointment.identifier"
      },
      "isSummary": true
    }, {
      "path": "Appointment.identifier.id",
      "min": 0,
      "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",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Appointment.identifier.extension",
      "min": 0,
      "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",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Appointment.identifier:identificativoPrenotazione.extension",
      "condition": [ "ele-1" ],
      "comment": "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.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.identifier.use",
      "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
      "min": 0,
      "definition": "The purpose of this identifier.",
      "isModifier": true,
      "short": "usual | official | temp | secondary | old (If known)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "v2"
      }, {
        "map": "Role.code or implied by context",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierUse"
        } ],
        "description": "Identifies the purpose for this identifier, if known ."
      },
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione.use",
      "condition": [ "ele-1" ],
      "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.use"
      },
      "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.identifier.type",
      "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
      "min": 0,
      "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
      "short": "Description of identifier",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "CX.5",
        "identity": "v2"
      }, {
        "map": "Role.code or implied by context",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose."
      },
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione.type",
      "condition": [ "ele-1" ],
      "comment": "This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.type"
      },
      "isSummary": true
    }, {
      "path": "Appointment.identifier.type.id",
      "min": 0,
      "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",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione.type.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Appointment.identifier.type.extension",
      "min": 0,
      "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",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Appointment.identifier:identificativoPrenotazione.type.extension",
      "condition": [ "ele-1" ],
      "comment": "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.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.identifier.type.coding",
      "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
      "min": 0,
      "definition": "Codice che identifica la tipologia di identificativo, all'interno del sistema terminologico di riferimento.",
      "short": "Codice che identifica la tipologia di identificativo",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "C*E.1-8, C*E.10-22",
        "identity": "v2"
      }, {
        "map": "union(., ./translation)",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "*",
      "id": "Appointment.identifier:identificativoPrenotazione.type.coding",
      "condition": [ "ele-1" ],
      "comment": "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.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "CodeableConcept.coding"
      },
      "isSummary": true
    }, {
      "path": "Appointment.identifier.type.coding.id",
      "min": 0,
      "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",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione.type.coding.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Appointment.identifier.type.coding.extension",
      "min": 0,
      "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",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Appointment.identifier:identificativoPrenotazione.type.coding.extension",
      "condition": [ "ele-1" ],
      "comment": "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.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.identifier.type.coding.system",
      "requirements": "Need to be unambiguous about the source of the definition of the symbol.",
      "min": 0,
      "definition": "The identification of the code system that defines the meaning of the symbol in the code.",
      "short": "Identity of the terminology system",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.3",
        "identity": "v2"
      }, {
        "map": "./codeSystem",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione.type.coding.system",
      "condition": [ "ele-1" ],
      "comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.system"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.identifier.type.coding.version",
      "min": 0,
      "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
      "short": "Version of the system - if relevant",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.7",
        "identity": "v2"
      }, {
        "map": "./codeSystemVersion",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione.type.coding.version",
      "condition": [ "ele-1" ],
      "comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.version"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.identifier.type.coding.code",
      "fixedCode": "FILL",
      "requirements": "Need to refer to a particular code in the system.",
      "min": 0,
      "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
      "short": "Symbol in syntax defined by the system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.1",
        "identity": "v2"
      }, {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione.type.coding.code",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.code"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.identifier.type.coding.display",
      "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",
      "min": 0,
      "definition": "A representation of the meaning of the code in the system, following the rules of the system.",
      "short": "Representation defined by the system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.2 - but note this is not well followed",
        "identity": "v2"
      }, {
        "map": "CV.displayName",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione.type.coding.display",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.display"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.identifier.type.coding.userSelected",
      "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
      "min": 0,
      "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
      "short": "If this coding was chosen directly by the user",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Sometimes implied by being first",
        "identity": "v2"
      }, {
        "map": "CD.codingRationale",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione.type.coding.userSelected",
      "condition": [ "ele-1" ],
      "comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.userSelected"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.identifier.type.text",
      "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.",
      "min": 0,
      "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",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.9. But note many systems use C*E.2 for this",
        "identity": "v2"
      }, {
        "map": "./originalText[mediaType/code=\"text/plain\"]/data",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione.type.text",
      "condition": [ "ele-1" ],
      "comment": "Very often the text is the same as a displayName of one of the codings.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "CodeableConcept.text"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.identifier.system",
      "requirements": "There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
      "min": 0,
      "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
      "short": "The namespace for the identifier value",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CX.4 / EI-2-4",
        "identity": "v2"
      }, {
        "map": "II.root or Role.id.root",
        "identity": "rim"
      }, {
        "map": "./IdentifierType",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione.system",
      "condition": [ "ele-1" ],
      "comment": "Identifier.system is always case sensitive.",
      "example": [ {
        "label": "General",
        "valueUri": "http://www.acme.com/identifiers/patient"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.system"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.identifier.value",
      "min": 0,
      "definition": "Identificativo di prenotazione staccato da chi gestisce l'erogazione della richiesta",
      "short": "Valore univoco",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CX.1 / EI.1",
        "identity": "v2"
      }, {
        "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)",
        "identity": "rim"
      }, {
        "map": "./Value",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione.value",
      "condition": [ "ele-1" ],
      "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
      "example": [ {
        "label": "General",
        "valueString": "123456"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.value"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "per-1",
        "human": "If present, start SHALL have a lower value than end",
        "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
        "source": "http://hl7.org/fhir/StructureDefinition/Period",
        "severity": "error",
        "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)"
      } ],
      "path": "Appointment.identifier.period",
      "min": 0,
      "definition": "Time period during which identifier is/was valid for use.",
      "short": "Time period when id is/was valid for use",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DR",
        "identity": "v2"
      }, {
        "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]",
        "identity": "rim"
      }, {
        "map": "CX.7 + CX.8",
        "identity": "v2"
      }, {
        "map": "Role.effectiveTime or implied by context",
        "identity": "rim"
      }, {
        "map": "./StartDate and ./EndDate",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione.period",
      "condition": [ "ele-1" ],
      "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.period"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"
      } ],
      "path": "Appointment.identifier.assigner",
      "min": 0,
      "definition": "Organization that issued/manages the identifier.",
      "short": "Organization that issued id (may be just text)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "CX.4 / (CX.4,CX.9,CX.10)",
        "identity": "v2"
      }, {
        "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper",
        "identity": "rim"
      }, {
        "map": "./IdentifierIssuingAuthority",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ]
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "1",
      "id": "Appointment.identifier:identificativoPrenotazione.assigner",
      "condition": [ "ele-1" ],
      "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.assigner"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.status",
      "min": 1,
      "definition": "Elemento di tipo code che contiene lo stato complessivo dell'Appuntamento. Ciascuno dei partecipanti ha un proprio stato di partecipazione che indica il suo coinvolgimento nel processo, tuttavia questo stato indica lo stato condiviso.",
      "isModifier": true,
      "short": "proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Request.status",
        "identity": "workflow"
      }, {
        "map": "FiveWs.status",
        "identity": "w5"
      }, {
        "map": "SCH-25",
        "identity": "v2"
      }, {
        "map": ".statusCode",
        "identity": "rim"
      }, {
        "map": "STATUS",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": true,
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "AppointmentStatus"
        } ],
        "description": "The free/busy status of an appointment."
      },
      "max": "1",
      "id": "Appointment.status",
      "condition": [ "ele-1" ],
      "comment": "Se lo stato dell'Appuntamento è \"cancellato\", tutti i partecipanti devono avere i loro calendari liberati per il periodo dell'appuntamento e quindi tutti gli slot che erano contrassegnati come Occupati possono essere reimpostati come Liberi.\r\n\r\nQuesto elemento è etichettato come modificatore perché lo stato contiene il codice inserito per errore che contrassegna l'Appuntamento come non valido al momento.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Appointment.status"
      },
      "isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.cancelationReason",
      "min": 0,
      "definition": "The coded reason for the appointment being cancelled. This is often used in reporting/billing/futher processing to determine if further actions are required, or specific fees apply.",
      "short": "The coded reason for the appointment being cancelled",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/appointment-cancellation-reason",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "cancelation-reason"
        } ]
      },
      "max": "1",
      "id": "Appointment.cancelationReason",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Appointment.cancelationReason"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.serviceCategory",
      "min": 0,
      "definition": "Categorizzazione del servizio erogato durante l'appuntamento.",
      "short": "Categorizzazione del servizio erogato durante l'appuntamento.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "n/a, might be inferred from the ServiceDeliveryLocation",
        "identity": "rim"
      }, {
        "map": "CATEGORIES",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/service-category",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "service-category"
        } ]
      },
      "max": "*",
      "id": "Appointment.serviceCategory",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Appointment.serviceCategory"
      },
      "isSummary": true
    }, {
      "path": "Appointment.serviceCategory.id",
      "min": 0,
      "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",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Appointment.serviceCategory.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Appointment.serviceCategory.extension",
      "min": 0,
      "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",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Appointment.serviceCategory.extension",
      "condition": [ "ele-1" ],
      "comment": "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.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.serviceCategory.coding",
      "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
      "min": 0,
      "definition": "A reference to a code defined by a terminology system.",
      "short": "Code defined by a terminology system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "C*E.1-8, C*E.10-22",
        "identity": "v2"
      }, {
        "map": "union(., ./translation)",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
        "identity": "orim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Regime di erogazione SSN, Libera Professione ecc",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Coding"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "*",
      "id": "Appointment.serviceCategory.coding",
      "condition": [ "ele-1" ],
      "comment": "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.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "CodeableConcept.coding"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.serviceCategory.coding",
      "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
      "min": 0,
      "definition": "A reference to a code defined by a terminology system.",
      "short": "Code defined by a terminology system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "C*E.1-8, C*E.10-22",
        "identity": "v2"
      }, {
        "map": "union(., ./translation)",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "sliceName": "RegimeDiErogazione",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "*",
      "id": "Appointment.serviceCategory.coding:RegimeDiErogazione",
      "condition": [ "ele-1" ],
      "comment": "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.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "CodeableConcept.coding"
      },
      "isSummary": true
    }, {
      "path": "Appointment.serviceCategory.coding.id",
      "min": 0,
      "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",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Appointment.serviceCategory.coding:RegimeDiErogazione.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Appointment.serviceCategory.coding.extension",
      "min": 0,
      "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",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Appointment.serviceCategory.coding:RegimeDiErogazione.extension",
      "condition": [ "ele-1" ],
      "comment": "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.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.serviceCategory.coding.system",
      "requirements": "Need to be unambiguous about the source of the definition of the symbol.",
      "min": 0,
      "definition": "The identification of the code system that defines the meaning of the symbol in the code.",
      "short": "Identity of the terminology system",
      "fixedUri": "https://terminology.pnt.gov/CodeSystem/regimeErogazione",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.3",
        "identity": "v2"
      }, {
        "map": "./codeSystem",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "max": "1",
      "id": "Appointment.serviceCategory.coding:RegimeDiErogazione.system",
      "condition": [ "ele-1" ],
      "comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.system"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.serviceCategory.coding.version",
      "min": 0,
      "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
      "short": "Version of the system - if relevant",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.7",
        "identity": "v2"
      }, {
        "map": "./codeSystemVersion",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Appointment.serviceCategory.coding:RegimeDiErogazione.version",
      "condition": [ "ele-1" ],
      "comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.version"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.serviceCategory.coding.code",
      "requirements": "Need to refer to a particular code in the system.",
      "min": 0,
      "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
      "short": "Symbol in syntax defined by the system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.1",
        "identity": "v2"
      }, {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "https://terminology.pnt.gov/ValueSet/regimeErogazione"
      },
      "max": "1",
      "id": "Appointment.serviceCategory.coding:RegimeDiErogazione.code",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.code"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.serviceCategory.coding.display",
      "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",
      "min": 0,
      "definition": "A representation of the meaning of the code in the system, following the rules of the system.",
      "short": "Representation defined by the system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.2 - but note this is not well followed",
        "identity": "v2"
      }, {
        "map": "CV.displayName",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Appointment.serviceCategory.coding:RegimeDiErogazione.display",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.display"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.serviceCategory.coding.userSelected",
      "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
      "min": 0,
      "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
      "short": "If this coding was chosen directly by the user",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Sometimes implied by being first",
        "identity": "v2"
      }, {
        "map": "CD.codingRationale",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "max": "1",
      "id": "Appointment.serviceCategory.coding:RegimeDiErogazione.userSelected",
      "condition": [ "ele-1" ],
      "comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.userSelected"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.serviceCategory.text",
      "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.",
      "min": 0,
      "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",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.9. But note many systems use C*E.2 for this",
        "identity": "v2"
      }, {
        "map": "./originalText[mediaType/code=\"text/plain\"]/data",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Appointment.serviceCategory.text",
      "condition": [ "ele-1" ],
      "comment": "Very often the text is the same as a displayName of one of the codings.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "CodeableConcept.text"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.serviceType",
      "min": 0,
      "definition": "The specific service that is to be performed during this appointment.",
      "short": "The specific service that is to be performed during this appointment",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Request.code",
        "identity": "workflow"
      }, {
        "map": "n/a, might be inferred from the ServiceDeliveryLocation",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/service-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "service-type"
        } ]
      },
      "max": "*",
      "id": "Appointment.serviceType",
      "condition": [ "ele-1" ],
      "comment": "For a provider to provider appointment the code \"FOLLOWUP\" may be appropriate, as this is expected to be discussing some patient that was seen in the past.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Appointment.serviceType"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.specialty",
      "min": 0,
      "definition": "The specialty of a practitioner that would be required to perform the service requested in this appointment.",
      "short": "The specialty of a practitioner that would be required to perform the service requested in this appointment",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "FiveWs.class",
        "identity": "w5"
      }, {
        "map": ".performer.AssignedPerson.code",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/c80-practice-codes",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "specialty"
        } ]
      },
      "max": "*",
      "id": "Appointment.specialty",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Appointment.specialty"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.appointmentType",
      "min": 0,
      "definition": "The style of appointment or patient that has been booked in the slot (not service type).",
      "short": "The style of appointment or patient that has been booked in the slot (not service type)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "ARQ-7",
        "identity": "v2"
      }, {
        "map": ".code",
        "identity": "rim"
      }, {
        "map": "CLASSIFICATION",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "binding": {
        "strength": "preferred",
        "valueSet": "http://terminology.hl7.org/ValueSet/v2-0276",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "appointment-type"
        } ]
      },
      "max": "1",
      "id": "Appointment.appointmentType",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Appointment.appointmentType"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.reasonCode",
      "min": 0,
      "definition": "Elemento di tipo CodableConcept che contiene l'informazione per cui nasce l'Appointment.",
      "short": "Motivo codificato per cui è stato fissato l'appuntamento",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Request.reasonCode",
        "identity": "workflow"
      }, {
        "map": "AIS-3, SCH-7",
        "identity": "v2"
      }, {
        "map": ".reasonCode",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/encounter-reason",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "ApptReason"
        } ],
        "description": "The Reason for the appointment to take place."
      },
      "max": "*",
      "id": "Appointment.reasonCode",
      "condition": [ "ele-1" ],
      "comment": "Non tutti gli usi della terminologia si adattano a questo schema generale. In alcuni casi, i modelli non dovrebbero usare CodeableConcept e utilizzare direttamente la codifica, fornendo la propria struttura per la gestione del testo, delle codifiche, delle traduzioni e delle relazioni tra gli elementi e il pre e post coordinamento.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Appointment.reasonCode"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"
      } ],
      "path": "Appointment.reasonReference",
      "min": 0,
      "definition": "Reason the appointment has been scheduled to take place, as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.",
      "short": "Reason the appointment is to take place (resource)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "Request.reasonReference",
        "identity": "workflow"
      }, {
        "map": ".inboundRelationship[@typeCode = 'RSON'].observation",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Procedure", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation" ]
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "*",
      "id": "Appointment.reasonReference",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Appointment.reasonReference"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.priority",
      "min": 0,
      "definition": "The priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments. (The iCal Standard specifies 0 as undefined, 1 as highest, 9 as lowest priority).",
      "short": "Used to make informed decisions if needing to re-prioritize",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Request.priority",
        "identity": "workflow"
      }, {
        "map": "FiveWs.class",
        "identity": "w5"
      }, {
        "map": "ARQ-12, SCH-11.6 / TQ1-9",
        "identity": "v2"
      }, {
        "map": ".priorityCode",
        "identity": "rim"
      }, {
        "map": "PRIORITY",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "unsignedInt"
      } ],
      "max": "1",
      "id": "Appointment.priority",
      "condition": [ "ele-1" ],
      "comment": "Seeking implementer feedback on this property and how interoperable it is.\r\rUsing an extension to record a CodeableConcept for named values may be tested at a future connectathon.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Appointment.priority"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.description",
      "min": 0,
      "definition": "The brief description of the appointment as would be shown on a subject line in a meeting request, or appointment list. Detailed or expanded information should be put in the comment field.",
      "short": "Shown on a subject line in a meeting request, or appointment list",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "NTE-3",
        "identity": "v2"
      }, {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": "SUMMARY",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Appointment.description",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Appointment.description"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"
      } ],
      "path": "Appointment.supportingInformation",
      "min": 0,
      "definition": "Additional information to support the appointment provided when making the appointment.",
      "short": "Additional information to support the appointment",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "Request.supportingInfo",
        "identity": "workflow"
      }, {
        "map": "FiveWs.context",
        "identity": "w5"
      }, {
        "map": ".inboundRelationship[@typeCode = 'SPRT'].observation",
        "identity": "rim"
      }, {
        "map": "ATTACH",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ]
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "*",
      "id": "Appointment.supportingInformation",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Appointment.supportingInformation"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.start",
      "min": 0,
      "definition": "Contiene la data dell'appuntamento.",
      "short": "Quando deve avvenire l'appuntamento",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Request.occurrence[x]",
        "identity": "workflow"
      }, {
        "map": "FiveWs.init",
        "identity": "w5"
      }, {
        "map": "ARQ-11.1, SCH-11.4 / TQ1-7",
        "identity": "v2"
      }, {
        "map": ".effectiveTime.low",
        "identity": "rim"
      }, {
        "map": "DTSTART",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "instant"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Appointment.start",
      "condition": [ "ele-1" ],
      "comment": "Nota: questa opzione è destinata ai casi in cui è necessario osservare con precisione gli orari, tipicamente i log di sistema e così via, e non gli orari riferiti dall'uomo; per questi ultimi, vedere date e dateTime (che può essere preciso come un istante, ma non è necessario che lo sia). Il fuso orario è sempre richiesto",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Appointment.start"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.end",
      "min": 0,
      "definition": "Data/ora in cui l'appuntamento si conclude.  Le date possono essere omesse in caso di status proposed o cancelled.",
      "short": "Quando si conclude l'appuntamento",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Request.occurrence[x]",
        "identity": "workflow"
      }, {
        "map": "FiveWs.done[x]",
        "identity": "w5"
      }, {
        "map": "SCH-11.5 / TQ1-8/ calculated based on the start and the duration which is in ARQ-9",
        "identity": "v2"
      }, {
        "map": ".effectiveTime.high",
        "identity": "rim"
      }, {
        "map": "DTEND",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "instant"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Appointment.end",
      "condition": [ "ele-1" ],
      "comment": "Nota: questa opzione è destinata ai casi in cui è necessario osservare con precisione gli orari, tipicamente i log di sistema e così via, e non gli orari riferiti dall'uomo; per questi ultimi, vedere date e dateTime (che può essere preciso come un istante, ma non è necessario che lo sia). Il fuso orario è sempre richiesto",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Appointment.end"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.minutesDuration",
      "min": 0,
      "definition": "Number of minutes that the appointment is to take. This can be less than the duration between the start and end times.  For example, where the actual time of appointment is only an estimate or if a 30 minute appointment is being requested, but any time would work.  Also, if there is, for example, a planned 15 minute break in the middle of a long appointment, the duration may be 15 minutes less than the difference between the start and end.",
      "short": "Can be less than start/end (e.g. estimate)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Request.occurrence[x]",
        "identity": "workflow"
      }, {
        "map": ".activityTime[@xsi:type = ('SXPR_TS', 'PIVL_TS')].width",
        "identity": "rim"
      }, {
        "map": "DURATION (e.g. PT15M)",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "positiveInt"
      } ],
      "max": "1",
      "id": "Appointment.minutesDuration",
      "condition": [ "ele-1" ],
      "comment": "32 bit number; for values larger than this, use decimal",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Appointment.minutesDuration"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"
      } ],
      "path": "Appointment.slot",
      "min": 0,
      "definition": "The slots from the participants' schedules that will be filled by the appointment.",
      "short": "The slots that this appointment is filling",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": ".outboundRelationship[@typeCode = 'REFR'].act[@classCode = 'ACT'][@moodCode = 'SLOT']",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Slot" ]
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "*",
      "id": "Appointment.slot",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Appointment.slot"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.created",
      "min": 0,
      "definition": "Elemento di tipo dateTime che contiene la data di creazione iniziale dell'appuntamento",
      "short": "La data di creazione della nomina",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Request.authoredOn",
        "identity": "workflow"
      }, {
        "map": ".author.time",
        "identity": "rim"
      }, {
        "map": "CREATED",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Appointment.created",
      "condition": [ "ele-1" ],
      "comment": "Questa proprietà è necessaria per molti casi d'uso in cui l'età di un appuntamento viene considerata nell'elaborazione dei flussi di lavoro per la programmazione e la fatturazione degli appuntamenti.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Appointment.created"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.comment",
      "min": 0,
      "definition": "Additional comments about the appointment.",
      "short": "Additional comments",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Request.note",
        "identity": "workflow"
      }, {
        "map": "NTE-3",
        "identity": "v2"
      }, {
        "map": ".subjectOf.observation[@moodCode = 'EVN'][code = 'annotation'].value",
        "identity": "rim"
      }, {
        "map": "DESCRIPTION (for internal use)",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Appointment.comment",
      "condition": [ "ele-1" ],
      "comment": "Additional text to aid in facilitating the appointment. For instance, a comment might be, \"patient should proceed immediately to infusion room upon arrival\"\r\rWhere this is a planned appointment and the start/end dates are not set then this field can be used to provide additional guidance on the details of the appointment request, including any restrictions on when to book it.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Appointment.comment"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.patientInstruction",
      "min": 0,
      "definition": "While Appointment.comment contains information for internal use, Appointment.patientInstructions is used to capture patient facing information about the Appointment (e.g. please bring your referral or fast from 8pm night before).",
      "short": "Detailed information and instructions for the patient",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "NTE-3",
        "identity": "v2"
      }, {
        "map": ".subjectOf.observation[@moodCode = 'EVN'][code = 'annotation'].value",
        "identity": "rim"
      }, {
        "map": "DESCRIPTION (for patient use)",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Appointment.patientInstruction",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Appointment.patientInstruction"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"
      } ],
      "path": "Appointment.basedOn",
      "min": 0,
      "definition": "La richiesta di servizio per la quale è stato assegnato l'appuntamento (ad es. richiesta di referto o di procedura in arrivo).",
      "short": "La richiesta di servizio per la quale viene assegnato questo appuntamento valuta",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "Request.basedOn",
        "identity": "workflow"
      }, {
        "map": ".outboundRelationship[@typeCode = 'FLFS'].act[@classCode < 'ActCareProvisionRequestType'][@moodCode = 'RQO']",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://pnt.gov/fhir/StructureDefinition/ServiceRequest" ]
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "alias": [ "incomingReferral" ],
      "max": "*",
      "id": "Appointment.basedOn",
      "condition": [ "ele-1" ],
      "comment": "I riferimenti DEVONO essere un riferimento a una risorsa FHIR effettiva e DEVONO essere risolvibili (consentendo il controllo dell'accesso, la temporanea indisponibilità, ecc.) La risoluzione può avvenire tramite recupero dall'URL o, se applicabile per tipo di risorsa, trattando un riferimento assoluto come un URL canonico e cercandolo in un registro/repository locale.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Appointment.basedOn"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "app-1",
        "human": "Either the type or actor on the participant SHALL be specified",
        "xpath": "(exists(f:type) or exists(f:actor))",
        "source": "http://hl7.org/fhir/StructureDefinition/Appointment",
        "severity": "error",
        "expression": "type.exists() or actor.exists()"
      } ],
      "path": "Appointment.participant",
      "min": 1,
      "definition": "BackboneElement contenente la lista dei coinvolti nella visita (Patient e PractitionerRole).",
      "short": "Partecipanti coinvolti nell'appuntamento",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Request.performer, Request.subject",
        "identity": "workflow"
      }, {
        "map": "PID, AIP, AIG, AIL",
        "identity": "v2"
      }, {
        "map": "performer | reusableDevice | subject | location",
        "identity": "rim"
      }, {
        "map": "ATTENDEE component to be created",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "*",
      "id": "Appointment.participant",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 1,
        "path": "Appointment.participant"
      }
    }, {
      "path": "Appointment.participant.id",
      "min": 0,
      "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",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Appointment.participant.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Appointment.participant.extension",
      "min": 0,
      "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",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Appointment.participant.extension",
      "condition": [ "ele-1" ],
      "comment": "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.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Appointment.participant.modifierExtension",
      "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](extensibility.html#modifierExtension).",
      "min": 0,
      "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Appointment.participant.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "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.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.participant.type",
      "min": 0,
      "definition": "Role of participant in the appointment.",
      "short": "Role of participant in the appointment",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "AIP-4, AIG-4",
        "identity": "v2"
      }, {
        "map": "(performer | reusableDevice | subject | location).@typeCode",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "http://hl7.org/fhir/ValueSet/encounter-participant-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "ParticipantType"
        } ],
        "description": "Role of participant in encounter."
      },
      "max": "*",
      "id": "Appointment.participant.type",
      "condition": [ "ele-1" ],
      "comment": "The role of the participant can be used to declare what the actor will be doing in the scope of this appointment.\r\rIf the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning.\r\rThis value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Appointment.participant.type"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"
      } ],
      "path": "Appointment.participant.actor",
      "min": 0,
      "definition": "Contiene il riferimento ai Practitioner che prendono in carico la visita e al Patient oggetto della visita.",
      "short": "reference a Practioner e Patient",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "FiveWs.who",
        "identity": "w5"
      }, {
        "map": "PID-3-Patient ID List | AIL-3 | AIG-3 | AIP-3",
        "identity": "v2"
      }, {
        "map": "performer.person | reusableDevice.manufacturedDevice | subject.patient | location.serviceDeliveryLocation",
        "identity": "rim"
      }, {
        "map": "ATTENDEE: (Need to provide the common name CN and also the MAILTO properties from the practitioner resource) where the participant type is not \"information-only\"",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://pnt.gov/fhir/StructureDefinition/PractitionerRole", "https://pnt.gov/fhir/StructureDefinition/Patient", "https://pnt.gov/fhir/StructureDefinition/Practitioner", "https://pnt.gov/fhir/StructureDefinition/HealthcareService" ]
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "1",
      "id": "Appointment.participant.actor",
      "condition": [ "ele-1" ],
      "comment": "I riferimenti DEVONO essere un riferimento a una risorsa FHIR effettiva e DEVONO essere risolvibili (consentendo il controllo dell'accesso, la non disponibilità temporanea, ecc.) La risoluzione può avvenire tramite recupero dall'URL o, se applicabile per tipo di risorsa, trattando un riferimento assoluto come un URL canonico e cercandolo in un registro/repository locale.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Appointment.participant.actor"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.participant.required",
      "min": 0,
      "definition": "Whether this participant is required to be present at the meeting. This covers a use-case where two doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present.",
      "short": "required | optional | information-only",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "(performer | reusableDevice | subject | location).@performInd",
        "identity": "rim"
      }, {
        "map": "ROLE=REQ-PARTICIPANT (roleparam)",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/participantrequired|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "ParticipantRequired"
        } ],
        "description": "Is the Participant required to attend the appointment."
      },
      "max": "1",
      "id": "Appointment.participant.required",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Appointment.participant.required"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Appointment.participant.status",
      "min": 1,
      "definition": "Stato di partecipazione.",
      "short": "accepted | declined | tentative | needs-action",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "AIP-12, AIG-14",
        "identity": "v2"
      }, {
        "map": "(performer | reusableDevice | subject | location).statusCode",
        "identity": "rim"
      }, {
        "map": "ATTENDEE;CN=\"John Doe\";RSVP=TRUE:mailto:john@doe.com (rsvpparam | partstatparam)",
        "identity": "ical"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/participationstatus|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "ParticipationStatus"
        } ],
        "description": "The Participation status of an appointment."
      },
      "max": "1",
      "id": "Appointment.participant.status",
      "condition": [ "ele-1" ],
      "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Appointment.participant.status"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "per-1",
        "human": "If present, start SHALL have a lower value than end",
        "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
        "source": "http://hl7.org/fhir/StructureDefinition/Period",
        "severity": "error",
        "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)"
      } ],
      "path": "Appointment.participant.period",
      "min": 0,
      "definition": "Participation period of the actor.",
      "short": "Participation period of the actor",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DR",
        "identity": "v2"
      }, {
        "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "1",
      "id": "Appointment.participant.period",
      "condition": [ "ele-1" ],
      "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Appointment.participant.period"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "per-1",
        "human": "If present, start SHALL have a lower value than end",
        "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
        "source": "http://hl7.org/fhir/StructureDefinition/Period",
        "severity": "error",
        "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)"
      } ],
      "path": "Appointment.requestedPeriod",
      "min": 0,
      "definition": "A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within.\n\nThe duration (usually in minutes) could also be provided to indicate the length of the appointment to fill and populate the start/end times for the actual allocated time. However, in other situations the duration may be calculated by the scheduling system.",
      "short": "Potential date/time interval(s) requested to allocate the appointment within",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DR",
        "identity": "v2"
      }, {
        "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]",
        "identity": "rim"
      }, {
        "map": "Request.occurrence[x]",
        "identity": "workflow"
      }, {
        "map": "ARQ-11",
        "identity": "v2"
      }, {
        "map": ".activityTime[@xsi:type = ('SXPR_TS', 'PIVL_TS')]",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "*",
      "id": "Appointment.requestedPeriod",
      "condition": [ "ele-1" ],
      "comment": "This does not introduce a capacity for recurring appointments.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Appointment.requestedPeriod"
      }
    } ]
  },
  "status": "draft",
  "id": "6667ce3d-0fbb-47b6-8ec8-850e8a041cea",
  "kind": "resource",
  "url": "https://pnt.gov/fhir/StructureDefinition/Appointment",
  "version": null,
  "differential": {
    "element": [ {
      "id": "Appointment.id",
      "min": 1,
      "path": "Appointment.id",
      "short": "ID logico della risorsa",
      "comment": "Il valore associato al campo deve rispettare il seguente formalismo:\r\nPOD.GUID\r\ndove POD = point of delivery identification",
      "definition": "ID logico della risorsa, come utilizzato nell'URL della risorsa. Una volta assegnato, questo valore non cambia mai.",
      "mustSupport": true
    }, {
      "id": "Appointment.identifier",
      "max": "1",
      "path": "Appointment.identifier",
      "short": "id esterni per la risorsa",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "type.coding.code",
          "type": "value"
        } ]
      },
      "definition": "Elemento di tipo identifier contenente gli identificativi univoci della risorsa.",
      "mustSupport": true
    }, {
      "id": "Appointment.identifier:identificativoPrenotazione",
      "max": "1",
      "path": "Appointment.identifier",
      "short": "Identificativo associata alla singola istanza di prenotazione",
      "sliceName": "identificativoPrenotazione",
      "definition": "Identificativo associato alla singola istanza di prenotazione generato da chi eroga la prestazione."
    }, {
      "id": "Appointment.identifier:identificativoPrenotazione.type.coding",
      "path": "Appointment.identifier.type.coding",
      "short": "Codice che identifica la tipologia di identificativo",
      "definition": "Codice che identifica la tipologia di identificativo, all'interno del sistema terminologico di riferimento."
    }, {
      "id": "Appointment.identifier:identificativoPrenotazione.type.coding.system",
      "path": "Appointment.identifier.type.coding.system",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203"
    }, {
      "id": "Appointment.identifier:identificativoPrenotazione.type.coding.code",
      "path": "Appointment.identifier.type.coding.code",
      "fixedCode": "FILL"
    }, {
      "id": "Appointment.identifier:identificativoPrenotazione.value",
      "path": "Appointment.identifier.value",
      "short": "Valore univoco",
      "definition": "Identificativo di prenotazione staccato da chi gestisce l'erogazione della richiesta"
    }, {
      "id": "Appointment.status",
      "path": "Appointment.status",
      "comment": "Se lo stato dell'Appuntamento è \"cancellato\", tutti i partecipanti devono avere i loro calendari liberati per il periodo dell'appuntamento e quindi tutti gli slot che erano contrassegnati come Occupati possono essere reimpostati come Liberi.\r\n\r\nQuesto elemento è etichettato come modificatore perché lo stato contiene il codice inserito per errore che contrassegna l'Appuntamento come non valido al momento.",
      "definition": "Elemento di tipo code che contiene lo stato complessivo dell'Appuntamento. Ciascuno dei partecipanti ha un proprio stato di partecipazione che indica il suo coinvolgimento nel processo, tuttavia questo stato indica lo stato condiviso.",
      "mustSupport": true
    }, {
      "id": "Appointment.serviceCategory",
      "path": "Appointment.serviceCategory",
      "short": "Categorizzazione del servizio erogato durante l'appuntamento.",
      "definition": "Categorizzazione del servizio erogato durante l'appuntamento.",
      "mustSupport": true
    }, {
      "id": "Appointment.serviceCategory.coding",
      "path": "Appointment.serviceCategory.coding",
      "slicing": {
        "rules": "open",
        "description": "Regime di erogazione SSN, Libera Professione ecc",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Appointment.serviceCategory.coding:RegimeDiErogazione",
      "path": "Appointment.serviceCategory.coding",
      "sliceName": "RegimeDiErogazione"
    }, {
      "id": "Appointment.serviceCategory.coding:RegimeDiErogazione.system",
      "path": "Appointment.serviceCategory.coding.system",
      "fixedUri": "https://terminology.pnt.gov/CodeSystem/regimeErogazione"
    }, {
      "id": "Appointment.serviceCategory.coding:RegimeDiErogazione.code",
      "path": "Appointment.serviceCategory.coding.code",
      "binding": {
        "strength": "required",
        "valueSet": "https://terminology.pnt.gov/ValueSet/regimeErogazione"
      }
    }, {
      "id": "Appointment.reasonCode",
      "path": "Appointment.reasonCode",
      "short": "Motivo codificato per cui è stato fissato l'appuntamento",
      "comment": "Non tutti gli usi della terminologia si adattano a questo schema generale. In alcuni casi, i modelli non dovrebbero usare CodeableConcept e utilizzare direttamente la codifica, fornendo la propria struttura per la gestione del testo, delle codifiche, delle traduzioni e delle relazioni tra gli elementi e il pre e post coordinamento.",
      "definition": "Elemento di tipo CodableConcept che contiene l'informazione per cui nasce l'Appointment."
    }, {
      "id": "Appointment.start",
      "path": "Appointment.start",
      "short": "Quando deve avvenire l'appuntamento",
      "comment": "Nota: questa opzione è destinata ai casi in cui è necessario osservare con precisione gli orari, tipicamente i log di sistema e così via, e non gli orari riferiti dall'uomo; per questi ultimi, vedere date e dateTime (che può essere preciso come un istante, ma non è necessario che lo sia). Il fuso orario è sempre richiesto",
      "definition": "Contiene la data dell'appuntamento.",
      "mustSupport": true
    }, {
      "id": "Appointment.end",
      "path": "Appointment.end",
      "short": "Quando si conclude l'appuntamento",
      "comment": "Nota: questa opzione è destinata ai casi in cui è necessario osservare con precisione gli orari, tipicamente i log di sistema e così via, e non gli orari riferiti dall'uomo; per questi ultimi, vedere date e dateTime (che può essere preciso come un istante, ma non è necessario che lo sia). Il fuso orario è sempre richiesto",
      "definition": "Data/ora in cui l'appuntamento si conclude.  Le date possono essere omesse in caso di status proposed o cancelled.",
      "mustSupport": true
    }, {
      "id": "Appointment.created",
      "path": "Appointment.created",
      "short": "La data di creazione della nomina",
      "comment": "Questa proprietà è necessaria per molti casi d'uso in cui l'età di un appuntamento viene considerata nell'elaborazione dei flussi di lavoro per la programmazione e la fatturazione degli appuntamenti.",
      "definition": "Elemento di tipo dateTime che contiene la data di creazione iniziale dell'appuntamento",
      "mustSupport": true
    }, {
      "id": "Appointment.basedOn",
      "path": "Appointment.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://pnt.gov/fhir/StructureDefinition/ServiceRequest" ]
      } ],
      "short": "La richiesta di servizio per la quale viene assegnato questo appuntamento valuta",
      "comment": "I riferimenti DEVONO essere un riferimento a una risorsa FHIR effettiva e DEVONO essere risolvibili (consentendo il controllo dell'accesso, la temporanea indisponibilità, ecc.) La risoluzione può avvenire tramite recupero dall'URL o, se applicabile per tipo di risorsa, trattando un riferimento assoluto come un URL canonico e cercandolo in un registro/repository locale.",
      "definition": "La richiesta di servizio per la quale è stato assegnato l'appuntamento (ad es. richiesta di referto o di procedura in arrivo).",
      "mustSupport": true
    }, {
      "id": "Appointment.participant",
      "path": "Appointment.participant",
      "short": "Partecipanti coinvolti nell'appuntamento",
      "definition": "BackboneElement contenente la lista dei coinvolti nella visita (Patient e PractitionerRole).",
      "mustSupport": true
    }, {
      "id": "Appointment.participant.actor",
      "path": "Appointment.participant.actor",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://pnt.gov/fhir/StructureDefinition/PractitionerRole", "https://pnt.gov/fhir/StructureDefinition/Patient", "https://pnt.gov/fhir/StructureDefinition/Practitioner", "https://pnt.gov/fhir/StructureDefinition/HealthcareService" ]
      } ],
      "short": "reference a Practioner e Patient",
      "comment": "I riferimenti DEVONO essere un riferimento a una risorsa FHIR effettiva e DEVONO essere risolvibili (consentendo il controllo dell'accesso, la non disponibilità temporanea, ecc.) La risoluzione può avvenire tramite recupero dall'URL o, se applicabile per tipo di risorsa, trattando un riferimento assoluto come un URL canonico e cercandolo in un registro/repository locale.",
      "definition": "Contiene il riferimento ai Practitioner che prendono in carico la visita e al Patient oggetto della visita."
    }, {
      "id": "Appointment.participant.status",
      "path": "Appointment.participant.status",
      "comment": "Si noti che le stringhe FHIR NON devono superare la dimensione di 1MB.",
      "definition": "Stato di partecipazione."
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Appointment"
}