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
<Bundle xmlns="http://hl7.org/fhir">
<id value="MessageUC44371"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-message-cauti-surveillance"/>
</meta>
<type value="message"/>
<entry>
<fullUrl value="http://example.ch/fhir/MessageHeader/MessageHeaderUC181521"/>
<resource>
<MessageHeader>
<id value="MessageHeaderUC44371"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-messageheader-cauti-surveillance"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<eventUri value="http://fhir.ch/ig/swissnoso/cauti-surveillance"/>
<source>
<endpoint value="http://example.ch/fhir"/>
</source>
<focus>
<reference value="Procedure/InsertCatheter-20210708-44371210708"/>
</focus>
<focus>
<reference value="Procedure/RemoveCatheter-20210709-44371210708"/>
</focus>
<focus>
<reference value="Procedure/Microbiology1-20210709-44371210708"/>
</focus>
<focus>
<reference value="Procedure/Microbiology2-20210714-44371210708"/>
</focus>
<focus>
<reference
value="Observation/NumberOfDifferentGerms-20210709-44371210708"/>
</focus>
<focus>
<reference
value="Observation/NumberOfDifferentGerms-20210714-44371210708"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Procedure/InsertCatheter-20210708-44371210708"/>
<resource>
<Procedure>
<id value="InsertCatheter-20210708-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-insert-catheter"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-sequence-number">
<valuePositiveInt value="1"/>
</extension>
<extension
url="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-transurethral-procedure">
<valueBoolean value="false"/>
</extension>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="410024004"/>
<display value="Catheterization of urinary bladder (procedure)"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<performedDateTime value="2021-07-08"/>
<location>
<reference value="Location/DegenzaSantaMaria"/>
</location>
<reasonCode>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-indication"/>
<code value="1"/>
<display value="Ritenzione urinaria"/>
</coding>
</reasonCode>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Procedure/RemoveCatheter-20210709-44371210708"/>
<resource>
<Procedure>
<id value="RemoveCatheter-20210709-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-remove-catheter"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="43748006"/>
<display value="Removal of urinary bladder catheter (procedure)"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<performedDateTime value="2021-07-09"/>
<reasonReference>
<reference value="Procedure/InsertCatheter-20210708-44371210708"/>
</reasonReference>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl value="http://example.ch/fhir/Patient/GiuliaRossi"/>
<resource>
<Patient>
<id value="GiuliaRossi"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-patient"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<system value="http://fhir.santamaria.ch/pid"/>
<value value="44371"/>
</identifier>
<gender value="female"/>
<birthDate value="1943"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="http://example.ch/fhir/Encounter/Encounter-44371210708"/>
<resource>
<Encounter>
<id value="Encounter-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-encounter"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-organizational-unit">
<extension url="unit">
<valueCoding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/ecdc-ward-specialty"/>
<code value="MED"/>
<display value="Medicina"/>
</valueCoding>
</extension>
<extension url="specialty">
<valueCoding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/ecdc-patient-consultant-specialty"/>
<code value="MEDGEN"/>
<display value="Medicina interna, medicina generale"/>
</valueCoding>
</extension>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="VN"/>
</coding>
</type>
<system value="http://fhir.santamaria.ch/fid"/>
<value value="44371210708"/>
</identifier>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<period>
<start value="2021-07-08"/>
<end value="2021-07-16"/>
</period>
<serviceProvider>
<reference value="Organization/OspedaleSantaMaria"/>
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="http://example.ch/fhir/Organization/OspedaleSantaMaria"/>
<resource>
<Organization>
<id value="OspedaleSantaMaria"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-organization"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://fhir.swissnoso.ch/clinic-number"/>
<value value="9876"/>
</identifier>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="http://example.ch/fhir/Location/DegenzaSantaMaria"/>
<resource>
<Location>
<id value="DegenzaSantaMaria"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-location"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<name value="Degenza Santa Maria"/>
<physicalType>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-procedure-location"/>
<code value="2"/>
<display value="Degenza"/>
</coding>
</physicalType>
<managingOrganization>
<reference value="Organization/OspedaleSantaMaria"/>
</managingOrganization>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/Symptoms1-20210709-44371210708"/>
<resource>
<Observation>
<id value="Symptoms1-20210709-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-symptoms"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="75325-1"/>
<display value="Symptom"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<effectiveDateTime value="2021-07-09"/>
<valueBoolean value="true"/>
<hasMember>
<reference value="Observation/NoFever1-20210709-44371210708"/>
</hasMember>
<hasMember>
<reference
value="Observation/SuprapubicTenderness1-20210709-44371210708"/>
</hasMember>
<hasMember>
<reference
value="Observation/NoAnglePainOrTenderness1-20210709-44371210708"/>
</hasMember>
<hasMember>
<reference value="Observation/NoUrinaryUrgency1-20210709-44371210708"/>
</hasMember>
<hasMember>
<reference
value="Observation/NoUrinaryFrequency1-20210709-44371210708"/>
</hasMember>
<hasMember>
<reference value="Observation/NoDysuria1-20210709-44371210708"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/NoFever1-20210709-44371210708"/>
<resource>
<Observation>
<id value="NoFever1-20210709-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-fever"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom"/>
<code value="1"/>
<display value="Febbre >38.0 °C (orecchio)"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<valueBoolean value="false"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/SuprapubicTenderness1-20210709-44371210708"/>
<resource>
<Observation>
<id value="SuprapubicTenderness1-20210709-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-suprapubic-tenderness"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom"/>
<code value="2"/>
<display value="Sensibilità alla pressione sovrapubica"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<effectiveDateTime value="2021-07-09"/>
<valueBoolean value="true"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/NoAnglePainOrTenderness1-20210709-44371210708"/>
<resource>
<Observation>
<id value="NoAnglePainOrTenderness1-20210709-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-angle-pain-or-tenderness"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom"/>
<code value="3"/>
<display value="Dolori o sensibilità alla percussione dei fianchi"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<valueBoolean value="false"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/NoUrinaryUrgency1-20210709-44371210708"/>
<resource>
<Observation>
<id value="NoUrinaryUrgency1-20210709-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-urgency"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom"/>
<code value="4"/>
<display value="Urgenza urinaria"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<valueBoolean value="false"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/NoUrinaryFrequency1-20210709-44371210708"/>
<resource>
<Observation>
<id value="NoUrinaryFrequency1-20210709-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-frequency"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom"/>
<code value="5"/>
<display value="Pollachiuria"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<valueBoolean value="false"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/NoDysuria1-20210709-44371210708"/>
<resource>
<Observation>
<id value="NoDysuria1-20210709-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-dysuria"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom"/>
<code value="6"/>
<display value="Disuria"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<valueBoolean value="false"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Procedure/Microbiology1-20210709-44371210708"/>
<resource>
<Procedure>
<id value="Microbiology1-20210709-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-microbiology"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-sequence-number">
<valuePositiveInt value="1"/>
</extension>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="269934003"/>
<display value="Microbiology (procedure)"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<performedDateTime value="2021-07-09"/>
<reasonReference>
<reference value="Observation/Symptoms1-20210709-44371210708"/>
</reasonReference>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/NumberOfDifferentGerms-20210709-44371210708"/>
<resource>
<Observation>
<id value="NumberOfDifferentGerms-20210709-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-number-of-different-germs"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<partOf>
<reference value="Procedure/Microbiology1-20210709-44371210708"/>
</partOf>
<status value="final"/>
<code>
<coding>
<system value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso"/>
<code value="number-germs"/>
<display value="Number of different germs"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<effectiveDateTime value="2021-07-09"/>
<valueCodeableConcept>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-number-of-different-germs"/>
<code value="1"/>
<display value="1"/>
</coding>
</valueCodeableConcept>
<hasMember>
<reference value="Observation/Germ1-20210709-44371210708"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/Germ1-20210709-44371210708"/>
<resource>
<Observation>
<id value="Germ1-20210709-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-germ"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<partOf>
<reference value="Procedure/Microbiology1-20210709-44371210708"/>
</partOf>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="87829-8"/>
<display value="Bacteria [Presence] in Urine"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<effectiveDateTime value="2021-07-09"/>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="630-4"/>
<display value="Bacteria identified in Urine by Culture"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="112283007"/>
<display value="Escherichia coli (organism)"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="51480-2"/>
<display value="Bacteria [#/volume] in Urine by Automated count"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-bacterial-count-in-urine"/>
<code value="1"/>
<display value="<10E5 CFU/ml"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/Symptoms2-20210714-44371210708"/>
<resource>
<Observation>
<id value="Symptoms2-20210714-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-symptoms"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="75325-1"/>
<display value="Symptom"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<effectiveDateTime value="2021-07-14"/>
<valueBoolean value="true"/>
<hasMember>
<reference value="Observation/NoFever2-20210714-44371210708"/>
</hasMember>
<hasMember>
<reference
value="Observation/SuprapubicTenderness2-20210714-44371210708"/>
</hasMember>
<hasMember>
<reference
value="Observation/NoAnglePainOrTenderness2-20210714-44371210708"/>
</hasMember>
<hasMember>
<reference value="Observation/UrinaryUrgency2-20210714-44371210708"/>
</hasMember>
<hasMember>
<reference value="Observation/UrinaryFrequency2-20210714-44371210708"/>
</hasMember>
<hasMember>
<reference value="Observation/Dysuria2-20210714-44371210708"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/NoFever2-20210714-44371210708"/>
<resource>
<Observation>
<id value="NoFever2-20210714-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-fever"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom"/>
<code value="1"/>
<display value="Febbre >38.0 °C (orecchio)"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<valueBoolean value="false"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/SuprapubicTenderness2-20210714-44371210708"/>
<resource>
<Observation>
<id value="SuprapubicTenderness2-20210714-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-suprapubic-tenderness"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom"/>
<code value="2"/>
<display value="Sensibilità alla pressione sovrapubica"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<effectiveDateTime value="2021-07-14"/>
<valueBoolean value="true"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/NoAnglePainOrTenderness2-20210714-44371210708"/>
<resource>
<Observation>
<id value="NoAnglePainOrTenderness2-20210714-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-angle-pain-or-tenderness"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom"/>
<code value="3"/>
<display value="Dolori o sensibilità alla percussione dei fianchi"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<valueBoolean value="false"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/UrinaryUrgency2-20210714-44371210708"/>
<resource>
<Observation>
<id value="UrinaryUrgency2-20210714-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-urgency"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom"/>
<code value="4"/>
<display value="Urgenza urinaria"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<effectiveDateTime value="2021-07-14"/>
<valueBoolean value="true"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/UrinaryFrequency2-20210714-44371210708"/>
<resource>
<Observation>
<id value="UrinaryFrequency2-20210714-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-urinary-frequency"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom"/>
<code value="5"/>
<display value="Pollachiuria"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<effectiveDateTime value="2021-07-14"/>
<valueBoolean value="true"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/Dysuria2-20210714-44371210708"/>
<resource>
<Observation>
<id value="Dysuria2-20210714-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-dysuria"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-clinical-symptom"/>
<code value="6"/>
<display value="Disuria"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<effectiveDateTime value="2021-07-14"/>
<valueBoolean value="true"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Procedure/Microbiology2-20210714-44371210708"/>
<resource>
<Procedure>
<id value="Microbiology2-20210714-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-microbiology"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-sequence-number">
<valuePositiveInt value="2"/>
</extension>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="269934003"/>
<display value="Microbiology (procedure)"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<performedDateTime value="2021-07-14"/>
<reasonReference>
<reference value="Observation/Symptoms2-20210714-44371210708"/>
</reasonReference>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/NumberOfDifferentGerms-20210714-44371210708"/>
<resource>
<Observation>
<id value="NumberOfDifferentGerms-20210714-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-number-of-different-germs"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<partOf>
<reference value="Procedure/Microbiology2-20210714-44371210708"/>
</partOf>
<status value="final"/>
<code>
<coding>
<system value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso"/>
<code value="number-germs"/>
<display value="Number of different germs"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<effectiveDateTime value="2021-07-14"/>
<valueCodeableConcept>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-number-of-different-germs"/>
<code value="1"/>
<display value="1"/>
</coding>
</valueCodeableConcept>
<hasMember>
<reference value="Observation/Germ1-20210714-44371210708"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.ch/fhir/Observation/Germ1-20210714-44371210708"/>
<resource>
<Observation>
<id value="Germ1-20210714-44371210708"/>
<meta>
<profile
value="http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-observation-germ"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<partOf>
<reference value="Procedure/Microbiology2-20210714-44371210708"/>
</partOf>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="87829-8"/>
<display value="Bacteria [Presence] in Urine"/>
</coding>
</code>
<subject>
<reference value="Patient/GiuliaRossi"/>
</subject>
<encounter>
<reference value="Encounter/Encounter-44371210708"/>
</encounter>
<effectiveDateTime value="2021-07-14"/>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="630-4"/>
<display value="Bacteria identified in Urine by Culture"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="112283007"/>
<display value="Escherichia coli (organism)"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="51480-2"/>
<display value="Bacteria [#/volume] in Urine by Automated count"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-bacterial-count-in-urine"/>
<code value="2"/>
<display value=">=10E5 CFU/ml"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
</Bundle>