Swissnoso Implementation Guide (R4)
1.0.0 - STU 1 Switzerland flag

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

: Message UC 44371 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "MessageUC44371"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-message-cauti-surveillance";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-message-cauti-surveillance>     ]
  ];
  fhir:Bundle.type [ fhir:value "message"];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/MessageHeader/MessageHeaderUC181521" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/MessageHeader/MessageHeaderUC181521>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Procedure/InsertCatheter-20210708-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Procedure/InsertCatheter-20210708-44371210708>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Procedure/RemoveCatheter-20210709-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Procedure/RemoveCatheter-20210709-44371210708>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Patient/GiuliaRossi" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Patient/GiuliaRossi>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Encounter/Encounter-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Encounter/Encounter-44371210708>
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Organization/OspedaleSantaMaria" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Organization/OspedaleSantaMaria>
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Location/DegenzaSantaMaria" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Location/DegenzaSantaMaria>
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/Symptoms1-20210709-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/Symptoms1-20210709-44371210708>
  ], [
     fhir:index 8;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/NoFever1-20210709-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/NoFever1-20210709-44371210708>
  ], [
     fhir:index 9;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/SuprapubicTenderness1-20210709-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/SuprapubicTenderness1-20210709-44371210708>
  ], [
     fhir:index 10;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/NoAnglePainOrTenderness1-20210709-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/NoAnglePainOrTenderness1-20210709-44371210708>
  ], [
     fhir:index 11;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/NoUrinaryUrgency1-20210709-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/NoUrinaryUrgency1-20210709-44371210708>
  ], [
     fhir:index 12;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/NoUrinaryFrequency1-20210709-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/NoUrinaryFrequency1-20210709-44371210708>
  ], [
     fhir:index 13;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/NoDysuria1-20210709-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/NoDysuria1-20210709-44371210708>
  ], [
     fhir:index 14;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Procedure/Microbiology1-20210709-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Procedure/Microbiology1-20210709-44371210708>
  ], [
     fhir:index 15;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/NumberOfDifferentGerms-20210709-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/NumberOfDifferentGerms-20210709-44371210708>
  ], [
     fhir:index 16;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/Germ1-20210709-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/Germ1-20210709-44371210708>
  ], [
     fhir:index 17;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/Symptoms2-20210714-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/Symptoms2-20210714-44371210708>
  ], [
     fhir:index 18;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/NoFever2-20210714-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/NoFever2-20210714-44371210708>
  ], [
     fhir:index 19;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/SuprapubicTenderness2-20210714-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/SuprapubicTenderness2-20210714-44371210708>
  ], [
     fhir:index 20;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/NoAnglePainOrTenderness2-20210714-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/NoAnglePainOrTenderness2-20210714-44371210708>
  ], [
     fhir:index 21;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/UrinaryUrgency2-20210714-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/UrinaryUrgency2-20210714-44371210708>
  ], [
     fhir:index 22;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/UrinaryFrequency2-20210714-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/UrinaryFrequency2-20210714-44371210708>
  ], [
     fhir:index 23;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/Dysuria2-20210714-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/Dysuria2-20210714-44371210708>
  ], [
     fhir:index 24;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Procedure/Microbiology2-20210714-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Procedure/Microbiology2-20210714-44371210708>
  ], [
     fhir:index 25;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/NumberOfDifferentGerms-20210714-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/NumberOfDifferentGerms-20210714-44371210708>
  ], [
     fhir:index 26;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Observation/Germ1-20210714-44371210708" ];
     fhir:Bundle.entry.resource <http://example.ch/fhir/Observation/Germ1-20210714-44371210708>
  ].

<http://example.ch/fhir/MessageHeader/MessageHeaderUC181521> a fhir:MessageHeader;
  fhir:Resource.id [ fhir:value "MessageHeaderUC44371"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-messageheader-cauti-surveillance";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-messageheader-cauti-surveillance>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:MessageHeader.eventUri [ fhir:value "http://fhir.ch/ig/swissnoso/cauti-surveillance"];
  fhir:MessageHeader.source [
     fhir:MessageHeader.source.endpoint [ fhir:value "http://example.ch/fhir" ]
  ];
  fhir:MessageHeader.focus [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Procedure/InsertCatheter-20210708-44371210708" ]
  ], [
     fhir:index 1;
     fhir:Reference.reference [ fhir:value "Procedure/RemoveCatheter-20210709-44371210708" ]
  ], [
     fhir:index 2;
     fhir:Reference.reference [ fhir:value "Procedure/Microbiology1-20210709-44371210708" ]
  ], [
     fhir:index 3;
     fhir:Reference.reference [ fhir:value "Procedure/Microbiology2-20210714-44371210708" ]
  ], [
     fhir:index 4;
     fhir:Reference.reference [ fhir:value "Observation/NumberOfDifferentGerms-20210709-44371210708" ]
  ], [
     fhir:index 5;
     fhir:Reference.reference [ fhir:value "Observation/NumberOfDifferentGerms-20210714-44371210708" ]
  ].

<http://example.ch/fhir/Procedure/InsertCatheter-20210708-44371210708> a fhir:Procedure;
  fhir:Resource.id [ fhir:value "InsertCatheter-20210708-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-insert-catheter";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-insert-catheter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-sequence-number" ];
     fhir:Extension.valuePositiveInt [ fhir:value "1"^^xsd:positiveInteger ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-transurethral-procedure" ];
     fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ]
  ];
  fhir:Procedure.status [ fhir:value "completed"];
  fhir:Procedure.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:410024004;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "410024004" ];
       fhir:Coding.display [ fhir:value "Catheterization of urinary bladder (procedure)" ]     ]
  ];
  fhir:Procedure.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Procedure.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Procedure.performedDateTime [ fhir:value "2021-07-08"^^xsd:date];
  fhir:Procedure.location [
     fhir:Reference.reference [ fhir:value "Location/DegenzaSantaMaria" ]
  ];
  fhir:Procedure.reasonCode [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-indication" ];
       fhir:Coding.code [ fhir:value "1" ];
       fhir:Coding.display [ fhir:value "Ritenzione urinaria" ]     ]
  ].

<http://example.ch/fhir/Procedure/RemoveCatheter-20210709-44371210708> a fhir:Procedure;
  fhir:Resource.id [ fhir:value "RemoveCatheter-20210709-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-remove-catheter";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-remove-catheter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Procedure.status [ fhir:value "completed"];
  fhir:Procedure.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:43748006;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "43748006" ];
       fhir:Coding.display [ fhir:value "Removal of urinary bladder catheter (procedure)" ]     ]
  ];
  fhir:Procedure.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Procedure.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Procedure.performedDateTime [ fhir:value "2021-07-09"^^xsd:date];
  fhir:Procedure.reasonReference [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Procedure/InsertCatheter-20210708-44371210708" ]
  ].

<http://example.ch/fhir/Patient/GiuliaRossi> a fhir:Patient;
  fhir:Resource.id [ fhir:value "GiuliaRossi"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-patient";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-patient>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "MR" ]       ]     ];
     fhir:Identifier.system [ fhir:value "http://fhir.santamaria.ch/pid" ];
     fhir:Identifier.value [ fhir:value "44371" ]
  ];
  fhir:Patient.gender [ fhir:value "female"];
  fhir:Patient.birthDate [ fhir:value "1943"^^xsd:gYear].

<http://example.ch/fhir/Encounter/Encounter-44371210708> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "Encounter-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-encounter";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-encounter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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 --&gt; 2021-07-16</p><p><b>serviceProvider</b>: <a href=\"#Organization_OspedaleSantaMaria\">See above (Organization/OspedaleSantaMaria)</a></p></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "unit" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/ecdc-ward-specialty" ];
         fhir:Coding.code [ fhir:value "MED" ];
         fhir:Coding.display [ fhir:value "Medicina" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "specialty" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/ecdc-patient-consultant-specialty" ];
         fhir:Coding.code [ fhir:value "MEDGEN" ];
         fhir:Coding.display [ fhir:value "Medicina interna, medicina generale" ]       ]     ];
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-organizational-unit" ]
  ];
  fhir:Encounter.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "VN" ]       ]     ];
     fhir:Identifier.system [ fhir:value "http://fhir.santamaria.ch/fid" ];
     fhir:Identifier.value [ fhir:value "44371210708" ]
  ];
  fhir:Encounter.status [ fhir:value "finished"];
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
     fhir:Coding.code [ fhir:value "IMP" ];
     fhir:Coding.display [ fhir:value "inpatient encounter" ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2021-07-08"^^xsd:date ];
     fhir:Period.end [ fhir:value "2021-07-16"^^xsd:date ]
  ];
  fhir:Encounter.serviceProvider [
     fhir:Reference.reference [ fhir:value "Organization/OspedaleSantaMaria" ]
  ].

<http://example.ch/fhir/Organization/OspedaleSantaMaria> a fhir:Organization;
  fhir:Resource.id [ fhir:value "OspedaleSantaMaria"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-organization";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-organization>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://fhir.swissnoso.ch/clinic-number" ];
     fhir:Identifier.value [ fhir:value "9876" ]
  ].

<http://example.ch/fhir/Location/DegenzaSantaMaria> a fhir:Location;
  fhir:Resource.id [ fhir:value "DegenzaSantaMaria"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-location";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-location>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Location.name [ fhir:value "Degenza Santa Maria"];
  fhir:Location.physicalType [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-procedure-location" ];
       fhir:Coding.code [ fhir:value "2" ];
       fhir:Coding.display [ fhir:value "Degenza" ]     ]
  ];
  fhir:Location.managingOrganization [
     fhir:Reference.reference [ fhir:value "Organization/OspedaleSantaMaria" ]
  ].

<http://example.ch/fhir/Observation/Symptoms1-20210709-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "Symptoms1-20210709-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-symptoms";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-symptoms>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:75325-1;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "75325-1" ];
       fhir:Coding.display [ fhir:value "Symptom" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2021-07-09"^^xsd:date];
  fhir:Observation.valueBoolean [ fhir:value "true"^^xsd:boolean];
  fhir:Observation.hasMember [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/NoFever1-20210709-44371210708" ]
  ], [
     fhir:index 1;
     fhir:Reference.reference [ fhir:value "Observation/SuprapubicTenderness1-20210709-44371210708" ]
  ], [
     fhir:index 2;
     fhir:Reference.reference [ fhir:value "Observation/NoAnglePainOrTenderness1-20210709-44371210708" ]
  ], [
     fhir:index 3;
     fhir:Reference.reference [ fhir:value "Observation/NoUrinaryUrgency1-20210709-44371210708" ]
  ], [
     fhir:index 4;
     fhir:Reference.reference [ fhir:value "Observation/NoUrinaryFrequency1-20210709-44371210708" ]
  ], [
     fhir:index 5;
     fhir:Reference.reference [ fhir:value "Observation/NoDysuria1-20210709-44371210708" ]
  ].

<http://example.ch/fhir/Observation/NoFever1-20210709-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "NoFever1-20210709-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-fever";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-fever>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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 &gt;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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom" ];
       fhir:Coding.code [ fhir:value "1" ];
       fhir:Coding.display [ fhir:value "Febbre >38.0 °C (orecchio)" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.valueBoolean [ fhir:value "false"^^xsd:boolean].

<http://example.ch/fhir/Observation/SuprapubicTenderness1-20210709-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "SuprapubicTenderness1-20210709-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-suprapubic-tenderness";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-suprapubic-tenderness>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom" ];
       fhir:Coding.code [ fhir:value "2" ];
       fhir:Coding.display [ fhir:value "Sensibilità alla pressione sovrapubica" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2021-07-09"^^xsd:date];
  fhir:Observation.valueBoolean [ fhir:value "true"^^xsd:boolean].

<http://example.ch/fhir/Observation/NoAnglePainOrTenderness1-20210709-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "NoAnglePainOrTenderness1-20210709-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-angle-pain-or-tenderness";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-angle-pain-or-tenderness>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom" ];
       fhir:Coding.code [ fhir:value "3" ];
       fhir:Coding.display [ fhir:value "Dolori o sensibilità alla percussione dei fianchi" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.valueBoolean [ fhir:value "false"^^xsd:boolean].

<http://example.ch/fhir/Observation/NoUrinaryUrgency1-20210709-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "NoUrinaryUrgency1-20210709-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-urgency";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-urgency>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom" ];
       fhir:Coding.code [ fhir:value "4" ];
       fhir:Coding.display [ fhir:value "Urgenza urinaria" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.valueBoolean [ fhir:value "false"^^xsd:boolean].

<http://example.ch/fhir/Observation/NoUrinaryFrequency1-20210709-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "NoUrinaryFrequency1-20210709-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-frequency";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-frequency>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom" ];
       fhir:Coding.code [ fhir:value "5" ];
       fhir:Coding.display [ fhir:value "Pollachiuria" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.valueBoolean [ fhir:value "false"^^xsd:boolean].

<http://example.ch/fhir/Observation/NoDysuria1-20210709-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "NoDysuria1-20210709-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-dysuria";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-dysuria>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom" ];
       fhir:Coding.code [ fhir:value "6" ];
       fhir:Coding.display [ fhir:value "Disuria" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.valueBoolean [ fhir:value "false"^^xsd:boolean].

<http://example.ch/fhir/Procedure/Microbiology1-20210709-44371210708> a fhir:Procedure;
  fhir:Resource.id [ fhir:value "Microbiology1-20210709-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-microbiology";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-microbiology>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-sequence-number" ];
     fhir:Extension.valuePositiveInt [ fhir:value "1"^^xsd:positiveInteger ]
  ];
  fhir:Procedure.status [ fhir:value "completed"];
  fhir:Procedure.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:269934003;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "269934003" ];
       fhir:Coding.display [ fhir:value "Microbiology (procedure)" ]     ]
  ];
  fhir:Procedure.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Procedure.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Procedure.performedDateTime [ fhir:value "2021-07-09"^^xsd:date];
  fhir:Procedure.reasonReference [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/Symptoms1-20210709-44371210708" ]
  ].

<http://example.ch/fhir/Observation/NumberOfDifferentGerms-20210709-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "NumberOfDifferentGerms-20210709-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-number-of-different-germs";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-number-of-different-germs>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.partOf [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Procedure/Microbiology1-20210709-44371210708" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso" ];
       fhir:Coding.code [ fhir:value "number-germs" ];
       fhir:Coding.display [ fhir:value "Number of different germs" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2021-07-09"^^xsd:date];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-number-of-different-germs" ];
       fhir:Coding.code [ fhir:value "1" ];
       fhir:Coding.display [ fhir:value "1" ]     ]
  ];
  fhir:Observation.hasMember [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/Germ1-20210709-44371210708" ]
  ].

<http://example.ch/fhir/Observation/Germ1-20210709-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "Germ1-20210709-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-germ";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-germ>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>: &lt;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>"
  ];
  fhir:Observation.partOf [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Procedure/Microbiology1-20210709-44371210708" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:87829-8;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "87829-8" ];
       fhir:Coding.display [ fhir:value "Bacteria [Presence] in Urine" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2021-07-09"^^xsd:date];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:630-4;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "630-4" ];
         fhir:Coding.display [ fhir:value "Bacteria identified in Urine by Culture" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:112283007;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "112283007" ];
         fhir:Coding.display [ fhir:value "Escherichia coli (organism)" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:51480-2;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "51480-2" ];
         fhir:Coding.display [ fhir:value "Bacteria [#/volume] in Urine by Automated count" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-bacterial-count-in-urine" ];
         fhir:Coding.code [ fhir:value "1" ];
         fhir:Coding.display [ fhir:value "<10E5 CFU/ml" ]       ]     ]
  ].

<http://example.ch/fhir/Observation/Symptoms2-20210714-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "Symptoms2-20210714-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-symptoms";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-symptoms>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:75325-1;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "75325-1" ];
       fhir:Coding.display [ fhir:value "Symptom" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2021-07-14"^^xsd:date];
  fhir:Observation.valueBoolean [ fhir:value "true"^^xsd:boolean];
  fhir:Observation.hasMember [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/NoFever2-20210714-44371210708" ]
  ], [
     fhir:index 1;
     fhir:Reference.reference [ fhir:value "Observation/SuprapubicTenderness2-20210714-44371210708" ]
  ], [
     fhir:index 2;
     fhir:Reference.reference [ fhir:value "Observation/NoAnglePainOrTenderness2-20210714-44371210708" ]
  ], [
     fhir:index 3;
     fhir:Reference.reference [ fhir:value "Observation/UrinaryUrgency2-20210714-44371210708" ]
  ], [
     fhir:index 4;
     fhir:Reference.reference [ fhir:value "Observation/UrinaryFrequency2-20210714-44371210708" ]
  ], [
     fhir:index 5;
     fhir:Reference.reference [ fhir:value "Observation/Dysuria2-20210714-44371210708" ]
  ].

<http://example.ch/fhir/Observation/NoFever2-20210714-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "NoFever2-20210714-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-fever";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-fever>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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 &gt;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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom" ];
       fhir:Coding.code [ fhir:value "1" ];
       fhir:Coding.display [ fhir:value "Febbre >38.0 °C (orecchio)" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.valueBoolean [ fhir:value "false"^^xsd:boolean].

<http://example.ch/fhir/Observation/SuprapubicTenderness2-20210714-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "SuprapubicTenderness2-20210714-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-suprapubic-tenderness";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-suprapubic-tenderness>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom" ];
       fhir:Coding.code [ fhir:value "2" ];
       fhir:Coding.display [ fhir:value "Sensibilità alla pressione sovrapubica" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2021-07-14"^^xsd:date];
  fhir:Observation.valueBoolean [ fhir:value "true"^^xsd:boolean].

<http://example.ch/fhir/Observation/NoAnglePainOrTenderness2-20210714-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "NoAnglePainOrTenderness2-20210714-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-angle-pain-or-tenderness";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-angle-pain-or-tenderness>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom" ];
       fhir:Coding.code [ fhir:value "3" ];
       fhir:Coding.display [ fhir:value "Dolori o sensibilità alla percussione dei fianchi" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.valueBoolean [ fhir:value "false"^^xsd:boolean].

<http://example.ch/fhir/Observation/UrinaryUrgency2-20210714-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "UrinaryUrgency2-20210714-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-urgency";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-urgency>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom" ];
       fhir:Coding.code [ fhir:value "4" ];
       fhir:Coding.display [ fhir:value "Urgenza urinaria" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2021-07-14"^^xsd:date];
  fhir:Observation.valueBoolean [ fhir:value "true"^^xsd:boolean].

<http://example.ch/fhir/Observation/UrinaryFrequency2-20210714-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "UrinaryFrequency2-20210714-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-frequency";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-frequency>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom" ];
       fhir:Coding.code [ fhir:value "5" ];
       fhir:Coding.display [ fhir:value "Pollachiuria" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2021-07-14"^^xsd:date];
  fhir:Observation.valueBoolean [ fhir:value "true"^^xsd:boolean].

<http://example.ch/fhir/Observation/Dysuria2-20210714-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "Dysuria2-20210714-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-dysuria";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-dysuria>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom" ];
       fhir:Coding.code [ fhir:value "6" ];
       fhir:Coding.display [ fhir:value "Disuria" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2021-07-14"^^xsd:date];
  fhir:Observation.valueBoolean [ fhir:value "true"^^xsd:boolean].

<http://example.ch/fhir/Procedure/Microbiology2-20210714-44371210708> a fhir:Procedure;
  fhir:Resource.id [ fhir:value "Microbiology2-20210714-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-microbiology";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-microbiology>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-sequence-number" ];
     fhir:Extension.valuePositiveInt [ fhir:value "2"^^xsd:positiveInteger ]
  ];
  fhir:Procedure.status [ fhir:value "completed"];
  fhir:Procedure.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:269934003;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "269934003" ];
       fhir:Coding.display [ fhir:value "Microbiology (procedure)" ]     ]
  ];
  fhir:Procedure.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Procedure.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Procedure.performedDateTime [ fhir:value "2021-07-14"^^xsd:date];
  fhir:Procedure.reasonReference [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/Symptoms2-20210714-44371210708" ]
  ].

<http://example.ch/fhir/Observation/NumberOfDifferentGerms-20210714-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "NumberOfDifferentGerms-20210714-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-number-of-different-germs";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-number-of-different-germs>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.partOf [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Procedure/Microbiology2-20210714-44371210708" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso" ];
       fhir:Coding.code [ fhir:value "number-germs" ];
       fhir:Coding.display [ fhir:value "Number of different germs" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2021-07-14"^^xsd:date];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-number-of-different-germs" ];
       fhir:Coding.code [ fhir:value "1" ];
       fhir:Coding.display [ fhir:value "1" ]     ]
  ];
  fhir:Observation.hasMember [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/Germ1-20210714-44371210708" ]
  ].

<http://example.ch/fhir/Observation/Germ1-20210714-44371210708> a fhir:Observation;
  fhir:Resource.id [ fhir:value "Germ1-20210714-44371210708"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-germ";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-germ>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>: &gt;=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>"
  ];
  fhir:Observation.partOf [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Procedure/Microbiology2-20210714-44371210708" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:87829-8;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "87829-8" ];
       fhir:Coding.display [ fhir:value "Bacteria [Presence] in Urine" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/GiuliaRossi" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Encounter-44371210708" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2021-07-14"^^xsd:date];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:630-4;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "630-4" ];
         fhir:Coding.display [ fhir:value "Bacteria identified in Urine by Culture" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:112283007;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "112283007" ];
         fhir:Coding.display [ fhir:value "Escherichia coli (organism)" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:51480-2;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "51480-2" ];
         fhir:Coding.display [ fhir:value "Bacteria [#/volume] in Urine by Automated count" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-bacterial-count-in-urine" ];
         fhir:Coding.code [ fhir:value "2" ];
         fhir:Coding.display [ fhir:value ">=10E5 CFU/ml" ]       ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.