<?xml version="1.0"?>
<?xml-stylesheet type="text/xsl" href="../../xsl/CDA.xsl"?>
<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 ..\infrastructure/CDA.xsd">
	<realmCode code="IT"/>
	<typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
	<templateId root="2.16.840.1.113883.2.9.10.2.1" extension="ITPRF _PRESC_SPEC-001"/>
	<id root="2.16.840.1.113883.2.9.2.150106" extension="150106.1001.000000005.2007032118.DW009" assigningAuthorityName="ASL Napoli 1"/>
	<code code="3400-2" codeSystem="2.16.840.1.113883.2.9.4.4" codeSystemName="ITCDADOC_TYPECODE" displayName="PRESCRIZIONE SPECIALISTICA" codeSystemVersion="1"/>
	<title>Servizio Sanitario Nazionale - Regione Campania</title>
	<effectiveTime value="20070321183920"/>
	<confidentialityCode code="R" codeSystem="2.16.840.1.113883.5.25" displayName="Confidenziale" codeSystemName="xx" codeSystemVersion="1"/>
	<languageCode code="ita-ITA"/>
	<setId root="2.16.840.1.113883.2.9.2.150106" extension="150106.1001.000000005.2007032118.DW009" assigningAuthorityName="ASL Napoli 1"/>
	<versionNumber value="1"/>
	<recordTarget>
		<patientRole>
			<id root="2.16.840.1.113883.2.9.4.2.2.150.4.3" assigningAuthorityName="Regione Campania" extension="1234567890"/>
			<id root="2.16.840.1.113883.2.9.4.3.2" assigningAuthorityName=" MEF" extension="CRLLNZ73M22F839T"/>
			<patient nullFlavor="MSK">
				<name>
					<given> ...</given>
					<family>...</family>
					<suffix>...</suffix>
				</name>
				<birthplace>
					<place>
				<addr use="H">
							<streetAddressLine>via</streetAddressLine>
							<streetAddressLine>Palestro</streetAddressLine>
							<streetAddressLine>64</streetAddressLine>
							<postalCode>00187</postalCode>
							<city> ROMA</city>
						    <county>RM</county>
						   <country>ITALIA</country>
							<state>IT</state>
						</addr>
					</place>
				</birthplace>
			</patient>
		</patientRole>
	</recordTarget>
	<author>
		<time value="20070321183920"/>
		<assignedAuthor>
			<id root="2.16.840.1.113883.2.9.4.3.2" assigningAuthorityName="MEF" extension="PLRSS99M34T"/>
			<id root="2.16.840.1.113883.2.9.4.2.2.150.4.3" assigningAuthorityName="Regione Campania" extension="1234567890"/>
			<addr/>
			<assignedPerson>
				<name>
					<given> PAOLO</given>
					<family>ROSSI</family>
					<suffix>DR.</suffix>
				</name>
			</assignedPerson>
		</assignedAuthor>
	</author>
	<custodian>
		<assignedCustodian>
			<representedCustodianOrganization>
				<id root="2.16.840.1.113883.2.9.2.150106" extension="00010001" assigningAuthorityName="ASL Napoli 1"/>
			</representedCustodianOrganization>
		</assignedCustodian>
	</custodian>
	<legalAuthenticator>
		<time value="20070321183920"/>
		<signatureCode code="S"/>
		<assignedEntity classCode="ASSIGNED">
			<id root="2.16.840.1.113883.2.9.4.3.2" assigningAuthorityName="MEF" extension="PLRSS99M34T"/>
			<id root="2.16.840.1.113883.2.9.4.2.2.150.4.3" assigningAuthorityName="Regione Campania" extension="1234567890"/>
			<assignedPerson>
				<name>
					<given> PAOLO</given>
					<family>ROSSI</family>
					<suffix>DR.</suffix>
				</name>
			</assignedPerson>
		</assignedEntity>
	</legalAuthenticator>
	<component>
		<structuredBody classCode="DOCBODY" moodCode="EVN">
			<component typeCode="COMP">
				<section ID="ESENZIONI">
					<code code="ESENZIONI-001" codeSystem="2.16.840.1.113883.2.9.10.2.1.1" codeSystemName="ITDOCCDA_SECTIONCODE" displayName="Esenzioni"/>
					<title mediaType="text/plain">Esenzioni paziente</title>
					<text>Esente per:<content ID="a0">B02.211 - Patologia</content>
					</text>
					<entry typeCode="DRIV">
						<act classCode="ACT" moodCode="EVN">
							<code code="B02.211" codeSystemName="Codifica Esenzioni" codeSystem="2.16.840.1.113883.2.9.6.1.22" codeSystemVersion="2001">
								<originalText>
									<reference value="a0"/>
								</originalText>
							</code>
						</act>
					</entry>
				</section>
			</component>
			<component typeCode="COMP">
				<section ID="PRESCRIZIONI">
					<code code="18776-5" codeSystem="2.16.840.1.113883.11.10871" codeSystemName="LOINC" displayName="Plan Section"/>
					<title>PRESCRIZIONE SPECIALISTICA</title>
					<text>
						<list ID="RQO">
							<caption>Prestazioni Richieste</caption>
							<item>
								<content ID="a1">RX TORACE</content>
							</item>
						</list>
						<list ID="DIAG">
							<caption>Problemi</caption>
							<item>
								<content ID="a2">Sospetta Broncopolmonite</content>
							</item>
						</list>
					</text>
					<entry>
						<observation classCode="OBS" moodCode="RQO">
							<code code="87.44" codeSystem="2.16.840.1.113883.2.9.6.1.11" codeSystemName="Catalogo Prestazioni Italia">
								<translation code="44.87" codeSystem="2.16.840.1.113883.2.9.2.150.6.1.11" codeSystemName="Catalogo Prestazioni Regione Campania" codeSystemVersion="1"/>
							</code>
							<entryRelationship typeCode="RSON">
								<observation classCode="OBS" moodCode="EVN">
									<code code="485" codeSystem="2.16.840.1.113883.6.2" codeSystemName="ICD9-CM" codeSystemVersion="2002">
										<originalText>
											<reference value="a2"/>
										</originalText>
									</code>
								</observation>
							</entryRelationship>
						</observation>
					</entry>
				</section>
			</component>
		</structuredBody>
	</component>
</ClinicalDocument>
