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@ipreencekmr
Created March 13, 2018 05:44
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<?xml version="1.0" encoding="UTF-8"?>
<?xml-stylesheet type='text/xsl' href='http://researchservice.greenwaymedical.com/stylesheets/ccd.xsl'?>
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xmlns:voc="urn:hl7-org:v3/voc" xmlns="urn:hl7-org:v3">
<realmCode code="US"/>
<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<id root="DOCUMENT_ID"/>
<code/>
<title>Visit Summary</title>
<effectiveTime value="20180308103000"/>
<confidentialityCode code="N" displayName="Normal" codeSystem="2.16.840.1.113883.5.25"
codeSystemName="Confidentiality"/>
<languageCode code="en-US"/>
<setId root=""/>
<versionNumber value="1"/>
<recordTarget>
<patientRole>
<id extension="PATIENT_ID"/>
<addr use="HP">
<streetAddressLine>PAT_STREET_LINE</streetAddressLine>
<city>PAT_CITY</city>
<state>PAT_STATE</state>
<postalCode>PAT_POSTAL</postalCode>
<country>PAT_COUNTRY</country>
</addr>
<telecom use="HP" value="tel:MOBILE_NO"/>
<telecom value="mailto://EMAIL_ID"/>
<patient>
<name use="L">
<given>PAT_NAME</given>
</name>
<administrativeGenderCode code="GENDER_CODE" codeSystem="2.16.840.1.113883.5.1" codeSystemName="AdministrativeGenderCode" displayName="GENDER_DISPLAY"/>
<birthTime value="DATE_OF_BIRTH"/>
<languageCommunication>
<languageCode code="eng"/>
<preferenceInd value="true"/>
</languageCommunication>
</patient>
</patientRole>
</recordTarget>
<author>
<time value="20151220080000"/>
<assignedAuthor>
<id root=""/>
<assignedAuthoringDevice>
<manufacturerModelName>MODEL_NAME</manufacturerModelName>
<softwareName>AUTHOR_NAME</softwareName>
</assignedAuthoringDevice>
</assignedAuthor>
</author>
<custodian>
<assignedCustodian>
<representedCustodianOrganization>
<id root=""/>
<name>CUSTODIAN_NAME</name>
</representedCustodianOrganization>
</assignedCustodian>
</custodian>
<component>
<structuredBody classCode="DOCBODY" moodCode="EVN">
ALLERGY_COMPONENTS
FAMILY_HISTORY_COMPONENTS
VITALS_COMPONENTS
</structuredBody>
</component>
</ClinicalDocument>
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