{
  "resourceType" : "Bundle",
  "id" : "HDR-Luigi-De-Luca-Example",
  "meta" : {
    "profile" : ["http://hl7.eu/fhir/discharge-report/StructureDefinition/bundle-eu-dr"]
  },
  "language" : "en",
  "identifier" : {
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "PRN"
      }]
    },
    "system" : "https://hl7europe.org/example-identifier",
    "value" : "b6b4291d-4f78-4c5e-a8e6-c4355c1cc4f5"
  },
  "type" : "document",
  "timestamp" : "2025-04-29T14:00:00Z",
  "entry" : [{
    "fullUrl" : "urn:uuid:b9dc409d-ec81-4556-9fac-4dc3f731c199",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "b9dc409d-ec81-4556-9fac-4dc3f731c199",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/discharge-report/StructureDefinition/composition-eu-dr"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_b9dc409d-ec81-4556-9fac-4dc3f731c199\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition b9dc409d-ec81-4556-9fac-4dc3f731c199</b></p><a name=\"b9dc409d-ec81-4556-9fac-4dc3f731c199\"> </a><a name=\"hcb9dc409d-ec81-4556-9fac-4dc3f731c199\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-composition-eu-dr.html\">Composition (DR)</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/7.1.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:3694ad44-910d-417a-837c-f48e78446f50</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 34105-7}\">Hospital Discharge summary</span></p><p><b>encounter</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-7c9a2bf1-507f-4d43-b06e-d78e9670379d\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); serviceType = Diabetes mellitus screening (procedure); period = 2025-04-01 08:45:00+0000 --&gt; 2025-04-10 11:00:00+0000; reasonCode = Prediabetes (finding)</a></p><p><b>date</b>: 2025-04-29 13:30:00+0100</p><p><b>author</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-74403dd8-bb1b-45f9-bb69-e843dfaf45e9\">Augusto Zucchero-Combattente at Casa di cura Villa S. Giuliana</a></p><p><b>title</b>: Hospital Discharge Report</p><p><b>custodian</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-a61a91f8-b8f2-4947-9a64-5165ea380a38\">Casa di cura Villa S. Giuliana</a></p></div>"
      },
      "identifier" : {
        "system" : "urn:ietf:rfc:3986",
        "value" : "urn:uuid:3694ad44-910d-417a-837c-f48e78446f50"
      },
      "status" : "final",
      "type" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "34105-7",
          "display" : "Hospital Discharge summary"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "encounter" : {
        "reference" : "urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d"
      },
      "date" : "2025-04-29T13:30:00+01:00",
      "author" : [{
        "reference" : "urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9"
      }],
      "title" : "Hospital Discharge Report",
      "custodian" : {
        "reference" : "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38"
      },
      "section" : [{
        "title" : "Admission evaluation",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "67851-6"
          },
          {
            "system" : "http://loinc.org",
            "code" : "67852-4",
            "display" : "Hospital Admission evaluation note"
          }]
        },
        "text" : {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Mr. Luigi De Luca, a 57-year-old male, was admitted on 1st April following a pre-diabetic episode characterized by episodes of fatigue, polyuria, and increased thirst. Recent routine blood tests showed elevated fasting blood glucose and HbA1c levels that required further investigation.<p/>When Mr De Luca arrived in the morning we recorded a fasting blood glucose level at 180 mg/dL. His HbA1c level was 7.2%. He seemed to be dehydrated, so that he immediately was sent to the ward for a full breakfast and fluid substitution.</div>"
        }
      },
      {
        "title" : "Family History",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "10157-6",
            "display" : "History of family member diseases note"
          }]
        },
        "text" : {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Mr. Luigi has a family history of diabetes (type 2, mother and maternal grandmother).</div>"
        },
        "entry" : [{
          "reference" : "urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085"
        },
        {
          "reference" : "urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a"
        }]
      },
      {
        "title" : "Vital signs note",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "8716-3",
            "display" : "Vital signs note"
          }]
        },
        "text" : {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><thead><tr><th>Vital signs</th><th>1st April</th><th>10th April</th></tr></thead><tbody><tr><td>Body weight</td><td>109 kg</td><td>108 kg</td></tr><tr><td>Body height</td><td>177 cm</td><td></td></tr><tr><td>Blood Pressure</td><td>155 / 95 mmHg</td><td>150 / 90 mmHg</td></tr></tbody></table></div>"
        },
        "entry" : [{
          "reference" : "urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a"
        },
        {
          "reference" : "urn:uuid:065c918f-730a-47f8-938a-7ad54618037b"
        },
        {
          "reference" : "urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b"
        },
        {
          "reference" : "urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363"
        },
        {
          "reference" : "urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d"
        }]
      },
      {
        "title" : "Tobacco use",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "11367-0",
            "display" : "History of Tobacco use"
          }]
        },
        "text" : {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">The patient smokes \"a few\" cigarettes per day.</div>"
        },
        "entry" : [{
          "reference" : "urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6"
        }]
      },
      {
        "title" : "Hospital course note",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "8648-8",
            "display" : "Hospital course note"
          }]
        },
        "text" : {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">During the hospital stay from 1 to 10 April, Mr. De Luca underwent a series of diagnostic tests, consultations and initial treatment.<p></p>Throughout his hospital stay, Mr. De Luca was monitored closely. His blood sugar levels improved modestly with the introduction of Metformin, and no acute complications were observed.</div>"
        }
      },
      {
        "title" : "Significant Observation Results",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "30954-2",
            "display" : "Relevant diagnostic tests/laboratory data note"
          }]
        },
        "text" : {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Blood Glucose Monitoring Regular monitoring of fasting blood glucose levels and random blood glucose levels. Fasting glucose levels consistently ranged between 140-180 mg/dL.<table class=\"hl7__hdr\"><thead><tr><th>Date</th><th>Fasting glucose [Moles/volume] in Blood</th><th>Range</th></tr></thead><tbody><tr><td>1 April 2025</td><td>180 mg/dL</td><td>70 to 99 mg/dL</td></tr><tr><td>2 April 2025</td><td>140 mg/dL</td><td>70 to 99 mg/dL</td></tr><tr><td>3 April 2025</td><td>150 mg/dL</td><td>70 to 99 mg/dL</td></tr><tr><td>5 April 2025</td><td>140 mg/dL</td><td>70 to 99 mg/dL</td></tr></tbody></table>HbA1c Test: An HbA1c level of 7.2%, confirming the diagnosis of Type 2 Diabetes Mellitus.<table class=\"hl7__hdr\"><thead><tr><th>Date</th><th>Hemoglobin A1c [Mass/volume] in Blood</th><th>Range</th></tr></thead><tbody><tr><td>1 April 2025</td><td>7.2%</td><td>&lt; 5.7%</td></tr></tbody></table>Oral Glucose Tolerance Test (OGTT): This test further confirmed impaired glucose tolerance.<table class=\"hl7__hdr\"><thead><tr><th>Date</th><th>Glucose [Mass/volume] in Serum or Plasma --1 hour post dose glucose</th><th>Range</th></tr></thead><tbody><tr><td>2 April 2025</td><td>180 mg/dL</td><td>70 to 99 mg/dL</td></tr></tbody></table></div>"
        }
      },
      {
        "title" : "Significant procedures",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "10185-7",
            "display" : "Hospital discharge procedure note"
          }]
        },
        "text" : {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Lifestyle Consultation: Mr. De Luca met with a dietitian to discuss necessary changes in his diet, focusing on a low glycemic index diet and the need to monitor carbohydrate intake. He was also advised to engage in regular physical activity.<p></p>Diabetes Education: Mr. De Luca attended educational sessions on diabetes management, including the importance of regular blood sugar monitoring, recognizing hypoglycemia and hyperglycemia symptoms, and foot care.<p></p>Starting Pharmacotherapy with Metformin.</div>"
        },
        "entry" : [{
          "reference" : "urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0"
        },
        {
          "reference" : "urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3"
        },
        {
          "reference" : "urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079"
        }]
      },
      {
        "title" : "Medications",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "87232-5",
            "display" : "Medication administration.brief"
          }]
        },
        "text" : {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Metformin 500 mg twice daily was started as the first-line treatment to help control blood glucose levels.<table class=\"hl7__hdr\"><thead><tr><th>Medication administrations</th><th>Dose/Frequency</th><th>SNOMED</th></tr></thead><tbody><tr><td>Metformin, oral tbl</td><td>500 mg, twice / day</td><td>765507008</td></tr><tr><td>Multivitamines</td><td>daily</td><td></td></tr></tbody></table></div>"
        },
        "entry" : [{
          "reference" : "urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4"
        }]
      },
      {
        "title" : "Follow-up",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "18776-5",
            "display" : "Plan of care note"
          }]
        },
        "text" : {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><thead><tr><th>Follow-up</th><th>Activity</th><th>SNOMED</th></tr></thead><tbody><tr><td>Endocrinology Clinic</td><td>Follow-up appointment in 2 weeks to assess response to treatment</td><td>306118006 Referral to endocrinology service (procedure)</td></tr><tr><td>Dietitian Consultation</td><td>Appointment in 1 month for further dietary planning</td><td>103699006 Referral to dietitian (procedure)</td></tr><tr><td>Routine Blood tests</td><td>Repeat HbA1c in 3 months</td><td>43396009 Hemoglobin A1c measurement (procedure)</td></tr></tbody></table></div>"
        },
        "entry" : [{
          "reference" : "urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3"
        }]
      },
      {
        "title" : "Diagnosis at Discharge",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "11535-2",
            "display" : "Hospital discharge diagnosis note"
          }]
        },
        "text" : {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><thead><tr><th>Discharge Diagnoses</th><th>Codes</th></tr></thead><tbody><tr><td>Type 2 Diabetes Mellitus – Newly diagnosed.</td><td><ul><li>Type 2 diabetes mellitus E11 (ICD-10)</li><li>Diabetes mellitus type 2 (disorder) 44054006 (SNOMED)</li></ul></td></tr></tbody></table></div>"
        },
        "entry" : [{
          "reference" : "urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9"
        }]
      },
      {
        "title" : "Hospital Discharge Instructions",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "8653-8",
            "display" : "Hospital Discharge Instructions"
          }]
        },
        "text" : {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Instructions at Discharge to Mr. De Luca<ul><li>Continue home glucose monitoring and to maintain a log for review at follow-up appointments.</li><li>Continue with the prescribed medication and lifestyle changes.</li><li>Monitor blood sugar levels at home regularly.</li><li>Adhere to the diabetic diet plan.</li><li>Stay physically active, with at least 30 minutes of moderate exercise most days of the week.</li><li>Return to the emergency department for any signs of hyperglycemia (e.g., excessive thirst, urination, confusion) or hypoglycemia (e.g., sweating, shakiness, confusion).</li></ul></div>"
        }
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "b01a2623-e219-41d2-8e78-1fa1439751d0",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_b01a2623-e219-41d2-8e78-1fa1439751d0\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient b01a2623-e219-41d2-8e78-1fa1439751d0</b></p><a name=\"b01a2623-e219-41d2-8e78-1fa1439751d0\"> </a><a name=\"hcb01a2623-e219-41d2-8e78-1fa1439751d0\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-patient-eu-core.html\">Patient (EU core)</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Medical record number/8121c77e7bf9</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"tel:+3903348920354\">+39 0334 8920354</a></li><li>Via Zannoni 29 Serso 38057 Italy (home)</li></ul></td></tr></table></div>"
      },
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "NI"
          }]
        },
        "system" : "https://hl7europe.org/example-identifier",
        "value" : "3332-386800-1"
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR"
          }]
        },
        "system" : "https://hl7europe.org/example-identifier",
        "value" : "8121c77e7bf9"
      }],
      "name" : [{
        "text" : "Luigi De Luca",
        "family" : "De Luca",
        "given" : ["Luigi"]
      }],
      "telecom" : [{
        "system" : "phone",
        "value" : "+39 0334 8920354"
      }],
      "gender" : "male",
      "birthDate" : "1966-09-30",
      "address" : [{
        "use" : "home",
        "type" : "physical",
        "line" : ["Via Zannoni 29"],
        "city" : "Serso",
        "postalCode" : "38057",
        "country" : "Italy"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d",
    "resource" : {
      "resourceType" : "Encounter",
      "id" : "7c9a2bf1-507f-4d43-b06e-d78e9670379d",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/discharge-report/StructureDefinition/encounter-eu-dr"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_7c9a2bf1-507f-4d43-b06e-d78e9670379d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter 7c9a2bf1-507f-4d43-b06e-d78e9670379d</b></p><a name=\"7c9a2bf1-507f-4d43-b06e-d78e9670379d\"> </a><a name=\"hc7c9a2bf1-507f-4d43-b06e-d78e9670379d\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-encounter-eu-dr.html\">Encounter (DR)</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>serviceType</b>: <span title=\"Codes:{http://snomed.info/sct 171183004}\">Diabetes mellitus screening (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</a></p><p><b>period</b>: 2025-04-01 08:45:00+0000 --&gt; 2025-04-10 11:00:00+0000</p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 714628002}\">Prediabetes (finding)</span></p><p><b>serviceProvider</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-a61a91f8-b8f2-4947-9a64-5165ea380a38\">Casa di cura Villa S. Giuliana</a></p></div>"
      },
      "status" : "finished",
      "class" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "IMP"
      },
      "serviceType" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "171183004",
          "display" : "Diabetes mellitus screening (procedure)"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "period" : {
        "start" : "2025-04-01T08:45:00Z",
        "end" : "2025-04-10T11:00:00Z"
      },
      "reasonCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "714628002",
          "display" : "Prediabetes (finding)"
        }]
      }],
      "serviceProvider" : {
        "reference" : "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9",
    "resource" : {
      "resourceType" : "PractitionerRole",
      "id" : "74403dd8-bb1b-45f9-bb69-e843dfaf45e9",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_74403dd8-bb1b-45f9-bb69-e843dfaf45e9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole 74403dd8-bb1b-45f9-bb69-e843dfaf45e9</b></p><a name=\"74403dd8-bb1b-45f9-bb69-e843dfaf45e9\"> </a><a name=\"hc74403dd8-bb1b-45f9-bb69-e843dfaf45e9\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-practitionerRole-eu-core.html\">PractitionerRole (EU core)</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Augusto Zucchero-Combattente at Casa di cura Villa S. Giuliana</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"The practitioner who is able to provide the services in this role\">Practitioner:</td><td colspan=\"3\"><a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-0710d9e7-3f1a-4e16-a9b3-5c991fe23c95\">Augusto Zucchero-Combattente</a></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The organization where the practitioner performs the roles\">Organization:</td><td colspan=\"3\"><a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-a61a91f8-b8f2-4947-9a64-5165ea380a38\">Casa di cura Villa S. Giuliana</a></td></tr></table></div>"
      },
      "practitioner" : {
        "reference" : "urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95"
      },
      "organization" : {
        "reference" : "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "0710d9e7-3f1a-4e16-a9b3-5c991fe23c95",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_0710d9e7-3f1a-4e16-a9b3-5c991fe23c95\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 0710d9e7-3f1a-4e16-a9b3-5c991fe23c95</b></p><a name=\"0710d9e7-3f1a-4e16-a9b3-5c991fe23c95\"> </a><a name=\"hc0710d9e7-3f1a-4e16-a9b3-5c991fe23c95\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-practitioner-eu-core.html\">Practitioner (EU core)</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Augusto Zucchero-Combattente</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Practitioner\">Contact Detail</td><td colspan=\"3\"><a href=\"mailto:augusto@casasgiuliana.osp.venetia.it\">augusto@casasgiuliana.osp.venetia.it</a></td></tr></table></div>"
      },
      "name" : [{
        "family" : "Zucchero-Combattente",
        "given" : ["Augusto"],
        "prefix" : ["dr"]
      }],
      "telecom" : [{
        "system" : "email",
        "value" : "augusto@casasgiuliana.osp.venetia.it"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "a61a91f8-b8f2-4947-9a64-5165ea380a38",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_a61a91f8-b8f2-4947-9a64-5165ea380a38\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization a61a91f8-b8f2-4947-9a64-5165ea380a38</b></p><a name=\"a61a91f8-b8f2-4947-9a64-5165ea380a38\"> </a><a name=\"hca61a91f8-b8f2-4947-9a64-5165ea380a38\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-organization-eu-core.html\">Organization (EU core)</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Casa di cura Villa S. Giuliana</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the organization\">Contact Detail</td><td colspan=\"3\">Verona 37128 it </td></tr></table></div>"
      },
      "name" : "Casa di cura Villa S. Giuliana",
      "address" : [{
        "city" : "Verona",
        "postalCode" : "37128",
        "country" : "it"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "a5bf69e4-24db-48a8-9eda-71516dcaf1d9",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_a5bf69e4-24db-48a8-9eda-71516dcaf1d9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition a5bf69e4-24db-48a8-9eda-71516dcaf1d9</b></p><a name=\"a5bf69e4-24db-48a8-9eda-71516dcaf1d9\"> </a><a name=\"hca5bf69e4-24db-48a8-9eda-71516dcaf1d9\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-condition-eu-core.html\">Condition (EU core)</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 E11}, {http://snomed.info/sct 44054006}\">Type 2 diabetes mellitus</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</a></p><p><b>onset</b>: 2025-04-04</p></div>"
      },
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code" : "active"
        }]
      },
      "code" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/sid/icd-10",
          "code" : "E11",
          "display" : "Type 2 diabetes mellitus"
        },
        {
          "system" : "http://snomed.info/sct",
          "code" : "44054006",
          "display" : "Diabetes mellitus type 2 (disorder)"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "onsetDateTime" : "2025-04-04"
    }
  },
  {
    "fullUrl" : "urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3",
    "resource" : {
      "resourceType" : "CarePlan",
      "id" : "b84038f8-9541-4c5b-93b0-a7f1b8e55bd3",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/discharge-report/StructureDefinition/carePlan-eu-dr"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_b84038f8-9541-4c5b-93b0-a7f1b8e55bd3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan b84038f8-9541-4c5b-93b0-a7f1b8e55bd3</b></p><a name=\"b84038f8-9541-4c5b-93b0-a7f1b8e55bd3\"> </a><a name=\"hcb84038f8-9541-4c5b-93b0-a7f1b8e55bd3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-carePlan-eu-dr.html\">CarePlan (DR)</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 736284000}\">Diabetes clinical management plan</span></p><p><b>title</b>: Diabetes Management Plan</p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</a></p><p><b>period</b>: 2025-04-10 --&gt; (ongoing)</p><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 306118006}\">Referral to endocrinology service</span></td><td>Not Started</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 103699006}\">Referral to dietitian</span></td><td>Not Started</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 43396009}\">Hemoglobin A1c measurement</span></td><td>Not Started</td></tr></table></blockquote></div>"
      },
      "status" : "active",
      "intent" : "plan",
      "category" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "736284000",
          "display" : "Diabetes clinical management plan"
        }]
      }],
      "title" : "Diabetes Management Plan",
      "subject" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "period" : {
        "start" : "2025-04-10"
      },
      "activity" : [{
        "detail" : {
          "code" : {
            "coding" : [{
              "system" : "http://snomed.info/sct",
              "code" : "306118006",
              "display" : "Referral to endocrinology service"
            }]
          },
          "status" : "not-started"
        }
      },
      {
        "detail" : {
          "code" : {
            "coding" : [{
              "system" : "http://snomed.info/sct",
              "code" : "103699006",
              "display" : "Referral to dietitian"
            }]
          },
          "status" : "not-started"
        }
      },
      {
        "detail" : {
          "code" : {
            "coding" : [{
              "system" : "http://snomed.info/sct",
              "code" : "43396009",
              "display" : "Hemoglobin A1c measurement"
            }]
          },
          "status" : "not-started"
        }
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0",
    "resource" : {
      "resourceType" : "Procedure",
      "id" : "92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure 92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0</b></p><a name=\"92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0\"> </a><a name=\"hc92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-procedure-eu-core.html\">Procedure (EU core)</a></p></div><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 313204009}\">Lifestyle education (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</a></p><p><b>performed</b>: 2025-04-05</p></div>"
      },
      "status" : "completed",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "313204009",
          "display" : "Lifestyle education (procedure)"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "performedDateTime" : "2025-04-05"
    }
  },
  {
    "fullUrl" : "urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3",
    "resource" : {
      "resourceType" : "Procedure",
      "id" : "a74a3dca-92fa-4b71-8e70-89a07ac74bc3",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_a74a3dca-92fa-4b71-8e70-89a07ac74bc3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure a74a3dca-92fa-4b71-8e70-89a07ac74bc3</b></p><a name=\"a74a3dca-92fa-4b71-8e70-89a07ac74bc3\"> </a><a name=\"hca74a3dca-92fa-4b71-8e70-89a07ac74bc3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-procedure-eu-core.html\">Procedure (EU core)</a></p></div><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 6143009}\">Diabetic education (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</a></p><p><b>performed</b>: 2025-04-04</p></div>"
      },
      "status" : "completed",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "6143009",
          "display" : "Diabetic education (procedure)"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "performedDateTime" : "2025-04-04"
    }
  },
  {
    "fullUrl" : "urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079",
    "resource" : {
      "resourceType" : "Procedure",
      "id" : "53a8c3c3-5d1b-4950-87bc-fddae2ebc079",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_53a8c3c3-5d1b-4950-87bc-fddae2ebc079\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure 53a8c3c3-5d1b-4950-87bc-fddae2ebc079</b></p><a name=\"53a8c3c3-5d1b-4950-87bc-fddae2ebc079\"> </a><a name=\"hc53a8c3c3-5d1b-4950-87bc-fddae2ebc079\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-procedure-eu-core.html\">Procedure (EU core)</a></p></div><p><b>status</b>: In Progress</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1340186004}\">Metformin therapy (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</a></p><p><b>performed</b>: 2025-04-04</p></div>"
      },
      "status" : "in-progress",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1340186004",
          "display" : "Metformin therapy (procedure)"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "performedDateTime" : "2025-04-04"
    }
  },
  {
    "fullUrl" : "urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085",
    "resource" : {
      "resourceType" : "FamilyMemberHistory",
      "id" : "635c22e7-d7f1-45ad-9b4d-d4fe35239085",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"FamilyMemberHistory_635c22e7-d7f1-45ad-9b4d-d4fe35239085\"> </a><p class=\"res-header-id\"><b>Generated Narrative: FamilyMemberHistory 635c22e7-d7f1-45ad-9b4d-d4fe35239085</b></p><a name=\"635c22e7-d7f1-45ad-9b4d-d4fe35239085\"> </a><a name=\"hc635c22e7-d7f1-45ad-9b4d-d4fe35239085\"> </a><p><b>status</b>: Completed</p><p><b>patient</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}\">mother</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 430679000}\">Family history of diabetes mellitus type 2 (situation)</span></td></tr></table></div>"
      },
      "status" : "completed",
      "patient" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "relationship" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
          "code" : "MTH",
          "display" : "mother"
        }]
      },
      "condition" : [{
        "code" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "430679000",
            "display" : "Family history of diabetes mellitus type 2 (situation)"
          }]
        }
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a",
    "resource" : {
      "resourceType" : "FamilyMemberHistory",
      "id" : "3fbdfbe1-9d70-47ec-ac05-3e30b063365a",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"FamilyMemberHistory_3fbdfbe1-9d70-47ec-ac05-3e30b063365a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: FamilyMemberHistory 3fbdfbe1-9d70-47ec-ac05-3e30b063365a</b></p><a name=\"3fbdfbe1-9d70-47ec-ac05-3e30b063365a\"> </a><a name=\"hc3fbdfbe1-9d70-47ec-ac05-3e30b063365a\"> </a><p><b>status</b>: Completed</p><p><b>patient</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MGRMTH}\">maternal grandmother</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 430679000}\">Family history of diabetes mellitus type 2 (situation)</span></td></tr></table></div>"
      },
      "status" : "completed",
      "patient" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "relationship" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
          "code" : "MGRMTH",
          "display" : "maternal grandmother"
        }]
      },
      "condition" : [{
        "code" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "430679000",
            "display" : "Family history of diabetes mellitus type 2 (situation)"
          }]
        }
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "f0113857-b9b7-429b-8893-b645a38ae20a",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/StructureDefinition/vitalsigns"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_f0113857-b9b7-429b-8893-b645a38ae20a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation f0113857-b9b7-429b-8893-b645a38ae20a</b></p><a name=\"f0113857-b9b7-429b-8893-b645a38ae20a\"> </a><a name=\"hcf0113857-b9b7-429b-8893-b645a38ae20a\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R4/vitalsigns.html\">Vital Signs Profile</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Body weight</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</a></p><p><b>effective</b>: 2025-04-01</p><p><b>value</b>: 109 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codekg = 'kg')</span></p></div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "29463-7",
          "display" : "Body weight"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "effectiveDateTime" : "2025-04-01",
      "valueQuantity" : {
        "value" : 109,
        "unit" : "kg",
        "system" : "http://unitsofmeasure.org",
        "code" : "kg"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:065c918f-730a-47f8-938a-7ad54618037b",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "065c918f-730a-47f8-938a-7ad54618037b",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/StructureDefinition/vitalsigns"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_065c918f-730a-47f8-938a-7ad54618037b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 065c918f-730a-47f8-938a-7ad54618037b</b></p><a name=\"065c918f-730a-47f8-938a-7ad54618037b\"> </a><a name=\"hc065c918f-730a-47f8-938a-7ad54618037b\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R4/vitalsigns.html\">Vital Signs Profile</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Body weight</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</a></p><p><b>effective</b>: 2025-04-10</p><p><b>value</b>: 108 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codekg = 'kg')</span></p></div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "29463-7",
          "display" : "Body weight"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "effectiveDateTime" : "2025-04-10",
      "valueQuantity" : {
        "value" : 108,
        "unit" : "kg",
        "system" : "http://unitsofmeasure.org",
        "code" : "kg"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "81783ae4-c36d-424f-8cea-fe7d3407a36b",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/StructureDefinition/vitalsigns"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_81783ae4-c36d-424f-8cea-fe7d3407a36b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 81783ae4-c36d-424f-8cea-fe7d3407a36b</b></p><a name=\"81783ae4-c36d-424f-8cea-fe7d3407a36b\"> </a><a name=\"hc81783ae4-c36d-424f-8cea-fe7d3407a36b\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R4/vitalsigns.html\">Vital Signs Profile</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8302-2}\">Body height</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</a></p><p><b>effective</b>: 2025-04-01</p><p><b>value</b>: 177 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codecm = 'cm')</span></p></div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "8302-2",
          "display" : "Body height"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "effectiveDateTime" : "2025-04-01",
      "valueQuantity" : {
        "value" : 177,
        "unit" : "cm",
        "system" : "http://unitsofmeasure.org",
        "code" : "cm"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "a19e48e1-2271-4cdb-9c76-b0626c7a5363",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/StructureDefinition/vitalsigns"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_a19e48e1-2271-4cdb-9c76-b0626c7a5363\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation a19e48e1-2271-4cdb-9c76-b0626c7a5363</b></p><a name=\"a19e48e1-2271-4cdb-9c76-b0626c7a5363\"> </a><a name=\"hca19e48e1-2271-4cdb-9c76-b0626c7a5363\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R4/vitalsigns.html\">Vital Signs Profile</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85354-9}\">Blood pressure panel with all children optional</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</a></p><p><b>effective</b>: 2025-04-01</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}\">Systolic blood pressure</span></p><p><b>value</b>: 155 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8462-4}\">Diastolic blood pressure</span></p><p><b>value</b>: 95 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "85354-9",
          "display" : "Blood pressure panel with all children optional"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "effectiveDateTime" : "2025-04-01",
      "component" : [{
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "8480-6",
            "display" : "Systolic blood pressure"
          }]
        },
        "valueQuantity" : {
          "value" : 155,
          "unit" : "mmHg",
          "system" : "http://unitsofmeasure.org",
          "code" : "mm[Hg]"
        }
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "8462-4",
            "display" : "Diastolic blood pressure"
          }]
        },
        "valueQuantity" : {
          "value" : 95,
          "unit" : "mmHg",
          "system" : "http://unitsofmeasure.org",
          "code" : "mm[Hg]"
        }
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "fd7f7580-5788-45dd-88ec-dca615d69c7d",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/StructureDefinition/vitalsigns"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_fd7f7580-5788-45dd-88ec-dca615d69c7d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation fd7f7580-5788-45dd-88ec-dca615d69c7d</b></p><a name=\"fd7f7580-5788-45dd-88ec-dca615d69c7d\"> </a><a name=\"hcfd7f7580-5788-45dd-88ec-dca615d69c7d\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R4/vitalsigns.html\">Vital Signs Profile</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85354-9}\">Blood pressure panel with all children optional</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</a></p><p><b>effective</b>: 2025-04-10</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}\">Systolic blood pressure</span></p><p><b>value</b>: 150 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8462-4}\">Diastolic blood pressure</span></p><p><b>value</b>: 90 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "85354-9",
          "display" : "Blood pressure panel with all children optional"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "effectiveDateTime" : "2025-04-10",
      "component" : [{
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "8480-6",
            "display" : "Systolic blood pressure"
          }]
        },
        "valueQuantity" : {
          "value" : 150,
          "unit" : "mmHg",
          "system" : "http://unitsofmeasure.org",
          "code" : "mm[Hg]"
        }
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "8462-4",
            "display" : "Diastolic blood pressure"
          }]
        },
        "valueQuantity" : {
          "value" : 90,
          "unit" : "mmHg",
          "system" : "http://unitsofmeasure.org",
          "code" : "mm[Hg]"
        }
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6</b></p><a name=\"67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6\"> </a><a name=\"hc67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11367-0}\">History of Tobacco use</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</a></p><p><b>effective</b>: 2025-04-01</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 77176002}\">Current smoker</span></p><p><b>note</b>: </p><blockquote><div><p>Patient smokes a few cigarettes a day</p>\n</div></blockquote></div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "social-history",
          "display" : "Social History"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "11367-0",
          "display" : "History of Tobacco use"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "effectiveDateTime" : "2025-04-01",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "77176002",
          "display" : "Current smoker"
        }]
      },
      "note" : [{
        "text" : "Patient smokes a few cigarettes a day"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4",
    "resource" : {
      "resourceType" : "MedicationAdministration",
      "id" : "bda0b497-c9f2-47ca-8339-da1d379cb2f4",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/discharge-report/StructureDefinition/medicationAdministration-eu-dr"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_bda0b497-c9f2-47ca-8339-da1d379cb2f4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration bda0b497-c9f2-47ca-8339-da1d379cb2f4</b></p><a name=\"bda0b497-c9f2-47ca-8339-da1d379cb2f4\"> </a><a name=\"hcbda0b497-c9f2-47ca-8339-da1d379cb2f4\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-medicationAdministration-eu-dr.html\">MedicationAdministration (DR)</a></p></div><p><b>status</b>: In Progress</p><p><b>medication</b>: <span title=\"Codes:{http://snomed.info/sct 765507008}\">Product containing precisely metformin hydrochloride 500 milligram/1 each prolonged-release oral tablet (clinical drug)</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier: 3332-386800-1)</a></p><p><b>effective</b>: 2025-04-03 --&gt; (ongoing)</p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>500 mg, twice a day</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral route</span></td><td>500 mg</td></tr></table></div>"
      },
      "status" : "in-progress",
      "medicationCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "765507008",
          "display" : "Product containing precisely metformin hydrochloride 500 milligram/1 each prolonged-release oral tablet (clinical drug)"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
      },
      "effectivePeriod" : {
        "start" : "2025-04-03"
      },
      "dosage" : {
        "text" : "500 mg, twice a day",
        "route" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "26643006",
            "display" : "Oral route"
          }]
        },
        "dose" : {
          "value" : 500,
          "unit" : "mg"
        }
      }
    }
  }]
}