HL7 Europe Hospital Discharge Report
1.0.0-alpha - qa-preview 150

HL7 Europe Hospital Discharge Report - Downloaded Version 1.0.0-alpha See the Directory of published versions

## : Bundle: complete HL7 Europe Hospital Discharge Report (1) - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="HDR-Luigi-De-Luca-Example"/>
      <meta>
        <profile
                 value="http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr"/>
      </meta>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="PRN"/>
          </coding>
        </type>
        <system value="https://hl7europe.org/example-identifier"/>
        <value value="b6b4291d-4f78-4c5e-a8e6-c4355c1cc4f5"/>
      </identifier>
      <type value="document"/>
      <timestamp value="2025-04-29T14:00:00Z"/>
      <entry>
        <fullUrl value="urn:uuid:b9dc409d-ec81-4556-9fac-4dc3f731c199"/>
        <resource>
          <Composition>
            <id value="b9dc409d-ec81-4556-9fac-4dc3f731c199"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr"/>
            </meta>
            <text>
              <status value="generated"/>
              <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 --&gt; 2025-04-10 11:00:00+0000; reasonCode = Prediabetes (finding)</a></p><p><b>date</b>: 2025-04-29 13:30:00+0100</p><p><b>author</b>: <a href="Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-74403dd8-bb1b-45f9-bb69-e843dfaf45e9">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>
            </text>
            <status value="final"/>
            <type>
              <coding>
                <system value="http://loinc.org"/>
                <code value="34105-7"/>
                <display value="Hospital Discharge summary"/>
              </coding>
            </type>
            <subject>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </subject>
            <encounter>
              <reference value="urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d"/>
            </encounter>
            <date value="2025-04-29T13:30:00+01:00"/>
            <author>
              <reference value="urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9"/>
            </author>
            <title value="Hospital Discharge Report"/>
            <custodian>
              <reference value="urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38"/>
            </custodian>
            <section>
              <title value="Admission evaluation"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="67851-6"/>
                </coding>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="67852-4"/>
                  <display value="Hospital Admission evaluation note"/>
                </coding>
              </code>
              <text>
                <status value="additional"/>
                <div xmlns="http://www.w3.org/1999/xhtml">Mr. Luigi De Luca, a 57-year-old male, was admitted on 1st April following a pre-diabetic episode characterized by episodes of fatigue, polyuria, and increased thirst. Recent routine blood tests showed elevated fasting blood glucose and HbA1c levels that required further investigation.<p/>When Mr De Luca arrived in the morning we recorded a fasting blood glucose level at 180 mg/dL. His HbA1c level was 7.8%. He seemed to be dehydrated, so that he immediately was sent to the ward for a full breakfast and fluid substitution.</div>
              </text>
            </section>
            <section>
              <title value="Family History"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="10157-6"/>
                  <display value="History of family member diseases note"/>
                </coding>
              </code>
              <text>
                <status value="additional"/>
                <div xmlns="http://www.w3.org/1999/xhtml">Mr. Luigi has a family history of diabetes (type 2, mother and maternal grandmother).</div>
              </text>
              <entry>
                <reference value="urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085"/>
              </entry>
              <entry>
                <reference value="urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a"/>
              </entry>
            </section>
            <section>
              <title value="Vital signs note"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="8716-3"/>
                  <display value="Vital signs note"/>
                </coding>
              </code>
              <text>
                <status value="additional"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><table class="hl7__hdr"><thead><tr><th>Vital signs</th><th>1st April</th><th>10th April</th></tr></thead><tbody><tr><td>Body weight</td><td>109 kg</td><td>108 kg</td></tr><tr><td>Body height</td><td>177 cm</td><td/></tr><tr><td>Blood Pressure</td><td>155 / 95 mmHg</td><td>150 / 90 mmHg</td></tr></tbody></table></div>
              </text>
              <entry>
                <reference value="urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a"/>
              </entry>
              <entry>
                <reference value="urn:uuid:065c918f-730a-47f8-938a-7ad54618037b"/>
              </entry>
              <entry>
                <reference value="urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b"/>
              </entry>
              <entry>
                <reference value="urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363"/>
              </entry>
              <entry>
                <reference value="urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d"/>
              </entry>
            </section>
            <section>
              <title value="Tobacco use"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="11367-0"/>
                  <display value="History of Tobacco use"/>
                </coding>
              </code>
              <text>
                <status value="additional"/>
                <div xmlns="http://www.w3.org/1999/xhtml">The patient smokes &quot;a few&quot; cigarettes per day.</div>
              </text>
              <entry>
                <reference value="urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6"/>
              </entry>
            </section>
            <section>
              <title value="Hospital course note"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="8648-8"/>
                  <display value="Hospital course note"/>
                </coding>
              </code>
              <text>
                <status value="additional"/>
                <div xmlns="http://www.w3.org/1999/xhtml">During the hospital stay from 1 to 10 April, Mr. De Luca underwent a series of diagnostic tests, consultations and initial treatment.<p/>Throughout his hospital stay, Mr. De Luca was monitored closely. His blood sugar levels improved modestly with the introduction of Metformin, and no acute complications were observed.</div>
              </text>
            </section>
            <section>
              <title value="Significant Observation Results"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="30954-2"/>
                  <display
                           value="Relevant diagnostic tests/laboratory data note"/>
                </coding>
              </code>
              <text>
                <status value="additional"/>
                <div xmlns="http://www.w3.org/1999/xhtml">Blood Glucose Monitoring Regular monitoring of fasting blood glucose levels and random blood glucose levels. Fasting glucose levels consistently ranged between 140-180 mg/dL.<table class="hl7__hdr"><thead><tr><th>Date</th><th>Fasting glucose [Moles/volume] in Blood</th><th>Range</th></tr></thead><tbody><tr><td>1 April 2025</td><td>180 mg/dL</td><td>70 to 99 mg/dL</td></tr><tr><td>2 April 2025</td><td>140 mg/dL</td><td>70 to 99 mg/dL</td></tr><tr><td>3 April 2025</td><td>150 mg/dL</td><td>70 to 99 mg/dL</td></tr><tr><td>5 April 2025</td><td>140 mg/dL</td><td>70 to 99 mg/dL</td></tr></tbody></table>HbA1c Test: An HbA1c level of 7.2%, confirming the diagnosis of Type 2 Diabetes Mellitus.<table class="hl7__hdr"><thead><tr><th>Date</th><th>Hemoglobin A1c [Mass/volume] in Blood</th><th>Range</th></tr></thead><tbody><tr><td>1 April 2025</td><td>7.2%</td><td>&lt; 5.7%</td></tr></tbody></table>Oral Glucose Tolerance Test (OGTT): This test further confirmed impaired glucose tolerance.<table class="hl7__hdr"><thead><tr><th>Date</th><th>Glucose [Mass/volume] in Serum or Plasma --1 hour post dose glucose</th><th>Range</th></tr></thead><tbody><tr><td>2 April 2025</td><td>180 mg/dL</td><td>70 to 99 mg/dL</td></tr></tbody></table></div>
              </text>
            </section>
            <section>
              <title value="Significant procedures"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="10185-7"/>
                  <display value="Hospital discharge procedure note"/>
                </coding>
              </code>
              <text>
                <status value="additional"/>
                <div xmlns="http://www.w3.org/1999/xhtml">Lifestyle Consultation: Mr. De Luca met with a dietitian to discuss necessary changes in his diet, focusing on a low glycemic index diet and the need to monitor carbohydrate intake. He was also advised to engage in regular physical activity.<p/>Diabetes Education: Mr. De Luca attended educational sessions on diabetes management, including the importance of regular blood sugar monitoring, recognizing hypoglycemia and hyperglycemia symptoms, and foot care.<p/>Starting Pharmacotherapy with Metformin.</div>
              </text>
              <entry>
                <reference value="urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0"/>
              </entry>
              <entry>
                <reference value="urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3"/>
              </entry>
              <entry>
                <reference value="urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079"/>
              </entry>
            </section>
            <section>
              <title value="Medications"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="87232-5"/>
                  <display value="Medication administration.brief"/>
                </coding>
              </code>
              <text>
                <status value="additional"/>
                <div xmlns="http://www.w3.org/1999/xhtml">Metformin 500 mg twice daily was started as the first-line treatment to help control blood glucose levels.<table class="hl7__hdr"><thead><tr><th>Medication administrations</th><th>Dose/Frequency</th><th>SNOMED</th></tr></thead><tbody><tr><td>Metformin, oral tbl</td><td>500 mg, twice / day</td><td>765507008</td></tr><tr><td>Multivitamines</td><td>daily</td><td/></tr></tbody></table></div>
              </text>
              <entry>
                <reference value="urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4"/>
              </entry>
            </section>
            <section>
              <title value="Follow-up"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="18776-5"/>
                  <display value="Plan of care note"/>
                </coding>
              </code>
              <text>
                <status value="additional"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><table class="hl7__hdr"><thead><tr><th>Follow-up</th><th>Activity</th><th>SNOMED</th></tr></thead><tbody><tr><td>Endocrinology Clinic</td><td>Follow-up appointment in 2 weeks to assess response to treatment</td><td>306118006 Referral to endocrinology service (procedure)</td></tr><tr><td>Dietitian Consultation</td><td>Appointment in 1 month for further dietary planning</td><td>103699006 Referral to dietitian (procedure)</td></tr><tr><td>Routine Blood tests</td><td>Repeat HbA1c in 3 months</td><td>43396009 Hemoglobin A1c measurement (procedure)</td></tr></tbody></table></div>
              </text>
              <entry>
                <reference value="urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3"/>
              </entry>
            </section>
            <section>
              <title value="Diagnosis at Discharge"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="11535-2"/>
                  <display value="Hospital discharge diagnosis note"/>
                </coding>
              </code>
              <text>
                <status value="additional"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><table class="hl7__hdr"><thead><tr><th>Discharge Diagnoses</th><th>Codes</th></tr></thead><tbody><tr><td>Type 2 Diabetes Mellitus – Newly diagnosed.</td><td><ul><li>Type 2 diabetes mellitus E11 (ICD-10)</li><li>Diabetes mellitus type 2 (disorder) 44054006 (SNOMED)</li></ul></td></tr></tbody></table></div>
              </text>
              <entry>
                <reference value="urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9"/>
              </entry>
            </section>
            <section>
              <title value="Hospital Discharge Instructions"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="8653-8"/>
                  <display value="Hospital Discharge Instructions"/>
                </coding>
              </code>
              <text>
                <status value="additional"/>
                <div xmlns="http://www.w3.org/1999/xhtml">Instructions at Discharge to Mr. De Luca<ul><li>Continue home glucose monitoring and to maintain a log for review at follow-up appointments.</li><li>Continue with the prescribed medication and lifestyle changes.</li><li>Monitor blood sugar levels at home regularly.</li><li>Adhere to the diabetic diet plan.</li><li>Stay physically active, with at least 30 minutes of moderate exercise most days of the week.</li><li>Return to the emergency department for any signs of hyperglycemia (e.g., excessive thirst, urination, confusion) or hypoglycemia (e.g., sweating, shakiness, confusion).</li></ul></div>
              </text>
            </section>
          </Composition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
        <resource>
          <Patient>
            <id value="b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_b01a2623-e219-41d2-8e78-1fa1439751d0"> </a><p class="res-header-id"><b>Generated Narrative: Patient b01a2623-e219-41d2-8e78-1fa1439751d0</b></p><a name="b01a2623-e219-41d2-8e78-1fa1439751d0"> </a><a name="hcb01a2623-e219-41d2-8e78-1fa1439751d0"> </a><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>
            </text>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="NI"/>
                </coding>
              </type>
              <system value="https://hl7europe.org/example-identifier"/>
              <value value="3332-386800-1"/>
            </identifier>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="MR"/>
                </coding>
              </type>
              <system value="https://hl7europe.org/example-identifier"/>
              <value value="8121c77e7bf9"/>
            </identifier>
            <name>
              <text value="Luigi De Luca"/>
              <family value="De Luca"/>
              <given value="Luigi"/>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="+39 0334 8920354"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1966-09-30"/>
            <address>
              <use value="home"/>
              <type value="physical"/>
              <line value="Via Zannoni 29"/>
              <city value="Serso"/>
              <postalCode value="38057"/>
              <country value="Italy"/>
            </address>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d"/>
        <resource>
          <Encounter>
            <id value="7c9a2bf1-507f-4d43-b06e-d78e9670379d"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_7c9a2bf1-507f-4d43-b06e-d78e9670379d"> </a><p class="res-header-id"><b>Generated Narrative: Encounter 7c9a2bf1-507f-4d43-b06e-d78e9670379d</b></p><a name="7c9a2bf1-507f-4d43-b06e-d78e9670379d"> </a><a name="hc7c9a2bf1-507f-4d43-b06e-d78e9670379d"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-encounter-eu-hdr.html">Encounter (HDR)</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.0.1/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 --&gt; 2025-04-10 11:00:00+0000</p><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 714628002}">Prediabetes (finding)</span></p><p><b>serviceProvider</b>: <a href="Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-a61a91f8-b8f2-4947-9a64-5165ea380a38">Organization Casa di cura Villa S. Giuliana</a></p></div>
            </text>
            <status value="finished"/>
            <class>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="IMP"/>
            </class>
            <serviceType>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="171183004"/>
                <display value="Diabetes mellitus screening (procedure)"/>
              </coding>
            </serviceType>
            <subject>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </subject>
            <period>
              <start value="2025-04-01T08:45:00Z"/>
              <end value="2025-04-10T11:00:00Z"/>
            </period>
            <reasonCode>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="714628002"/>
                <display value="Prediabetes (finding)"/>
              </coding>
            </reasonCode>
            <serviceProvider>
              <reference value="urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38"/>
            </serviceProvider>
          </Encounter>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9"/>
        <resource>
          <PractitionerRole>
            <id value="74403dd8-bb1b-45f9-bb69-e843dfaf45e9"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_74403dd8-bb1b-45f9-bb69-e843dfaf45e9"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole 74403dd8-bb1b-45f9-bb69-e843dfaf45e9</b></p><a name="74403dd8-bb1b-45f9-bb69-e843dfaf45e9"> </a><a name="hc74403dd8-bb1b-45f9-bb69-e843dfaf45e9"> </a><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>
            </text>
            <practitioner>
              <reference value="urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95"/>
            </practitioner>
            <organization>
              <reference value="urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38"/>
            </organization>
          </PractitionerRole>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95"/>
        <resource>
          <Practitioner>
            <id value="0710d9e7-3f1a-4e16-a9b3-5c991fe23c95"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_0710d9e7-3f1a-4e16-a9b3-5c991fe23c95"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 0710d9e7-3f1a-4e16-a9b3-5c991fe23c95</b></p><a name="0710d9e7-3f1a-4e16-a9b3-5c991fe23c95"> </a><a name="hc0710d9e7-3f1a-4e16-a9b3-5c991fe23c95"> </a><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>
            </text>
            <name>
              <family value="Zucchero-Combattente"/>
              <given value="Augusto"/>
              <prefix value="dr"/>
            </name>
            <telecom>
              <system value="email"/>
              <value value="augusto@casasgiuliana.osp.venetia.it"/>
            </telecom>
          </Practitioner>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38"/>
        <resource>
          <Organization>
            <id value="a61a91f8-b8f2-4947-9a64-5165ea380a38"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_a61a91f8-b8f2-4947-9a64-5165ea380a38"> </a><p class="res-header-id"><b>Generated Narrative: Organization a61a91f8-b8f2-4947-9a64-5165ea380a38</b></p><a name="a61a91f8-b8f2-4947-9a64-5165ea380a38"> </a><a name="hca61a91f8-b8f2-4947-9a64-5165ea380a38"> </a><p><b>name</b>: Casa di cura Villa S. Giuliana</p><p><b>address</b>: Verona 37128 it </p></div>
            </text>
            <name value="Casa di cura Villa S. Giuliana"/>
            <address>
              <city value="Verona"/>
              <postalCode value="37128"/>
              <country value="it"/>
            </address>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9"/>
        <resource>
          <Condition>
            <id value="a5bf69e4-24db-48a8-9eda-71516dcaf1d9"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_a5bf69e4-24db-48a8-9eda-71516dcaf1d9"> </a><p class="res-header-id"><b>Generated Narrative: Condition a5bf69e4-24db-48a8-9eda-71516dcaf1d9</b></p><a name="a5bf69e4-24db-48a8-9eda-71516dcaf1d9"> </a><a name="hca5bf69e4-24db-48a8-9eda-71516dcaf1d9"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.eu/fhir/base/xtehr/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>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
              </coding>
            </clinicalStatus>
            <code>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-10"/>
                <code value="E11"/>
                <display value="Type 2 diabetes mellitus"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="44054006"/>
                <display value="Diabetes mellitus type 2 (disorder)"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </subject>
            <onsetDateTime value="2025-04-04"/>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3"/>
        <resource>
          <CarePlan>
            <id value="b84038f8-9541-4c5b-93b0-a7f1b8e55bd3"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/hdr/StructureDefinition/carePlan-eu-hdr"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_b84038f8-9541-4c5b-93b0-a7f1b8e55bd3"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan b84038f8-9541-4c5b-93b0-a7f1b8e55bd3</b></p><a name="b84038f8-9541-4c5b-93b0-a7f1b8e55bd3"> </a><a name="hcb84038f8-9541-4c5b-93b0-a7f1b8e55bd3"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-carePlan-eu-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 --&gt; (ongoing)</p><blockquote><p><b>activity</b></p><h3>Details</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 306118006}">Referral to endocrinology service</span></td><td>Not Started</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 103699006}">Referral to dietitian</span></td><td>Not Started</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 43396009}">Hemoglobin A1c measurement</span></td><td>Not Started</td></tr></table></blockquote></div>
            </text>
            <status value="active"/>
            <intent value="plan"/>
            <category>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="736284000"/>
                <display value="Diabetes clinical management plan"/>
              </coding>
            </category>
            <title value="Diabetes Management Plan"/>
            <subject>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </subject>
            <period>
              <start value="2025-04-10"/>
            </period>
            <activity>
              <detail>
                <code>
                  <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="306118006"/>
                    <display value="Referral to endocrinology service"/>
                  </coding>
                </code>
                <status value="not-started"/>
              </detail>
            </activity>
            <activity>
              <detail>
                <code>
                  <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="103699006"/>
                    <display value="Referral to dietitian"/>
                  </coding>
                </code>
                <status value="not-started"/>
              </detail>
            </activity>
            <activity>
              <detail>
                <code>
                  <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="43396009"/>
                    <display value="Hemoglobin A1c measurement"/>
                  </coding>
                </code>
                <status value="not-started"/>
              </detail>
            </activity>
          </CarePlan>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0"/>
        <resource>
          <Procedure>
            <id value="92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0"> </a><p class="res-header-id"><b>Generated Narrative: Procedure 92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0</b></p><a name="92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0"> </a><a name="hc92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.eu/fhir/base/xtehr/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>
            </text>
            <status value="completed"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="313204009"/>
                <display value="Lifestyle education (procedure)"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </subject>
            <performedDateTime value="2025-04-05"/>
          </Procedure>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3"/>
        <resource>
          <Procedure>
            <id value="a74a3dca-92fa-4b71-8e70-89a07ac74bc3"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_a74a3dca-92fa-4b71-8e70-89a07ac74bc3"> </a><p class="res-header-id"><b>Generated Narrative: Procedure a74a3dca-92fa-4b71-8e70-89a07ac74bc3</b></p><a name="a74a3dca-92fa-4b71-8e70-89a07ac74bc3"> </a><a name="hca74a3dca-92fa-4b71-8e70-89a07ac74bc3"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.eu/fhir/base/xtehr/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>
            </text>
            <status value="completed"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="6143009"/>
                <display value="Diabetic education (procedure)"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </subject>
            <performedDateTime value="2025-04-04"/>
          </Procedure>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079"/>
        <resource>
          <Procedure>
            <id value="53a8c3c3-5d1b-4950-87bc-fddae2ebc079"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_53a8c3c3-5d1b-4950-87bc-fddae2ebc079"> </a><p class="res-header-id"><b>Generated Narrative: Procedure 53a8c3c3-5d1b-4950-87bc-fddae2ebc079</b></p><a name="53a8c3c3-5d1b-4950-87bc-fddae2ebc079"> </a><a name="hc53a8c3c3-5d1b-4950-87bc-fddae2ebc079"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.eu/fhir/base/xtehr/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>
            </text>
            <status value="in-progress"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="1340186004"/>
                <display value="Metformin therapy (procedure)"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </subject>
            <performedDateTime value="2025-04-04"/>
          </Procedure>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085"/>
        <resource>
          <FamilyMemberHistory>
            <id value="635c22e7-d7f1-45ad-9b4d-d4fe35239085"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="FamilyMemberHistory_635c22e7-d7f1-45ad-9b4d-d4fe35239085"> </a><p class="res-header-id"><b>Generated Narrative: FamilyMemberHistory 635c22e7-d7f1-45ad-9b4d-d4fe35239085</b></p><a name="635c22e7-d7f1-45ad-9b4d-d4fe35239085"> </a><a name="hc635c22e7-d7f1-45ad-9b4d-d4fe35239085"> </a><p><b>status</b>: Completed</p><p><b>patient</b>: <a href="Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}">mother</span></p><h3>Conditions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 430679000}">Family history of diabetes mellitus type 2 (situation)</span></td></tr></table></div>
            </text>
            <status value="completed"/>
            <patient>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </patient>
            <relationship>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
                <code value="MTH"/>
                <display value="mother"/>
              </coding>
            </relationship>
            <condition>
              <code>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="430679000"/>
                  <display
                           value="Family history of diabetes mellitus type 2 (situation)"/>
                </coding>
              </code>
            </condition>
          </FamilyMemberHistory>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a"/>
        <resource>
          <FamilyMemberHistory>
            <id value="3fbdfbe1-9d70-47ec-ac05-3e30b063365a"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="FamilyMemberHistory_3fbdfbe1-9d70-47ec-ac05-3e30b063365a"> </a><p class="res-header-id"><b>Generated Narrative: FamilyMemberHistory 3fbdfbe1-9d70-47ec-ac05-3e30b063365a</b></p><a name="3fbdfbe1-9d70-47ec-ac05-3e30b063365a"> </a><a name="hc3fbdfbe1-9d70-47ec-ac05-3e30b063365a"> </a><p><b>status</b>: Completed</p><p><b>patient</b>: <a href="Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MGRMTH}">maternal grandmother</span></p><h3>Conditions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 430679000}">Family history of diabetes mellitus type 2 (situation)</span></td></tr></table></div>
            </text>
            <status value="completed"/>
            <patient>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </patient>
            <relationship>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
                <code value="MGRMTH"/>
                <display value="maternal grandmother"/>
              </coding>
            </relationship>
            <condition>
              <code>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="430679000"/>
                  <display
                           value="Family history of diabetes mellitus type 2 (situation)"/>
                </coding>
              </code>
            </condition>
          </FamilyMemberHistory>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a"/>
        <resource>
          <Observation>
            <id value="f0113857-b9b7-429b-8893-b645a38ae20a"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_f0113857-b9b7-429b-8893-b645a38ae20a"> </a><p class="res-header-id"><b>Generated Narrative: Observation f0113857-b9b7-429b-8893-b645a38ae20a</b></p><a name="f0113857-b9b7-429b-8893-b645a38ae20a"> </a><a name="hcf0113857-b9b7-429b-8893-b645a38ae20a"> </a><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>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="vital-signs"/>
                <display value="Vital Signs"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="29463-7"/>
                <display value="Body weight"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </subject>
            <effectiveDateTime value="2025-04-01"/>
            <valueQuantity>
              <value value="109"/>
              <unit value="kg"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="kg"/>
            </valueQuantity>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:065c918f-730a-47f8-938a-7ad54618037b"/>
        <resource>
          <Observation>
            <id value="065c918f-730a-47f8-938a-7ad54618037b"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_065c918f-730a-47f8-938a-7ad54618037b"> </a><p class="res-header-id"><b>Generated Narrative: Observation 065c918f-730a-47f8-938a-7ad54618037b</b></p><a name="065c918f-730a-47f8-938a-7ad54618037b"> </a><a name="hc065c918f-730a-47f8-938a-7ad54618037b"> </a><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>: 2025-04-19</p><p><b>value</b>: 108 kg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codekg = 'kg')</span></p></div>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="vital-signs"/>
                <display value="Vital Signs"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="29463-7"/>
                <display value="Body weight"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </subject>
            <effectiveDateTime value="2025-04-19"/>
            <valueQuantity>
              <value value="108"/>
              <unit value="kg"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="kg"/>
            </valueQuantity>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b"/>
        <resource>
          <Observation>
            <id value="81783ae4-c36d-424f-8cea-fe7d3407a36b"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_81783ae4-c36d-424f-8cea-fe7d3407a36b"> </a><p class="res-header-id"><b>Generated Narrative: Observation 81783ae4-c36d-424f-8cea-fe7d3407a36b</b></p><a name="81783ae4-c36d-424f-8cea-fe7d3407a36b"> </a><a name="hc81783ae4-c36d-424f-8cea-fe7d3407a36b"> </a><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>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="vital-signs"/>
                <display value="Vital Signs"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="8302-2"/>
                <display value="Body height"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </subject>
            <effectiveDateTime value="2025-04-01"/>
            <valueQuantity>
              <value value="177"/>
              <unit value="cm"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="cm"/>
            </valueQuantity>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363"/>
        <resource>
          <Observation>
            <id value="a19e48e1-2271-4cdb-9c76-b0626c7a5363"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_a19e48e1-2271-4cdb-9c76-b0626c7a5363"> </a><p class="res-header-id"><b>Generated Narrative: Observation a19e48e1-2271-4cdb-9c76-b0626c7a5363</b></p><a name="a19e48e1-2271-4cdb-9c76-b0626c7a5363"> </a><a name="hca19e48e1-2271-4cdb-9c76-b0626c7a5363"> </a><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>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="vital-signs"/>
                <display value="Vital Signs"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="85354-9"/>
                <display value="Blood pressure panel with all children optional"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </subject>
            <effectiveDateTime value="2025-04-01"/>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="8480-6"/>
                  <display value="Systolic blood pressure"/>
                </coding>
              </code>
              <valueQuantity>
                <value value="155"/>
                <unit value="mmHg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mm[Hg]"/>
              </valueQuantity>
            </component>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="8462-4"/>
                  <display value="Diastolic blood pressure"/>
                </coding>
              </code>
              <valueQuantity>
                <value value="95"/>
                <unit value="mmHg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mm[Hg]"/>
              </valueQuantity>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d"/>
        <resource>
          <Observation>
            <id value="fd7f7580-5788-45dd-88ec-dca615d69c7d"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_fd7f7580-5788-45dd-88ec-dca615d69c7d"> </a><p class="res-header-id"><b>Generated Narrative: Observation fd7f7580-5788-45dd-88ec-dca615d69c7d</b></p><a name="fd7f7580-5788-45dd-88ec-dca615d69c7d"> </a><a name="hcfd7f7580-5788-45dd-88ec-dca615d69c7d"> </a><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>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="vital-signs"/>
                <display value="Vital Signs"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="85354-9"/>
                <display value="Blood pressure panel with all children optional"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </subject>
            <effectiveDateTime value="2025-04-10"/>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="8480-6"/>
                  <display value="Systolic blood pressure"/>
                </coding>
              </code>
              <valueQuantity>
                <value value="150"/>
                <unit value="mmHg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mm[Hg]"/>
              </valueQuantity>
            </component>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="8462-4"/>
                  <display value="Diastolic blood pressure"/>
                </coding>
              </code>
              <valueQuantity>
                <value value="90"/>
                <unit value="mmHg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mm[Hg]"/>
              </valueQuantity>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6"/>
        <resource>
          <Observation>
            <id value="67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6"> </a><p class="res-header-id"><b>Generated Narrative: Observation 67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6</b></p><a name="67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6"> </a><a name="hc67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}">Social History</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 11367-0}">History of Tobacco use</span></p><p><b>subject</b>: <a href="Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>effective</b>: 2025-04-01</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 77176002}">Current smoker</span></p><p><b>note</b>: </p><blockquote><div><p>Patient smokes a few cigarettes a day</p>
    </div></blockquote></div>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="social-history"/>
                <display value="Social History"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="11367-0"/>
                <display value="History of Tobacco use"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </subject>
            <effectiveDateTime value="2025-04-01"/>
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="77176002"/>
                <display value="Current smoker"/>
              </coding>
            </valueCodeableConcept>
            <note>
              <text value="Patient smokes a few cigarettes a day"/>
            </note>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4"/>
        <resource>
          <MedicationAdministration>
            <id value="bda0b497-c9f2-47ca-8339-da1d379cb2f4"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/hdr/StructureDefinition/medicationAdministration-eu-hdr"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_bda0b497-c9f2-47ca-8339-da1d379cb2f4"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration bda0b497-c9f2-47ca-8339-da1d379cb2f4</b></p><a name="bda0b497-c9f2-47ca-8339-da1d379cb2f4"> </a><a name="hcbda0b497-c9f2-47ca-8339-da1d379cb2f4"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-medicationAdministration-eu-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 --&gt; (ongoing)</p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>500 mg, twice a day</td><td><span title="Codes:{http://snomed.info/sct 26643006}">Oral route</span></td><td>500 mg</td></tr></table></div>
            </text>
            <status value="in-progress"/>
            <medicationCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="765507008"/>
                <display
                         value="Product containing precisely metformin hydrochloride 500 milligram/1 each prolonged-release oral tablet (clinical drug)"/>
              </coding>
            </medicationCodeableConcept>
            <subject>
              <reference value="urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"/>
            </subject>
            <effectivePeriod>
              <start value="2025-04-03"/>
            </effectivePeriod>
            <dosage>
              <text value="500 mg, twice a day"/>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26643006"/>
                  <display value="Oral route"/>
                </coding>
              </route>
              <dose>
                <value value="500"/>
                <unit value="mg"/>
              </dose>
            </dosage>
          </MedicationAdministration>
        </resource>
      </entry>
    </Bundle>