Swissnoso Implementation Guide (R4)
1.0.0 - STU 1
Swissnoso Implementation Guide (R4)
1.0.0 - STU 1
This page is part of the Swissnoso Implementation Guide (R4) (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Bundle",
"id" : "MessageUC44371",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-message-cauti-surveillance"
]
},
"type" : "message",
"entry" : [
{
"fullUrl" : "http://example.ch/fhir/MessageHeader/MessageHeaderUC181521",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "MessageHeaderUC44371",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-messageheader-cauti-surveillance"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"MessageHeaderUC44371\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-messageheader-cauti-surveillance.html\">Swissnoso MessageHeader CAUTI Surveillance</a></p></div><p><b>event</b>: <a href=\"http://fhir.ch/ig/swissnoso/cauti-surveillance\">http://fhir.ch/ig/swissnoso/cauti-surveillance</a></p><h3>Sources</h3><table class=\"grid\"><tr><td>-</td><td><b>Endpoint</b></td></tr><tr><td>*</td><td><a href=\"http://example.ch/fhir\">http://example.ch/fhir</a></td></tr></table><p><b>focus</b>: </p><ul><li><a href=\"#Procedure_InsertCatheter-20210708-44371210708\">See above (Procedure/InsertCatheter-20210708-44371210708)</a></li><li><a href=\"#Procedure_RemoveCatheter-20210709-44371210708\">See above (Procedure/RemoveCatheter-20210709-44371210708)</a></li><li><a href=\"#Procedure_Microbiology1-20210709-44371210708\">See above (Procedure/Microbiology1-20210709-44371210708)</a></li><li><a href=\"#Procedure_Microbiology2-20210714-44371210708\">See above (Procedure/Microbiology2-20210714-44371210708)</a></li><li><a href=\"#Observation_NumberOfDifferentGerms-20210709-44371210708\">See above (Observation/NumberOfDifferentGerms-20210709-44371210708)</a></li><li><a href=\"#Observation_NumberOfDifferentGerms-20210714-44371210708\">See above (Observation/NumberOfDifferentGerms-20210714-44371210708)</a></li></ul></div>"
},
"eventUri" : "http://fhir.ch/ig/swissnoso/cauti-surveillance",
"source" : {
"endpoint" : "http://example.ch/fhir"
},
"focus" : [
{
"reference" : "Procedure/InsertCatheter-20210708-44371210708"
},
{
"reference" : "Procedure/RemoveCatheter-20210709-44371210708"
},
{
"reference" : "Procedure/Microbiology1-20210709-44371210708"
},
{
"reference" : "Procedure/Microbiology2-20210714-44371210708"
},
{
"reference" : "Observation/NumberOfDifferentGerms-20210709-44371210708"
},
{
"reference" : "Observation/NumberOfDifferentGerms-20210714-44371210708"
}
]
}
},
{
"fullUrl" : "http://example.ch/fhir/Procedure/InsertCatheter-20210708-44371210708",
"resource" : {
"resourceType" : "Procedure",
"id" : "InsertCatheter-20210708-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-insert-catheter"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"InsertCatheter-20210708-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-procedure-insert-catheter.html\">Swissnoso Procedure Insert Catheter</a></p></div><p><b>Swissnoso Sequence Number</b>: 1</p><p><b>Swissnoso Transurethral Procedure</b>: false</p><p><b>status</b>: completed</p><p><b>code</b>: Catheterization of urinary bladder (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#410024004)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>performed</b>: 2021-07-08</p><p><b>location</b>: <a href=\"#Location_DegenzaSantaMaria\">See above (Location/DegenzaSantaMaria)</a></p><p><b>reasonCode</b>: Ritenzione urinaria <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-indication.html\">Swissnoso Indication</a>#1)</span></p></div>"
},
"extension" : [
{
"url" : "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-sequence-number",
"valuePositiveInt" : 1
},
{
"url" : "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-transurethral-procedure",
"valueBoolean" : false
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "410024004",
"display" : "Catheterization of urinary bladder (procedure)"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"performedDateTime" : "2021-07-08",
"location" : {
"reference" : "Location/DegenzaSantaMaria"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-indication",
"code" : "1",
"display" : "Ritenzione urinaria"
}
]
}
]
}
},
{
"fullUrl" : "http://example.ch/fhir/Procedure/RemoveCatheter-20210709-44371210708",
"resource" : {
"resourceType" : "Procedure",
"id" : "RemoveCatheter-20210709-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-remove-catheter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"RemoveCatheter-20210709-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-procedure-remove-catheter.html\">Swissnoso Procedure Remove Catheter</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Removal of urinary bladder catheter (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#43748006)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>performed</b>: 2021-07-09</p><p><b>reasonReference</b>: <a href=\"#Procedure_InsertCatheter-20210708-44371210708\">See above (Procedure/InsertCatheter-20210708-44371210708)</a></p></div>"
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "43748006",
"display" : "Removal of urinary bladder catheter (procedure)"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"performedDateTime" : "2021-07-09",
"reasonReference" : [
{
"reference" : "Procedure/InsertCatheter-20210708-44371210708"
}
]
}
},
{
"fullUrl" : "http://example.ch/fhir/Patient/GiuliaRossi",
"resource" : {
"resourceType" : "Patient",
"id" : "GiuliaRossi",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"GiuliaRossi\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-patient.html\">Swissnoso Patient</a></p></div><p><b>identifier</b>: Medical record number: 44371</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1943</p></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"system" : "http://fhir.santamaria.ch/pid",
"value" : "44371"
}
],
"gender" : "female",
"birthDate" : "1943"
}
},
{
"fullUrl" : "http://example.ch/fhir/Encounter/Encounter-44371210708",
"resource" : {
"resourceType" : "Encounter",
"id" : "Encounter-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-encounter"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"Encounter-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-encounter.html\">Swissnoso Encounter</a></p></div><blockquote><p><b>Swissnoso Organizational Unit</b></p><p><b>value</b>: Medicina (Details: http://fhir.ch/ig/swissnoso/CodeSystem/ecdc-ward-specialty code MED = 'Medicine', stated as 'Medicina')</p><p><b>value</b>: Medicina interna, medicina generale (Details: http://fhir.ch/ig/swissnoso/CodeSystem/ecdc-patient-consultant-specialty code MEDGEN = 'General medicine', stated as 'Medicina interna, medicina generale')</p></blockquote><p><b>identifier</b>: Visit number: 44371210708</p><p><b>status</b>: finished</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>period</b>: 2021-07-08 --> 2021-07-16</p><p><b>serviceProvider</b>: <a href=\"#Organization_OspedaleSantaMaria\">See above (Organization/OspedaleSantaMaria)</a></p></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "unit",
"valueCoding" : {
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/ecdc-ward-specialty",
"code" : "MED",
"display" : "Medicina"
}
},
{
"url" : "specialty",
"valueCoding" : {
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/ecdc-patient-consultant-specialty",
"code" : "MEDGEN",
"display" : "Medicina interna, medicina generale"
}
}
],
"url" : "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-organizational-unit"
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "VN"
}
]
},
"system" : "http://fhir.santamaria.ch/fid",
"value" : "44371210708"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"period" : {
"start" : "2021-07-08",
"end" : "2021-07-16"
},
"serviceProvider" : {
"reference" : "Organization/OspedaleSantaMaria"
}
}
},
{
"fullUrl" : "http://example.ch/fhir/Organization/OspedaleSantaMaria",
"resource" : {
"resourceType" : "Organization",
"id" : "OspedaleSantaMaria",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"OspedaleSantaMaria\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-organization.html\">Swissnoso Organization</a></p></div><p><b>identifier</b>: id: 9876</p></div>"
},
"identifier" : [
{
"system" : "http://fhir.swissnoso.ch/clinic-number",
"value" : "9876"
}
]
}
},
{
"fullUrl" : "http://example.ch/fhir/Location/DegenzaSantaMaria",
"resource" : {
"resourceType" : "Location",
"id" : "DegenzaSantaMaria",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-location"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"DegenzaSantaMaria\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-location.html\">Swissnoso Location</a></p></div><p><b>name</b>: Degenza Santa Maria</p><p><b>physicalType</b>: Degenza <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-procedure-location.html\">Swissnoso Procedure Location</a>#2)</span></p><p><b>managingOrganization</b>: <a href=\"#Organization_OspedaleSantaMaria\">See above (Organization/OspedaleSantaMaria)</a></p></div>"
},
"name" : "Degenza Santa Maria",
"physicalType" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-procedure-location",
"code" : "2",
"display" : "Degenza"
}
]
},
"managingOrganization" : {
"reference" : "Organization/OspedaleSantaMaria"
}
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/Symptoms1-20210709-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "Symptoms1-20210709-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-symptoms"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"Symptoms1-20210709-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-symptoms.html\">Swissnoso Observation Symptoms</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Symptom <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#75325-1)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>effective</b>: 2021-07-09</p><p><b>value</b>: true</p><p><b>hasMember</b>: </p><ul><li><a href=\"#Observation_NoFever1-20210709-44371210708\">See above (Observation/NoFever1-20210709-44371210708)</a></li><li><a href=\"#Observation_SuprapubicTenderness1-20210709-44371210708\">See above (Observation/SuprapubicTenderness1-20210709-44371210708)</a></li><li><a href=\"#Observation_NoAnglePainOrTenderness1-20210709-44371210708\">See above (Observation/NoAnglePainOrTenderness1-20210709-44371210708)</a></li><li><a href=\"#Observation_NoUrinaryUrgency1-20210709-44371210708\">See above (Observation/NoUrinaryUrgency1-20210709-44371210708)</a></li><li><a href=\"#Observation_NoUrinaryFrequency1-20210709-44371210708\">See above (Observation/NoUrinaryFrequency1-20210709-44371210708)</a></li><li><a href=\"#Observation_NoDysuria1-20210709-44371210708\">See above (Observation/NoDysuria1-20210709-44371210708)</a></li></ul></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "75325-1",
"display" : "Symptom"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"effectiveDateTime" : "2021-07-09",
"valueBoolean" : true,
"hasMember" : [
{
"reference" : "Observation/NoFever1-20210709-44371210708"
},
{
"reference" : "Observation/SuprapubicTenderness1-20210709-44371210708"
},
{
"reference" : "Observation/NoAnglePainOrTenderness1-20210709-44371210708"
},
{
"reference" : "Observation/NoUrinaryUrgency1-20210709-44371210708"
},
{
"reference" : "Observation/NoUrinaryFrequency1-20210709-44371210708"
},
{
"reference" : "Observation/NoDysuria1-20210709-44371210708"
}
]
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/NoFever1-20210709-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "NoFever1-20210709-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-fever"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"NoFever1-20210709-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-fever.html\">Swissnoso Observation Fever</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Febbre >38.0 °C (orecchio) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-clinical-symptom.html\">Swissnoso Clinical Symptom</a>#1)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>value</b>: false</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom",
"code" : "1",
"display" : "Febbre >38.0 °C (orecchio)"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"valueBoolean" : false
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/SuprapubicTenderness1-20210709-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "SuprapubicTenderness1-20210709-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-suprapubic-tenderness"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"SuprapubicTenderness1-20210709-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-suprapubic-tenderness.html\">Swissnoso Observation Suprapubic Tenderness</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Sensibilità alla pressione sovrapubica <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-clinical-symptom.html\">Swissnoso Clinical Symptom</a>#2)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>effective</b>: 2021-07-09</p><p><b>value</b>: true</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom",
"code" : "2",
"display" : "Sensibilità alla pressione sovrapubica"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"effectiveDateTime" : "2021-07-09",
"valueBoolean" : true
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/NoAnglePainOrTenderness1-20210709-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "NoAnglePainOrTenderness1-20210709-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-angle-pain-or-tenderness"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"NoAnglePainOrTenderness1-20210709-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-angle-pain-or-tenderness.html\">Swissnoso Observation Angle Pain or Tenderness</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Dolori o sensibilità alla percussione dei fianchi <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-clinical-symptom.html\">Swissnoso Clinical Symptom</a>#3)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>value</b>: false</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom",
"code" : "3",
"display" : "Dolori o sensibilità alla percussione dei fianchi"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"valueBoolean" : false
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/NoUrinaryUrgency1-20210709-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "NoUrinaryUrgency1-20210709-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-urgency"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"NoUrinaryUrgency1-20210709-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-urinary-urgency.html\">Swissnoso Observation Urinary Urgency</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Urgenza urinaria <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-clinical-symptom.html\">Swissnoso Clinical Symptom</a>#4)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>value</b>: false</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom",
"code" : "4",
"display" : "Urgenza urinaria"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"valueBoolean" : false
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/NoUrinaryFrequency1-20210709-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "NoUrinaryFrequency1-20210709-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-frequency"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"NoUrinaryFrequency1-20210709-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-urinary-frequency.html\">Swissnoso Observation Urinary Frequency</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Pollachiuria <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-clinical-symptom.html\">Swissnoso Clinical Symptom</a>#5)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>value</b>: false</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom",
"code" : "5",
"display" : "Pollachiuria"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"valueBoolean" : false
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/NoDysuria1-20210709-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "NoDysuria1-20210709-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-dysuria"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"NoDysuria1-20210709-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-dysuria.html\">Swissnoso Observation Dysuria</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Disuria <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-clinical-symptom.html\">Swissnoso Clinical Symptom</a>#6)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>value</b>: false</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom",
"code" : "6",
"display" : "Disuria"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"valueBoolean" : false
}
},
{
"fullUrl" : "http://example.ch/fhir/Procedure/Microbiology1-20210709-44371210708",
"resource" : {
"resourceType" : "Procedure",
"id" : "Microbiology1-20210709-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-microbiology"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"Microbiology1-20210709-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-procedure-microbiology.html\">Swissnoso Procedure Microbiology</a></p></div><p><b>Swissnoso Sequence Number</b>: 1</p><p><b>status</b>: completed</p><p><b>code</b>: Microbiology (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#269934003)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>performed</b>: 2021-07-09</p><p><b>reasonReference</b>: <a href=\"#Observation_Symptoms1-20210709-44371210708\">See above (Observation/Symptoms1-20210709-44371210708)</a></p></div>"
},
"extension" : [
{
"url" : "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-sequence-number",
"valuePositiveInt" : 1
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "269934003",
"display" : "Microbiology (procedure)"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"performedDateTime" : "2021-07-09",
"reasonReference" : [
{
"reference" : "Observation/Symptoms1-20210709-44371210708"
}
]
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/NumberOfDifferentGerms-20210709-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "NumberOfDifferentGerms-20210709-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-number-of-different-germs"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"NumberOfDifferentGerms-20210709-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-number-of-different-germs.html\">Swissnoso Observation Number of Different Germs</a></p></div><p><b>partOf</b>: <a href=\"#Procedure_Microbiology1-20210709-44371210708\">See above (Procedure/Microbiology1-20210709-44371210708)</a></p><p><b>status</b>: final</p><p><b>code</b>: Number of different germs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso.html\">Swissnoso</a>#number-germs)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>effective</b>: 2021-07-09</p><p><b>value</b>: 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-number-of-different-germs.html\">Swissnoso Number of Different Germs</a>#1)</span></p><p><b>hasMember</b>: <a href=\"#Observation_Germ1-20210709-44371210708\">See above (Observation/Germ1-20210709-44371210708)</a></p></div>"
},
"partOf" : [
{
"reference" : "Procedure/Microbiology1-20210709-44371210708"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso",
"code" : "number-germs",
"display" : "Number of different germs"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"effectiveDateTime" : "2021-07-09",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-number-of-different-germs",
"code" : "1",
"display" : "1"
}
]
},
"hasMember" : [
{
"reference" : "Observation/Germ1-20210709-44371210708"
}
]
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/Germ1-20210709-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "Germ1-20210709-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-germ"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"Germ1-20210709-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-germ.html\">Swissnoso Observation Germ</a></p></div><p><b>partOf</b>: <a href=\"#Procedure_Microbiology1-20210709-44371210708\">See above (Procedure/Microbiology1-20210709-44371210708)</a></p><p><b>status</b>: final</p><p><b>code</b>: Bacteria [Presence] in Urine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#87829-8)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>effective</b>: 2021-07-09</p><blockquote><p><b>component</b></p><p><b>code</b>: Bacteria identified in Urine by Culture <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#630-4)</span></p><p><b>value</b>: Escherichia coli (organism) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#112283007)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Bacteria [#/volume] in Urine by Automated count <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#51480-2)</span></p><p><b>value</b>: <10E5 CFU/ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-bacterial-count-in-urine.html\">Swissnoso Bacterial Count in Urine</a>#1)</span></p></blockquote></div>"
},
"partOf" : [
{
"reference" : "Procedure/Microbiology1-20210709-44371210708"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87829-8",
"display" : "Bacteria [Presence] in Urine"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"effectiveDateTime" : "2021-07-09",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "630-4",
"display" : "Bacteria identified in Urine by Culture"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "112283007",
"display" : "Escherichia coli (organism)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "51480-2",
"display" : "Bacteria [#/volume] in Urine by Automated count"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-bacterial-count-in-urine",
"code" : "1",
"display" : "<10E5 CFU/ml"
}
]
}
}
]
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/Symptoms2-20210714-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "Symptoms2-20210714-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-symptoms"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"Symptoms2-20210714-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-symptoms.html\">Swissnoso Observation Symptoms</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Symptom <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#75325-1)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>effective</b>: 2021-07-14</p><p><b>value</b>: true</p><p><b>hasMember</b>: </p><ul><li><a href=\"#Observation_NoFever2-20210714-44371210708\">See above (Observation/NoFever2-20210714-44371210708)</a></li><li><a href=\"#Observation_SuprapubicTenderness2-20210714-44371210708\">See above (Observation/SuprapubicTenderness2-20210714-44371210708)</a></li><li><a href=\"#Observation_NoAnglePainOrTenderness2-20210714-44371210708\">See above (Observation/NoAnglePainOrTenderness2-20210714-44371210708)</a></li><li><a href=\"#Observation_UrinaryUrgency2-20210714-44371210708\">See above (Observation/UrinaryUrgency2-20210714-44371210708)</a></li><li><a href=\"#Observation_UrinaryFrequency2-20210714-44371210708\">See above (Observation/UrinaryFrequency2-20210714-44371210708)</a></li><li><a href=\"#Observation_Dysuria2-20210714-44371210708\">See above (Observation/Dysuria2-20210714-44371210708)</a></li></ul></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "75325-1",
"display" : "Symptom"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"effectiveDateTime" : "2021-07-14",
"valueBoolean" : true,
"hasMember" : [
{
"reference" : "Observation/NoFever2-20210714-44371210708"
},
{
"reference" : "Observation/SuprapubicTenderness2-20210714-44371210708"
},
{
"reference" : "Observation/NoAnglePainOrTenderness2-20210714-44371210708"
},
{
"reference" : "Observation/UrinaryUrgency2-20210714-44371210708"
},
{
"reference" : "Observation/UrinaryFrequency2-20210714-44371210708"
},
{
"reference" : "Observation/Dysuria2-20210714-44371210708"
}
]
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/NoFever2-20210714-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "NoFever2-20210714-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-fever"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"NoFever2-20210714-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-fever.html\">Swissnoso Observation Fever</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Febbre >38.0 °C (orecchio) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-clinical-symptom.html\">Swissnoso Clinical Symptom</a>#1)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>value</b>: false</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom",
"code" : "1",
"display" : "Febbre >38.0 °C (orecchio)"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"valueBoolean" : false
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/SuprapubicTenderness2-20210714-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "SuprapubicTenderness2-20210714-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-suprapubic-tenderness"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"SuprapubicTenderness2-20210714-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-suprapubic-tenderness.html\">Swissnoso Observation Suprapubic Tenderness</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Sensibilità alla pressione sovrapubica <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-clinical-symptom.html\">Swissnoso Clinical Symptom</a>#2)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>effective</b>: 2021-07-14</p><p><b>value</b>: true</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom",
"code" : "2",
"display" : "Sensibilità alla pressione sovrapubica"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"effectiveDateTime" : "2021-07-14",
"valueBoolean" : true
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/NoAnglePainOrTenderness2-20210714-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "NoAnglePainOrTenderness2-20210714-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-angle-pain-or-tenderness"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"NoAnglePainOrTenderness2-20210714-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-angle-pain-or-tenderness.html\">Swissnoso Observation Angle Pain or Tenderness</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Dolori o sensibilità alla percussione dei fianchi <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-clinical-symptom.html\">Swissnoso Clinical Symptom</a>#3)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>value</b>: false</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom",
"code" : "3",
"display" : "Dolori o sensibilità alla percussione dei fianchi"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"valueBoolean" : false
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/UrinaryUrgency2-20210714-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "UrinaryUrgency2-20210714-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-urgency"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"UrinaryUrgency2-20210714-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-urinary-urgency.html\">Swissnoso Observation Urinary Urgency</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Urgenza urinaria <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-clinical-symptom.html\">Swissnoso Clinical Symptom</a>#4)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>effective</b>: 2021-07-14</p><p><b>value</b>: true</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom",
"code" : "4",
"display" : "Urgenza urinaria"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"effectiveDateTime" : "2021-07-14",
"valueBoolean" : true
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/UrinaryFrequency2-20210714-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "UrinaryFrequency2-20210714-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-frequency"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"UrinaryFrequency2-20210714-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-urinary-frequency.html\">Swissnoso Observation Urinary Frequency</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Pollachiuria <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-clinical-symptom.html\">Swissnoso Clinical Symptom</a>#5)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>effective</b>: 2021-07-14</p><p><b>value</b>: true</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom",
"code" : "5",
"display" : "Pollachiuria"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"effectiveDateTime" : "2021-07-14",
"valueBoolean" : true
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/Dysuria2-20210714-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "Dysuria2-20210714-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-dysuria"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"Dysuria2-20210714-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-dysuria.html\">Swissnoso Observation Dysuria</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Disuria <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-clinical-symptom.html\">Swissnoso Clinical Symptom</a>#6)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>effective</b>: 2021-07-14</p><p><b>value</b>: true</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom",
"code" : "6",
"display" : "Disuria"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"effectiveDateTime" : "2021-07-14",
"valueBoolean" : true
}
},
{
"fullUrl" : "http://example.ch/fhir/Procedure/Microbiology2-20210714-44371210708",
"resource" : {
"resourceType" : "Procedure",
"id" : "Microbiology2-20210714-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-microbiology"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"Microbiology2-20210714-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-procedure-microbiology.html\">Swissnoso Procedure Microbiology</a></p></div><p><b>Swissnoso Sequence Number</b>: 2</p><p><b>status</b>: completed</p><p><b>code</b>: Microbiology (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#269934003)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>performed</b>: 2021-07-14</p><p><b>reasonReference</b>: <a href=\"#Observation_Symptoms2-20210714-44371210708\">See above (Observation/Symptoms2-20210714-44371210708)</a></p></div>"
},
"extension" : [
{
"url" : "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-sequence-number",
"valuePositiveInt" : 2
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "269934003",
"display" : "Microbiology (procedure)"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"performedDateTime" : "2021-07-14",
"reasonReference" : [
{
"reference" : "Observation/Symptoms2-20210714-44371210708"
}
]
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/NumberOfDifferentGerms-20210714-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "NumberOfDifferentGerms-20210714-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-number-of-different-germs"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"NumberOfDifferentGerms-20210714-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-number-of-different-germs.html\">Swissnoso Observation Number of Different Germs</a></p></div><p><b>partOf</b>: <a href=\"#Procedure_Microbiology2-20210714-44371210708\">See above (Procedure/Microbiology2-20210714-44371210708)</a></p><p><b>status</b>: final</p><p><b>code</b>: Number of different germs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso.html\">Swissnoso</a>#number-germs)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>effective</b>: 2021-07-14</p><p><b>value</b>: 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-number-of-different-germs.html\">Swissnoso Number of Different Germs</a>#1)</span></p><p><b>hasMember</b>: <a href=\"#Observation_Germ1-20210714-44371210708\">See above (Observation/Germ1-20210714-44371210708)</a></p></div>"
},
"partOf" : [
{
"reference" : "Procedure/Microbiology2-20210714-44371210708"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso",
"code" : "number-germs",
"display" : "Number of different germs"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"effectiveDateTime" : "2021-07-14",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-number-of-different-germs",
"code" : "1",
"display" : "1"
}
]
},
"hasMember" : [
{
"reference" : "Observation/Germ1-20210714-44371210708"
}
]
}
},
{
"fullUrl" : "http://example.ch/fhir/Observation/Germ1-20210714-44371210708",
"resource" : {
"resourceType" : "Observation",
"id" : "Germ1-20210714-44371210708",
"meta" : {
"profile" : [
"http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-germ"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"Germ1-20210714-44371210708\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-observation-germ.html\">Swissnoso Observation Germ</a></p></div><p><b>partOf</b>: <a href=\"#Procedure_Microbiology2-20210714-44371210708\">See above (Procedure/Microbiology2-20210714-44371210708)</a></p><p><b>status</b>: final</p><p><b>code</b>: Bacteria [Presence] in Urine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#87829-8)</span></p><p><b>subject</b>: <a href=\"#Patient_GiuliaRossi\">See above (Patient/GiuliaRossi)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-44371210708\">See above (Encounter/Encounter-44371210708)</a></p><p><b>effective</b>: 2021-07-14</p><blockquote><p><b>component</b></p><p><b>code</b>: Bacteria identified in Urine by Culture <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#630-4)</span></p><p><b>value</b>: Escherichia coli (organism) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#112283007)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Bacteria [#/volume] in Urine by Automated count <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#51480-2)</span></p><p><b>value</b>: >=10E5 CFU/ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-bacterial-count-in-urine.html\">Swissnoso Bacterial Count in Urine</a>#2)</span></p></blockquote></div>"
},
"partOf" : [
{
"reference" : "Procedure/Microbiology2-20210714-44371210708"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87829-8",
"display" : "Bacteria [Presence] in Urine"
}
]
},
"subject" : {
"reference" : "Patient/GiuliaRossi"
},
"encounter" : {
"reference" : "Encounter/Encounter-44371210708"
},
"effectiveDateTime" : "2021-07-14",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "630-4",
"display" : "Bacteria identified in Urine by Culture"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "112283007",
"display" : "Escherichia coli (organism)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "51480-2",
"display" : "Bacteria [#/volume] in Urine by Automated count"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-bacterial-count-in-urine",
"code" : "2",
"display" : ">=10E5 CFU/ml"
}
]
}
}
]
}
}
]
}