Generated Narrative: Composition b9dc409d-ec81-4556-9fac-4dc3f731c199

identifier: Uniform Resource Identifier (URI)/urn:uuid:3694ad44-910d-417a-837c-f48e78446f50

status: Final

type: Hospital Discharge summary

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); serviceType = Diabetes mellitus screening (procedure); period = 2025-04-01 08:45:00+0000 --> 2025-04-10 11:00:00+0000; reasonCode = Prediabetes (finding)

date: 2025-04-29 13:30:00+0100

author: Augusto Zucchero-Combattente at Casa di cura Villa S. Giuliana

title: Hospital Discharge Report

custodian: Casa di cura Villa S. Giuliana

 <custodian> <reference value="urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38"/> </custodian> <section> <title value="Admission evaluation"/> <code> <coding> <system value="http://loinc.org"/> <code value="67851-6"/> </coding> <coding> <system value="http://loinc.org"/> <code value="67852-4"/> <display value="Hospital Admission evaluation note"/> </coding> </code> <text> <status value="additional"/><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> </text> </section> <section> <title value="Family History"/> <code> <coding> <system value="http://loinc.org"/> <code value="10157-6"/> <display value="History of family member diseases note"/> </coding> </code> <text> <status value="additional"/><div xmlns="http://www.w3.org/1999/xhtml">Mr. Luigi has a family history of diabetes (type 2, mother and maternal grandmother).</div> </text> <entry> <reference value="urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085"/> </entry> <entry> <reference value="urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a"/> </entry> </section> <section> <title value="Vital signs note"/> <code> <coding> <system value="http://loinc.org"/> <code value="8716-3"/> <display value="Vital signs note"/> </coding> </code> <text> <status value="additional"/><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/></tr><tr><td>Blood Pressure</td><td>155 / 95 mmHg</td><td>150 / 90 mmHg</td></tr></tbody></table></div> </text> <entry> <reference value="urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a"/> </entry> <entry> <reference value="urn:uuid:065c918f-730a-47f8-938a-7ad54618037b"/> </entry> <entry> <reference value="urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b"/> </entry> <entry> <reference value="urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363"/> </entry> <entry> <reference value="urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d"/> </entry> </section> <section> <title value="Tobacco use"/> <code> <coding> <system value="http://loinc.org"/> <code value="11367-0"/> <display value="History of Tobacco use"/> </coding> </code> <text> <status value="additional"/><div xmlns="http://www.w3.org/1999/xhtml">The patient smokes "a few" cigarettes per day.</div> </text> <entry> <reference value="urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6"/> </entry> </section> <section> <title value="Hospital course note"/> <code> <coding> <system value="http://loinc.org"/> <code value="8648-8"/> <display value="Hospital course note"/> </coding> </code> <text> <status value="additional"/><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/>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> </text> </section> <section> <title value="Significant Observation Results"/> <code> <coding> <system value="http://loinc.org"/> <code value="30954-2"/> <display value="Relevant diagnostic tests/laboratory data note"/> </coding> </code> <text> <status value="additional"/><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>< 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> </text> </section> <section> <title value="Significant procedures"/> <code> <coding> <system value="http://loinc.org"/> <code value="10185-7"/> <display value="Hospital discharge procedure note"/> </coding> </code> <text> <status value="additional"/><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/>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/>Starting Pharmacotherapy with Metformin.</div> </text> <entry> <reference value="urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0"/> </entry> <entry> <reference value="urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3"/> </entry> <entry> <reference value="urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079"/> </entry> </section> <section> <title value="Medications"/> <code> <coding> <system value="http://loinc.org"/> <code value="87232-5"/> <display value="Medication administration.brief"/> </coding> </code> <text> <status value="additional"/><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/></tr></tbody></table></div> </text> <entry> <reference value="urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4"/> </entry> </section> <section> <title value="Follow-up"/> <code> <coding> <system value="http://loinc.org"/> <code value="18776-5"/> <display value="Plan of care note"/> </coding> </code> <text> <status value="additional"/><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> </text> <entry> <reference value="urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3"/> </entry> </section> <section> <title value="Diagnosis at Discharge"/> <code> <coding> <system value="http://loinc.org"/> <code value="11535-2"/> <display value="Hospital discharge diagnosis note"/> </coding> </code> <text> <status value="additional"/><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> </text> <entry> <reference value="urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9"/> </entry> </section> <section> <title value="Hospital Discharge Instructions"/> <code> <coding> <system value="http://loinc.org"/> <code value="8653-8"/> <display value="Hospital Discharge Instructions"/> </coding> </code> <text> <status value="additional"/><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> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> <resource> <Patient> <id value="b01a2623-e219-41d2-8e78-1fa1439751d0"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/> </meta> <text> <status value="generated"/><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> </text> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="NI"/> </coding> </type> <system value="https://hl7europe.org/example-identifier"/> <value value="3332-386800-1"/> </identifier> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MR"/> </coding> </type> <system value="https://hl7europe.org/example-identifier"/> <value value="8121c77e7bf9"/> </identifier> <name> <text value="Luigi De Luca"/> <family value="De Luca"/> <given value="Luigi"/> </name> <telecom> <system value="phone"/> <value value="+39 0334 8920354"/> </telecom> <gender value="male"/> <birthDate value="1966-09-30"/> <address> <use value="home"/> <type value="physical"/> <line value="Via Zannoni 29"/> <city value="Serso"/> <postalCode value="38057"/> <country value="Italy"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d"/> <resource> <Encounter> <id value="7c9a2bf1-507f-4d43-b06e-d78e9670379d"/> <meta> <profile value="http://hl7.eu/fhir/discharge-report/StructureDefinition/encounter-eu-dr"/> </meta> <text> <status value="generated"/><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 --> 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> </text> <status value="finished"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> </class> <serviceType> <coding> <system value="http://snomed.info/sct"/> <code value="171183004"/> <display value="Diabetes mellitus screening (procedure)"/> </coding> </serviceType> <subject> <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> </subject> <period> <start value="2025-04-01T08:45:00Z"/> <end value="2025-04-10T11:00:00Z"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="714628002"/> <display value="Prediabetes (finding)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9"/> <resource> <PractitionerRole> <id value="74403dd8-bb1b-45f9-bb69-e843dfaf45e9"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"/> </meta> <text> <status value="generated"/><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> </text> <practitioner> <reference value="urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95"/> </practitioner> <organization> <reference value="urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95"/> <resource> <Practitioner> <id value="0710d9e7-3f1a-4e16-a9b3-5c991fe23c95"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"/> </meta> <text> <status value="generated"/><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> </text> <name> <family value="Zucchero-Combattente"/> <given value="Augusto"/> <prefix value="dr"/> </name> <telecom> <system value="email"/> <value value="augusto@casasgiuliana.osp.venetia.it"/> </telecom> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38"/> <resource> <Organization> <id value="a61a91f8-b8f2-4947-9a64-5165ea380a38"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"/> </meta> <text> <status value="generated"/><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> </text> <name value="Casa di cura Villa S. Giuliana"/> <address> <city value="Verona"/> <postalCode value="37128"/> <country value="it"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9"/> <resource> <Condition> <id value="a5bf69e4-24db-48a8-9eda-71516dcaf1d9"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"/> </meta> <text> <status value="generated"/><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> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/> <code value="active"/> </coding> </clinicalStatus> <code> <coding> <system value="http://hl7.org/fhir/sid/icd-10"/> <code value="E11"/> <display value="Type 2 diabetes mellitus"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="44054006"/> <display value="Diabetes mellitus type 2 (disorder)"/> </coding> </code> <subject> <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> </subject> <onsetDateTime value="2025-04-04"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3"/> <resource> <CarePlan> <id value="b84038f8-9541-4c5b-93b0-a7f1b8e55bd3"/> <meta> <profile value="http://hl7.eu/fhir/discharge-report/StructureDefinition/carePlan-eu-dr"/> </meta> <text> <status value="generated"/><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 --> (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> </text> <status value="active"/> <intent value="plan"/> <category> <coding> <system value="http://snomed.info/sct"/> <code value="736284000"/> <display value="Diabetes clinical management plan"/> </coding> </category> <title value="Diabetes Management Plan"/> <subject> <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> </subject> <period> <start value="2025-04-10"/> </period> <activity> <detail> <code> <coding> <system value="http://snomed.info/sct"/> <code value="306118006"/> <display value="Referral to endocrinology service"/> </coding> </code> <status value="not-started"/> </detail> </activity> <activity> <detail> <code> <coding> <system value="http://snomed.info/sct"/> <code value="103699006"/> <display value="Referral to dietitian"/> </coding> </code> <status value="not-started"/> </detail> </activity> <activity> <detail> <code> <coding> <system value="http://snomed.info/sct"/> <code value="43396009"/> <display value="Hemoglobin A1c measurement"/> </coding> </code> <status value="not-started"/> </detail> </activity> </CarePlan> </resource> </entry> <entry> <fullUrl value="urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0"/> <resource> <Procedure> <id value="92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/><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> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="313204009"/> <display value="Lifestyle education (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> </subject> <performedDateTime value="2025-04-05"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3"/> <resource> <Procedure> <id value="a74a3dca-92fa-4b71-8e70-89a07ac74bc3"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/><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> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="6143009"/> <display value="Diabetic education (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> </subject> <performedDateTime value="2025-04-04"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079"/> <resource> <Procedure> <id value="53a8c3c3-5d1b-4950-87bc-fddae2ebc079"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/><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> </text> <status value="in-progress"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="1340186004"/> <display value="Metformin therapy (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> </subject> <performedDateTime value="2025-04-04"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085"/> <resource> <FamilyMemberHistory> <id value="635c22e7-d7f1-45ad-9b4d-d4fe35239085"/> <text> <status value="generated"/><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> </text> <status value="completed"/> <patient> <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> </patient> <relationship> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> <code value="MTH"/> <display value="mother"/> </coding> </relationship> <condition> <code> <coding> <system value="http://snomed.info/sct"/> <code value="430679000"/> <display value="Family history of diabetes mellitus type 2 (situation)"/> </coding> </code> </condition> </FamilyMemberHistory> </resource> </entry> <entry> <fullUrl value="urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a"/> <resource> <FamilyMemberHistory> <id value="3fbdfbe1-9d70-47ec-ac05-3e30b063365a"/> <text> <status value="generated"/><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> </text> <status value="completed"/> <patient> <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> </patient> <relationship> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> <code value="MGRMTH"/> <display value="maternal grandmother"/> </coding> </relationship> <condition> <code> <coding> <system value="http://snomed.info/sct"/> <code value="430679000"/> <display value="Family history of diabetes mellitus type 2 (situation)"/> </coding> </code> </condition> </FamilyMemberHistory> </resource> </entry> <entry> <fullUrl value="urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a"/> <resource> <Observation> <id value="f0113857-b9b7-429b-8893-b645a38ae20a"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/> </meta> <text> <status value="generated"/><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> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="vital-signs"/> <display value="Vital Signs"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="29463-7"/> <display value="Body weight"/> </coding> </code> <subject> <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> </subject> <effectiveDateTime value="2025-04-01"/> <valueQuantity> <value value="109"/> <unit value="kg"/> <system value="http://unitsofmeasure.org"/> <code value="kg"/> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:065c918f-730a-47f8-938a-7ad54618037b"/> <resource> <Observation> <id value="065c918f-730a-47f8-938a-7ad54618037b"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/> </meta> <text> <status value="generated"/><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> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="vital-signs"/> <display value="Vital Signs"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="29463-7"/> <display value="Body weight"/> </coding> </code> <subject> <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> </subject> <effectiveDateTime value="2025-04-10"/> <valueQuantity> <value value="108"/> <unit value="kg"/> <system value="http://unitsofmeasure.org"/> <code value="kg"/> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b"/> <resource> <Observation> <id value="81783ae4-c36d-424f-8cea-fe7d3407a36b"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/> </meta> <text> <status value="generated"/><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> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="vital-signs"/> <display value="Vital Signs"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="8302-2"/> <display value="Body height"/> </coding> </code> <subject> <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> </subject> <effectiveDateTime value="2025-04-01"/> <valueQuantity> <value value="177"/> <unit value="cm"/> <system value="http://unitsofmeasure.org"/> <code value="cm"/> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363"/> <resource> <Observation> <id value="a19e48e1-2271-4cdb-9c76-b0626c7a5363"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/> </meta> <text> <status value="generated"/><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> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="vital-signs"/> <display value="Vital Signs"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="85354-9"/> <display value="Blood pressure panel with all children optional"/> </coding> </code> <subject> <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> </subject> <effectiveDateTime value="2025-04-01"/> <component> <code> <coding> <system value="http://loinc.org"/> <code value="8480-6"/> <display value="Systolic blood pressure"/> </coding> </code> <valueQuantity> <value value="155"/> <unit value="mmHg"/> <system value="http://unitsofmeasure.org"/> <code value="mm[Hg]"/> </valueQuantity> </component> <component> <code> <coding> <system value="http://loinc.org"/> <code value="8462-4"/> <display value="Diastolic blood pressure"/> </coding> </code> <valueQuantity> <value value="95"/> <unit value="mmHg"/> <system value="http://unitsofmeasure.org"/> <code value="mm[Hg]"/> </valueQuantity> </component> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d"/> <resource> <Observation> <id value="fd7f7580-5788-45dd-88ec-dca615d69c7d"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/> </meta> <text> <status value="generated"/><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> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="vital-signs"/> <display value="Vital Signs"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="85354-9"/> <display value="Blood pressure panel with all children optional"/> </coding> </code> <subject> <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> </subject> <effectiveDateTime value="2025-04-10"/> <component> <code> <coding> <system value="http://loinc.org"/> <code value="8480-6"/> <display value="Systolic blood pressure"/> </coding> </code> <valueQuantity> <value value="150"/> <unit value="mmHg"/> <system value="http://unitsofmeasure.org"/> <code value="mm[Hg]"/> </valueQuantity> </component> <component> <code> <coding> <system value="http://loinc.org"/> <code value="8462-4"/> <display value="Diastolic blood pressure"/> </coding> </code> <valueQuantity> <value value="90"/> <unit value="mmHg"/> <system value="http://unitsofmeasure.org"/> <code value="mm[Hg]"/> </valueQuantity> </component> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6"/> <resource> <Observation> <id value="67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6"/> <text> <status value="generated"/><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> </div></blockquote></div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="social-history"/> <display value="Social History"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="11367-0"/> <display value="History of Tobacco use"/> </coding> </code> <subject> <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> </subject> <effectiveDateTime value="2025-04-01"/> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="77176002"/> <display value="Current smoker"/> </coding> </valueCodeableConcept> <note> <text value="Patient smokes a few cigarettes a day"/> </note> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4"/> <resource> <MedicationAdministration> <id value="bda0b497-c9f2-47ca-8339-da1d379cb2f4"/> <meta> <profile value="http://hl7.eu/fhir/discharge-report/StructureDefinition/medicationAdministration-eu-dr"/> </meta> <text> <status value="generated"/><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 --> (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> </text> <status value="in-progress"/> <medicationCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="765507008"/> <display value="Product containing precisely metformin hydrochloride 500 milligram/1 each prolonged-release oral tablet (clinical drug)"/> </coding> </medicationCodeableConcept> <subject> <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/> </subject> <effectivePeriod> <start value="2025-04-03"/> </effectivePeriod> <dosage> <text value="500 mg, twice a day"/> <route> <coding> <system value="http://snomed.info/sct"/> <code value="26643006"/> <display value="Oral route"/> </coding> </route> <dose> <value value="500"/> <unit value="mg"/> </dose> </dosage> </MedicationAdministration> </resource> </entry> </Bundle>