HL7 Europe Hospital Discharge Report
1.0.0-ci - draft
150
HL7 Europe Hospital Discharge Report
1.0.0-ci - draft
150
HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <http://loinc.org/rdf#> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/Bundle/HDR-Luigi-De-Luca-Example> a fhir:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "HDR-Luigi-De-Luca-Example"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr" ; fhir:index 0 ; fhir:link <http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr> ] ] ; fhir:Bundle.identifier [ fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ; fhir:Coding.code [ fhir:value "PRN" ] ] ] ; fhir:Identifier.system [ fhir:value "https://hl7europe.org/example-identifier" ] ; fhir:Identifier.value [ fhir:value "b6b4291d-4f78-4c5e-a8e6-c4355c1cc4f5" ] ] ; fhir:Bundle.type [ fhir:value "document"] ; fhir:Bundle.timestamp [ fhir:value "2025-04-29T14:00:00Z"^^xsd:dateTime] ; fhir:Bundle.entry [ fhir:index 0 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:b9dc409d-ec81-4556-9fac-4dc3f731c199" ] ; fhir:Bundle.entry.resource <urn:uuid:b9dc409d-ec81-4556-9fac-4dc3f731c199> ], [ fhir:index 1 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ; fhir:Bundle.entry.resource <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ], [ fhir:index 2 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d" ] ; fhir:Bundle.entry.resource <urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d> ], [ fhir:index 3 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9" ] ; fhir:Bundle.entry.resource <urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9> ], [ fhir:index 4 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95" ] ; fhir:Bundle.entry.resource <urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95> ], [ fhir:index 5 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38" ] ; fhir:Bundle.entry.resource <urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38> ], [ fhir:index 6 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9" ] ; fhir:Bundle.entry.resource <urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9> ], [ fhir:index 7 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3" ] ; fhir:Bundle.entry.resource <urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3> ], [ fhir:index 8 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0" ] ; fhir:Bundle.entry.resource <urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0> ], [ fhir:index 9 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3" ] ; fhir:Bundle.entry.resource <urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3> ], [ fhir:index 10 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079" ] ; fhir:Bundle.entry.resource <urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079> ], [ fhir:index 11 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085" ] ; fhir:Bundle.entry.resource <urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085> ], [ fhir:index 12 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a" ] ; fhir:Bundle.entry.resource <urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a> ], [ fhir:index 13 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a" ] ; fhir:Bundle.entry.resource <urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a> ], [ fhir:index 14 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:065c918f-730a-47f8-938a-7ad54618037b" ] ; fhir:Bundle.entry.resource <urn:uuid:065c918f-730a-47f8-938a-7ad54618037b> ], [ fhir:index 15 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b" ] ; fhir:Bundle.entry.resource <urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b> ], [ fhir:index 16 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363" ] ; fhir:Bundle.entry.resource <urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363> ], [ fhir:index 17 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d" ] ; fhir:Bundle.entry.resource <urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d> ], [ fhir:index 18 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6" ] ; fhir:Bundle.entry.resource <urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6> ], [ fhir:index 19 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4" ] ; fhir:Bundle.entry.resource <urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4> ] . <urn:uuid:b9dc409d-ec81-4556-9fac-4dc3f731c199> a fhir:Composition ; fhir:Resource.id [ fhir:value "b9dc409d-ec81-4556-9fac-4dc3f731c199"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr" ; fhir:index 0 ; fhir:link <http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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-hdr.html\">Composition (HDR)</a></p></div><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 --> 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\">PractitionerRole</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\">Organization Casa di cura Villa S. Giuliana</a></p></div>" ] ; fhir:Composition.status [ fhir:value "final"] ; fhir:Composition.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:34105-7 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "34105-7" ] ; fhir:Coding.display [ fhir:value "Hospital Discharge summary" ] ] ] ; fhir:Composition.subject [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:Composition.encounter [ fhir:Reference.reference [ fhir:value "urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d" ] ] ; fhir:Composition.date [ fhir:value "2025-04-29T13:30:00+01:00"^^xsd:dateTime] ; fhir:Composition.author [ fhir:index 0 ; fhir:Reference.reference [ fhir:value "urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9" ] ] ; fhir:Composition.title [ fhir:value "Hospital Discharge Report"] ; fhir:Composition.custodian [ fhir:Reference.reference [ fhir:value "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38" ] ] ; fhir:Composition.section [ fhir:index 0 ; fhir:Composition.section.title [ fhir:value "Admission evaluation" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:67851-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "67851-6" ] ], [ fhir:index 1 ; a loinc:67852-4 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "67852-4" ] ; fhir:Coding.display [ fhir:value "Hospital Admission evaluation note" ] ] ] ; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "additional" ] ; fhir:Narrative.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 7.8%. He seemed to be dehydrated, so that he immediately was sent to the ward for a full breakfast and fluid substitution.</div>" ] ], [ fhir:index 1 ; fhir:Composition.section.title [ fhir:value "Family History" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:10157-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "10157-6" ] ; fhir:Coding.display [ fhir:value "History of family member diseases note" ] ] ] ; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "additional" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Mr. Luigi has a family history of diabetes (type 2, mother and maternal grandmother).</div>" ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:Reference.reference [ fhir:value "urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085" ] ], [ fhir:index 1 ; fhir:Reference.reference [ fhir:value "urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a" ] ] ], [ fhir:index 2 ; fhir:Composition.section.title [ fhir:value "Vital signs note" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:8716-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "8716-3" ] ; fhir:Coding.display [ fhir:value "Vital signs note" ] ] ] ; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "additional" ] ; fhir:Narrative.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/></tr><tr><td>Blood Pressure</td><td>155 / 95 mmHg</td><td>150 / 90 mmHg</td></tr></tbody></table></div>" ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:Reference.reference [ fhir:value "urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a" ] ], [ fhir:index 1 ; fhir:Reference.reference [ fhir:value "urn:uuid:065c918f-730a-47f8-938a-7ad54618037b" ] ], [ fhir:index 2 ; fhir:Reference.reference [ fhir:value "urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b" ] ], [ fhir:index 3 ; fhir:Reference.reference [ fhir:value "urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363" ] ], [ fhir:index 4 ; fhir:Reference.reference [ fhir:value "urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d" ] ] ], [ fhir:index 3 ; fhir:Composition.section.title [ fhir:value "Tobacco use" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:11367-0 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "11367-0" ] ; fhir:Coding.display [ fhir:value "History of Tobacco use" ] ] ] ; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "additional" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">The patient smokes \"a few\" cigarettes per day.</div>" ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:Reference.reference [ fhir:value "urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6" ] ] ], [ fhir:index 4 ; fhir:Composition.section.title [ fhir:value "Hospital course note" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:8648-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "8648-8" ] ; fhir:Coding.display [ fhir:value "Hospital course note" ] ] ] ; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "additional" ] ; fhir:Narrative.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/>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>" ] ], [ fhir:index 5 ; fhir:Composition.section.title [ fhir:value "Significant Observation Results" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:30954-2 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "30954-2" ] ; fhir:Coding.display [ fhir:value "Relevant diagnostic tests/laboratory data note" ] ] ] ; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "additional" ] ; fhir:Narrative.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>< 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>" ] ], [ fhir:index 6 ; fhir:Composition.section.title [ fhir:value "Significant procedures" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:10185-7 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "10185-7" ] ; fhir:Coding.display [ fhir:value "Hospital discharge procedure note" ] ] ] ; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "additional" ] ; fhir:Narrative.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/>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>" ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:Reference.reference [ fhir:value "urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0" ] ], [ fhir:index 1 ; fhir:Reference.reference [ fhir:value "urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3" ] ], [ fhir:index 2 ; fhir:Reference.reference [ fhir:value "urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079" ] ] ], [ fhir:index 7 ; fhir:Composition.section.title [ fhir:value "Medications" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:87232-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "87232-5" ] ; fhir:Coding.display [ fhir:value "Medication administration.brief" ] ] ] ; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "additional" ] ; fhir:Narrative.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/></tr></tbody></table></div>" ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:Reference.reference [ fhir:value "urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4" ] ] ], [ fhir:index 8 ; fhir:Composition.section.title [ fhir:value "Follow-up" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:18776-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "18776-5" ] ; fhir:Coding.display [ fhir:value "Plan of care note" ] ] ] ; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "additional" ] ; fhir:Narrative.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>" ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:Reference.reference [ fhir:value "urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3" ] ] ], [ fhir:index 9 ; fhir:Composition.section.title [ fhir:value "Diagnosis at Discharge" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:11535-2 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "11535-2" ] ; fhir:Coding.display [ fhir:value "Hospital discharge diagnosis note" ] ] ] ; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "additional" ] ; fhir:Narrative.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>" ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:Reference.reference [ fhir:value "urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9" ] ] ], [ fhir:index 10 ; fhir:Composition.section.title [ fhir:value "Hospital Discharge Instructions" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:8653-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "8653-8" ] ; fhir:Coding.display [ fhir:value "Hospital Discharge Instructions" ] ] ] ; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "additional" ] ; fhir:Narrative.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>" ] ] . <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> a fhir:Patient ; fhir:Resource.id [ fhir:value "b01a2623-e219-41d2-8e78-1fa1439751d0"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</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>" ] ; fhir:Patient.identifier [ fhir:index 0 ; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ; fhir:Coding.code [ fhir:value "NI" ] ] ] ; fhir:Identifier.system [ fhir:value "https://hl7europe.org/example-identifier" ] ; fhir:Identifier.value [ fhir:value "3332-386800-1" ] ], [ fhir:index 1 ; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ; fhir:Coding.code [ fhir:value "MR" ] ] ] ; fhir:Identifier.system [ fhir:value "https://hl7europe.org/example-identifier" ] ; fhir:Identifier.value [ fhir:value "8121c77e7bf9" ] ] ; fhir:Patient.name [ fhir:index 0 ; fhir:HumanName.text [ fhir:value "Luigi De Luca" ] ; fhir:HumanName.family [ fhir:value "De Luca" ] ; fhir:HumanName.given [ fhir:value "Luigi" ; fhir:index 0 ] ] ; fhir:Patient.telecom [ fhir:index 0 ; fhir:ContactPoint.system [ fhir:value "phone" ] ; fhir:ContactPoint.value [ fhir:value "+39 0334 8920354" ] ] ; fhir:Patient.gender [ fhir:value "male"] ; fhir:Patient.birthDate [ fhir:value "1966-09-30"^^xsd:date] ; fhir:Patient.address [ fhir:index 0 ; fhir:Address.use [ fhir:value "home" ] ; fhir:Address.type [ fhir:value "physical" ] ; fhir:Address.line [ fhir:value "Via Zannoni 29" ; fhir:index 0 ] ; fhir:Address.city [ fhir:value "Serso" ] ; fhir:Address.postalCode [ fhir:value "38057" ] ; fhir:Address.country [ fhir:value "Italy" ] ] . <urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d> a fhir:Encounter ; fhir:Resource.id [ fhir:value "7c9a2bf1-507f-4d43-b06e-d78e9670379d"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr" ; fhir:index 0 ; fhir:link <http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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-hdr.html\">Encounter (HDR)</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.2.0/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)</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\">Organization Casa di cura Villa S. Giuliana</a></p></div>" ] ; fhir:Encounter.status [ fhir:value "finished"] ; fhir:Encounter.class [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ; fhir:Coding.code [ fhir:value "IMP" ] ] ; fhir:Encounter.serviceType [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:171183004 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "171183004" ] ; fhir:Coding.display [ fhir:value "Diabetes mellitus screening (procedure)" ] ] ] ; fhir:Encounter.subject [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:Encounter.period [ fhir:Period.start [ fhir:value "2025-04-01T08:45:00Z"^^xsd:dateTime ] ; fhir:Period.end [ fhir:value "2025-04-10T11:00:00Z"^^xsd:dateTime ] ] ; fhir:Encounter.reasonCode [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:714628002 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "714628002" ] ; fhir:Coding.display [ fhir:value "Prediabetes (finding)" ] ] ] ; fhir:Encounter.serviceProvider [ fhir:Reference.reference [ fhir:value "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38" ] ] . <urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9> a fhir:PractitionerRole ; fhir:Resource.id [ fhir:value "74403dd8-bb1b-45f9-bb69-e843dfaf45e9"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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><p><b>practitioner</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-0710d9e7-3f1a-4e16-a9b3-5c991fe23c95\">Practitioner Augusto Zucchero-Combattente </a></p><p><b>organization</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-a61a91f8-b8f2-4947-9a64-5165ea380a38\">Organization Casa di cura Villa S. Giuliana</a></p></div>" ] ; fhir:PractitionerRole.practitioner [ fhir:Reference.reference [ fhir:value "urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95" ] ] ; fhir:PractitionerRole.organization [ fhir:Reference.reference [ fhir:value "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38" ] ] . <urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95> a fhir:Practitioner ; fhir:Resource.id [ fhir:value "0710d9e7-3f1a-4e16-a9b3-5c991fe23c95"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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><p><b>name</b>: Augusto Zucchero-Combattente </p><p><b>telecom</b>: <a href=\"mailto:augusto@casasgiuliana.osp.venetia.it\">augusto@casasgiuliana.osp.venetia.it</a></p></div>" ] ; fhir:Practitioner.name [ fhir:index 0 ; fhir:HumanName.family [ fhir:value "Zucchero-Combattente" ] ; fhir:HumanName.given [ fhir:value "Augusto" ; fhir:index 0 ] ; fhir:HumanName.prefix [ fhir:value "dr" ; fhir:index 0 ] ] ; fhir:Practitioner.telecom [ fhir:index 0 ; fhir:ContactPoint.system [ fhir:value "email" ] ; fhir:ContactPoint.value [ fhir:value "augusto@casasgiuliana.osp.venetia.it" ] ] . <urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38> a fhir:Organization ; fhir:Resource.id [ fhir:value "a61a91f8-b8f2-4947-9a64-5165ea380a38"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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><p><b>name</b>: Casa di cura Villa S. Giuliana</p><p><b>address</b>: Verona 37128 it </p></div>" ] ; fhir:Organization.name [ fhir:value "Casa di cura Villa S. Giuliana"] ; fhir:Organization.address [ fhir:index 0 ; fhir:Address.city [ fhir:value "Verona" ] ; fhir:Address.postalCode [ fhir:value "37128" ] ; fhir:Address.country [ fhir:value "it" ] ] . <urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9> a fhir:Condition ; fhir:Resource.id [ fhir:value "a5bf69e4-24db-48a8-9eda-71516dcaf1d9"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core" ; fhir:index 0 ; fhir:link <http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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/2.0.0/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)</a></p><p><b>onset</b>: 2025-04-04</p></div>" ] ; fhir:Condition.clinicalStatus [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ] ; fhir:Coding.code [ fhir:value "active" ] ] ] ; fhir:Condition.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10" ] ; fhir:Coding.code [ fhir:value "E11" ] ; fhir:Coding.display [ fhir:value "Type 2 diabetes mellitus" ] ], [ fhir:index 1 ; a sct:44054006 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "44054006" ] ; fhir:Coding.display [ fhir:value "Diabetes mellitus type 2 (disorder)" ] ] ] ; fhir:Condition.subject [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:Condition.onsetDateTime [ fhir:value "2025-04-04"^^xsd:date] . <urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3> a fhir:CarePlan ; fhir:Resource.id [ fhir:value "b84038f8-9541-4c5b-93b0-a7f1b8e55bd3"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.eu/fhir/hdr/StructureDefinition/carePlan-eu-hdr" ; fhir:index 0 ; fhir:link <http://hl7.eu/fhir/hdr/StructureDefinition/carePlan-eu-hdr> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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-hdr.html\">Care Plan (HDR)</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)</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>" ] ; fhir:CarePlan.status [ fhir:value "active"] ; fhir:CarePlan.intent [ fhir:value "plan"] ; fhir:CarePlan.category [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:736284000 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "736284000" ] ; fhir:Coding.display [ fhir:value "Diabetes clinical management plan" ] ] ] ; fhir:CarePlan.title [ fhir:value "Diabetes Management Plan"] ; fhir:CarePlan.subject [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:CarePlan.period [ fhir:Period.start [ fhir:value "2025-04-10"^^xsd:date ] ] ; fhir:CarePlan.activity [ fhir:index 0 ; fhir:CarePlan.activity.detail [ fhir:CarePlan.activity.detail.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:306118006 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "306118006" ] ; fhir:Coding.display [ fhir:value "Referral to endocrinology service" ] ] ] ; fhir:CarePlan.activity.detail.status [ fhir:value "not-started" ] ] ], [ fhir:index 1 ; fhir:CarePlan.activity.detail [ fhir:CarePlan.activity.detail.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:103699006 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "103699006" ] ; fhir:Coding.display [ fhir:value "Referral to dietitian" ] ] ] ; fhir:CarePlan.activity.detail.status [ fhir:value "not-started" ] ] ], [ fhir:index 2 ; fhir:CarePlan.activity.detail [ fhir:CarePlan.activity.detail.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:43396009 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "43396009" ] ; fhir:Coding.display [ fhir:value "Hemoglobin A1c measurement" ] ] ] ; fhir:CarePlan.activity.detail.status [ fhir:value "not-started" ] ] ] . <urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0> a fhir:Procedure ; fhir:Resource.id [ fhir:value "92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core" ; fhir:index 0 ; fhir:link <http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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/2.0.0/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)</a></p><p><b>performed</b>: 2025-04-05</p></div>" ] ; fhir:Procedure.status [ fhir:value "completed"] ; fhir:Procedure.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:313204009 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "313204009" ] ; fhir:Coding.display [ fhir:value "Lifestyle education (procedure)" ] ] ] ; fhir:Procedure.subject [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:Procedure.performedDateTime [ fhir:value "2025-04-05"^^xsd:date] . <urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3> a fhir:Procedure ; fhir:Resource.id [ fhir:value "a74a3dca-92fa-4b71-8e70-89a07ac74bc3"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core" ; fhir:index 0 ; fhir:link <http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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/2.0.0/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)</a></p><p><b>performed</b>: 2025-04-04</p></div>" ] ; fhir:Procedure.status [ fhir:value "completed"] ; fhir:Procedure.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:6143009 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "6143009" ] ; fhir:Coding.display [ fhir:value "Diabetic education (procedure)" ] ] ] ; fhir:Procedure.subject [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:Procedure.performedDateTime [ fhir:value "2025-04-04"^^xsd:date] . <urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079> a fhir:Procedure ; fhir:Resource.id [ fhir:value "53a8c3c3-5d1b-4950-87bc-fddae2ebc079"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core" ; fhir:index 0 ; fhir:link <http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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/2.0.0/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)</a></p><p><b>performed</b>: 2025-04-04</p></div>" ] ; fhir:Procedure.status [ fhir:value "in-progress"] ; fhir:Procedure.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:1340186004 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "1340186004" ] ; fhir:Coding.display [ fhir:value "Metformin therapy (procedure)" ] ] ] ; fhir:Procedure.subject [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:Procedure.performedDateTime [ fhir:value "2025-04-04"^^xsd:date] . <urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085> a fhir:FamilyMemberHistory ; fhir:Resource.id [ fhir:value "635c22e7-d7f1-45ad-9b4d-d4fe35239085"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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)</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>" ] ; fhir:FamilyMemberHistory.status [ fhir:value "completed"] ; fhir:FamilyMemberHistory.patient [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:FamilyMemberHistory.relationship [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ] ; fhir:Coding.code [ fhir:value "MTH" ] ; fhir:Coding.display [ fhir:value "mother" ] ] ] ; fhir:FamilyMemberHistory.condition [ fhir:index 0 ; fhir:FamilyMemberHistory.condition.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:430679000 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "430679000" ] ; fhir:Coding.display [ fhir:value "Family history of diabetes mellitus type 2 (situation)" ] ] ] ] . <urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a> a fhir:FamilyMemberHistory ; fhir:Resource.id [ fhir:value "3fbdfbe1-9d70-47ec-ac05-3e30b063365a"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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)</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>" ] ; fhir:FamilyMemberHistory.status [ fhir:value "completed"] ; fhir:FamilyMemberHistory.patient [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:FamilyMemberHistory.relationship [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ] ; fhir:Coding.code [ fhir:value "MGRMTH" ] ; fhir:Coding.display [ fhir:value "maternal grandmother" ] ] ] ; fhir:FamilyMemberHistory.condition [ fhir:index 0 ; fhir:FamilyMemberHistory.condition.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:430679000 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "430679000" ] ; fhir:Coding.display [ fhir:value "Family history of diabetes mellitus type 2 (situation)" ] ] ] ] . <urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a> a fhir:Observation ; fhir:Resource.id [ fhir:value "f0113857-b9b7-429b-8893-b645a38ae20a"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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><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)</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>" ] ; fhir:Observation.status [ fhir:value "final"] ; fhir:Observation.category [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ; fhir:Coding.code [ fhir:value "vital-signs" ] ; fhir:Coding.display [ fhir:value "Vital Signs" ] ] ] ; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:29463-7 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "29463-7" ] ; fhir:Coding.display [ fhir:value "Body weight" ] ] ] ; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:Observation.effectiveDateTime [ fhir:value "2025-04-01"^^xsd:date] ; fhir:Observation.valueQuantity [ fhir:Quantity.value [ fhir:value "109"^^xsd:decimal ] ; fhir:Quantity.unit [ fhir:value "kg" ] ; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ; fhir:Quantity.code [ fhir:value "kg" ] ] . <urn:uuid:065c918f-730a-47f8-938a-7ad54618037b> a fhir:Observation ; fhir:Resource.id [ fhir:value "065c918f-730a-47f8-938a-7ad54618037b"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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><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)</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>" ] ; fhir:Observation.status [ fhir:value "final"] ; fhir:Observation.category [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ; fhir:Coding.code [ fhir:value "vital-signs" ] ; fhir:Coding.display [ fhir:value "Vital Signs" ] ] ] ; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:29463-7 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "29463-7" ] ; fhir:Coding.display [ fhir:value "Body weight" ] ] ] ; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:Observation.effectiveDateTime [ fhir:value "2025-04-10"^^xsd:date] ; fhir:Observation.valueQuantity [ fhir:Quantity.value [ fhir:value "108"^^xsd:decimal ] ; fhir:Quantity.unit [ fhir:value "kg" ] ; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ; fhir:Quantity.code [ fhir:value "kg" ] ] . <urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b> a fhir:Observation ; fhir:Resource.id [ fhir:value "81783ae4-c36d-424f-8cea-fe7d3407a36b"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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><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)</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>" ] ; fhir:Observation.status [ fhir:value "final"] ; fhir:Observation.category [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ; fhir:Coding.code [ fhir:value "vital-signs" ] ; fhir:Coding.display [ fhir:value "Vital Signs" ] ] ] ; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:8302-2 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "8302-2" ] ; fhir:Coding.display [ fhir:value "Body height" ] ] ] ; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:Observation.effectiveDateTime [ fhir:value "2025-04-01"^^xsd:date] ; fhir:Observation.valueQuantity [ fhir:Quantity.value [ fhir:value "177"^^xsd:decimal ] ; fhir:Quantity.unit [ fhir:value "cm" ] ; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ; fhir:Quantity.code [ fhir:value "cm" ] ] . <urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363> a fhir:Observation ; fhir:Resource.id [ fhir:value "a19e48e1-2271-4cdb-9c76-b0626c7a5363"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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><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)</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>" ] ; fhir:Observation.status [ fhir:value "final"] ; fhir:Observation.category [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ; fhir:Coding.code [ fhir:value "vital-signs" ] ; fhir:Coding.display [ fhir:value "Vital Signs" ] ] ] ; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:85354-9 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "85354-9" ] ; fhir:Coding.display [ fhir:value "Blood pressure panel with all children optional" ] ] ] ; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:Observation.effectiveDateTime [ fhir:value "2025-04-01"^^xsd:date] ; fhir:Observation.component [ fhir:index 0 ; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:8480-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "8480-6" ] ; fhir:Coding.display [ fhir:value "Systolic blood pressure" ] ] ] ; fhir:Observation.component.valueQuantity [ fhir:Quantity.value [ fhir:value "155"^^xsd:decimal ] ; fhir:Quantity.unit [ fhir:value "mmHg" ] ; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ; fhir:Quantity.code [ fhir:value "mm[Hg]" ] ] ], [ fhir:index 1 ; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:8462-4 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "8462-4" ] ; fhir:Coding.display [ fhir:value "Diastolic blood pressure" ] ] ] ; fhir:Observation.component.valueQuantity [ fhir:Quantity.value [ fhir:value "95"^^xsd:decimal ] ; fhir:Quantity.unit [ fhir:value "mmHg" ] ; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ; fhir:Quantity.code [ fhir:value "mm[Hg]" ] ] ] . <urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d> a fhir:Observation ; fhir:Resource.id [ fhir:value "fd7f7580-5788-45dd-88ec-dca615d69c7d"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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><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)</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>" ] ; fhir:Observation.status [ fhir:value "final"] ; fhir:Observation.category [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ; fhir:Coding.code [ fhir:value "vital-signs" ] ; fhir:Coding.display [ fhir:value "Vital Signs" ] ] ] ; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:85354-9 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "85354-9" ] ; fhir:Coding.display [ fhir:value "Blood pressure panel with all children optional" ] ] ] ; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:Observation.effectiveDateTime [ fhir:value "2025-04-10"^^xsd:date] ; fhir:Observation.component [ fhir:index 0 ; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:8480-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "8480-6" ] ; fhir:Coding.display [ fhir:value "Systolic blood pressure" ] ] ] ; fhir:Observation.component.valueQuantity [ fhir:Quantity.value [ fhir:value "150"^^xsd:decimal ] ; fhir:Quantity.unit [ fhir:value "mmHg" ] ; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ; fhir:Quantity.code [ fhir:value "mm[Hg]" ] ] ], [ fhir:index 1 ; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:8462-4 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "8462-4" ] ; fhir:Coding.display [ fhir:value "Diastolic blood pressure" ] ] ] ; fhir:Observation.component.valueQuantity [ fhir:Quantity.value [ fhir:value "90"^^xsd:decimal ] ; fhir:Quantity.unit [ fhir:value "mmHg" ] ; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ; fhir:Quantity.code [ fhir:value "mm[Hg]" ] ] ] . <urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6> a fhir:Observation ; fhir:Resource.id [ fhir:value "67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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)</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>" ] ; fhir:Observation.status [ fhir:value "final"] ; fhir:Observation.category [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ; fhir:Coding.code [ fhir:value "social-history" ] ; fhir:Coding.display [ fhir:value "Social History" ] ] ] ; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:11367-0 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "11367-0" ] ; fhir:Coding.display [ fhir:value "History of Tobacco use" ] ] ] ; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:Observation.effectiveDateTime [ fhir:value "2025-04-01"^^xsd:date] ; fhir:Observation.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:77176002 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "77176002" ] ; fhir:Coding.display [ fhir:value "Current smoker" ] ] ] ; fhir:Observation.note [ fhir:index 0 ; fhir:Annotation.text [ fhir:value "Patient smokes a few cigarettes a day" ] ] . <urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4> a fhir:MedicationAdministration ; fhir:Resource.id [ fhir:value "bda0b497-c9f2-47ca-8339-da1d379cb2f4"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.eu/fhir/hdr/StructureDefinition/medicationAdministration-eu-hdr" ; fhir:index 0 ; fhir:link <http://hl7.eu/fhir/hdr/StructureDefinition/medicationAdministration-eu-hdr> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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-hdr.html\">MedicationAdministration (HDR)</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)</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>" ] ; fhir:MedicationAdministration.status [ fhir:value "in-progress"] ; fhir:MedicationAdministration.medicationCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:765507008 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "765507008" ] ; fhir:Coding.display [ fhir:value "Product containing precisely metformin hydrochloride 500 milligram/1 each prolonged-release oral tablet (clinical drug)" ] ] ] ; fhir:MedicationAdministration.subject [ fhir:Reference.reference [ fhir:value "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ] ] ; fhir:MedicationAdministration.effectivePeriod [ fhir:Period.start [ fhir:value "2025-04-03"^^xsd:date ] ] ; fhir:MedicationAdministration.dosage [ fhir:MedicationAdministration.dosage.text [ fhir:value "500 mg, twice a day" ] ; fhir:MedicationAdministration.dosage.route [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:26643006 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "26643006" ] ; fhir:Coding.display [ fhir:value "Oral route" ] ] ] ; fhir:MedicationAdministration.dosage.dose [ fhir:Quantity.value [ fhir:value "500"^^xsd:decimal ] ; fhir:Quantity.unit [ fhir:value "mg" ] ] ] . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Bundle/HDR-Luigi-De-Luca-Example.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/Bundle/HDR-Luigi-De-Luca-Example.ttl> .
IG © 2024+ HL7 Europe. Package hl7.fhir.eu.hdr#1.0.0-ci based on FHIR 4.0.1. Generated 2026-06-26
