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draft Template  Lettera di Dimissione Ospedaliera (LDO)

Id 2.16.840.1.113883.2.9.10.1.5.1.1 Effective Date 2018‑04‑11
Status draft Draft Version Label
Name Lettera_di_Dimissione_Ospedaliera_LDO Display Name Lettera di Dimissione Ospedaliera (LDO)
Description Lettera di Dimissione Ospedaliera LDO
Context Pathname //
Classification CDA Document Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 0 templates, Uses 24 templates
Used by as Name Version
hl7itig-transaction-4 Transaction draft en-US Create LDO 2022‑06‑06
Uses as Name Version
2.16.840.1.113883.10.12.101 Include active CDA recordTarget DYNAMIC
2.16.840.1.113883.10.12.102 Include active CDA author DYNAMIC
2.16.840.1.113883.10.12.103 Include active CDA dataEnterer DYNAMIC
2.16.840.1.113883.10.12.154 Include active CDA Informant DYNAMIC
2.16.840.1.113883.10.12.104 Include active CDA custodian DYNAMIC
2.16.840.1.113883.10.12.105 Include active CDA informationRecipient DYNAMIC
2.16.840.1.113883.10.12.106 Include active CDA legalAuthenticator DYNAMIC
2.16.840.1.113883.10.12.107 Include active CDA authenticator DYNAMIC
2.16.840.1.113883.10.12.108 Include active CDA participant DYNAMIC
2.16.840.1.113883.10.12.109 Include active CDA inFulfillmentOf DYNAMIC
2.16.840.1.113883.10.12.110 Include active CDA documentationOf DYNAMIC
2.16.840.1.113883.10.12.111 Include active CDA relatedDocument DYNAMIC
2.16.840.1.113883.10.12.114 Include active CDA Authorization DYNAMIC
2.16.840.1.113883.10.12.113 Include active CDA componentOf DYNAMIC
2.16.840.1.113883.2.9.10.1.5.3.1 Containment draft Motivo del ricovero (LDO) DYNAMIC
2.16.840.1.113883.2.9.10.1.5.3.2 Containment draft Inquadramento clinico iniziale (LDO) DYNAMIC
2.16.840.1.113883.2.9.10.1.5.3.6 Containment draft Decorso Ospedaliero (LDO) DYNAMIC
2.16.840.1.113883.2.9.10.1.5.3.7 Containment draft Riscontri ed accertamenti significativi (LDO) DYNAMIC
2.16.840.1.113883.2.9.10.1.5.3.8 Containment draft Procedure eseguite durante il ricovero (LDO) DYNAMIC
2.16.840.1.113883.2.9.10.1.5.3.9 Containment draft Allergie (LDO) DYNAMIC
2.16.840.1.113883.2.9.10.1.5.3.10 Containment draft Terapia farmacologica effettuata durante il ricovero (LDO) DYNAMIC
2.16.840.1.113883.2.9.10.1.5.3.11 Containment draft Condizioni del paziente e diagnosi alla dimissione (LDO) DYNAMIC
2.16.840.1.113883.2.9.10.1.5.3.12 Containment draft Terapia farmacologica alla dimissione (LDO) DYNAMIC
2.16.840.1.113883.2.9.10.1.5.3.13 Containment draft Istruzioni di follow-up (LDO) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.2 CDA ClinicalDocument (with StructuredBody) (2005‑09‑07)
ref
ad1bbr-
Item DT Card Conf Description Label
hl7:ClinicalDocument
 		(LetdotsLDO)
@classCode
 		cs 0 … 1 F DOCCLIN
@moodCode
 		cs 0 … 1 F EVN
hl7:realmCode
 		CS 0 … 1 R (LetdotsLDO)
hl7:typeId
 		II 1 … 1 R (LetdotsLDO)
@root
 		uid 1 … 1 F 2.16.840.1.113883.1.3
@extension
 		st 1 … 1 F POCD_MT000040UV02
hl7:templateId
 		II 1 … 1 (LetdotsLDO)
@root
 		uid 1 … 1 R
hl7:id
 		II 1 … 1 R (LetdotsLDO)
hl7:code
 		CE 1 … 1 R (LetdotsLDO)
@codeSystem
 		CONF 0 … 1 F 2.16.840.1.113883.6.1 (LOINC)
hl7:title
 		ST 0 … 1 (LetdotsLDO)
hl7:effectiveTime
 		TS 1 … 1 R (LetdotsLDO)
hl7:confidentialityCode
 		CE 1 … 1 R (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 x_BasicConfidentialityKind (DYNAMIC)
hl7:languageCode
 		CS 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:setId
 		II 0 … 1 (LetdotsLDO)
hl7:versionNumber
 		INT 0 … 1 (LetdotsLDO)
Included 1 … * from 2.16.840.1.113883.10.12.101 CDA recordTarget (DYNAMIC)
hl7:recordTarget
 		1 … * (LetdotsLDO)
@typeCode
 		0 … 1 F RCT
@contextControlCode
 		0 … 1 F OP
hl7:patientRole
 		1 … 1 (LetdotsLDO)
@classCode
 		0 … 1 F PAT
hl7:id
 		II 1 … * (LetdotsLDO)
hl7:addr
 		AD 0 … * (LetdotsLDO)
hl7:telecom
 		TEL 0 … * (LetdotsLDO)
hl7:patient
 		0 … 1 (LetdotsLDO)
@classCode
 		0 … 1 F PSN
@determinerCode
 		0 … 1 F INSTANCE
hl7:id
 		II 0 … 1 (LetdotsLDO)
hl7:name
 		PN 0 … * (LetdotsLDO)
hl7:administrativeGenderCode
 		CE 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
hl7:birthTime
 		TS 0 … 1 (LetdotsLDO)
hl7:maritalStatusCode
 		CE 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12212 MaritalStatus (DYNAMIC)
hl7:religiousAffiliationCode
 		CE 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19185 ReligiousAffiliation (DYNAMIC)
hl7:raceCode
 		CE 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14914 Race (DYNAMIC)
hl7:ethnicGroupCode
 		CE 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15836 Ethnicity (DYNAMIC)
hl7:guardian
 		0 … * (LetdotsLDO)
@classCode
 		0 … 1 F GUARD
hl7:id
 		II 0 … * (LetdotsLDO)
hl7:code
 		CE 0 … 1 (LetdotsLDO)
  CONF
shall be drawn from concept domain "RoleCode"
hl7:addr
 		AD 0 … * (LetdotsLDO)
hl7:telecom
 		TEL 0 … * (LetdotsLDO)
Choice 1 … 1 Elements to choose from:
hl7:guardianPerson
 		Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC) (LetdotsLDO)
hl7:guardianOrganization
 		Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) (LetdotsLDO)
hl7:birthplace
 		0 … 1 (LetdotsLDO)
@classCode
 		0 … 1 F BIRTHPL
hl7:place
 		1 … 1 (LetdotsLDO)
@classCode
 		0 … 1 F PLC
@determinerCode
 		0 … 1 F INSTANCE
hl7:name
 		EN 0 … 1 (LetdotsLDO)
hl7:addr
 		AD 0 … 1 (LetdotsLDO)
hl7:languageCommunication
 		0 … * (LetdotsLDO)
hl7:languageCode
 		CS 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:modeCode
 		CE 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12249 LanguageAbilityMode (DYNAMIC)
hl7:proficiencyLevelCode
 		CE 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12199 LanguageAbilityProficiency (DYNAMIC)
hl7:preferenceInd
 		BL 0 … 1 (LetdotsLDO)
hl7:providerOrganization
 		0 … 1 Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) (LetdotsLDO)
Included 1 … * from 2.16.840.1.113883.10.12.102 CDA author (DYNAMIC)
hl7:author
 		1 … * (LetdotsLDO)
@typeCode
 		0 … 1 F AUT
@contextControlCode
 		0 … 1 F OP
hl7:functionCode
 		CE 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
hl7:time
 		TS 1 … 1 R (LetdotsLDO)
hl7:assignedAuthor
 		1 … 1 (LetdotsLDO)
@classCode
 		0 … 1 F ASSIGNED
hl7:id
 		II 1 … * R (LetdotsLDO)
hl7:code
 		CE 0 … 1 (LetdotsLDO)
  CONF
shall be drawn from concept domain "RoleCode"
hl7:addr
 		AD 0 … * (LetdotsLDO)
hl7:telecom
 		TEL 0 … * (LetdotsLDO)
Choice 0 … 1 Elements to choose from:
hl7:assignedPerson
 		Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC) (LetdotsLDO)
hl7:assignedAuthoringDevice
 		Contains 2.16.840.1.113883.10.12.315 CDA Device (DYNAMIC) (LetdotsLDO)
hl7:representedOrganization
 		0 … 1 Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) (LetdotsLDO)
Included 0 … 1 from 2.16.840.1.113883.10.12.103 CDA dataEnterer (DYNAMIC)
hl7:dataEnterer
 		0 … 1 (LetdotsLDO)
@typeCode
 		0 … 1 F ENT
@contextControlCode
 		0 … 1 F OP
hl7:time
 		TS 0 … 1 (LetdotsLDO)
hl7:assignedEntity
 		1 … 1 Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) (LetdotsLDO)
Included 0 … * from 2.16.840.1.113883.10.12.154 CDA Informant (DYNAMIC)
hl7:informant
 		0 … * (LetdotsLDO)
@typeCode
 		0 … 1 F INF
@contextControlCode
 		0 … 1 F OP
Choice 1 … 1 Elements to choose from:
hl7:assignedEntity
 		Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) (LetdotsLDO)
hl7:relatedEntity
 		Contains 2.16.840.1.113883.10.12.316 CDA RelatedEntity (DYNAMIC) (LetdotsLDO)
Included 1 … 1 from 2.16.840.1.113883.10.12.104 CDA custodian (DYNAMIC)
hl7:custodian
 		1 … 1 (LetdotsLDO)
@typeCode
 		0 … 1 F CST
hl7:assignedCustodian
 		1 … 1 (LetdotsLDO)
@classCode
 		0 … 1 F ASSIGNED
hl7:representedCustodianOrganization
 		1 … 1 (LetdotsLDO)
@classCode
 		0 … 1 F ORG
@determinerCode
 		0 … 1 F INSTANCE
hl7:id
 		II 1 … * M (LetdotsLDO)
hl7:name
 		ON 0 … 1 (LetdotsLDO)
hl7:telecom
 		TEL 0 … 1 (LetdotsLDO)
hl7:addr
 		AD 0 … 1 (LetdotsLDO)
Included 0 … * from 2.16.840.1.113883.10.12.105 CDA informationRecipient (DYNAMIC)
hl7:informationRecipient
 		0 … * (LetdotsLDO)
@typeCode
 		cs 1 … 1 R
  CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19366 x_InformationRecipient (DYNAMIC)
hl7:intendedRecipient
 		1 … 1 (LetdotsLDO)
@classCode
 		cs 1 … 1 R
  CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.16772 x_InformationRecipientRole (DYNAMIC)
hl7:id
 		II 0 … * R (LetdotsLDO)
hl7:addr
 		AD 0 … * (LetdotsLDO)
hl7:telecom
 		TEL 0 … * (LetdotsLDO)
hl7:informationRecipient
 		0 … 1 Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC) (LetdotsLDO)
hl7:receivedOrganization
 		0 … 1 Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) (LetdotsLDO)
Included 0 … 1 from 2.16.840.1.113883.10.12.106 CDA legalAuthenticator (DYNAMIC)
hl7:legalAuthenticator
 		0 … 1 (LetdotsLDO)
@typeCode
 		0 … 1 F LA
@contextControlCode
 		0 … 1 F OP
hl7:time
 		TS 1 … 1 R (LetdotsLDO)
hl7:signatureCode
 		CS 1 … 1 R (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10282 ParticipationSignature (DYNAMIC)
hl7:assignedEntity
 		1 … 1 Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) (LetdotsLDO)
Included 0 … * from 2.16.840.1.113883.10.12.107 CDA authenticator (DYNAMIC)
hl7:authenticator
 		0 … * (LetdotsLDO)
@typeCode
 		0 … 1 F AUTHEN
hl7:time
 		TS 1 … 1 R (LetdotsLDO)
hl7:signatureCode
 		CS 1 … 1 R (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10282 ParticipationSignature (DYNAMIC)
hl7:assignedEntity
 		1 … 1 Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) (LetdotsLDO)
Included 0 … * from 2.16.840.1.113883.10.12.108 CDA participant (DYNAMIC)
hl7:participant
 		0 … * (LetdotsLDO)
@typeCode
 		cs 1 … 1 R
  CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.10901 ParticipationType (DYNAMIC)
@contextControlCode
 		0 … 1 F OP
hl7:functionCode
 		CE 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
hl7:time
 		IVL_TS 0 … 1 (LetdotsLDO)
hl7:associatedEntity
 		1 … 1 (LetdotsLDO)
@classCode
 		cs 1 … 1 R
  CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.19313 RoleClassAssociative (DYNAMIC)
hl7:id
 		II 0 … * (LetdotsLDO)
hl7:code
 		CE 0 … 1 (LetdotsLDO)
  CONF
shall be drawn from concept domain "RoleCode"
hl7:addr
 		AD 0 … * (LetdotsLDO)
hl7:telecom
 		TEL 0 … * (LetdotsLDO)
hl7:associatedPerson
 		0 … 1 Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC) (LetdotsLDO)
hl7:scopingOrganization
 		0 … 1 Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) (LetdotsLDO)
Included 0 … * from 2.16.840.1.113883.10.12.109 CDA inFulfillmentOf (DYNAMIC)
hl7:inFulfillmentOf
 		0 … * (LetdotsLDO)
@typeCode
 		0 … 1 F FLFS
hl7:order
 		1 … 1 (LetdotsLDO)
@classCode
 		0 … 1 F ACT
@moodCode
 		1 … 1 F RQO
hl7:id
 		II 1 … * R (LetdotsLDO)
hl7:code
 		CE 0 … 1 (LetdotsLDO)
  CONF
shall be drawn from concept domain "ActCode"
hl7:priorityCode
 		CE 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
Included 0 … * from 2.16.840.1.113883.10.12.110 CDA documentationOf (DYNAMIC)
hl7:documentationOf
 		0 … * (LetdotsLDO)
@typeCode
 		1 … 1 F DOC
hl7:serviceEvent
 		1 … 1 (LetdotsLDO)
@classCode
 		1 … 1 F ACT
@moodCode
 		1 … 1 F EVN
hl7:id
 		II 0 … * (LetdotsLDO)
hl7:code
 		CE 0 … 1 (LetdotsLDO)
  CONF
shall be drawn from concept domain "ActCode"
hl7:effectiveTime
 		IVL_TS 0 … 1 (LetdotsLDO)
hl7:performer
 		0 … * (LetdotsLDO)
@typeCode
 		cs 1 … 1 R
  CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19601 x_ServiceEventPerformer (DYNAMIC)
hl7:functionCode
 		CE 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
hl7:time
 		IVL_TS 0 … 1 (LetdotsLDO)
hl7:assignedEntity
 		1 … 1 Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) (LetdotsLDO)
Included 0 … * from 2.16.840.1.113883.10.12.111 CDA relatedDocument (DYNAMIC)
hl7:relatedDocument
 		0 … * (LetdotsLDO)
@typeCode
 		cs 1 … 1 R
  CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.11610 x_ActRelationshipDocument (DYNAMIC)
hl7:parentDocument
 		1 … 1 (LetdotsLDO)
@classCode
 		0 … 1 F DOCCLIN
@moodCode
 		0 … 1 F EVN
hl7:id
 		II 1 … * R (LetdotsLDO)
hl7:code
 		CD 0 … 1 (LetdotsLDO)
@codeSystem
 		CONF 0 … 1 F 2.16.840.1.113883.6.1 (LOINC)
hl7:text
 		ED 0 … 1 (LetdotsLDO)
hl7:setId
 		II 0 … 1 (LetdotsLDO)
hl7:versionNumber
 		INT 0 … 1 (LetdotsLDO)
Included 0 … * from 2.16.840.1.113883.10.12.114 CDA Authorization (DYNAMIC)
hl7:authorization
 		0 … * (LetdotsLDO)
@typeCode
 		0 … 1 F AUTH
hl7:consent
 		1 … 1 (LetdotsLDO)
@classCode
 		0 … 1 F CONS
@moodCode
 		0 … 1 F EVN
hl7:id
 		II 0 … * (LetdotsLDO)
hl7:code
 		CE 0 … 1 (LetdotsLDO)
  CONF
shall be drawn from concept domain "ActCode"
hl7:statusCode
 		CS 1 … 1 R (LetdotsLDO)
@code
 		CONF 0 … 1 F completed
Included 0 … 1 from 2.16.840.1.113883.10.12.113 CDA componentOf (DYNAMIC)
hl7:componentOf
 		0 … 1 (LetdotsLDO)
@typeCode
 		0 … 1 F COMP
hl7:encompassingEncounter
 		1 … 1 (LetdotsLDO)
@classCode
 		0 … 1 F ENC
@moodCode
 		0 … 1 F EVN
hl7:id
 		II 0 … * (LetdotsLDO)
hl7:code
 		CE 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.13955 ActEncounterCode (DYNAMIC)
hl7:effectiveTime
 		IVL_TS 1 … 1 R (LetdotsLDO)
hl7:dischargeDispositionCode
 		CE 0 … 1 (LetdotsLDO)
  CONF
shall be drawn from concept domain "EncounterDischargeDisposition"
hl7:responsibleParty
 		0 … 1 Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) (LetdotsLDO)
@typeCode
 		0 … 1 F RESP
hl7:encounterParticipant
 		0 … * (LetdotsLDO)
@typeCode
 		cs 1 … 1 R
  CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19600 x_EncounterParticipant (DYNAMIC)
hl7:time
 		IVL_TS 0 … 1 (LetdotsLDO)
hl7:assignedEntity
 		1 … 1 Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) (LetdotsLDO)
hl7:location
 		0 … 1 (LetdotsLDO)
@typeCode
 		0 … 1 F LOC
hl7:healthCareFacility
 		1 … 1 (LetdotsLDO)
@classCode
 		0 … 1 F SDLOC
hl7:id
 		II 0 … * (LetdotsLDO)
hl7:code
 		CE 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.17660 ServiceDeliveryLocationRoleType (DYNAMIC)
hl7:location
 		0 … 1 Contains 2.16.840.1.113883.10.12.317 CDA Place (DYNAMIC) (LetdotsLDO)
hl7:serviceProviderOrganization
 		0 … 1 Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) (LetdotsLDO)
hl7:component
 		1 … 1 (LetdotsLDO)
@typeCode
 		cs 0 … 1 F COMP
@contextConductionInd
 		bl 0 … 1 F true
hl7:structuredBody
 		1 … 1 (LetdotsLDO)
@classCode
 		cs 0 … 1 F DOCBODY
@moodCode
 		cs 0 … 1 F EVN
hl7:confidentialityCode
 		CE 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 x_BasicConfidentialityKind (DYNAMIC)
hl7:languageCode
 		CS 0 … 1 (LetdotsLDO)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:component
 		1 … 1 R

La sezione "Motivo del ricovero" è OBBLIGATORIA ed è atta a descrivere la causa principale che ha determinato il ricovero del paziente attraverso la diagnosi di accettazione. 


Contains 2.16.840.1.113883.2.9.10.1.5.3.1 Motivo del ricovero (LDO) (DYNAMIC) 		(LetdotsLDO)
@typeCode
 		cs 0 … 1 F COMP
@contextConductionInd
 		bl 0 … 1 F true
hl7:component
 		0 … 1 R

La sezione "Inquadramento clinico iniziale" è OPZIONALE e comprende informazioni inerenti all'anamnesi del paziente e all'esame obiettivo alla accettazione ed alla terapia medica domicilare o comunque precedente al ricovero. 


Contains 2.16.840.1.113883.2.9.10.1.5.3.2 Inquadramento clinico iniziale (LDO) (DYNAMIC) 		(LetdotsLDO)
@typeCode
 		cs 0 … 1 F COMP
@contextConductionInd
 		bl 0 … 1 F true
hl7:component
 		1 … 1 R

La sezione "Valutazione e decorso clinico" è OBBLIGATORIA ed include la descrizione dell’andamento del ricovero, il percorso diagnostico, terapeutico, riabilitativo o assistenziale. 


Contains 2.16.840.1.113883.2.9.10.1.5.3.6 Decorso Ospedaliero (LDO) (DYNAMIC) 		(LetdotsLDO)
@typeCode
 		cs 0 … 1 F COMP
@contextConductionInd
 		bl 0 … 1 F true
hl7:component
 		0 … 1 R

La sezione "Riscontri ed accertamenti significativi" è OPZIONALE ed è dedicata a descrivere esami e prestazioni specialistiche effettuate durante il ricovero ai fini di approfondimento delle condizioni patologiche del paziente (compresi gli esami di laboratorio analisi). 


Contains 2.16.840.1.113883.2.9.10.1.5.3.7 Riscontri ed accertamenti significativi (LDO) (DYNAMIC) 		(LetdotsLDO)
@typeCode
 		cs 0 … 1 F COMP
@contextConductionInd
 		bl 0 … 1 F true
hl7:component
 		0 … 1 R

La sezione " Procedure eseguite durante il ricovero" è OPZIONALE ed è dedicata a descrivere le procedure diagnostiche e degli interventi (ad es.: endoscopie, biopsie, coronarografie, impianti di pace-maker e defibrillatori, artrocentesi, artroscopie, ecc.) effettuati durante il ricovero. 


Contains 2.16.840.1.113883.2.9.10.1.5.3.8 Procedure eseguite durante il ricovero (LDO) (DYNAMIC) 		(LetdotsLDO)
@typeCode
 		cs 0 … 1 F COMP
@contextConductionInd
 		bl 0 … 1 F true
hl7:component
 		0 … 1 R

La sezione "Allergie " è OPZIONALE ed è dedicata a descrivere l'elenco dei principi attivi o agenti allergenici rilevati sul paziente, incluse le intolleranze. 


Contains 2.16.840.1.113883.2.9.10.1.5.3.9 Allergie (LDO) (DYNAMIC) 		(LetdotsLDO)
@typeCode
 		cs 0 … 1 F COMP
@contextConductionInd
 		bl 0 … 1 F true
hl7:component
 		0 … 1 R

La sezione "Terapia farmacologica effettuata durante il ricovero" è OPZIONALE ed è dedicata a descrivere l'elenco dei farmaci e le somministrazioni ricevute dal paziente durante il ricovero. 


Contains 2.16.840.1.113883.2.9.10.1.5.3.10 Terapia farmacologica effettuata durante il ricovero (LDO) (DYNAMIC) 		(LetdotsLDO)
@typeCode
 		cs 0 … 1 F COMP
@contextConductionInd
 		bl 0 … 1 F true
hl7:component
 		1 … 1 R

La sezione "Condizioni del paziente e diagnosi alla dimissione" è OBBLIGATORIA e descrive l'elenco delle diagnosi di dimissione, in ordine di rilevanza. 


Contains 2.16.840.1.113883.2.9.10.1.5.3.11 Condizioni del paziente e diagnosi alla dimissione (LDO) (DYNAMIC) 		(LetdotsLDO)
@typeCode
 		cs 0 … 1 F COMP
@contextConductionInd
 		bl 0 … 1 F true
hl7:component
 		0 … 1 R

La sezione "Terapia farmacologica alla dimissione" è OPZIONALE ed è dedicata a descrivere tutti i farmaci che il paziente dovrebbe assumere al domicilio con le relative somministrazioni. 


Contains 2.16.840.1.113883.2.9.10.1.5.3.12 Terapia farmacologica alla dimissione (LDO) (DYNAMIC) 		(LetdotsLDO)
@typeCode
 		cs 0 … 1 F COMP
@contextConductionInd
 		bl 0 … 1 F true
hl7:component
 		0 … 1 R

La sezione "Istruzioni di follow-up" è OPZIONALE e include informazioni generali dell'evento clinico inerenti al passaggio di cura dal contesto ospedaliero a quello territoriale. In questa sezione possono essere descritti anche eventuali controlli, procedure o visite consigliate.


Contains 2.16.840.1.113883.2.9.10.1.5.3.13 Istruzioni di follow-up (LDO) (DYNAMIC) 		(LetdotsLDO)
@typeCode
 		cs 0 … 1 F COMP
@contextConductionInd
 		bl 0 … 1 F true