Telemonitoraggio
0.2.0 - trial-use

Telemonitoraggio - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: EsempioBundleRelazioneFinale

Document Subject

Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

Contact Detail
Emergency Contact:
  • Luigi Rossi
  • ph: 3312345567
Emergency Contact:
  • Maria Bianchi
  • ph: 3311234598
Patient Birth PlaceVia della Vittoria, 1 Milano Italia 20100 IT

Document Content

Plan of care note

Reason for visit Narrative

Hospital Admission history and physical note

History general Narrative - Reported

Allergies and adverse reactions Document

History of Medication use Narrative

Physical findings note

Relevant diagnostic tests/laboratory data note

Comparison with previous results

Interventions Narrative

Diagnosis Narrative

Study report

Medication recommendation

Recommendation [Interpretation] Document

Recommended follow-up [Identifier] Narrative

Conclusions [Interpretation] Document

Additional documentation

Additional Resources Included in Document

Entry 2 - fullUrl = http://example.org/fhir/Patient/2e7e0fe3-f0bf-4e0a-8228-b8e7fcec8c82

Resource Patient:

Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

Contact Detail
Emergency Contact:
  • Luigi Rossi
  • ph: 3312345567
Emergency Contact:
  • Maria Bianchi
  • ph: 3311234598
Patient Birth PlaceVia della Vittoria, 1 Milano Italia 20100 IT

Entry 3 - fullUrl = http://example.org/fhir/Encounter/encounter-relfin

Resource Encounter:

identifier: http://agenas.gov.it/sid/codiceNosologico/NOSO-2025-000123

status: completed

class: virtual

type: Cardiology (qualifier value)

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

participant

Entry 4 - fullUrl = http://example.org/fhir/CarePlan/careplan-relfin-tm

Resource CarePlan:

identifier: http://example.it/fhir/CarePlan/identifier/TM-2025-07-12-123

status: Completed

intent: Order

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

created: 2025-07-12 16:15:00+0100

activity

activity

activity

activity

note:

Rilevazioni avvenute nel corso del piano di telemonitoraggio

Entry 5 - fullUrl = http://example.org/fhir/PractitionerRole/practrole-bianchi-tm

Resource PractitionerRole:

active: true

period: 2025-01-01 --> 2026-12-31

practitioner: Practitioner Laura Bianchi

organization: Organization Ospedale Sandro Pertini

code: Medico Referente Telemonitoraggio

specialty: Cardiochirurgia

Entry 6 - fullUrl = http://example.org/fhir/Practitioner/pract-bianchi

Resource Practitioner:

identifier: http://hl7.it/sid/codiceFiscale/BNCLRA71E41D612A

name: Laura Bianchi

Entry 7 - fullUrl = http://example.org/fhir/MedicationStatement/terapia-in-atto

Resource MedicationStatement:

status: active

status: recorded

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

effective: 2025-11-07 --> (ongoing)

Entry 8 - fullUrl = http://example.org/fhir/Observation/obs-diagnosi-tm

Resource Observation:

status: Final

code: Scompenso cardiaco

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

effective: 2025-11-07

performer: PractitionerRole

value: Scompenso cardiaco a frazione di eiezione ridotta (HFrEF)

Entry 9 - fullUrl = http://example.org/fhir/Observation/quesito-diagnostico

Resource Observation:

status: Final

code: Quesito diagnostico

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

effective: 2025-11-07

performer: PractitionerRole

value: Follow-up scompenso cardiaco HFrEF in telemonitoraggio: valutare andamento clinico nel periodo e necessità di modifiche terapeutiche.

Entry 10 - fullUrl = http://example.org/fhir/Observation/anamnesi

Resource Observation:

status: Final

code: History general Narrative - Reported

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

effective: 2025-11-07

performer: PractitionerRole

value: Storia di scompenso cardiaco HFrEF, ipertensione arteriosa, dislipidemia.

Entry 11 - fullUrl = http://example.org/fhir/AllergyIntolerance/allergia

Resource AllergyIntolerance:

clinicalStatus: Active

verificationStatus: Confirmed

code: Substance with penicillin structure and antibacterial mechanism of action

patient: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

onset: 2015-06-01

Entry 12 - fullUrl = http://example.org/fhir/Observation/esame-obiettivo

Resource Observation:

status: Final

code: Physical findings note

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

effective: 2025-11-07

performer: PractitionerRole

value: PA 125/75 mmHg, FC 74 bpm, MV conservato, assenza edemi declivi.

Entry 13 - fullUrl = http://example.org/fhir/Observation/prec-esame

Resource Observation:

status: Final

code: Hemoglobin A [Units/volume] in Blood by Electrophoresis

value: 13.6 g/dL

specimen: Specimen: type = Whole blood

ReferenceRanges

-LowHigh
*1216

Entry 14 - fullUrl = http://example.org/fhir/Observation/confronto-prec-esami

Resource Observation:

status: Final

code: Comparison with previous results

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

effective: 2025-12-07

performer: PractitionerRole

value: Nessuna variazione clinicamente significativa rispetto ai controlli precedenti.

Entry 15 - fullUrl = http://example.org/fhir/Observation/obs-peso-2025-11-11

Resource Observation:

status: Final

category: Vital Signs

code: Body weight

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

effective: 2025-11-11 07:30:00+0100

value: 62.1 Kg (Details: UCUM codekg = 'kg')

Entry 16 - fullUrl = http://example.org/fhir/Observation/obs-pa-2025-11-11

Resource Observation:

status: Final

category: Vital Signs

code: Blood pressure panel with all children optional

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

effective: 2025-11-11 08:32:00+0100

performer: PractitionerRole

note:

Braccio sinistro, posizione seduta, bracciale adeguato.

method: Sfigmomanometro automatico (bracciale)

device: Device: status = active; manufacturer = Acme Health; manufactureDate = 2025-02-10; lotNumber = LOT-2025-02-B; serialNumber = SN-P200-00421; type = Blood pressure using automatic blood pressure monitor

component

code: Systolic blood pressure

value: 128 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure

value: 84 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

Entry 17 - fullUrl = http://example.org/fhir/Observation/obs-freqcard-2025-11-11

Resource Observation:

status: Final

category: Vital Signs

code: Heart rate

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

effective: 2025-11-11 07:45:00+0100

value: 80 beats/min (Details: UCUM code/min = '/min')

Entry 18 - fullUrl = http://example.org/fhir/Observation/obs-SpO2-2025-11-11

Resource Observation:

status: Final

category: Vital Signs

code: Oxygen saturation in Arterial blood

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

effective: 2025-11-11 07:45:00+0100

value: 96 % (Details: UCUM code% = '%')

Entry 19 - fullUrl = http://example.org/fhir/Observation/referto

Resource Observation:

status: Final

code: Study report

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

effective: 2025-12-07

performer: PractitionerRole

value: Andamento clinico stabile: peso senza aumenti significativi; PA nella norma; FC in range; SpO₂ 96–98%.

Entry 20 - fullUrl = http://example.org/fhir/Observation/suggerimenti-prescrittore

Resource Observation:

status: Final

code: Recommendation [Interpretation] Document

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

effective: 2025-12-07

performer: PractitionerRole

value: Educazione a monitoraggio domiciliare; verificare aderenza; follow-up a 30 giorni in MMG/cardiologia.

Entry 21 - fullUrl = http://example.org/fhir/Observation/accertamenti-controlli

Resource Observation:

status: Final

code: Recommended follow-up [Identifier] Narrative

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

effective: 2025-12-07

value: Ematochimici di controllo tra 30 giorni; eco-cardiogramma a 3–6 mesi.

Entry 22 - fullUrl = http://example.org/fhir/Observation/conclusioni

Resource Observation:

status: Final

code: Conclusions [Interpretation] Document

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

effective: 2025-12-07

performer: PractitionerRole

value: Quadro compensato; proseguire TM al bisogno; educazione terapeutica mantenuta.

Entry 23 - fullUrl = http://example.org/fhir/Procedure/prestazione-tm

Resource Procedure:

status: Completed

code: MONITORAGGIO CARDIORESPIRATORIO NOTTURNO COMPLETOPer studio apnee

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

Entry 24 - fullUrl = http://example.org/fhir/MedicationRequest/terapia-consigliata

Resource MedicationRequest:

status: Active

intent: Plan

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

authoredOn: 2025-12-07

Entry 25 - fullUrl = http://example.org/fhir/Specimen/camp-prec-esame

Resource Specimen:

type: Whole blood

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

Collections

-Method
*Puncture - action

Entry 26 - fullUrl = http://example.org/fhir/DocumentReference/allegato-pdf

Resource DocumentReference:

status: Current

type: Personal health monitoring report Document

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

date: 2025-12-07 16:25:00+0100

content

Attachments

-Url
*http://example.org/files/opuscolo-scompenso.pdf

Entry 27 - fullUrl = http://example.org/fhir/Device/device-sfigmo

Resource Device:

definition: No display for Device.definition (reference: ->DeviceDefinition: manufacturer[x] = ->Organization Acme Health S.p.A.; modelNumber = ACME-P200; type = Blood pressure)

UdiCarriers

-DeviceIdentifierIssuerCarrierHRF
*22345678901231urn:oid:1.3.160.10.3(01)22345678901231(21)SN-P200-00421

status: Active

manufacturer: Acme Health

manufactureDate: 2025-02-10

lotNumber: LOT-2025-02-B

serialNumber: SN-P200-00421

type: Blood pressure using automatic blood pressure monitor

owner: Organization Ospedale Sandro Pertini