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               <reference value="urn:uuid:98368ead-e9cc-4110-95ca-b718372b58d2"/>
               <display value="Margherita Togliatti"/>
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            <date value="2002-04-04T00:00:00Z"/>
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                  <div xmlns="http://www.w3.org/1999/xhtml">Voluntary surgical sterilization, procedure completed</div>
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                  <div xmlns="http://www.w3.org/1999/xhtml">Dear colleague, I am writing to inform you regarding your patient, a 54-year-old female who was admitted on 02.04.2002 following her voluntary request for surgical sterilization. Prior to the procedure, a thorough preoperative assessment was conducted, including a review of her medical history, physical examination, routine blood work, and anaesthetic evaluation. The patient confirmed her informed consent for permanent contraception. She underwent laparoscopic bilateral tubal ligation under general anaesthesia on 03.04.2002, which was performed without complications. Postoperative recovery was uneventful, and the patient remained haemodynamically stable throughout her stay. She was discharged home on 04.04.2002 in good general condition with standard postoperative instructions. No further gynaecological follow-up is anticipated unless symptoms arise. Please do not hesitate to contact us should you require any further information.</div>
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                     <system value="http://loinc.org"/>
                     <code value="11535-2"/>
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                           <td>
                              <span class="nb">04-Apr-2002</span>
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                           <td>active</td>
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               <text>
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                           <td>General anaesthesia</td>
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                              <span class="nb">03-Apr-2002</span>
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            <text>
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               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Margherita Togliatti</td>
                        <td>female</td>
                        <td>11-Jun-1971</td>
                     </tr>
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               </div>
            </text>
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                     <coding>
                        <system value="urn:iso:std:iso:3166"/>
                        <code value="IT"/>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="6665-796914-4"/>
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               <value value="b7826e96-d241-e5e8-1d5d-202170f8415a"/>
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            <name>
               <text value="Margherita Togliatti"/>
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               <given value="Margherita"/>
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               <value value="0141882206"/>
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            <gender value="female"/>
            <birthDate value="1971-06-11"/>
            <address>
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               <type value="physical"/>
               <line value="Incrocio Liana, 8"/>
               <city value="Carrodano"/>
               <postalCode value="19020"/>
               <country value="Italy"/>
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            <text>
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                        <td>Ospedale San Nicolò, Levanto, Italy</td>
                        <td>03-04-2002 - 04-04-2002</td>
                        <td>
                           <ul>
                              <li>Sterilization requested (situation)</li>
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            <participant>
               <type>
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                     <code value="PPRF"/>
                     <display value="primary performer"/>
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               </type>
               <period>
                  <end value="2002-04-04"/>
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               <individual>
                  <reference value="urn:uuid:52db1d9b-d201-41ad-bfaf-22bd6f4ece30"/>
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            <period>
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            <reasonCode>
               <coding>
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                  <code value="183996000"/>
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            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"/>
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            <text>
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               <div xmlns="http://www.w3.org/1999/xhtml">Hospital Role Id: 4c90008d-7f42-4552-8e37-14ddb36b50ae</div>
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               <div xmlns="http://www.w3.org/1999/xhtml">Hospital: Ospedale San Nicolò, 19015 Levanto, Italy</div>
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            <name value="Ospedale San Nicolò"/>
            <address>
               <city value="Levanto"/>
               <postalCode value="19015"/>
               <country value="Italy"/>
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               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Practitioner in Hospital: Barbara Tafuri</div>
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               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
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               <given value="Barbara"/>
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                        <td>
                           <span class="nb">04-Apr-2002</span>
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                        <td>active</td>
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                  <display value="Encounter Diagnosis"/>
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               <coding>
                  <system value="http://hl7.org/fhir/sid/icd-10"/>
                  <code value="Z30.2"/>
                  <display value="Sterilization admitted"/>
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               <text value="Sterilization admitted"/>
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            <subject>
               <reference value="urn:uuid:98368ead-e9cc-4110-95ca-b718372b58d2"/>
               <display value="Margherita Togliatti"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Routine preoperative blood test</td>
                        <td>
                           <span class="nb">03-Apr-2002</span>
                        </td>
                        <td>-</td>
                     </tr>
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            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="396550006"/>
                  <display value="Blood test (procedure)"/>
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               <reference value="urn:uuid:98368ead-e9cc-4110-95ca-b718372b58d2"/>
               <display value="Margherita Togliatti"/>
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                        <td>Laparoscopic bilateral tubal ligation</td>
                        <td>
                           <span class="nb">03-Apr-2002</span>
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                        <td>-</td>
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               <coding>
                  <system value="http://snomed.info/sct"/>
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