HL7 FHIR Implementation Guide Taccuino Personale dell'Assistito
0.0.1 - ci-build
IT
HL7 FHIR Implementation Guide Taccuino Personale dell'Assistito
0.0.1 - ci-build
IT
HL7 FHIR Implementation Guide Taccuino Personale dell'Assistito - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="Bundle-Taccuino-Esempio"/>
<meta>
<profile
value="http://hl7.it/fhir/taccuino/StructureDefinition/bundle-it-taccuino"/>
<tag>
<system value="http://hl7.it/fhir/taccuino/CodeSystem/class-code"/>
<code value="TAC"/>
</tag>
</meta>
<identifier>
<system value="urn:ietf:rfc:39861"/>
<value value="urn:uuid:bfcf00e2-3de9d419d27e"/>
</identifier>
<type value="collection"/>
<timestamp value="2025-01-26T14:30:00+01:00"/>
<entry>
<fullUrl value="urn:uuid:4ec06b84-071a-4de2-b0eb-e24cda23fbaa"/>
<resource>
<Patient>
<id value="4ec06b84-071a-4de2-b0eb-e24cda23fbaa"/>
<meta>
<profile
value="http://hl7.it/fhir/taccuino/StructureDefinition/patient-it-Taccuino"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_4ec06b84-071a-4de2-b0eb-e24cda23fbaa"> </a><p class="res-header-id"><b>Generated Narrative: Patient 4ec06b84-071a-4de2-b0eb-e24cda23fbaa</b></p><a name="4ec06b84-071a-4de2-b0eb-e24cda23fbaa"> </a><a name="hc4ec06b84-071a-4de2-b0eb-e24cda23fbaa"> </a><a name="4ec06b84-071a-4de2-b0eb-e24cda23fbaa-it-IT"> </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-patient-it-Taccuino.html">Patient - Taccuino personale dell'assistito</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Michele Bianchi Male, DoB: 1990-06-12 ( http://hl7.it/sid/codiceFiscale#BNCMHL90H12L219K)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 3332643738</li><li>Via Cuneo, 10 Torino 10152 IT (home)</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Codice comune e/o stato di nascita."><a href="StructureDefinition-patient-codeableBirthPlace.html">Codice comune e/o stato di nascita (Patient)</a></td><td colspan="3"><span title="Codes:{https://www.hl7.it/fhir/terminology/CodeSystem/istat-unitaAmministrativeTerritorialiEstere 100}">Italia</span></td></tr><tr><td style="background-color: #f3f5da" title="Estensione per gestire il Titolo di studio del paziente come CodeableConcept"><a href="StructureDefinition-patient-qualification-it.html">Titolo di Studio del paziente (Patient)</a></td><td colspan="3"><span title="Codes:{https://www.hl7.it/fhir/terminology/CodeSystem/istat-ctsi03 40202023}">Informatica</span></td></tr><tr><td style="background-color: #f3f5da" title="Estensione per gestire la professione del paziente come CodeableConcept"><a href="StructureDefinition-patient-occupation-it.html">Professione del paziente (Patient)</a></td><td colspan="3"><span title="Codes:{https://www.hl7.it/fhir/terminology/CodeSystem/istat-professioni 3.1.2.3}">Tecnici web</span></td></tr><tr><td style="background-color: #f3f5da" title="Definizione dell'indirizzo base per la descrizione del luogo di nascita"><a href="StructureDefinition-birth-place-ita.html">Address Birth Place (Patient)</a></td><td colspan="3">Via Santa Cristina, 3 Torino 10036 IT </td></tr></table></div>
</text>
<extension
url="http://hl7.it/fhir/taccuino/StructureDefinition/birth-place-ita">
<valueAddress>
<line value="Via Santa Cristina, 3">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Via Santa Cristina"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="3"/>
</extension>
</line>
<city value="Torino"/>
<postalCode value="10036"/>
<country value="IT"/>
</valueAddress>
</extension>
<extension
url="http://hl7.it/fhir/taccuino/StructureDefinition/patient-occupation-it">
<valueCodeableConcept>
<coding>
<system
value="https://www.hl7.it/fhir/terminology/CodeSystem/istat-professioni"/>
<code value="3.1.2.3"/>
<display value="Tecnici web"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.it/fhir/taccuino/StructureDefinition/patient-qualification-it">
<valueCodeableConcept>
<coding>
<system
value="https://www.hl7.it/fhir/terminology/CodeSystem/istat-ctsi03"/>
<code value="40202023"/>
<display value="Informatica"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.it/fhir/taccuino/StructureDefinition/patient-codeableBirthPlace">
<valueCodeableConcept>
<coding>
<system
value="https://www.hl7.it/fhir/terminology/CodeSystem/istat-unitaAmministrativeTerritorialiEstere"/>
<code value="100"/>
<display value="Italia"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<extension
url="http://hl7.it/fhir/taccuino/StructureDefinition/recordCertification">
<extension url="when">
<valueDateTime value="2024-08-10"/>
</extension>
</extension>
<system value="http://hl7.it/sid/codiceFiscale"/>
<value value="BNCMHL90H12L219K"/>
</identifier>
<name>
<family value="Bianchi"/>
<given value="Michele"/>
</name>
<telecom>
<system value="phone"/>
<value value="3332643738"/>
</telecom>
<gender value="male"/>
<birthDate value="1990-06-12"/>
<address>
<extension
url="http://hl7.org/fhir/StructureDefinition/address-official">
<valueBoolean value="true"/>
</extension>
<use value="home"/>
<line value="Via Cuneo, 10"/>
<city value="Torino"/>
<postalCode value="10152"/>
<country value="IT"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0170d3be-62e7-47cb-a7a2-7bf967ea0064"/>
<resource>
<Observation>
<id value="0170d3be-62e7-47cb-a7a2-7bf967ea0064"/>
<meta>
<profile
value="http://hl7.it/fhir/taccuino/StructureDefinition/observation-it-vital-signs-taccuino"/>
<tag>
<system
value="http://hl7.it/fhir/taccuino/CodeSystem/class-code"/>
<code value="TAC"/>
</tag>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_0170d3be-62e7-47cb-a7a2-7bf967ea0064"> </a><p class="res-header-id"><b>Generated Narrative: Observation 0170d3be-62e7-47cb-a7a2-7bf967ea0064</b></p><a name="0170d3be-62e7-47cb-a7a2-7bf967ea0064"> </a><a name="hc0170d3be-62e7-47cb-a7a2-7bf967ea0064"> </a><a name="0170d3be-62e7-47cb-a7a2-7bf967ea0064-it-IT"> </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-observation-it-vital-signs-taccuino.html">Observation Parametri Vitali - Taccuino personale dell'assistito</a></p><p style="margin-bottom: 0px">Tag: Taccuino (Details: Classe documento code TAC = 'Taccuino')</p></div><p><b>Data di Registrazione a sistema</b>: 2025-03-05 14:00:00+0100</p><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://hl7.it/fhir/taccuino/CodeSystem/cs-loinc-it 2093-3}">Colesterolo</span></p><p><b>subject</b>: <a href="Patient-4ec06b84-071a-4de2-b0eb-e24cda23fbaa.html">Michele Bianchi Male, DoB: 1990-06-12 ( http://hl7.it/sid/codiceFiscale#BNCMHL90H12L219K)</a></p><p><b>effective</b>: 2025-03-05</p><p><b>performer</b>: <a href="Organization-99f2750b-8cbb-4512-a50f-1539e06fd258.html">Organization POLICLINICO DI MONZA SPA - CASA DI CURA</a></p><p><b>value</b>: 250 mg/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg/dL = 'mg/dL')</span></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>200 mg/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg/dL = 'mg/dL')</span></td></tr></table></div>
</text>
<extension
url="http://hl7.it/fhir/taccuino/StructureDefinition/registration-date">
<valueInstant value="2025-03-05T14:00:00+01:00"/>
</extension>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
</coding>
</category>
<code>
<coding>
<system
value="http://hl7.it/fhir/taccuino/CodeSystem/cs-loinc-it"/>
<code value="2093-3"/>
<display value="Colesterolo"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/4ec06b84-071a-4de2-b0eb-e24cda23fbaa"/>
</subject>
<effectiveDateTime value="2025-03-05"/>
<performer>🔗
<reference
value="Organization/99f2750b-8cbb-4512-a50f-1539e06fd258"/>
</performer>
<valueQuantity>
<value value="250"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</valueQuantity>
<referenceRange>
<high>
<value value="200"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:626a554d-616d-46d5-8e91-cb6b4bbff785"/>
<resource>
<Observation>
<id value="626a554d-616d-46d5-8e91-cb6b4bbff785"/>
<meta>
<profile
value="http://hl7.it/fhir/taccuino/StructureDefinition/observation-it-annotazioni-taccuino"/>
<tag>
<system
value="http://hl7.it/fhir/taccuino/CodeSystem/class-code"/>
<code value="TAC"/>
</tag>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_626a554d-616d-46d5-8e91-cb6b4bbff785"> </a><p class="res-header-id"><b>Generated Narrative: Observation 626a554d-616d-46d5-8e91-cb6b4bbff785</b></p><a name="626a554d-616d-46d5-8e91-cb6b4bbff785"> </a><a name="hc626a554d-616d-46d5-8e91-cb6b4bbff785"> </a><a name="626a554d-616d-46d5-8e91-cb6b4bbff785-it-IT"> </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-observation-it-annotazioni-taccuino.html">Observation Note generali - Taccuino personale dell'assistito</a></p><p style="margin-bottom: 0px">Tag: Taccuino (Details: Classe documento code TAC = 'Taccuino')</p></div><p><b>Data di Registrazione a sistema</b>: 2025-02-09 15:30:00+0100</p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://hl7.it/fhir/taccuino/CodeSystem/cs-loinc-it 48767-8}">Annotazioni e commenti</span></p><p><b>subject</b>: <a href="Patient-4ec06b84-071a-4de2-b0eb-e24cda23fbaa.html">Michele Bianchi Male, DoB: 1990-06-12 ( http://hl7.it/sid/codiceFiscale#BNCMHL90H12L219K)</a></p><p><b>effective</b>: 2025-02-09</p><p><b>performer</b>: <a href="Patient-4ec06b84-071a-4de2-b0eb-e24cda23fbaa.html">Michele Bianchi Male, DoB: 1990-06-12 ( http://hl7.it/sid/codiceFiscale#BNCMHL90H12L219K)</a></p><p><b>value</b>: Oggi ho avuto un improvviso calo di pressione, con vertigini e un po' di stanchezza. Mi sono riposato e ho bevuto acqua, e al momento la situazione sembra migliorare. Continuo a monitorare i sintomi e, se il malessere persiste o si ripresenta, contatterò il medico.</p></div>
</text>
<extension
url="http://hl7.it/fhir/taccuino/StructureDefinition/registration-date">
<valueInstant value="2025-02-09T15:30:00+01:00"/>
</extension>
<status value="final"/>
<code>
<coding>
<system
value="http://hl7.it/fhir/taccuino/CodeSystem/cs-loinc-it"/>
<code value="48767-8"/>
<display value="Annotazioni e commenti"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/4ec06b84-071a-4de2-b0eb-e24cda23fbaa"/>
</subject>
<effectiveDateTime value="2025-02-09"/>
<performer>🔗
<reference value="Patient/4ec06b84-071a-4de2-b0eb-e24cda23fbaa"/>
</performer>
<valueString
value="Oggi ho avuto un improvviso calo di pressione, con vertigini e un po' di stanchezza. Mi sono riposato e ho bevuto acqua, e al momento la situazione sembra migliorare. Continuo a monitorare i sintomi e, se il malessere persiste o si ripresenta, contatterò il medico."/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:06a0f231-aec2-417f-9bc7-4954e6252b92"/>
<resource>
<Observation>
<id value="06a0f231-aec2-417f-9bc7-4954e6252b92"/>
<meta>
<profile
value="http://hl7.it/fhir/taccuino/StructureDefinition/observation-it-vital-signs-taccuino"/>
<tag>
<system
value="http://hl7.it/fhir/taccuino/CodeSystem/class-code"/>
<code value="TAC"/>
</tag>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_06a0f231-aec2-417f-9bc7-4954e6252b92"> </a><p class="res-header-id"><b>Generated Narrative: Observation 06a0f231-aec2-417f-9bc7-4954e6252b92</b></p><a name="06a0f231-aec2-417f-9bc7-4954e6252b92"> </a><a name="hc06a0f231-aec2-417f-9bc7-4954e6252b92"> </a><a name="06a0f231-aec2-417f-9bc7-4954e6252b92-it-IT"> </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-observation-it-vital-signs-taccuino.html">Observation Parametri Vitali - Taccuino personale dell'assistito</a></p><p style="margin-bottom: 0px">Tag: Taccuino (Details: Classe documento code TAC = 'Taccuino')</p></div><p><b>Data di Registrazione a sistema</b>: 2025-01-29 14:00:00+0100</p><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://hl7.it/fhir/taccuino/CodeSystem/cs-loinc-it 3043-7}">Trigliceridi</span></p><p><b>subject</b>: <a href="Patient-4ec06b84-071a-4de2-b0eb-e24cda23fbaa.html">Michele Bianchi Male, DoB: 1990-06-12 ( http://hl7.it/sid/codiceFiscale#BNCMHL90H12L219K)</a></p><p><b>effective</b>: 2025-01-29</p><p><b>performer</b>: <a href="Practitioner-05883e67-ad02-4df9-a287-ee0eaa0dc680.html">Practitioner Enza Simoni </a></p><p><b>value</b>: 200 mg/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg/dL = 'mg/dL')</span></p><p><b>note</b>: Oggi è stata effettuata la misurazione dei trigliceridi, e il valore risulta essere 250 mg/dL, che supera il limite raccomandato dalle linee guida. Continuo a seguire il piano alimentare e l’attività fisica consigliati dal medico. Se la situazione non migliora, discuterò con lui eventuali passi successivi.</p></div>
</text>
<extension
url="http://hl7.it/fhir/taccuino/StructureDefinition/registration-date">
<valueInstant value="2025-01-29T14:00:00+01:00"/>
</extension>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
</coding>
</category>
<code>
<coding>
<system
value="http://hl7.it/fhir/taccuino/CodeSystem/cs-loinc-it"/>
<code value="3043-7"/>
<display value="Trigliceridi"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/4ec06b84-071a-4de2-b0eb-e24cda23fbaa"/>
</subject>
<effectiveDateTime value="2025-01-29"/>
<performer>🔗
<reference
value="Practitioner/05883e67-ad02-4df9-a287-ee0eaa0dc680"/>
</performer>
<valueQuantity>
<value value="200"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</valueQuantity>
<note>
<text
value="Oggi è stata effettuata la misurazione dei trigliceridi, e il valore risulta essere 250 mg/dL, che supera il limite raccomandato dalle linee guida. Continuo a seguire il piano alimentare e l’attività fisica consigliati dal medico. Se la situazione non migliora, discuterò con lui eventuali passi successivi."/>
</note>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:08cea1b4-db13-48fd-8956-a29d25f42b99"/>
<resource>
<MedicationStatement>
<id value="08cea1b4-db13-48fd-8956-a29d25f42b99"/>
<meta>
<profile
value="http://hl7.it/fhir/taccuino/StructureDefinition/medicationStatement-it-taccuino"/>
<tag>
<system
value="http://hl7.it/fhir/taccuino/CodeSystem/class-code"/>
<code value="TAC"/>
</tag>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_08cea1b4-db13-48fd-8956-a29d25f42b99"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement 08cea1b4-db13-48fd-8956-a29d25f42b99</b></p><a name="08cea1b4-db13-48fd-8956-a29d25f42b99"> </a><a name="hc08cea1b4-db13-48fd-8956-a29d25f42b99"> </a><a name="08cea1b4-db13-48fd-8956-a29d25f42b99-it-IT"> </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-medicationStatement-it-taccuino.html">MedicationStatement - Taccuino personale dell'assistito</a></p><p style="margin-bottom: 0px">Tag: Taccuino (Details: Classe documento code TAC = 'Taccuino')</p></div><p><b>Data di Registrazione a sistema</b>: 2025-02-21 15:30:00+0100</p><p><b>status</b>: Active</p><p><b>medication</b>: <span title="Codes:{http://hl7.it/fhir/taccuino/CodeSystem/aifa-aic 027860042}">ZITROMAX 3CPR RIV 500MG</span></p><p><b>subject</b>: <a href="Patient-e786443c-4786-4b88-b3e3-41a4b27681d1.html">Angela Verdi Female, DoB: 1989-04-03 ( http://hl7.it/sid/codiceFiscale#VRDNGL89D43H501J)</a></p><p><b>effective</b>: 2025-02-21 14:30:00+0100 --> 2025-02-21 14:35:00+0100</p><p><b>reasonCode</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/reason-medication-given b}">Given as Ordered</span></p><blockquote><p><b>dosage</b></p><p><b>text</b>: 2 Pillole dopo i pasti</p><p><b>site</b>: <span title="Codes:{http://snomed.info/sct 836005}">Oral region of face</span></p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 26643006}">Oral use</span></p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>2 Pill<span style="background: LightGoldenRodYellow"> (Details: Orderable Drug Form codePILL = 'Pill')</span></td></tr></table></blockquote></div>
</text>
<extension
url="http://hl7.it/fhir/taccuino/StructureDefinition/registration-date">
<valueInstant value="2025-02-21T15:30:00+01:00"/>
</extension>
<status value="active"/>
<medicationCodeableConcept>
<coding>
<system value="http://hl7.it/fhir/taccuino/CodeSystem/aifa-aic"/>
<code value="027860042"/>
<display value="ZITROMAX 3CPR RIV 500MG"/>
</coding>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/e786443c-4786-4b88-b3e3-41a4b27681d1"/>
</subject>
<effectivePeriod>
<start value="2025-02-21T14:30:00+01:00"/>
<end value="2025-02-21T14:35:00+01:00"/>
</effectivePeriod>
<reasonCode>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/reason-medication-given"/>
<code value="b"/>
<display value="Given as Ordered"/>
</coding>
</reasonCode>
<dosage>
<text value="2 Pillole dopo i pasti"/>
<site>
<coding>
<system value="http://snomed.info/sct"/>
<code value="836005"/>
</coding>
</site>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral use"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="2"/>
<unit value="Pill"/>
<system
value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
<code value="PILL"/>
</doseQuantity>
</doseAndRate>
</dosage>
</MedicationStatement>
</resource>
</entry>
</Bundle>