The following content has been modified for better visualization. Validation will be performed on original content
| 1 |
<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
|
| 2 |
<realmCode code="IT"/>
|
| 3 |
<typeId extension="POCD_MT000040UV02" root="2.16.840.1.113883.1.3"/>
|
| 4 |
<templateId assigningAuthorityName="HL7 Italia" extension="1.1" root="2.16.840.1.113883.2.9.10.1.9.1"/>
|
| 5 |
<id assigningAuthorityName="ASL AT" extension="EMRMETEDA48" root="2.16.840.1.113883.2.9.2.10212.4.4.3.21"/>
|
| 6 |
<code code="11488-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Nota di consulto"/>
|
| 7 |
<title>Referto di specialistica ambulatoriale</title>
|
| 8 |
<effectiveTime value="20251113103914+0100"/>
|
| 9 |
<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" codeSystemName="HL7 Confidentiality" displayName="Normal"/>
|
| 10 |
<languageCode code="it-IT"/>
|
| 11 |
<setId assigningAuthorityName="ASL AT" extension="EMRMETEDA48" root="2.16.840.1.113883.2.9.2.10212.4.4.3.21"/>
|
| 12 |
<versionNumber value="1"/>
|
| 13 |
<recordTarget>
|
| 14 |
<patientRole>
|
| 15 |
<id assigningAuthorityName="Ministero Economia e Finanze" extension="VNTPSQ97E66A971K" root="2.16.840.1.113883.2.9.4.3.2"/>
|
| 16 |
<addr use="H">
|
| 17 |
<country>ITA</country>
|
| 18 |
<county>TO</county>
|
| 19 |
<city>IVREA</city>
|
| 20 |
<censusTract>001125</censusTract>
|
| 21 |
<streetAddressLine>VIA DEI CHIODI, 5</streetAddressLine>
|
| 22 |
</addr>
|
| 23 |
<addr use="HP">
|
| 24 |
<country>ITA</country>
|
| 25 |
<county>TO</county>
|
| 26 |
<city>IVREA</city>
|
| 27 |
<censusTract>001125</censusTract>
|
| 28 |
<streetAddressLine>VIA DEI CHIODI, 5</streetAddressLine>
|
| 29 |
</addr>
|
| 30 |
<patient>
|
| 31 |
<name>
|
| 32 |
<family>VENTIQUATTRO</family>
|
| 33 |
<given>PASQUA</given>
|
| 34 |
</name>
|
| 35 |
<administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" codeSystemName="HL7 AdministrativeGender" displayName="Femmina"/>
|
| 36 |
<birthTime value="19970526"/>
|
| 37 |
<birthplace>
|
| 38 |
<place>
|
| 39 |
<addr>
|
| 40 |
<city>86041 BONEFRO (CB)</city>
|
| 41 |
<censusTract>070004</censusTract>
|
| 42 |
</addr>
|
| 43 |
</place>
|
| 44 |
</birthplace>
|
| 45 |
</patient>
|
| 46 |
</patientRole>
|
| 47 |
</recordTarget>
|
| 48 |
<author>
|
| 49 |
<time value="20251113103914+0100"/>
|
| 50 |
<assignedAuthor>
|
| 51 |
<id assigningAuthorityName="Ministero Economia e Finanze" extension="TMPSFN88H25L570I" root="2.16.840.1.113883.2.9.4.3.2"/>
|
| 52 |
<telecom use="WP" value="tel:0141.481111"/>
|
| 53 |
<assignedPerson>
|
| 54 |
<name>
|
| 55 |
<family>Fassi</family>
|
| 56 |
<given>Matteo</given>
|
| 57 |
</name>
|
| 58 |
</assignedPerson>
|
| 59 |
<representedOrganization>
|
| 60 |
<id assigningAuthorityName="Ministero della Salute" extension="00670" root="2.16.840.1.113883.2.9.4.1.3"/>
|
| 61 |
<name>Asti</name>
|
| 62 |
</representedOrganization>
|
| 63 |
</assignedAuthor>
|
| 64 |
</author>
|
| 65 |
<custodian typeCode="CST">
|
| 66 |
<assignedCustodian classCode="ASSIGNED">
|
| 67 |
<representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
|
| 68 |
<id assigningAuthorityName="Ministero della Salute" extension="010212" root="2.16.840.1.113883.2.9.4.1.1"/>
|
| 69 |
<name>ASL AT</name>
|
| 70 |
</representedCustodianOrganization>
|
| 71 |
</assignedCustodian>
|
| 72 |
</custodian>
|
| 73 |
<legalAuthenticator>
|
| 74 |
<time value="20251113103914+0100"/>
|
| 75 |
<signatureCode code="S" xsi:type="CS"/>
|
| 76 |
<assignedEntity>
|
| 77 |
<id assigningAuthorityName="Ministero Economia e Finanze" extension="TMPSFN88H25L570I" root="2.16.840.1.113883.2.9.4.3.2"/>
|
| 78 |
<telecom use="WP" value="tel:0141.481111"/>
|
| 79 |
<assignedPerson>
|
| 80 |
<name>
|
| 81 |
<family>Fassi</family>
|
| 82 |
<given>Matteo</given>
|
| 83 |
</name>
|
| 84 |
</assignedPerson>
|
| 85 |
</assignedEntity>
|
| 86 |
</legalAuthenticator>
|
| 87 |
<componentOf>
|
| 88 |
<encompassingEncounter>
|
| 89 |
<effectiveTime value="20251113103914+0100"/>
|
| 90 |
<location>
|
| 91 |
<healthCareFacility>
|
| 92 |
<serviceProviderOrganization>
|
| 93 |
<id assigningAuthorityName="Ministero della Salute" extension="00670" root="2.16.840.1.113883.2.9.4.1.3"/>
|
| 94 |
<name>Asti</name>
|
| 95 |
<asOrganizationPartOf>
|
| 96 |
<id assigningAuthorityName="Ministero della Salute" extension="010212" root="2.16.840.1.113883.2.9.4.1.1"/>
|
| 97 |
</asOrganizationPartOf>
|
| 98 |
</serviceProviderOrganization>
|
| 99 |
</healthCareFacility>
|
| 100 |
</location>
|
| 101 |
</encompassingEncounter>
|
| 102 |
</componentOf>
|
| 103 |
<component typeCode="COMP">
|
| 104 |
<structuredBody classCode="DOCBODY" moodCode="EVN">
|
| 105 |
<component typeCode="COMP">
|
| 106 |
<section ID="Storia_Clinica">
|
| 107 |
<code code="11329-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Storia Generale"/>
|
| 108 |
<title>Storia Clinica</title>
|
| 109 |
<text mediaType="text/x-hl7-text+xml">
|
| 110 |
<list>
|
| 111 |
<item>
|
| 112 |
<paragraph>
|
| 113 |
<caption>Anamnesi Diabetologica</caption>
|
| 114 |
</paragraph>
|
| 115 |
<table>
|
| 116 |
<tbody>
|
| 117 |
<tr>
|
| 118 |
<th align="left">Data Diagnosi Diabete</th>
|
| 119 |
<td align="left">23/10/2024</td>
|
| 120 |
</tr>
|
| 121 |
<tr>
|
| 122 |
<th align="left">Tipo Diabete</th>
|
| 123 |
<td align="left">Autodiagnosi</td>
|
| 124 |
</tr>
|
| 125 |
</tbody>
|
| 126 |
</table>
|
| 127 |
</item>
|
| 128 |
</list>
|
| 129 |
</text>
|
| 130 |
</section>
|
| 131 |
</component>
|
| 132 |
<component typeCode="COMP">
|
| 133 |
<section ID="Prestazioni">
|
| 134 |
<code code="62387-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Interventi"/>
|
| 135 |
<title>Prestazioni</title>
|
| 136 |
<text mediaType="text/x-hl7-text+xml">
|
| 137 |
<paragraph>
|
| 138 |
<caption>Prestazioni Eseguite</caption>
|
| 139 |
</paragraph>
|
| 140 |
<list>
|
| 141 |
<item ID="Prestazione-1">
|
| 142 |
<table border="1">
|
| 143 |
<thead>
|
| 144 |
<tr>
|
| 145 |
<th colspan="2">Prestazione 1</th>
|
| 146 |
</tr>
|
| 147 |
</thead>
|
| 148 |
<tbody>
|
| 149 |
<tr>
|
| 150 |
<th>Codice Prestazione</th>
|
| 151 |
<td>23183</td>
|
| 152 |
</tr>
|
| 153 |
<tr>
|
| 154 |
<th>Descrizione Prestazione eseguita</th>
|
| 155 |
<td>PRIMA VISITA DIABETOLOGICA</td>
|
| 156 |
</tr>
|
| 157 |
<tr>
|
| 158 |
<th>Codice Regionale Prestazione</th>
|
| 159 |
<td>897.62</td>
|
| 160 |
</tr>
|
| 161 |
<tr>
|
| 162 |
<th>Data Prestazione eseguita</th>
|
| 163 |
<td>13/11/2025 10:38</td>
|
| 164 |
</tr>
|
| 165 |
</tbody>
|
| 166 |
</table>
|
| 167 |
</item>
|
| 168 |
</list>
|
| 169 |
</text>
|
| 170 |
<entry>
|
| 171 |
<act classCode="ACT" moodCode="EVN">
|
| 172 |
<code code="897.62" codeSystem="2.16.840.1.113883.2.9.2.10.6.11" codeSystemName="DIZ_PREST_PIEMONTE" displayName="PRIMA VISITA DIABETOLOGICA">
|
| 173 |
<originalText>
|
| 174 |
<reference value="#Prestazione-1"/>
|
| 175 |
</originalText>
|
| 176 |
</code>
|
| 177 |
<effectiveTime value="20251113103800+0100"/>
|
| 178 |
</act>
|
| 179 |
</entry>
|
| 180 |
</section>
|
| 181 |
</component>
|
| 182 |
<component typeCode="COMP">
|
| 183 |
<section ID="Referto">
|
| 184 |
<code code="47045-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Referto"/>
|
| 185 |
<title>Referto</title>
|
| 186 |
<text mediaType="text/x-hl7-text+xml">
|
| 187 |
<list>
|
| 188 |
<item>
|
| 189 |
<content>prova test fse</content>
|
| 190 |
</item>
|
| 191 |
<item>
|
| 192 |
<content>prova</content>
|
| 193 |
</item>
|
| 194 |
</list>
|
| 195 |
</text>
|
| 196 |
</section>
|
| 197 |
</component>
|
| 198 |
<component typeCode="COMP">
|
| 199 |
<section ID="Terapia_Farmacologica_Consigliata">
|
| 200 |
<code code="93341-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Farmaci Consigliati"/>
|
| 201 |
<title>Terapia farmacologica consigliata</title>
|
| 202 |
<text mediaType="text/x-hl7-text+xml">
|
| 203 |
<list>
|
| 204 |
<item ID="TFC-1">
|
| 205 |
<table>
|
| 206 |
<thead>
|
| 207 |
<tr>
|
| 208 |
<th colspan="4">METFORMINA ACC*50CPR RIV 500MG</th>
|
| 209 |
</tr>
|
| 210 |
</thead>
|
| 211 |
<tbody>
|
| 212 |
<tr>
|
| 213 |
<th align="left">Pasto</th>
|
| 214 |
<th align="left">Posologia</th>
|
| 215 |
<th align="left">Note</th>
|
| 216 |
<th align="left">Frequenza</th>
|
| 217 |
</tr>
|
| 218 |
<tr>
|
| 219 |
<td align="left">Pranzo</td>
|
| 220 |
<td align="left">1 cp</td>
|
| 221 |
<td align="left"/>
|
| 222 |
<td align="left">tutti i giorni</td>
|
| 223 |
</tr>
|
| 224 |
<tr>
|
| 225 |
<td align="left">Cena</td>
|
| 226 |
<td align="left">1 cp</td>
|
| 227 |
<td align="left"/>
|
| 228 |
<td align="left">tutti i giorni</td>
|
| 229 |
</tr>
|
| 230 |
</tbody>
|
| 231 |
</table>
|
| 232 |
</item>
|
| 233 |
<item ID="TFC-2">
|
| 234 |
<table>
|
| 235 |
<thead>
|
| 236 |
<tr>
|
| 237 |
<th colspan="2">EUTIROX*50CPR 100MCG</th>
|
| 238 |
</tr>
|
| 239 |
</thead>
|
| 240 |
<tbody>
|
| 241 |
<tr>
|
| 242 |
<th align="left">Quantità</th>
|
| 243 |
<th align="left">Frequenza</th>
|
| 244 |
</tr>
|
| 245 |
<tr>
|
| 246 |
<td align="left">1 a Colazione</td>
|
| 247 |
<td align="left">tutti i giorni</td>
|
| 248 |
</tr>
|
| 249 |
<tr>
|
| 250 |
<td align="left">1 a Cena</td>
|
| 251 |
<td align="left">tutti i giorni</td>
|
| 252 |
</tr>
|
| 253 |
</tbody>
|
| 254 |
</table>
|
| 255 |
</item>
|
| 256 |
</list>
|
| 257 |
</text>
|
| 258 |
<entry>
|
| 259 |
<substanceAdministration classCode="SBADM" moodCode="PRP">
|
| 260 |
<effectiveTime xsi:type="IVL_TS">
|
| 261 |
<low nullFlavor="UNK"/>
|
| 262 |
</effectiveTime>
|
| 263 |
<consumable>
|
| 264 |
<manufacturedProduct>
|
| 265 |
<manufacturedMaterial>
|
| 266 |
<code code="049661059" codeSystem="2.16.840.1.113883.2.9.6.1.5" codeSystemName="Tabella farmaci AIC" displayName="METFORMINA ACC*50CPR RIV 500MG">
|
| 267 |
<originalText>
|
| 268 |
<reference value="TFC-1"/>
|
| 269 |
</originalText>
|
| 270 |
<translation code="A10BA02" codeSystem="2.16.840.1.113883.6.73" codeSystemName="WHO ATC" displayName="METFORMINA"/>
|
| 271 |
</code>
|
| 272 |
</manufacturedMaterial>
|
| 273 |
</manufacturedProduct>
|
| 274 |
</consumable>
|
| 275 |
</substanceAdministration>
|
| 276 |
</entry>
|
| 277 |
<entry>
|
| 278 |
<substanceAdministration classCode="SBADM" moodCode="PRP">
|
| 279 |
<effectiveTime xsi:type="IVL_TS">
|
| 280 |
<low nullFlavor="UNK"/>
|
| 281 |
</effectiveTime>
|
| 282 |
<consumable>
|
| 283 |
<manufacturedProduct>
|
| 284 |
<manufacturedMaterial>
|
| 285 |
<code code="024402137" codeSystem="2.16.840.1.113883.2.9.6.1.5" codeSystemName="Tabella farmaci AIC" displayName="EUTIROX*50CPR 100MCG">
|
| 286 |
<originalText>
|
| 287 |
<reference value="TFC-2"/>
|
| 288 |
</originalText>
|
| 289 |
<translation code="H03AA01" codeSystem="2.16.840.1.113883.6.73" codeSystemName="WHO ATC" displayName="LEVOTIROXINA SODICA"/>
|
| 290 |
</code>
|
| 291 |
</manufacturedMaterial>
|
| 292 |
</manufacturedProduct>
|
| 293 |
</consumable>
|
| 294 |
</substanceAdministration>
|
| 295 |
</entry>
|
| 296 |
</section>
|
| 297 |
</component>
|
| 298 |
</structuredBody>
|
| 299 |
</component>
|
| 300 |
</ClinicalDocument>
|