HL7 Europe Hospital Discharge Report
0.0.1-ci - ci-build
150
HL7 Europe Hospital Discharge Report
0.0.1-ci - ci-build
150
HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.0.1-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
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"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>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><thead><tr><th>Vital signs</th><th>1st April</th><th>10th April</th></tr></thead><tbody><tr><td>Body weight</td><td>109 kg</td><td>108 kg</td></tr><tr><td>Body height</td><td>177 cm</td><td></td></tr><tr><td>Blood Pressure</td><td>155 / 95 mmHg</td><td>150 / 90 mmHg</td></tr></tbody></table></div>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">The patient smokes \"a few\" cigarettes per day.</div>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">During the hospital stay from 1 to 10 April, Mr. De Luca underwent a series of diagnostic tests, consultations and initial treatment.<p></p>Throughout his hospital stay, Mr. De Luca was monitored closely. His blood sugar levels improved modestly with the introduction of Metformin, and no acute complications were observed.</div>"
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"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>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Lifestyle Consultation: Mr. De Luca met with a dietitian to discuss necessary changes in his diet, focusing on a low glycemic index diet and the need to monitor carbohydrate intake. He was also advised to engage in regular physical activity.<p></p>Diabetes Education: Mr. De Luca attended educational sessions on diabetes management, including the importance of regular blood sugar monitoring, recognizing hypoglycemia and hyperglycemia symptoms, and foot care.<p></p>Starting Pharmacotherapy with Metformin.</div>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Metformin 500 mg twice daily was started as the first-line treatment to help control blood glucose levels.<table class=\"hl7__hdr\"><thead><tr><th>Medication administrations</th><th>Dose/Frequency</th><th>SNOMED</th></tr></thead><tbody><tr><td>Metformin, oral tbl</td><td>500 mg, twice / day</td><td>765507008</td></tr><tr><td>Multivitamines</td><td>daily</td><td></td></tr></tbody></table></div>"
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"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>"
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"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>"
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"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><a name=\"0710d9e7-3f1a-4e16-a9b3-5c991fe23c95-en-US\"> </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>"
},
"name" : [
{
"family" : "Zucchero-Combattente",
"given" : [
"Augusto"
],
"prefix" : [
"dr"
]
}
],
"telecom" : [
{
"system" : "email",
"value" : "augusto@casasgiuliana.osp.venetia.it"
}
]
}
},
{
"fullUrl" : "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38",
"resource" : {
"resourceType" : "Organization",
"id" : "a61a91f8-b8f2-4947-9a64-5165ea380a38",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_a61a91f8-b8f2-4947-9a64-5165ea380a38\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization a61a91f8-b8f2-4947-9a64-5165ea380a38</b></p><a name=\"a61a91f8-b8f2-4947-9a64-5165ea380a38\"> </a><a name=\"hca61a91f8-b8f2-4947-9a64-5165ea380a38\"> </a><a name=\"a61a91f8-b8f2-4947-9a64-5165ea380a38-en-US\"> </a><p><b>name</b>: Casa di cura Villa S. Giuliana</p><p><b>address</b>: Verona 37128 it </p></div>"
},
"name" : "Casa di cura Villa S. Giuliana",
"address" : [
{
"city" : "Verona",
"postalCode" : "37128",
"country" : "it"
}
]
}
},
{
"fullUrl" : "urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9",
"resource" : {
"resourceType" : "Condition",
"id" : "a5bf69e4-24db-48a8-9eda-71516dcaf1d9",
"meta" : {
"profile" : [
🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/condition-eu-hdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_a5bf69e4-24db-48a8-9eda-71516dcaf1d9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition a5bf69e4-24db-48a8-9eda-71516dcaf1d9</b></p><a name=\"a5bf69e4-24db-48a8-9eda-71516dcaf1d9\"> </a><a name=\"hca5bf69e4-24db-48a8-9eda-71516dcaf1d9\"> </a><a name=\"a5bf69e4-24db-48a8-9eda-71516dcaf1d9-en-US\"> </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-condition-eu-hdr.html\">Condition (HDR)</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\">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-11 14:00:00+0000</a></p><p><b>onset</b>: 2025-04-04</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "E11",
"display" : "Type 2 diabetes mellitus"
},
{
"system" : "http://snomed.info/sct",
"code" : "44054006",
"display" : "Diabetes mellitus type 2 (disorder)"
}
]
},
"subject" : {
"reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
},
"onsetDateTime" : "2025-04-04"
}
},
{
"fullUrl" : "urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3",
"resource" : {
"resourceType" : "CarePlan",
"id" : "b84038f8-9541-4c5b-93b0-a7f1b8e55bd3",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_b84038f8-9541-4c5b-93b0-a7f1b8e55bd3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan b84038f8-9541-4c5b-93b0-a7f1b8e55bd3</b></p><a name=\"b84038f8-9541-4c5b-93b0-a7f1b8e55bd3\"> </a><a name=\"hcb84038f8-9541-4c5b-93b0-a7f1b8e55bd3\"> </a><a name=\"b84038f8-9541-4c5b-93b0-a7f1b8e55bd3-en-US\"> </a><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\">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-11 14:00:00+0000</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>"
},
"status" : "active",
"intent" : "plan",
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "736284000",
"display" : "Diabetes clinical management plan"
}
]
}
],
"title" : "Diabetes Management Plan",
"subject" : {
"reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
},
"period" : {
"start" : "2025-04-10"
},
"activity" : [
{
"detail" : {
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "306118006",
"display" : "Referral to endocrinology service"
}
]
},
"status" : "not-started"
}
},
{
"detail" : {
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "103699006",
"display" : "Referral to dietitian"
}
]
},
"status" : "not-started"
}
},
{
"detail" : {
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "43396009",
"display" : "Hemoglobin A1c measurement"
}
]
},
"status" : "not-started"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0",
"resource" : {
"resourceType" : "Procedure",
"id" : "92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0",
"meta" : {
"profile" : [
🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/procedure-eu-hdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure 92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0</b></p><a name=\"92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0\"> </a><a name=\"hc92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0\"> </a><a name=\"92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0-en-US\"> </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-procedure-eu-hdr.html\">Procedure (HDR)</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\">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-11 14:00:00+0000</a></p><p><b>performed</b>: 2025-04-05</p></div>"
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "313204009",
"display" : "Lifestyle education (procedure)"
}
]
},
"subject" : {
"reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
},
"performedDateTime" : "2025-04-05"
}
},
{
"fullUrl" : "urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3",
"resource" : {
"resourceType" : "Procedure",
"id" : "a74a3dca-92fa-4b71-8e70-89a07ac74bc3",
"meta" : {
"profile" : [
🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/procedure-eu-hdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_a74a3dca-92fa-4b71-8e70-89a07ac74bc3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure a74a3dca-92fa-4b71-8e70-89a07ac74bc3</b></p><a name=\"a74a3dca-92fa-4b71-8e70-89a07ac74bc3\"> </a><a name=\"hca74a3dca-92fa-4b71-8e70-89a07ac74bc3\"> </a><a name=\"a74a3dca-92fa-4b71-8e70-89a07ac74bc3-en-US\"> </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-procedure-eu-hdr.html\">Procedure (HDR)</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\">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-11 14:00:00+0000</a></p><p><b>performed</b>: 2025-04-04</p></div>"
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "6143009",
"display" : "Diabetic education (procedure)"
}
]
},
"subject" : {
"reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
},
"performedDateTime" : "2025-04-04"
}
},
{
"fullUrl" : "urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079",
"resource" : {
"resourceType" : "Procedure",
"id" : "53a8c3c3-5d1b-4950-87bc-fddae2ebc079",
"meta" : {
"profile" : [
🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/procedure-eu-hdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_53a8c3c3-5d1b-4950-87bc-fddae2ebc079\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure 53a8c3c3-5d1b-4950-87bc-fddae2ebc079</b></p><a name=\"53a8c3c3-5d1b-4950-87bc-fddae2ebc079\"> </a><a name=\"hc53a8c3c3-5d1b-4950-87bc-fddae2ebc079\"> </a><a name=\"53a8c3c3-5d1b-4950-87bc-fddae2ebc079-en-US\"> </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-procedure-eu-hdr.html\">Procedure (HDR)</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\">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-11 14:00:00+0000</a></p><p><b>performed</b>: 2025-04-04</p></div>"
},
"status" : "in-progress",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1340186004",
"display" : "Metformin therapy (procedure)"
}
]
},
"subject" : {
"reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
},
"performedDateTime" : "2025-04-04"
}
},
{
"fullUrl" : "urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085",
"resource" : {
"resourceType" : "FamilyMemberHistory",
"id" : "635c22e7-d7f1-45ad-9b4d-d4fe35239085",
"meta" : {
"profile" : [
🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/familyMemberHistory-eu-hdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"FamilyMemberHistory_635c22e7-d7f1-45ad-9b4d-d4fe35239085\"> </a><p class=\"res-header-id\"><b>Generated Narrative: FamilyMemberHistory 635c22e7-d7f1-45ad-9b4d-d4fe35239085</b></p><a name=\"635c22e7-d7f1-45ad-9b4d-d4fe35239085\"> </a><a name=\"hc635c22e7-d7f1-45ad-9b4d-d4fe35239085\"> </a><a name=\"635c22e7-d7f1-45ad-9b4d-d4fe35239085-en-US\"> </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-familyMemberHistory-eu-hdr.html\">FamilyMemberHistory (HDR)</a></p></div><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\">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-11 14:00:00+0000</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}\">mother</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 430679000}\">Family history of diabetes mellitus type 2 (situation)</span></td></tr></table></div>"
},
"status" : "completed",
"patient" : {
"reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
},
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "MTH",
"display" : "mother"
}
]
},
"condition" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "430679000",
"display" : "Family history of diabetes mellitus type 2 (situation)"
}
]
}
}
]
}
},
{
"fullUrl" : "urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a",
"resource" : {
"resourceType" : "FamilyMemberHistory",
"id" : "3fbdfbe1-9d70-47ec-ac05-3e30b063365a",
"meta" : {
"profile" : [
🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/familyMemberHistory-eu-hdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"FamilyMemberHistory_3fbdfbe1-9d70-47ec-ac05-3e30b063365a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: FamilyMemberHistory 3fbdfbe1-9d70-47ec-ac05-3e30b063365a</b></p><a name=\"3fbdfbe1-9d70-47ec-ac05-3e30b063365a\"> </a><a name=\"hc3fbdfbe1-9d70-47ec-ac05-3e30b063365a\"> </a><a name=\"3fbdfbe1-9d70-47ec-ac05-3e30b063365a-en-US\"> </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-familyMemberHistory-eu-hdr.html\">FamilyMemberHistory (HDR)</a></p></div><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\">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-11 14:00:00+0000</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MGRMTH}\">maternal grandmother</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 430679000}\">Family history of diabetes mellitus type 2 (situation)</span></td></tr></table></div>"
},
"status" : "completed",
"patient" : {
"reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
},
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "MGRMTH",
"display" : "maternal grandmother"
}
]
},
"condition" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "430679000",
"display" : "Family history of diabetes mellitus type 2 (situation)"
}
]
}
}
]
}
},
{
"fullUrl" : "urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a",
"resource" : {
"resourceType" : "Observation",
"id" : "f0113857-b9b7-429b-8893-b645a38ae20a",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_f0113857-b9b7-429b-8893-b645a38ae20a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation f0113857-b9b7-429b-8893-b645a38ae20a</b></p><a name=\"f0113857-b9b7-429b-8893-b645a38ae20a\"> </a><a name=\"hcf0113857-b9b7-429b-8893-b645a38ae20a\"> </a><a name=\"f0113857-b9b7-429b-8893-b645a38ae20a-en-US\"> </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\">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-11 14:00:00+0000</a></p><p><b>effective</b>: 2025-04-01</p><p><b>value</b>: 109 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codekg = 'kg')</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29463-7",
"display" : "Body weight"
}
]
},
"subject" : {
"reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
},
"effectiveDateTime" : "2025-04-01",
"valueQuantity" : {
"value" : 109,
"unit" : "kg",
"system" : "http://unitsofmeasure.org",
"code" : "kg"
}
}
},
{
"fullUrl" : "urn:uuid:065c918f-730a-47f8-938a-7ad54618037b",
"resource" : {
"resourceType" : "Observation",
"id" : "065c918f-730a-47f8-938a-7ad54618037b",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_065c918f-730a-47f8-938a-7ad54618037b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 065c918f-730a-47f8-938a-7ad54618037b</b></p><a name=\"065c918f-730a-47f8-938a-7ad54618037b\"> </a><a name=\"hc065c918f-730a-47f8-938a-7ad54618037b\"> </a><a name=\"065c918f-730a-47f8-938a-7ad54618037b-en-US\"> </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\">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-11 14:00:00+0000</a></p><p><b>effective</b>: 2025-04-19</p><p><b>value</b>: 108 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codekg = 'kg')</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29463-7",
"display" : "Body weight"
}
]
},
"subject" : {
"reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
},
"effectiveDateTime" : "2025-04-19",
"valueQuantity" : {
"value" : 108,
"unit" : "kg",
"system" : "http://unitsofmeasure.org",
"code" : "kg"
}
}
},
{
"fullUrl" : "urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b",
"resource" : {
"resourceType" : "Observation",
"id" : "81783ae4-c36d-424f-8cea-fe7d3407a36b",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_81783ae4-c36d-424f-8cea-fe7d3407a36b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 81783ae4-c36d-424f-8cea-fe7d3407a36b</b></p><a name=\"81783ae4-c36d-424f-8cea-fe7d3407a36b\"> </a><a name=\"hc81783ae4-c36d-424f-8cea-fe7d3407a36b\"> </a><a name=\"81783ae4-c36d-424f-8cea-fe7d3407a36b-en-US\"> </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\">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-11 14:00:00+0000</a></p><p><b>effective</b>: 2025-04-01</p><p><b>value</b>: 177 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codecm = 'cm')</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8302-2",
"display" : "Body height"
}
]
},
"subject" : {
"reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
},
"effectiveDateTime" : "2025-04-01",
"valueQuantity" : {
"value" : 177,
"unit" : "cm",
"system" : "http://unitsofmeasure.org",
"code" : "cm"
}
}
},
{
"fullUrl" : "urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363",
"resource" : {
"resourceType" : "Observation",
"id" : "a19e48e1-2271-4cdb-9c76-b0626c7a5363",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_a19e48e1-2271-4cdb-9c76-b0626c7a5363\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation a19e48e1-2271-4cdb-9c76-b0626c7a5363</b></p><a name=\"a19e48e1-2271-4cdb-9c76-b0626c7a5363\"> </a><a name=\"hca19e48e1-2271-4cdb-9c76-b0626c7a5363\"> </a><a name=\"a19e48e1-2271-4cdb-9c76-b0626c7a5363-en-US\"> </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\">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-11 14:00:00+0000</a></p><p><b>effective</b>: 2025-04-01</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}\">Systolic blood pressure</span></p><p><b>value</b>: 155 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8462-4}\">Diastolic blood pressure</span></p><p><b>value</b>: 95 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85354-9",
"display" : "Blood pressure panel with all children optional"
}
]
},
"subject" : {
"reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
},
"effectiveDateTime" : "2025-04-01",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8480-6",
"display" : "Systolic blood pressure"
}
]
},
"valueQuantity" : {
"value" : 155,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8462-4",
"display" : "Diastolic blood pressure"
}
]
},
"valueQuantity" : {
"value" : 95,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d",
"resource" : {
"resourceType" : "Observation",
"id" : "fd7f7580-5788-45dd-88ec-dca615d69c7d",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_fd7f7580-5788-45dd-88ec-dca615d69c7d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation fd7f7580-5788-45dd-88ec-dca615d69c7d</b></p><a name=\"fd7f7580-5788-45dd-88ec-dca615d69c7d\"> </a><a name=\"hcfd7f7580-5788-45dd-88ec-dca615d69c7d\"> </a><a name=\"fd7f7580-5788-45dd-88ec-dca615d69c7d-en-US\"> </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\">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-11 14:00:00+0000</a></p><p><b>effective</b>: 2025-04-10</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}\">Systolic blood pressure</span></p><p><b>value</b>: 150 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8462-4}\">Diastolic blood pressure</span></p><p><b>value</b>: 90 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85354-9",
"display" : "Blood pressure panel with all children optional"
}
]
},
"subject" : {
"reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
},
"effectiveDateTime" : "2025-04-10",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8480-6",
"display" : "Systolic blood pressure"
}
]
},
"valueQuantity" : {
"value" : 150,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8462-4",
"display" : "Diastolic blood pressure"
}
]
},
"valueQuantity" : {
"value" : 90,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6",
"resource" : {
"resourceType" : "Observation",
"id" : "67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6</b></p><a name=\"67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6\"> </a><a name=\"hc67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6\"> </a><a name=\"67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6-en-US\"> </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\">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-11 14:00:00+0000</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>: Patient smokes a few cigarettes a day</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "social-history",
"display" : "Social History"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11367-0",
"display" : "History of Tobacco use"
}
]
},
"subject" : {
"reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
},
"effectiveDateTime" : "2025-04-01",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "77176002",
"display" : "Current smoker"
}
]
},
"note" : [
{
"text" : "Patient smokes a few cigarettes a day"
}
]
}
},
{
"fullUrl" : "urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4",
"resource" : {
"resourceType" : "MedicationAdministration",
"id" : "bda0b497-c9f2-47ca-8339-da1d379cb2f4",
"meta" : {
"profile" : [
🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/medicationAdministration-eu-hdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_bda0b497-c9f2-47ca-8339-da1d379cb2f4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration bda0b497-c9f2-47ca-8339-da1d379cb2f4</b></p><a name=\"bda0b497-c9f2-47ca-8339-da1d379cb2f4\"> </a><a name=\"hcbda0b497-c9f2-47ca-8339-da1d379cb2f4\"> </a><a name=\"bda0b497-c9f2-47ca-8339-da1d379cb2f4-en-US\"> </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\">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-11 14:00:00+0000</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>"
},
"status" : "in-progress",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "765507008",
"display" : "Product containing precisely metformin hydrochloride 500 milligram/1 each prolonged-release oral tablet (clinical drug)"
}
]
},
"subject" : {
"reference" : "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"
},
"effectivePeriod" : {
"start" : "2025-04-03"
},
"dosage" : {
"text" : "500 mg, twice a day",
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "26643006",
"display" : "Oral route"
}
]
},
"dose" : {
"value" : 500,
"unit" : "mg"
}
}
}
}
]
}
IG © 2024+ HL7 Europe. Package hl7.fhir.eu.hdr#0.0.1-ci based on FHIR 4.0.1. Generated 2025-05-15
