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<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
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<realmCode code="IT"/>
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<typeId extension="POCD_MT000040UV02" root="2.16.840.1.113883.1.3"/>
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<templateId assigningAuthorityName="HL7 Italia" extension="1.1" root="2.16.840.1.113883.2.9.10.1.9.1"/>
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<id assigningAuthorityName="ASLAT" displayable="true" extension="250000897" root="2.16.840.1.113883.2.9.2.10212.4.4.1"/>
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<code code="11488-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Nota di consulto"/>
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<title>Referto di specialistica ambulatoriale</title>
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<effectiveTime value="20251113141754"/>
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<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" codeSystemName="HL7 Confidentiality" displayName="normal"/>
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<languageCode code="it-IT"/>
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<setId assigningAuthorityName="ASLAT" extension="250000897" root="2.16.840.1.113883.2.9.2.10212.4.4.1"/>
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<versionNumber value="1"/>
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<recordTarget>
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<patientRole>
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<id assigningAuthorityName="Ministero Economia e Finanze" displayable="true" extension="VNTPSQ97E66A971K" root="2.16.840.1.113883.2.9.4.3.2"/>
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<addr use="H">
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<country/>
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<county/>
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<city/>
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<postalCode/>
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<streetAddressLine/>
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<censusTract/>
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</addr>
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<addr use="HP">
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<country/>
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<county>TO</county>
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<city>IVREA</city>
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<postalCode>10015</postalCode>
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<streetAddressLine>VIA DEI CHIODIS</streetAddressLine>
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<censusTract>001125</censusTract>
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</addr>
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<telecom use="MC" value=""/>
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<patient>
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<name>
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<family>VENTIQUATTRO</family>
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<given>PASQUA</given>
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</name>
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<administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" codeSystemName="HL7 AdministrativeGender" displayName="Femmina"/>
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<birthTime value="19970526"/>
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<birthplace>
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<place>
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<addr>
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<country/>
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<city>BONEFRO</city>
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<censusTract>070004</censusTract>
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</addr>
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</place>
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</birthplace>
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</patient>
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</patientRole>
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</recordTarget>
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<author typeCode="AUT">
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<time value="20251113141754"/>
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<assignedAuthor>
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<id assigningAuthorityName="Ministero Economia e Finanze" displayable="true" extension="TMPSFN88H25L570I" root="2.16.840.1.113883.2.9.4.3.2"/>
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<telecom use="HP" value=""/>
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<assignedPerson>
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<name>
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<given>STEFANO</given>
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<family>TEMPORIN</family>
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</name>
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</assignedPerson>
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</assignedAuthor>
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</author>
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<custodian>
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<assignedCustodian>
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<representedCustodianOrganization>
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<id assigningAuthorityName="Ministero della Salute" extension="010212" root="2.16.840.1.113883.2.9.4.1.1"/>
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<name/>
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<telecom use="MC"/>
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<addr use="HP">
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<country>100</country>
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<city>ASTI</city>
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<postalCode>14100</postalCode>
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<streetAddressLine/>
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</addr>
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</representedCustodianOrganization>
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</assignedCustodian>
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</custodian>
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<legalAuthenticator>
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<time value="20251113141754"/>
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<signatureCode code="S"/>
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<assignedEntity>
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<id assigningAuthorityName="MEF" displayable="true" extension="TMPSFN88H25L570I" root="2.16.840.1.113883.2.9.4.3.2"/>
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<assignedPerson>
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<name>
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<prefix/>
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<given>STEFANO</given>
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<family>TEMPORIN</family>
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</name>
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</assignedPerson>
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</assignedEntity>
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</legalAuthenticator>
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<componentOf>
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<encompassingEncounter>
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<effectiveTime>
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<low value="20251113160600"/>
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<high value="20251113160800"/>
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</effectiveTime>
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<location>
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<healthCareFacility>
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<id assigningAuthorityName="Ministero della Salute" extension="0904R" root="2.16.840.1.113883.2.9.4.1.6"/>
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<location>
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<name>CHIRURGIA GENERALE</name>
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</location>
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<serviceProviderOrganization>
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<id assigningAuthorityName="Ministero della Salute" extension="" root="2.16.840.1.113883.2.9.4.1.2"/>
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<name/>
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<asOrganizationPartOf>
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<id assigningAuthorityName="Ministero della Salute" extension="010212 212" root="2.16.840.1.113883.2.9.4.1.1"/>
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</asOrganizationPartOf>
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</serviceProviderOrganization>
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</healthCareFacility>
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</location>
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</encompassingEncounter>
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</componentOf>
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<component>
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<structuredBody classCode="DOCBODY" moodCode="EVN">
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<component typeCode="COMP">
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<section ID="Quesito_Diagnostico">
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<code code="29299-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Motivo della visita"/>
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<title>Quesito diagnostico</title>
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<text>
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<paragraph>
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codice:V01.79<br>
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descrizione:CONTATTO CON O ESPOSIZIONE AD ALTRE MALATTIE VIRALI<br></paragraph>
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</text>
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<entry>
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<observation classCode="OBS" moodCode="EVN">
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<code code="29298-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Motivo della visita"/>
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<value code="V01.79" codeSystem="2.16.840.1.113883.6.103" codeSystemName="ICD9CM" displayName="CONTATTO CON O ESPOSIZIONE AD ALTRE MALATTIE VIRALI" xsi:type="CD"/>
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</observation>
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</entry>
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</section>
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</component>
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<component typeCode="COMP">
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<section ID="Prestazioni">
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<code code="62387-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Interventi"/>
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<title>Prestazioni</title>
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<text/>
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<entry>
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<act classCode="ACT" moodCode="EVN">
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<code code="43.0" codeSystem="2.16.840.1.113883.2.9.2.10.6.11" codeSystemName="Regione Piemonte" displayName="GASTROTOMIA">
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<originalText>GASTROTOMIA</originalText>
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</code>
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<effectiveTime value="20251113160600"/>
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</act>
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</entry>
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</section>
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</component>
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<component typeCode="COMP">
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<section ID="Referto">
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<code code="47045-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Referto"/>
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<title> Referto </title>
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<text>
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<paragraph>prova prova</paragraph>
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</text>
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</section>
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</component>
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<component typeCode="COMP">
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<section ID="Diagnosi">
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<code code="29548-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Diagnosi"/>
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<title> Diagnosi </title>
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<text>
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<paragraph>
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numero diagnosi:1<br>
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codice: V01.79<br>
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descrizione:CONTATTO CON O ESPOSIZIONE AD ALTRE MALATTIE VIRALI<br></paragraph>
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</text>
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<entry>
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<observation classCode="OBS" moodCode="EVN">
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<code code="29308-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Diagnosi"/>
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<value code="V01.79" codeSystem="2.16.840.1.113883.6.2" codeSystemName="ICD9-CM" displayName="CONTATTO CON O ESPOSIZIONE AD ALTRE MALATTIE VIRALI" xsi:type="CD"/>
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</observation>
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</entry>
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</section>
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</component>
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</structuredBody>
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</component>
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</ClinicalDocument>
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