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CCDA XML with \r\n
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sample_ccda
'<?xml version="1.0"?>\r\n<?xml-stylesheet type="text/xsl" href="CDA.xsl"?>\r\n<!--\r\n\tTitle: US_Realm_Header_Template\r\n\r\n\tRevision History:\r\n\t 01/31/2011 bam created\r\n 07/29/2011 RWM modified\r\n 11/26/2011 RWM modified\r\n 08/12/2012 RWM modified\r\n 09/12/2012 BNR(Dragon) modified\r\n\r\n -->\r\n<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"\r\n xsi:schemaLocation="urn:hl7-org:v3 C:\\XML\\C32_CDA_Schema\\infrastructure\\cda\\C32_CDA.xsd"\r\n xmlns="urn:hl7-org:v3"\r\n xmlns:cda="urn:hl7-org:v3"\r\n xmlns:sdtc="urn:hl7-org:sdtc">\r\n \r\n <!--\r\n********************************************************\r\n CDA Header\r\n********************************************************\r\n\t-->\r\n <!-- CONF 16791 -->\r\n <realmCode\r\n code="US"/>\r\n \r\n <!-- CONF 5361 -->\r\n <typeId\r\n root="2.16.840.1.113883.1.3"\r\n extension="POCD_HD000040"/>\r\n \r\n <!-- US General Header Template -->\r\n <!-- CONF 5252 -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.1.1"/>\r\n <!-- *** Note: The next templateId, code and title will differ depending on what type of document is being sent. *** -->\r\n <!-- conforms to the document specific requirements -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.1.2"/>\r\n \r\n <!-- CONF 5363 -->\r\n <id\r\n extension="Test CCDA"\r\n root="1.1.1.1.1.1.1.1.1"/>\r\n \r\n <!-- CONF 5253 "CCD document" -->\r\n <code\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n code="34133-9"\r\n displayName="Summarization of Episode Note"/>\r\n \r\n <!-- CONF 5254 -->\r\n <title>Get Well Clinic: Health Summary</title>\r\n \r\n <!-- CONF 5256 -->\r\n <effectiveTime\r\n value="20120912000000-0000"/>\r\n \r\n <!-- 5259 -->\r\n <confidentialityCode\r\n code="N"\r\n codeSystem="2.16.840.1.113883.5.25"/>\r\n \r\n <!-- 5372 -->\r\n <languageCode\r\n code="en-US"/>\r\n \r\n <!-- CONF 5266 -->\r\n <recordTarget>\r\n \r\n <!-- CONF 5267 -->\r\n <patientRole>\r\n \r\n <!-- CONF 5268-->\r\n <id\r\n extension="1"\r\n root="2.16.840.1.113883.4.6"/>\r\n <!-- Fake ID using HL7 example OID. -->\r\n \r\n <!-- Patient SSN recorded as an ID -->\r\n <id\r\n extension="123-101-5230"\r\n root="2.16.840.1.113883.4.1"/>\r\n \r\n <!-- CONF 5271 -->\r\n <addr\r\n use="HP">\r\n <!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 -->\r\n <streetAddressLine>1357 Amber Drive</streetAddressLine>\r\n <city>Beaverton</city>\r\n <state>OR</state>\r\n <postalCode>97867</postalCode>\r\n <country>US</country>\r\n <!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->\r\n </addr>\r\n \r\n <!-- CONF 5280 -->\r\n <telecom\r\n value="tel:(816)276-6909"\r\n use="HP"/>\r\n <!-- HP is "primary home" from HL7 AddressUse 2.16.840.1.113883.5.1119 -->\r\n \r\n <!-- CONF 5283 -->\r\n <patient>\r\n \r\n <!-- CONF 5284 -->\r\n <name\r\n use="L">\r\n <!-- L is "Legal" from HL7 EntityNameUse 2.16.840.1.113883.5.45 -->\r\n <given>Isabella</given>\r\n <given>Isa</given>\r\n <!-- CL is "Call me" from HL7 EntityNamePartQualifier 2.16.840.1.113883.5.43 -->\r\n <family>Jones</family>\r\n </name>\r\n <administrativeGenderCode\r\n code="F"\r\n codeSystem="2.16.840.1.113883.5.1"\r\n displayName="Female"/>\r\n <birthTime\r\n value="19470501"/>\r\n \r\n <maritalStatusCode\r\n code="M"\r\n displayName="Married"\r\n codeSystem="2.16.840.1.113883.5.2"\r\n codeSystemName="MaritalStatusCode"/>\r\n <religiousAffiliationCode\r\n code="1013"\r\n displayName="Christian (non-Catholic, non-specific)"\r\n codeSystemName="HL7 Religious Affiliation "\r\n codeSystem="2.16.840.1.113883.5.1076"/>\r\n \r\n <!-- Need to Fix the Race Code to be from the OMB Standards -->\r\n <raceCode\r\n\t code="2106-3"\r\n displayName="White"\r\n codeSystem="2.16.840.1.113883.6.238"\r\n codeSystemName="Race and Ethnicity - CDC"/>\r\n <ethnicGroupCode\r\n code="2186-5"\r\n displayName="Not Hispanic or Latino"\r\n codeSystem="2.16.840.1.113883.6.238"\r\n codeSystemName="Race and Ethnicity - CDC"/>\r\n \r\n <guardian>\r\n <code\r\n code="GRPRN"\r\n displayName="Grandfather"\r\n codeSystem="2.16.840.1.113883.5.111"\r\n codeSystemName="HL7 Role code"/>\r\n <addr\r\n use="HP">\r\n <!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 -->\r\n <streetAddressLine>1357 Amber Drive</streetAddressLine>\r\n <city>Beaverton</city>\r\n <state>OR</state>\r\n <postalCode>97006</postalCode>\r\n <country>US</country>\r\n <!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->\r\n </addr>\r\n <telecom\r\n value="tel:(816)276-6909"\r\n use="HP"/>\r\n <guardianPerson>\r\n <name>\r\n <given>Ralph</given>\r\n <family>Jones</family>\r\n </name>\r\n </guardianPerson>\r\n </guardian>\r\n <birthplace>\r\n <place>\r\n <addr>\r\n <city>Beaverton</city>\r\n <state>OR</state>\r\n <postalCode>97867</postalCode>\r\n <country>US</country>\r\n </addr>\r\n </place>\r\n </birthplace>\r\n \r\n <!-- FIX the Code System to be 639.2 -->\r\n <languageCommunication>\r\n <languageCode\r\n code="eng"/>\r\n <modeCode\r\n code="ESP"\r\n displayName="Expressed spoken"\r\n codeSystem="2.16.840.1.113883.5.60"\r\n codeSystemName="LanguageAbilityMode"/>\r\n <preferenceInd\r\n value="true"/>\r\n </languageCommunication>\r\n </patient>\r\n <providerOrganization>\r\n <id\r\n root="1.1.1.1.1.1.1.1.4"/>\r\n <name>Get Well Clinic</name>\r\n <telecom\r\n use="WP"\r\n value="tel: 555-555-5000"/>\r\n <addr>\r\n <streetAddressLine>1002 Healthcare Dr</streetAddressLine>\r\n <city>Portland</city>\r\n <state>OR</state>\r\n <postalCode>99123</postalCode>\r\n <country>US</country>\r\n </addr>\r\n </providerOrganization>\r\n </patientRole>\r\n </recordTarget>\r\n \r\n <author>\r\n <time\r\n value="20120806"/>\r\n <assignedAuthor>\r\n <id\r\n extension="111111"\r\n root="2.16.840.1.113883.4.6"/>\r\n <code\r\n code="200000000X"\r\n codeSystem="2.16.840.1.113883.6.101"\r\n displayName="Allopathic &amp; Osteopathic Physicians"/>\r\n <addr>\r\n <streetAddressLine>1002 Healthcare Drive </streetAddressLine>\r\n <city>Portland</city>\r\n <state>OR</state>\r\n <postalCode>99123</postalCode>\r\n <country>US</country>\r\n </addr>\r\n <telecom\r\n use="WP"\r\n value="tel:555-555-1002"/>\r\n <assignedPerson>\r\n <name>\r\n <given>Henry</given>\r\n <family>Seven</family>\r\n </name>\r\n </assignedPerson>\r\n </assignedAuthor>\r\n </author>\r\n <dataEnterer>\r\n <assignedEntity>\r\n <id\r\n root="2.16.840.1.113883.4.6"\r\n extension="999999943252"/>\r\n <addr>\r\n <streetAddressLine>1002 Healthcare Drive </streetAddressLine>\r\n <city>Portland</city>\r\n <state>OR</state>\r\n <postalCode>99123</postalCode>\r\n <country>US</country>\r\n </addr>\r\n <telecom\r\n use="WP"\r\n value="tel:555-555-1002"/>\r\n <assignedPerson>\r\n <name>\r\n <given>Mary</given>\r\n <family>McDonald</family>\r\n </name>\r\n </assignedPerson>\r\n </assignedEntity>\r\n </dataEnterer>\r\n <informant>\r\n <assignedEntity>\r\n <id\r\n extension="KP00017"\r\n root="2.16.840.1.113883.19.5"/>\r\n <addr>\r\n <streetAddressLine>1002 Healthcare Drive </streetAddressLine>\r\n <city>Portland</city>\r\n <state>OR</state>\r\n <postalCode>99123</postalCode>\r\n <country>US</country>\r\n </addr>\r\n <telecom\r\n use="WP"\r\n value="tel:555-555-1002"/>\r\n <assignedPerson>\r\n <name>\r\n <given>Henry</given>\r\n <family>Seven</family>\r\n </name>\r\n </assignedPerson>\r\n </assignedEntity>\r\n </informant>\r\n <informant>\r\n <relatedEntity\r\n classCode="PRS">\r\n <!-- classCode PRS represents a person with personal relationship with the patient. -->\r\n <code\r\n code="SPS"\r\n displayName="SPOUSE"\r\n codeSystem="2.16.840.1.113883.1.11.19563"\r\n codeSystemName="Personal Relationship Role Type Value Set"/>\r\n <relatedPerson>\r\n <name>\r\n <given>Frank</given>\r\n <family>Jones</family>\r\n </name>\r\n </relatedPerson>\r\n </relatedEntity>\r\n </informant>\r\n <custodian>\r\n <assignedCustodian>\r\n <representedCustodianOrganization>\r\n <id\r\n extension="99999999"\r\n root="2.16.840.1.113883.4.6"/>\r\n <name>Get Well Clinic</name>\r\n <telecom\r\n value="tel: 555-555-1002"\r\n use="WP"/>\r\n <addr\r\n use="WP">\r\n <streetAddressLine>1002 Healthcare Drive </streetAddressLine>\r\n <city>Portland</city>\r\n <state>OR</state>\r\n <postalCode>99123</postalCode>\r\n <country>US</country>\r\n </addr>\r\n </representedCustodianOrganization>\r\n </assignedCustodian>\r\n </custodian>\r\n <informationRecipient>\r\n <intendedRecipient>\r\n <informationRecipient>\r\n <name>\r\n <given>Henry</given>\r\n <family>Seven</family>\r\n </name>\r\n </informationRecipient>\r\n <receivedOrganization>\r\n <name>Get Well Clinic</name>\r\n </receivedOrganization>\r\n </intendedRecipient>\r\n </informationRecipient>\r\n <legalAuthenticator>\r\n <time\r\n value="20120806"/>\r\n <signatureCode\r\n code="S"/>\r\n <assignedEntity>\r\n <id\r\n extension="999999999"\r\n root="2.16.840.1.113883.4.6"/>\r\n <addr>\r\n <streetAddressLine>1002 Healthcare Drive </streetAddressLine>\r\n <city>Portland</city>\r\n <state>OR</state>\r\n <postalCode>99123</postalCode>\r\n <country>US</country>\r\n </addr>\r\n <telecom\r\n use="WP"\r\n value="tel:555-555-1002"/>\r\n <assignedPerson>\r\n <name>\r\n <given>Henry</given>\r\n <family>Seven</family>\r\n </name>\r\n </assignedPerson>\r\n </assignedEntity>\r\n </legalAuthenticator>\r\n <authenticator>\r\n <time\r\n value="20120806000000+0500"/>\r\n <signatureCode\r\n code="S"/>\r\n <assignedEntity>\r\n <id\r\n extension="999999999"\r\n root="2.16.840.1.113883.4.6"/>\r\n <addr>\r\n <streetAddressLine>1002 Healthcare Drive </streetAddressLine>\r\n <city>Portland</city>\r\n <state>OR</state>\r\n <postalCode>99123</postalCode>\r\n <country>US</country>\r\n </addr>\r\n <telecom\r\n use="WP"\r\n value="tel:555-555-1002"/>\r\n <assignedPerson>\r\n <name>\r\n <given>Henry</given>\r\n <family>Seven</family>\r\n </name>\r\n </assignedPerson>\r\n </assignedEntity>\r\n </authenticator>\r\n <participant typeCode="IND">\r\n <associatedEntity classCode="PRS">\r\n <code\r\n code="GRPRN"\r\n displayName="Grand Parent"\r\n codeSystem="2.16.840.1.113883.1.11.19563"\r\n codeSystemName="Personal Relationship Role Type Value Set"/>\r\n <addr\r\n use="HP">\r\n <!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 -->\r\n <streetAddressLine>1357 Amber Drive</streetAddressLine>\r\n <city>Beaverton</city>\r\n <state>OR</state>\r\n <postalCode>97867</postalCode>\r\n <country>US</country>\r\n <!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->\r\n </addr>\r\n <telecom value=\'tel:(555)555-2006\' use=\'WP\'/>\r\n <associatedPerson>\r\n <name>\r\n <prefix>Mr.</prefix>\r\n <given>Ralph</given>\r\n <family>Jones</family>\r\n </name>\r\n </associatedPerson>\r\n </associatedEntity>\r\n </participant>\r\n <participant typeCode="IND">\r\n <associatedEntity classCode="PRS">\r\n <code\r\n code="SPS"\r\n displayName="SPOUSE"\r\n codeSystem="2.16.840.1.113883.1.11.19563"\r\n codeSystemName="Personal Relationship Role Type Value Set"/>\r\n <addr\r\n use="HP">\r\n <!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 -->\r\n <streetAddressLine>1357 Amber Drive</streetAddressLine>\r\n <city>Beaverton</city>\r\n <state>OR</state>\r\n <postalCode>97867</postalCode>\r\n <country>US</country>\r\n <!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->\r\n </addr>\r\n <telecom value=\'tel:(555)555-2006\' use=\'WP\'/>\r\n <associatedPerson>\r\n <name>\r\n <prefix>Mr.</prefix>\r\n <given>Frank</given>\r\n <family>Jones</family>\r\n </name>\r\n </associatedPerson>\r\n </associatedEntity>\r\n </participant>\r\n \r\n<!-- add site example of documentation of to confirm there is an issue with manual constraint -->\r\n <documentationOf>\r\n\r\n <serviceEvent classCode="PCPR">\r\n\r\n <id extension="5283815" root="1.3.6.1.4.1.22812.3.99930.3.3.8" />\r\n\r\n <code codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" code="99200-04" />\r\n\r\n <effectiveTime>\r\n\r\n <low value="20110714090051" />\r\n\r\n <high value="20110714100051" />\r\n\r\n </effectiveTime>\r\n\r\n <performer typeCode="PRF">\r\n\r\n <templateId root="1.3.6.1.4.1.19376.1.5.3.1.2.3" />\r\n\r\n <templateId root="2.16.840.1.113883.3.88.11.32.4" />\r\n\r\n <functionCode codeSystem="2.16.840.1.113883.12.443" code="RP" displayName="Referring Provider" />\r\n\r\n <time>\r\n\r\n <low />\r\n\r\n <high />\r\n\r\n </time>\r\n\r\n <assignedEntity>\r\n\r\n <id extension="3333" root="1.3.6.1.4.1.22812.3.99930.3" />\r\n\r\n <code codeSystem="2.16.840.1.113883.6.101" codeSystemName="ProviderCodes" code="140000000X" displayName="Emergency Medical Service Providers" />\r\n\r\n <addr nullFlavor="UNK">\r\n\r\n <streetAddressLine nullFlavor="UNK" />\r\n\r\n <city nullFlavor="UNK" />\r\n\r\n <state nullFlavor="UNK" />\r\n\r\n <postalCode nullFlavor="UNK" />\r\n\r\n <country nullFlavor="UNK" />\r\n\r\n </addr>\r\n\r\n <telecom value="tel:+1-(859)555-4242" />\r\n\r\n <telecom value="mailto:outside.provider@somePractice.org" />\r\n\r\n <assignedPerson>\r\n\r\n <name>\r\n\r\n <family>Provider</family>\r\n\r\n <given>Outside</given>\r\n\r\n <suffix qualifier="AC">MD, PHd</suffix>\r\n\r\n </name>\r\n\r\n </assignedPerson>\r\n\r\n </assignedEntity>\r\n\r\n </performer>\r\n\r\n <performer typeCode="PRF">\r\n\r\n <templateId root="1.3.6.1.4.1.19376.1.5.3.1.2.3" />\r\n\r\n <templateId root="2.16.840.1.113883.3.88.11.32.4" />\r\n\r\n <templateId root="2.16.840.1.113883.3.88.11.83.4" />\r\n\r\n <functionCode codeSystem="2.16.840.1.113883.12.443" code="PP" displayName="Primary Care Provider" />\r\n\r\n <time>\r\n\r\n <low />\r\n\r\n <high />\r\n\r\n </time>\r\n\r\n <assignedEntity>\r\n\r\n <id extension="2222222222" root="2.16.840.1.113883.4.6" />\r\n\r\n <code codeSystem="2.16.840.1.113883.6.101" codeSystemName="ProviderCodes" code="260000000X" displayName="Ambulatory Health Care Facilities" />\r\n\r\n <addr>\r\n\r\n <streetAddressLine>#456, Lincon Street</streetAddressLine>\r\n\r\n <streetAddressLine>Wilson Garden</streetAddressLine>\r\n\r\n <city>Colorado</city>\r\n\r\n <state>DE</state>\r\n\r\n <postalCode>80203</postalCode>\r\n\r\n <country nullFlavor="UNK" />\r\n\r\n </addr>\r\n\r\n <telecom value="tel:+1-(859)085-0945" />\r\n\r\n <telecom value="mailto:provider@allscripts.com" />\r\n\r\n <assignedPerson>\r\n\r\n <name>\r\n\r\n <family>Allscripts</family>\r\n\r\n <given>Provider</given>\r\n\r\n </name>\r\n\r\n </assignedPerson>\r\n\r\n </assignedEntity>\r\n\r\n </performer>\r\n\t\r\n\t\r\n\t<!-- REMOVE LAST PERFORMER (3rd), LEAVE FIRST 2 PERFORMERS\r\n\r\n <performer typeCode="PRF">\r\n\r\n <templateId root="1.3.6.1.4.1.19376.1.5.3.1.2.3" />\r\n\r\n <time>\r\n\r\n <low />\r\n\r\n <high />\r\n\r\n </time>\r\n\r\n <assignedEntity classCode="ASSIGNED">\r\n\r\n <id extension="0619479" root="1.3.6.1.4.1.22812.3.99930.3.3.6" />\r\n\r\n <code code="PHARMACY" codeSystem="1.3.5.1.4.1.19376.1.5.3.3" codeSystemName="IHERoleCode" />\r\n\r\n <addr>\r\n\r\n <streetAddressLine>1604 EAST 17TH AVENUE</streetAddressLine>\r\n\r\n <city>DENVER</city>\r\n\r\n <state>CO</state>\r\n\r\n <postalCode>80218</postalCode>\r\n\r\n <country nullFlavor="UNK" />\r\n\r\n </addr>\r\n\r\n <telecom value="tel:+1-(406)761-0124" />\r\n\r\n <representedOrganization>\r\n\r\n <name>CVS PHARMACY # 102</name>\r\n\r\n <telecom value="tel:+1-(406)761-0124" />\r\n\r\n <addr>\r\n\r\n <streetAddressLine>1604 EAST 17TH AVENUE</streetAddressLine>\r\n\r\n <city>DENVER</city>\r\n\r\n <state>CO</state>\r\n\r\n <postalCode>80218</postalCode>\r\n\r\n <country nullFlavor="UNK" />\r\n\r\n </addr>\r\n\r\n </representedOrganization>\r\n\r\n </assignedEntity>\r\n\r\n </performer>\r\n\t\r\n\t-->\r\n\r\n </serviceEvent>\r\n\r\n</documentationOf>\r\n \r\n <componentOf>\r\n <encompassingEncounter>\r\n <id extension="1" root="2.16.840.1.113883.4.6"/>\r\n <code\r\n code="233604007"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED-CT"\r\n displayName="Pnuemonia"/>\r\n <effectiveTime>\r\n <low\r\n value="201208060028+0500"/>\r\n <high\r\n value="201208060058+0500"/>\r\n </effectiveTime>\r\n <responsibleParty>\r\n <assignedEntity>\r\n <id root="2.16.840.1.113883.4.6"/>\r\n <assignedPerson>\r\n <name>\r\n <prefix>Dr</prefix>\r\n <given>Henry</given>\r\n <family>Seven</family>\r\n </name>\r\n </assignedPerson>\r\n </assignedEntity>\r\n </responsibleParty>\r\n <encounterParticipant typeCode="ATND">\r\n <assignedEntity>\r\n <id root="2.16.840.1.113883.4.6"/>\r\n <assignedPerson>\r\n <name>\r\n <prefix>Dr</prefix>\r\n <given>Henry</given>\r\n <family>Seven</family>\r\n </name>\r\n </assignedPerson>\r\n </assignedEntity>\r\n </encounterParticipant>\r\n <location>\r\n <healthCareFacility>\r\n <id root="2.16.840.1.113883.4.6"/>\r\n </healthCareFacility>\r\n </location>\r\n </encompassingEncounter>\r\n </componentOf>\r\n <!-- ********************************************************\r\n CDA Body\r\n ******************************************************** -->\r\n <component>\r\n <structuredBody>\r\n <!-- *********************** -->\r\n \r\n <!--\r\n********************************************************\r\nAllergies, Adverse Reactions, Alerts\r\n********************************************************\r\n-->\r\n <component>\r\n <section>\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.2.6.1"/>\r\n <!-- Alerts section template -->\r\n <code\r\n code="48765-2"\r\n codeSystem="2.16.840.1.113883.6.1"/>\r\n <title>ALLERGIES, ADVERSE REACTIONS, ALERTS</title>\r\n <text>\r\n <table\r\n border="1"\r\n width="100%">\r\n <thead>\r\n <tr>\r\n <th>Substance</th>\r\n <th>Reaction</th>\r\n <th>Severity</th>\r\n <th>Status</th>\r\n </tr>\r\n </thead>\r\n <tbody>\r\n <tr>\r\n <td>Penicillin G benzathine</td>\r\n <td><content\r\n ID="reaction1">Hives</content></td>\r\n <td><content\r\n ID="severity1">Moderate to severe</content></td>\r\n <td>Inactive</td>\r\n </tr>\r\n <tr>\r\n <td>Codeine</td>\r\n <td><content\r\n ID="reaction2">Shortness of Breath</content></td>\r\n <td><content\r\n ID="severity2">Moderate</content></td>\r\n <td>Active</td>\r\n </tr>\r\n <tr>\r\n <td>Aspirin</td>\r\n <td><content\r\n ID="reaction3">Hives</content></td>\r\n <td><content\r\n ID="severity3">Mild to moderate</content></td>\r\n <td>Active</td>\r\n </tr>\r\n </tbody>\r\n </table>\r\n </text>\r\n <entry\r\n typeCode="DRIV">\r\n <act\r\n classCode="ACT"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.30"/>\r\n <!-- ** Allergy problem act ** -->\r\n <id\r\n root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>\r\n <code\r\n code="48765-2"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="Allergies, adverse reactions, alerts"/>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20070501">\r\n <low\r\n value="20070501"/>\r\n <high\r\n value="20120806000028+0500"/>\r\n </effectiveTime>\r\n <entryRelationship\r\n typeCode="SUBJ">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- allergy observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.7"/>\r\n <id\r\n root="4adc1020-7b14-11db-9fe1-0800200c9a66"/>\r\n <code\r\n code="ASSERTION"\r\n codeSystem="2.16.840.1.113883.5.4"/>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low nullFlavor="UNK"/>\r\n <high\r\n value="20120806"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="CD"\r\n code="419511003"\r\n displayName="Propensity to adverse reaction to drug"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED CT">\r\n <originalText>\r\n <reference\r\n value="#reaction1"/>\r\n </originalText>\r\n </value>\r\n <participant\r\n typeCode="CSM">\r\n <participantRole\r\n classCode="MANU">\r\n <playingEntity\r\n classCode="MMAT">\r\n <code\r\n code="7982"\r\n displayName="Penicillin G benzathine"\r\n codeSystem="2.16.840.1.113883.6.88"\r\n codeSystemName="RxNorm">\r\n <originalText>\r\n <reference\r\n value="#reaction1"/>\r\n </originalText>\r\n </code>\r\n </playingEntity>\r\n </participantRole>\r\n </participant>\r\n <entryRelationship\r\n typeCode="SUBJ"\r\n inversionInd="true">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.28"/>\r\n <!-- Allergy status observation template -->\r\n <code\r\n code="33999-4"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="Status"/>\r\n <statusCode\r\n code="completed"/>\r\n <value\r\n xsi:type="CE"\r\n code="73425007"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Inactive"/>\r\n </observation>\r\n </entryRelationship>\r\n <entryRelationship\r\n typeCode="MFST"\r\n inversionInd="true">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.9"/>\r\n <!-- Reaction observation template -->\r\n <id\r\n root="4adc1020-7b14-11db-9fe1-0800200c9a64"/>\r\n <code\r\n nullFlavor="NA"/>\r\n <text>\r\n <reference\r\n value="#reaction1"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20070501"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="CD"\r\n code="247472004"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Hives"/>\r\n </observation>\r\n </entryRelationship>\r\n <entryRelationship\r\n typeCode="SUBJ"\r\n inversionInd="true">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.8"/>\r\n <!-- ** Severity observation template ** -->\r\n <code xsi:type="CE"\r\n code="SEV"\r\n displayName="Severity Observation"\r\n codeSystem="2.16.840.1.113883.5.4"\r\n codeSystemName="ActCode"/>\r\n <text>\r\n <reference\r\n value="#severity1"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <value\r\n xsi:type="CD"\r\n code="371924009"\r\n displayName="Moderate to severe"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED CT"/>\r\n </observation>\r\n </entryRelationship>\r\n </observation>\r\n </entryRelationship>\r\n </act>\r\n </entry>\r\n <entry\r\n typeCode="DRIV">\r\n <act\r\n classCode="ACT"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.30"/>\r\n <!-- ** Allergy problem act ** -->\r\n <id\r\n root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>\r\n <code\r\n code="48765-2"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="Allergies, adverse reactions, alerts"/>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20060501">\r\n <low\r\n value="20060501"/>\r\n <high\r\n value="20120806000028+0500"/>\r\n </effectiveTime>\r\n <entryRelationship\r\n typeCode="SUBJ">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- allergy observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.7"/>\r\n <id\r\n root="4adc1020-7b14-11db-9fe1-0800200c9a66"/>\r\n <code\r\n code="ASSERTION"\r\n codeSystem="2.16.840.1.113883.5.4"/>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20060501"/>\r\n <high value="20120806"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="CD"\r\n code="419511003"\r\n displayName="Propensity to adverse reactions due to drug"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED CT">\r\n <originalText>\r\n <reference\r\n value="#reaction2"/>\r\n </originalText>\r\n </value>\r\n <participant\r\n typeCode="CSM">\r\n <participantRole\r\n classCode="MANU">\r\n <playingEntity\r\n classCode="MMAT">\r\n <code\r\n code="2670"\r\n displayName="Codeine"\r\n codeSystem="2.16.840.1.113883.6.88"\r\n codeSystemName="RxNorm">\r\n <originalText>\r\n <reference\r\n value="#reaction2"/>\r\n </originalText>\r\n </code>\r\n </playingEntity>\r\n </participantRole>\r\n </participant>\r\n <entryRelationship\r\n typeCode="SUBJ"\r\n inversionInd="true">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.28"/>\r\n <!-- Allergy status observation template -->\r\n <code\r\n code="33999-4"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="Status"/>\r\n <statusCode\r\n code="completed"/>\r\n <value\r\n xsi:type="CE"\r\n code="55561003"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Active"/>\r\n </observation>\r\n </entryRelationship>\r\n <entryRelationship\r\n typeCode="MFST"\r\n inversionInd="true">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.9"/>\r\n <!-- Reaction observation template -->\r\n <id\r\n root="4adc1020-7b14-11db-9fe1-0800200c9a64"/>\r\n <code\r\n nullFlavor="NA"/>\r\n <text>\r\n <reference\r\n value="#reaction2"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20060501"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="CD"\r\n code="267036007"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Shortness of Breath"/>\r\n </observation>\r\n </entryRelationship>\r\n <entryRelationship\r\n typeCode="SUBJ"\r\n inversionInd="true">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.8"/>\r\n <!-- ** Severity observation template ** -->\r\n <code xsi:type="CE"\r\n code="SEV"\r\n displayName="Severity Observation"\r\n codeSystem="2.16.840.1.113883.5.4"\r\n codeSystemName="ActCode"/>\r\n <text>\r\n <reference\r\n value="#severity2"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <value\r\n xsi:type="CD"\r\n code="6736007"\r\n displayName="Moderate"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED CT"/>\r\n </observation>\r\n </entryRelationship>\r\n </observation>\r\n </entryRelationship>\r\n </act>\r\n </entry>\r\n <entry\r\n typeCode="DRIV">\r\n <act\r\n classCode="ACT"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.30"/>\r\n <!-- ** Allergy problem act ** -->\r\n <id\r\n root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>\r\n <code\r\n code="48765-2"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="Allergies, adverse reactions, alerts"/>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20080501">\r\n <low\r\n value="20080501"/>\r\n <high\r\n value="20120806"/>\r\n </effectiveTime>\r\n <entryRelationship\r\n typeCode="SUBJ">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- allergy observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.7"/>\r\n <id\r\n root="4adc1020-7b14-11db-9fe1-0800200c9a66"/>\r\n <code\r\n code="ASSERTION"\r\n codeSystem="2.16.840.1.113883.5.4"/>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20080501"/>\r\n <high value="20120806"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="CD"\r\n code="419511003"\r\n displayName="Propensity to adverse reactions due to drug"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED CT">\r\n <originalText>\r\n <reference\r\n value="#reaction3"/>\r\n </originalText>\r\n </value>\r\n <participant\r\n typeCode="CSM">\r\n <participantRole\r\n classCode="MANU">\r\n <playingEntity\r\n classCode="MMAT">\r\n <code\r\n code="1191"\r\n displayName="Aspirin"\r\n codeSystem="2.16.840.1.113883.6.88"\r\n codeSystemName="RxNorm">\r\n <originalText>\r\n <reference\r\n value="#reaction3"/>\r\n </originalText>\r\n </code>\r\n </playingEntity>\r\n </participantRole>\r\n </participant>\r\n <entryRelationship\r\n typeCode="SUBJ"\r\n inversionInd="true">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.28"/>\r\n <!-- Allergy status observation template -->\r\n <code\r\n code="33999-4"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="Status"/>\r\n <statusCode\r\n code="completed"/>\r\n <value\r\n xsi:type="CE"\r\n code="55561003"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Active"/>\r\n </observation>\r\n </entryRelationship>\r\n <entryRelationship\r\n typeCode="MFST"\r\n inversionInd="true">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.9"/>\r\n <!-- Reaction observation template -->\r\n <id\r\n root="4adc1020-7b14-11db-9fe1-0800200c9a64"/>\r\n <code\r\n nullFlavor="NA"/>\r\n <text>\r\n <reference\r\n value="#reaction3"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20080501"/>\r\n <high value="20120806"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="CD"\r\n code="247472004"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Hives"/>\r\n </observation>\r\n </entryRelationship>\r\n <entryRelationship\r\n typeCode="SUBJ"\r\n inversionInd="true">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.8"/>\r\n <!-- ** Severity observation template ** -->\r\n <code xsi:type="CE"\r\n code="SEV"\r\n displayName="Severity Observation"\r\n codeSystem="2.16.840.1.113883.5.4"\r\n codeSystemName="ActCode"/>\r\n <text>\r\n <reference\r\n value="#severity3"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <value\r\n xsi:type="CD"\r\n code="371923003"\r\n displayName="Mild to moderate"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED CT"/>\r\n </observation>\r\n </entryRelationship>\r\n </observation>\r\n </entryRelationship>\r\n </act>\r\n </entry>\r\n </section>\r\n </component>\r\n \r\n <!-- \r\n************************************\r\nASSESSMENT\r\n************************************ \r\n -->\r\n <component>\r\n <section>\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.2.9"/>\r\n <code\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n code="51847-2"\r\n displayName="ASSESSMENT"/>\r\n <title>ASSESSMENT</title>\r\n <text>\r\n <list\r\n listType="ordered">\r\n <item> Pnuemonia</item>\r\n <item ID="assessment1"> Asthma exacerbation.</item>\r\n </list>\r\n </text>\r\n <entry\r\n typeCode="DRIV">\r\n <act\r\n classCode="ACT"\r\n moodCode="EVN">\r\n <!-- Problem act template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.3"/>\r\n <id\r\n root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>\r\n <code\r\n code="CONC"\r\n codeSystem="2.16.840.1.113883.5.6"\r\n displayName="Concern"/>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20120806"/>\r\n <high\r\n value="20120806"/>\r\n </effectiveTime>\r\n <entryRelationship\r\n typeCode="SUBJ">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- Problem observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.4"/>\r\n <id\r\n root="ab1791b0-5c71-11db-b0de-0800200c9a66"/>\r\n <code\r\n code="409586006"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Complaint"/>\r\n <text>\r\n <reference\r\n value="#assessment1"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20120806"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="CD"\r\n code="195967001"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Asthma"/>\r\n <entryRelationship\r\n typeCode="REFR">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- Problem observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.68"/>\r\n <id\r\n root="ab1791b0-5c71-11db-b0de-0800200c9a66"/>\r\n <code\r\n code="409586006"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Complaint"/>\r\n <text>\r\n <reference\r\n value="#assessment1"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20120806"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="CD"\r\n code="195967001"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Asthma"/>\r\n </observation>\r\n </entryRelationship>\r\n <entryRelationship typeCode="REFR">\r\n <observation classCode="OBS" moodCode="EVN">\r\n <!-- Status observation template -->\r\n <templateId root="2.16.840.1.113883.10.20.22.4.6"/>\r\n <code xsi:type="CE" \r\n code="33999-4" \r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC" \r\n displayName="Status"/>\r\n <text><reference\r\n value="#assessment1"/></text>\r\n <statusCode code="completed"/>\r\n <value xsi:type="CD" \r\n code="55561003"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED CT" \r\n displayName="Active"/>\r\n </observation>\r\n </entryRelationship>\r\n </observation>\r\n </entryRelationship>\r\n </act>\r\n </entry>\r\n </section>\r\n </component>\r\n \r\n <!--\r\n********************************************************\r\nIMMUNIZATIONS\r\n********************************************************\r\n-->\r\n <component>\r\n <section>\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.2.2.1"/>\r\n <!-- Entries Required -->\r\n <!-- ******** Immunizations section template ******** -->\r\n <code\r\n code="11369-6"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="History of immunizations"/>\r\n <title>IMMUNIZATIONS</title>\r\n <text><content\r\n ID="immunSect"/>\r\n <table\r\n border="1"\r\n width="100%">\r\n <thead>\r\n <tr>\r\n <th>Vaccine</th>\r\n <th>Date</th>\r\n <th>Status</th>\r\n </tr>\r\n </thead>\r\n <tbody>\r\n <tr>\r\n <td><content\r\n ID="immun1"/>Influenza virus vaccine, IM</td>\r\n <td>Nov 2005</td>\r\n <td>Completed</td>\r\n </tr>\r\n <tr>\r\n <td><content\r\n ID="immun2"/>Influenza virus vaccine, IM</td>\r\n <td>September 2006</td>\r\n <td>Completed</td>\r\n </tr>\r\n <tr>\r\n <td><content\r\n ID="immun3"/>Pneumococcal polysaccharide vaccine, IM</td>\r\n <td>August 2012</td>\r\n <td>Completed</td>\r\n </tr>\r\n <tr>\r\n <td><content\r\n ID="immun4"/>Tetanus and diphtheria toxoids, IM</td>\r\n <td>January 2007</td>\r\n <td>Completed</td>\r\n </tr>\r\n </tbody>\r\n </table>\r\n </text>\r\n 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displayName="Influenza virus vaccine"\r\n codeSystemName="CVX">\r\n <originalText>Influenza virus vaccine</originalText>\r\n <translation\r\n code="111"\r\n displayName="influenza, live, intranasal"\r\n codeSystemName="CVX"\r\n codeSystem="2.16.840.1.113883.6.59"/>\r\n </code>\r\n </manufacturedMaterial>\r\n <manufacturerOrganization>\r\n <name>Health LS - Immuno Inc.</name>\r\n </manufacturerOrganization>\r\n </manufacturedProduct>\r\n </consumable>\r\n <entryRelationship\r\n typeCode="SUBJ" inversionInd="true">\r\n <act\r\n classCode="ACT"\r\n moodCode="INT">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.20"/>\r\n <!-- ** Instructions Template ** -->\r\n <code xsi:type="CE"\r\n code="171044003"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="immunization education"/>\r\n <text><reference\r\n value="#immunSect"/>Possible flu-like symptoms for three days.</text>\r\n <statusCode\r\n code="completed"/>\r\n </act>\r\n </entryRelationship>\r\n </substanceAdministration>\r\n </entry>\r\n <entry\r\n typeCode="DRIV">\r\n <substanceAdministration\r\n classCode="SBADM"\r\n moodCode="EVN"\r\n negationInd="false">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.52"/>\r\n <!-- ******** Immunization activity template ******** -->\r\n <id\r\n root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"/>\r\n <text>\r\n <reference\r\n value="#immun2"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n xsi:type="IVL_TS"\r\n value="20060910"/>\r\n <routeCode\r\n code="C28161"\r\n codeSystem="2.16.840.1.113883.3.26.1.1"\r\n codeSystemName="National Cancer Institute (NCI) Thesaurus"\r\n displayName="Intramuscular injection"/>\r\n <doseQuantity\r\n value="50"\r\n unit="mcg"/>\r\n <consumable>\r\n <manufacturedProduct\r\n classCode="MANU">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.54"/>\r\n <!-- ******** Immunization Medication Information ******** -->\r\n <manufacturedMaterial>\r\n <code\r\n code="88"\r\n codeSystem="2.16.840.1.113883.6.59"\r\n displayName="Influenza virus vaccine"\r\n codeSystemName="CVX">\r\n <originalText>Influenza virus vaccine</originalText>\r\n <translation\r\n code="111"\r\n displayName="influenza, live, intranasal"\r\n codeSystemName="CVX"\r\n codeSystem="2.16.840.1.113883.6.59"/>\r\n </code>\r\n </manufacturedMaterial>\r\n <manufacturerOrganization>\r\n <name>Health LS - Immuno Inc.</name>\r\n </manufacturerOrganization>\r\n </manufacturedProduct>\r\n </consumable>\r\n <entryRelationship\r\n typeCode="SUBJ" inversionInd="true">\r\n <act\r\n classCode="ACT"\r\n moodCode="INT">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.20"/>\r\n <!-- ** Instructions Template ** -->\r\n <code xsi:type="CE"\r\n code="171044003"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="immunization education"/>\r\n <text><reference\r\n value="#immunSect"/>Possible flu-like symptoms for three days.</text>\r\n <statusCode\r\n code="completed"/>\r\n </act>\r\n </entryRelationship>\r\n </substanceAdministration>\r\n </entry>\r\n <entry\r\n typeCode="DRIV">\r\n <substanceAdministration\r\n classCode="SBADM"\r\n moodCode="EVN"\r\n negationInd="false">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.52"/>\r\n <!-- ******** Immunization activity template ******** -->\r\n <id\r\n root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"/>\r\n <text>\r\n <reference\r\n value="#immun3"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n xsi:type="IVL_TS"\r\n value="20120806"/>\r\n <routeCode\r\n code="C28161"\r\n codeSystem="2.16.840.1.113883.3.26.1.1"\r\n codeSystemName="National Cancer Institute (NCI) Thesaurus"\r\n displayName="Intramuscular injection"/>\r\n <doseQuantity\r\n value="50"\r\n unit="mcg"/>\r\n <consumable>\r\n <manufacturedProduct\r\n classCode="MANU">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.54"/>\r\n <!-- ******** Immunization Medication Information ******** -->\r\n <manufacturedMaterial>\r\n 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</act>\r\n </entryRelationship>\r\n </substanceAdministration>\r\n </entry>\r\n <entry\r\n typeCode="DRIV">\r\n <substanceAdministration\r\n classCode="SBADM"\r\n moodCode="EVN"\r\n negationInd="false">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.52"/>\r\n <!-- ******** Immunization activity template ******** -->\r\n <id\r\n root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"/>\r\n <text>\r\n <reference\r\n value="#immun4"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n xsi:type="IVL_TS"\r\n value="20070104"/>\r\n <routeCode\r\n code="C28161"\r\n codeSystem="2.16.840.1.113883.3.26.1.1"\r\n codeSystemName="National Cancer Institute (NCI) Thesaurus"\r\n displayName="Intramuscular injection"/>\r\n <doseQuantity\r\n value="50"\r\n unit="mcg"/>\r\n <consumable>\r\n <manufacturedProduct\r\n classCode="MANU">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.54"/>\r\n <!-- ******** Immunization Medication Information ******** -->\r\n <manufacturedMaterial>\r\n <code\r\n code="103"\r\n codeSystem="2.16.840.1.113883.6.59"\r\n displayName="Tetanus and diphtheria toxoids - preservative free"\r\n codeSystemName="CVX">\r\n <originalText>Tetanus and diphtheria toxoids - preservative free</originalText>\r\n <translation\r\n code="09"\r\n displayName="Tetanus and diphtheria toxoids - preservative free"\r\n codeSystemName="CVX"\r\n codeSystem="2.16.840.1.113883.6.59"/>\r\n </code>\r\n </manufacturedMaterial>\r\n <manufacturerOrganization>\r\n <name>Health LS - Immuno Inc.</name>\r\n </manufacturerOrganization>\r\n </manufacturedProduct>\r\n </consumable>\r\n <entryRelationship\r\n typeCode="SUBJ"\r\n inversionInd="true">\r\n <act\r\n classCode="ACT"\r\n moodCode="INT">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.20"/>\r\n <!-- ** Instructions Template ** -->\r\n <code xsi:type="CE"\r\n code="171044003"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="immunization education"/>\r\n <text><reference\r\n value="#immunSect"/>Possible flu-like symptoms for three days.</text>\r\n <statusCode\r\n code="completed"/>\r\n </act>\r\n </entryRelationship>\r\n </substanceAdministration>\r\n </entry>\r\n </section>\r\n </component>\r\n \r\n <!--\r\n********************************************************\r\nMEDICATIONS\r\n********************************************************\r\n-->\r\n <component>\r\n <section>\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.2.1.1"/>\r\n <code\r\n code="10160-0"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="HISTORY OF MEDICATION USE"/>\r\n <title>Medications</title>\r\n <text>\r\n <table\r\n border="1"\r\n width="100%">\r\n <thead>\r\n <tr>\r\n <th>Medication</th>\r\n <th>Directions</th>\r\n <th>Start Date</th>\r\n <th>Status</th>\r\n <th>Indications</th>\r\n <th>Fill Instructions</th>\r\n </tr>\r\n </thead>\r\n <tbody>\r\n <tr>\r\n <td><content\r\n ID="Med2">metoprolol tartrate</content></td>\r\n <td>25 MG Tablet once per day</td>\r\n <td>20090501</td>\r\n <td>Active</td>\r\n <td>Cardiac/Lung Function</td>\r\n <td><content ID="FillIns2">Generic Substitition Allowed</content></td>\r\n </tr>\r\n <tr>\r\n <td><content\r\n ID="Med3">clarithromycin</content></td>\r\n <td>500 MG Tablet twice daily for 7 days</td>\r\n <td>20120806</td>\r\n <td>Active</td>\r\n <td>Cardiac/Lung Function</td>\r\n <td><content ID="FillIns3">Generic Substitition Allowed</content></td>\r\n </tr>\r\n <tr>\r\n <td><content\r\n ID="Med4">Albuterol 0.09 MG/ACTUAT inhalant solution</content></td>\r\n <td>0.09 MG/ACTUAT inhalant solution, 2 puffs every 6 hours PRN Wheezing</td>\r\n <td>20070103</td>\r\n <td>Active</td>\r\n <td>Pneumonia (233604007 SNOMED CT)</td>\r\n <td><content ID="FillIns4">Generic Substitition Allowed</content></td>\r\n </tr>\r\n </tbody>\r\n </table>\r\n </text>\r\n \r\n <entry\r\n typeCode="DRIV">\r\n <substanceAdministration\r\n classCode="SBADM"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.16"/>\r\n <!-- ** MEDICATION ACTIVITY -->\r\n <id\r\n root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/>\r\n <text>\r\n <reference\r\n value="#Med2"/>25 MG Tablet Metoprolol tartrate once per day</text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n xsi:type="IVL_TS">\r\n <low\r\n value="20090501"/>\r\n <high\r\n value="20120806"/>\r\n </effectiveTime>\r\n <routeCode\r\n code="C38288"\r\n codeSystem="2.16.840.1.113883.3.26.1.1"\r\n codeSystemName="NCI Thesaurus"\r\n displayName="ORAL"/>\r\n <doseQuantity\r\n value="25"\r\n unit="mg"/>\r\n <rateQuantity\r\n value="1"\r\n unit="d"/>\r\n <administrationUnitCode\r\n code="C42998"\r\n displayName="Tablet"\r\n codeSystem="2.16.840.1.113883.3.26.1.1"\r\n codeSystemName="NCI Thesaurus"/>\r\n <consumable>\r\n <manufacturedProduct\r\n classCode="MANU">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.23"/>\r\n <id\r\n root="2a620155-9d11-439e-92b3-5d9815ff4ee8"/>\r\n <manufacturedMaterial>\r\n 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Mild Fever, 2 days</paragraph>\r\n <paragraph>2. Chills, 2 days</paragraph>\r\n <paragraph>3. Cough productive of greenish sputum, 2 days</paragraph>\r\n </text>\r\n </section>\r\n </component>\r\n \r\n <!--\r\n************************************\r\nCLINICAL INSTRUCTIONS / PATIENT Decision Aids\r\n************************************ \r\n -->\r\n \r\n <component> <!-- Patient Decision Aids -->\r\n <section> \r\n <templateId root="2.16.840.1.113883.10.20.22.2.45" />\r\n <code code="69730-0" codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC" displayName="INSTRUCTIONS" />\r\n <title>INSTRUCTIONS</title>\r\n <text>\r\n <content ID="instructions-1">Patient may have low grade fever and chills</content>\r\n <content ID="instruct-2">-\tReturn to clinic or call 911 if you experience chest pain, shortness of breath, high fevers, or intractable vomiting/diarrhea</content>\r\n </text>\r\n <entry typeCode="DRIV">\r\n <act classCode="ACT" moodCode="INT">\r\n <templateId root="2.16.840.1.113883.10.20.22.4.20" />\r\n <code xsi:type="CE" \r\n code="311401005" codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Patient Education" />\r\n <text>\r\n <reference value="#instructions-1" />\r\n </text>\r\n <statusCode code="completed" />\r\n </act>\r\n </entry>\r\n </section>\r\n </component>\r\n \r\n \r\n \r\n \r\n <!--\r\n********************************************************\r\nPROBLEM LIST\r\n********************************************************\r\n-->\r\n <component>\r\n <section>\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.2.5.1"/>\r\n <code\r\n code="11450-4"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="PROBLEM LIST"/>\r\n <title>PROBLEMS</title>\r\n <text><content\r\n ID="problems"/>\r\n <list\r\n listType="ordered">\r\n <item><content\r\n ID="problem1">Pneumonia : Status - Active</content></item>\r\n <item><content\r\n ID="problem2">Asthma : Status - Active</content></item>\r\n </list>\r\n </text>\r\n <entry\r\n typeCode="DRIV">\r\n <act\r\n classCode="ACT"\r\n moodCode="EVN">\r\n <!-- Problem act template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.3"/>\r\n <id\r\n root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>\r\n <code\r\n code="CONC"\r\n codeSystem="2.16.840.1.113883.5.6"\r\n displayName="Concern"/>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20120806"/>\r\n <high\r\n value="20120806"/>\r\n </effectiveTime>\r\n <entryRelationship\r\n typeCode="SUBJ">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- Problem observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.4"/>\r\n <id\r\n root="ab1791b0-5c71-11db-b0de-0800200c9a66"/>\r\n <code\r\n code="409586006"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Complaint"/>\r\n <text>\r\n <reference\r\n value="#problem1"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20120806"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="CD"\r\n code="233604007"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Pneumonia"/>\r\n <entryRelationship\r\n typeCode="REFR">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- Problem observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.68"/>\r\n <id\r\n root="ab1791b0-5c71-11db-b0de-0800200c9a66"/>\r\n <code\r\n code="409586006"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Complaint"/>\r\n <text>\r\n <reference\r\n value="#problem1"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20120806"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="CD"\r\n code="233604007"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Pneumonia"/>\r\n </observation>\r\n </entryRelationship>\r\n <entryRelationship\r\n typeCode="SUBJ"\r\n inversionInd="true">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.31"/>\r\n <!-- Age observation template -->\r\n <code\r\n code="445518008"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Age At Onset"/>\r\n <statusCode\r\n code="completed"/>\r\n <value\r\n xsi:type="PQ"\r\n value="65"\r\n unit="a"/>\r\n </observation>\r\n </entryRelationship>\r\n <entryRelationship\r\n typeCode="REFR">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.5"/>\r\n <!-- Health status observation template -->\r\n <code xsi:type="CE"\r\n code="11323-3"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="Health status"/>\r\n <text><reference\r\n value="#problems"/></text>\r\n <statusCode\r\n code="completed"/>\r\n <value\r\n xsi:type="CD"\r\n code="162467007"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED CT"\r\n displayName="Resolved"/>\r\n </observation>\r\n </entryRelationship>\r\n <entryRelationship typeCode="REFR">\r\n <observation classCode="OBS" moodCode="EVN">\r\n <!-- Status observation template -->\r\n <templateId root="2.16.840.1.113883.10.20.22.4.6"/>\r\n <code xsi:type="CE" \r\n code="33999-4" \r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC" \r\n displayName="Status"/>\r\n <text><reference\r\n value="#problem2"/></text>\r\n <statusCode code="completed"/>\r\n <value xsi:type="CD" \r\n code="55561003"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED CT" \r\n displayName="Active"/>\r\n </observation>\r\n </entryRelationship>\r\n </observation>\r\n </entryRelationship>\r\n </act>\r\n </entry>\r\n <entry\r\n typeCode="DRIV">\r\n <act\r\n classCode="ACT"\r\n moodCode="EVN">\r\n <!-- Problem act template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.3"/>\r\n <id\r\n root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>\r\n <code\r\n code="CONC"\r\n codeSystem="2.16.840.1.113883.5.6"\r\n displayName="Concern"/>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20070103"/>\r\n <high\r\n value="20120806"/>\r\n </effectiveTime>\r\n <entryRelationship\r\n typeCode="SUBJ">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- Problem observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.4"/>\r\n <id\r\n root="ab1791b0-5c71-11db-b0de-0800200c9a66"/>\r\n <code\r\n code="409586006"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Complaint"/>\r\n <text>\r\n <reference\r\n value="#problem2"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20120806"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="CD"\r\n code="195967001"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Asthma"/>\r\n <entryRelationship\r\n typeCode="REFR">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- Problem observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.68"/>\r\n <id\r\n root="ab1791b0-5c71-11db-b0de-0800200c9a66"/>\r\n <code\r\n code="409586006"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Complaint"/>\r\n <text>\r\n <reference\r\n value="#problem2"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20070103"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="CD"\r\n code="195967001"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Asthma"/>\r\n </observation>\r\n </entryRelationship>\r\n <entryRelationship\r\n typeCode="SUBJ"\r\n inversionInd="true">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.31"/>\r\n <!-- Age observation template -->\r\n <code\r\n code="445518008"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Age At Onset"/>\r\n <statusCode\r\n code="completed"/>\r\n <value\r\n xsi:type="PQ"\r\n value="60"\r\n unit="a"/>\r\n </observation>\r\n </entryRelationship>\r\n <entryRelationship\r\n typeCode="REFR">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.5"/>\r\n <!-- Health status observation template -->\r\n <code xsi:type="CE"\r\n code="11323-3"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="Health status"/>\r\n <text><reference\r\n value="#problems"/></text>\r\n <statusCode\r\n code="completed"/>\r\n <value\r\n xsi:type="CD"\r\n code="162467007"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED CT"\r\n displayName="Resolved"/>\r\n </observation>\r\n </entryRelationship>\r\n <entryRelationship typeCode="REFR">\r\n <observation classCode="OBS" moodCode="EVN">\r\n <!-- Status observation template -->\r\n <templateId root="2.16.840.1.113883.10.20.22.4.6"/>\r\n <code xsi:type="CE" \r\n code="33999-4" \r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC" \r\n displayName="Status"/>\r\n <text><reference\r\n value="#problem2"/></text>\r\n <statusCode code="completed"/>\r\n <value xsi:type="CD" \r\n code="55561003"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED CT" \r\n displayName="Active"/>\r\n </observation>\r\n </entryRelationship>\r\n </observation>\r\n </entryRelationship>\r\n </act>\r\n </entry>\r\n </section>\r\n </component>\r\n <!--\r\n********************************************************\r\nPROCEDURES\r\n********************************************************\r\n-->\r\n <component>\r\n <section>\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.2.7.1"/>\r\n <!-- Procedures section template -->\r\n <code\r\n code="47519-4"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="HISTORY OF PROCEDURES"/>\r\n <title>PROCEDURES</title>\r\n <text>\r\n <table\r\n border="1"\r\n width="100%">\r\n <thead>\r\n <tr>\r\n <th>Procedure</th>\r\n <th>Date</th>\r\n </tr>\r\n </thead>\r\n <tbody>\r\n <tr>\r\n <td>\r\n <content ID="Proc2">Chest X-Ray</content>\r\n </td>\r\n <td>2012</td>\r\n </tr>\r\n </tbody>\r\n </table>\r\n </text>\r\n <entry\r\n typeCode="DRIV">\r\n <procedure\r\n classCode="PROC"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.14"/>\r\n <!-- ***** Procedure Activity Procedure Template ***** -->\r\n <id\r\n root="d68b7e32-7810-4f5b-9cc2-acd54b0fd85d"/>\r\n <code xsi:type="CE"\r\n code="168731009"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Chest X-Ray"\r\n codeSystemName="SNOMED-CT">\r\n <originalText>\r\n <reference\r\n value="#Proc2"/>\r\n </originalText>\r\n </code>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20120806"/>\r\n <methodCode\r\n nullFlavor="UNK"/>\r\n <performer>\r\n <assignedEntity>\r\n <id\r\n root="2.16.840.1.113883.19.5.9999.456"\r\n extension="2981823"/>\r\n <addr>\r\n <streetAddressLine>1002 Healthcare Dr</streetAddressLine>\r\n <city>Portland</city>\r\n <state>OR</state>\r\n <postalCode>99123</postalCode>\r\n <country>US</country>\r\n </addr>\r\n <telecom\r\n use="WP"\r\n value="555-555-1002"/>\r\n <representedOrganization>\r\n <id\r\n root="2.16.840.1.113883.19.5.9999.1393"/>\r\n <name>Get Well Clinic</name>\r\n <telecom\r\n use="WP"\r\n value="555-555-1002"/>\r\n <addr>\r\n <streetAddressLine>1002 Healthcare Dr</streetAddressLine>\r\n <city>Portland</city>\r\n <state>OR</state>\r\n <postalCode>99123</postalCode>\r\n <country>US</country>\r\n </addr>\r\n </representedOrganization>\r\n </assignedEntity>\r\n </performer>\r\n </procedure>\r\n </entry>\r\n \r\n <entry\r\n typeCode="DRIV">\r\n <procedure\r\n classCode="PROC"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.13"/>\r\n <!-- Procedure Activity Observation -->\r\n <id\r\n extension="123456789"\r\n root="2.16.840.1.113883.19"/>\r\n <code\r\n code="168731009"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Chest X-Ray"\r\n codeSystemName="SNOMED-CT">\r\n <originalText>\r\n <reference\r\n value="#Proc2"/>\r\n </originalText>\r\n </code>\r\n <statusCode\r\n code="Completed"/>\r\n <effectiveTime\r\n value="20120806"/>\r\n <priorityCode\r\n code="CR"\r\n codeSystem="2.16.840.1.113883.5.7"\r\n codeSystemName="ActPriority"\r\n displayName="Callback results"/>\r\n <methodCode\r\n nullFlavor="UNK"/>\r\n <targetSiteCode\r\n code="82094008"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED CT"\r\n displayName="Lower Respiratory Tract Structure"/>\r\n <performer>\r\n <assignedEntity>\r\n <id\r\n root="2.16.840.1.113883.19.5"\r\n extension="1234"/>\r\n <addr>\r\n <streetAddressLine>17 Daws Rd.</streetAddressLine>\r\n <city>Blue Bell</city>\r\n <state>MA</state>\r\n <postalCode>02368</postalCode>\r\n <country>US</country>\r\n </addr>\r\n <telecom\r\n use="WP"\r\n value="(555)555-555-1234"/>\r\n <representedOrganization>\r\n <id\r\n root="2.16.840.1.113883.19.5"/>\r\n <name>Get Well Clinic</name>\r\n <telecom\r\n nullFlavor="UNK"/>\r\n <addr\r\n nullFlavor="UNK"/>\r\n </representedOrganization>\r\n </assignedEntity>\r\n </performer>\r\n <participant\r\n typeCode="LOC">\r\n <participantRole\r\n classCode="SDLOC">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.32"/>\r\n <!-- Service Delivery Location template -->\r\n <code\r\n code="1160-1"\r\n codeSystem="2.16.840.1.113883.6.259"\r\n codeSystemName="HealthcareServiceLocation"\r\n displayName="Urgent Care Center"/>\r\n <addr>\r\n <streetAddressLine>17 Daws Rd.</streetAddressLine>\r\n <city>Blue Bell</city>\r\n <state>MA</state>\r\n <postalCode>02368</postalCode>\r\n <country>US</country>\r\n </addr>\r\n <telecom\r\n nullFlavor="UNK"/>\r\n <playingEntity\r\n classCode="PLC">\r\n <name>Get Well Clinic</name>\r\n </playingEntity>\r\n </participantRole>\r\n </participant>\r\n </procedure>\r\n </entry>\r\n </section>\r\n </component>\r\n \r\n <!--\r\n********************************************************\r\nFUNCTIONAL and COGNITIVE STATUS\r\n********************************************************\r\n-->\r\n <component>\r\n <section>\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.2.14"/>\r\n <!-- ******** Functional status section template ******** -->\r\n <code\r\n code="47420-5"\r\n codeSystem="2.16.840.1.113883.6.1"/>\r\n <title>FUNCTIONAL STATUS</title>\r\n <text>\r\n <table\r\n border="1"\r\n width="100%">\r\n <thead>\r\n <tr>\r\n <th>Functional Condition</th>\r\n <th>Effective Dates</th>\r\n <th>Condition Status</th>\r\n </tr>\r\n </thead>\r\n <tbody>\r\n <tr>\r\n <td>\r\n <content ID="fs1">Dependence on cane</content></td>\r\n <td>1999</td>\r\n <td>Active</td>\r\n </tr>\r\n <tr>\r\n <td>\r\n <content ID="fs2">Memory impairment</content>\r\n </td>\r\n <td>1998</td>\r\n <td>Active</td>\r\n </tr>\r\n </tbody>\r\n </table>\r\n </text>\r\n <entry\r\n typeCode="DRIV">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- Problem observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.68"/>\r\n <id\r\n root="ab1791b0-5c71-11db-b0de-0800200c9a66"/>\r\n <code xsi:type="CE"\r\n code="409586006"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Complaint"/>\r\n <text>\r\n <reference\r\n value="#fs1"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="199803"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="CD"\r\n code="105504002"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Dependence on Cane"/>\r\n </observation>\r\n </entry>\r\n <entry\r\n typeCode="DRIV">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- Problem observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.68"/>\r\n <id\r\n root="ab1791b0-5c71-11db-b0de-0800200c9a66"/>\r\n <code xsi:type="CE"\r\n code="409586006"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Complaint"/>\r\n <text>\r\n <reference\r\n value="#fs2"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="199910"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="CD"\r\n code="386807006"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Memory Impairment"/>\r\n </observation>\r\n </entry>\r\n <entry\r\n typeCode="DRIV">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- Functional Status Result observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.67"/>\r\n <id\r\n root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>\r\n <code xsi:type="CE"\r\n code="30313-1"\r\n displayName="HGB"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"> </code>\r\n <text>\r\n <reference\r\n value="#fs2"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="200003231430"/>\r\n <value\r\n xsi:type="PQ"\r\n value="13.2"\r\n unit="g/dl"/>\r\n <interpretationCode\r\n code="N"\r\n codeSystem="2.16.840.1.113883.5.83"/>\r\n <methodCode/>\r\n <targetSiteCode/>\r\n <author>\r\n <time/>\r\n <assignedAuthor>\r\n <id\r\n root="2.16.840.1.113883.19.5"/>\r\n </assignedAuthor>\r\n </author>\r\n <referenceRange>\r\n <observationRange>\r\n <text>M 13-18 g/dl; F 12-16 g/dl</text>\r\n </observationRange>\r\n </referenceRange>\r\n </observation>\r\n </entry>\r\n </section>\r\n </component>\r\n \r\n <!--\r\n********************************************************\r\nRESULTS\r\n********************************************************\r\n-->\r\n <component>\r\n <section>\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.2.3.1"/>\r\n <!-- Entries Required -->\r\n <code\r\n code="30954-2"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="RESULTS"/>\r\n <title>RESULTS</title>\r\n <text>\r\n <table>\r\n <tbody>\r\n <tr>\r\n <td\r\n colspan="2">LABORATORY INFORMATION</td>\r\n </tr>\r\n <tr>\r\n <td\r\n colspan="2">Chemistries and drug levels</td>\r\n </tr>\r\n <tr>\r\n <td><content\r\n ID="result1">HGB (M 13-18 g/dl; F 12-16 g/dl)</content></td>\r\n <td>10.2</td>\r\n </tr>\r\n <tr>\r\n <td><content\r\n ID="result2">WBC (4.3-10.8 10+3/ul)</content></td>\r\n <td>12.3</td>\r\n </tr>\r\n <tr>\r\n <td><content\r\n ID="result3">PLT (150-350 10+3/ul)</content></td>\r\n <td>223</td>\r\n </tr>\r\n </tbody>\r\n </table>\r\n </text>\r\n <entry\r\n typeCode="DRIV">\r\n <organizer\r\n classCode="BATTERY"\r\n moodCode="EVN">\r\n <!-- Result organizer template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.1"/>\r\n <id\r\n root="7d5a02b0-67a4-11db-bd13-0800200c9a66"/>\r\n <code xsi:type="CE"\r\n code="43789009"\r\n displayName="CBC WO DIFFERENTIAL"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED CT"/>\r\n <statusCode\r\n code="completed"/>\r\n <component>\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- Result observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.2"/>\r\n <id\r\n root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>\r\n <code xsi:type="CE"\r\n code="30313-1"\r\n displayName="HGB"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"> </code>\r\n <text>\r\n <reference\r\n value="#result1"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20120806"/>\r\n <value\r\n xsi:type="PQ"\r\n value="10.2"\r\n unit="g/dl"/>\r\n <interpretationCode\r\n code="N"\r\n codeSystem="2.16.840.1.113883.5.83"/>\r\n <methodCode/>\r\n <targetSiteCode/>\r\n <author>\r\n <time/>\r\n <assignedAuthor>\r\n <id\r\n root="2a620155-9d11-439e-92b3-5d9816ff4de8"/>\r\n </assignedAuthor>\r\n </author>\r\n <referenceRange>\r\n <observationRange>\r\n <text>M 13-18 g/dl; F 12-16 g/dl</text>\r\n </observationRange>\r\n </referenceRange>\r\n </observation>\r\n </component>\r\n <component>\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- Result observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.2"/>\r\n <id\r\n root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>\r\n <code xsi:type="CE"\r\n code="33765-9"\r\n displayName="WBC"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"> </code>\r\n <text>\r\n <reference\r\n value="#result2"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20120806"/>\r\n <value\r\n xsi:type="PQ"\r\n value="12.3"\r\n unit="10+3/ul"/>\r\n <interpretationCode\r\n code="N"\r\n codeSystem="2.16.840.1.113883.5.83"/>\r\n <methodCode/>\r\n <targetSiteCode/>\r\n <author>\r\n <time/>\r\n <assignedAuthor>\r\n <id\r\n root="2a620154-9d11-439e-92b3-5d9815ff4de8"/>\r\n </assignedAuthor>\r\n </author>\r\n <referenceRange>\r\n <observationRange>\r\n <value\r\n xsi:type="IVL_PQ">\r\n <low\r\n value="4.3"\r\n unit="10+3/ul"/>\r\n <high\r\n value="10.8"\r\n unit="10+3/ul"/>\r\n </value>\r\n </observationRange>\r\n </referenceRange>\r\n </observation>\r\n </component>\r\n <component>\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- Result observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.2"/>\r\n <id\r\n root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>\r\n <code xsi:type="CE"\r\n code="26515-7"\r\n displayName="PLT"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"> </code>\r\n <text>\r\n <reference\r\n value="#result3"/>\r\n </text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20120806"/>\r\n <value\r\n xsi:type="PQ"\r\n value="223"\r\n unit="10+3/ul"/>\r\n <interpretationCode\r\n code="L"\r\n codeSystem="2.16.840.1.113883.5.83"/>\r\n <methodCode/>\r\n <targetSiteCode/>\r\n <author>\r\n <time/>\r\n <assignedAuthor>\r\n <id\r\n root="2a620155-9d11-439e-92b3-5d9815ff4de8"/>\r\n </assignedAuthor>\r\n </author>\r\n <referenceRange>\r\n <observationRange>\r\n <value\r\n xsi:type="IVL_PQ">\r\n <low\r\n value="150"\r\n unit="10+3/ul"/>\r\n <high\r\n value="350"\r\n unit="10+3/ul"/>\r\n </value>\r\n </observationRange>\r\n </referenceRange>\r\n </observation>\r\n </component>\r\n </organizer>\r\n </entry>\r\n </section>\r\n </component>\r\n <!--\r\n********************************************************\r\nSOCIAL HISTORY\r\n********************************************************\r\n-->\r\n <component>\r\n <!-- Social History ******** -->\r\n <section>\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.2.17"/>\r\n <!-- ******** Social history section template ******** -->\r\n <code\r\n code="29762-2"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n displayName="Social History"/>\r\n <title>SOCIAL HISTORY</title>\r\n <text>\r\n <table\r\n border="1"\r\n width="100%">\r\n <thead>\r\n <tr>\r\n <th>Social History Element</th>\r\n <th>Description</th>\r\n <th>Effective Dates</th>\r\n </tr>\r\n </thead>\r\n <tbody>\r\n <tr>\r\n <td>\r\n <content\r\n ID="soc1"/> smoking</td>\r\n <td>1 pack per day</td>\r\n <td>19920501 to 20090227</td>\r\n </tr>\r\n <tr>\r\n <td>\r\n <content\r\n ID="soc2"/> Former Smoker</td>\r\n <td>None</td>\r\n <td>20090227 - Unknown</td>\r\n </tr>\r\n </tbody>\r\n </table>\r\n </text>\r\n <entry\r\n typeCode="DRIV">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <!-- Smoking status observation template -->\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.78"/>\r\n <id\r\n extension="123456789"\r\n root="2.16.840.1.113883.19"/>\r\n <code\r\n code="ASSERTION"\r\n codeSystem="2.16.840.1.113883.5.4"/>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20090227"/>\r\n <high nullFlavor="UNK"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="CD"\r\n code="8517006"\r\n displayName="Former smoker"\r\n codeSystem="2.16.840.1.113883.6.96"/>\r\n </observation>\r\n </entry>\r\n <entry\r\n typeCode="DRIV">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.38"/>\r\n <!-- ******** Social history observation template ******** -->\r\n <id\r\n root="9b56c25d-9104-45ee-9fa4-e0f3afaa01c1"/>\r\n <code\r\n code="230056004"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Cigarette smoking">\r\n <originalText>\r\n <reference\r\n value="#soc1"/>\r\n </originalText>\r\n </code>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="19920501"/>\r\n <high\r\n value="20090227"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="ST">1 pack per day</value>\r\n </observation>\r\n </entry>\r\n <entry\r\n typeCode="DRIV">\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.38"/>\r\n <!-- ******** Social history observation template ******** -->\r\n <id\r\n root="45efb604-7049-4a2e-ad33-d38556c9636c"/>\r\n <code\r\n code="230056004"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n displayName="Cigarette smoking">\r\n <originalText>\r\n <reference\r\n value="#soc2"/>\r\n </originalText>\r\n </code>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime>\r\n <low\r\n value="20090227"/>\r\n </effectiveTime>\r\n <value\r\n xsi:type="ST">None</value>\r\n </observation>\r\n </entry>\r\n </section>\r\n </component>\r\n <!--\r\n********************************************************\r\nVITAL SIGNS\r\n********************************************************\r\n-->\r\n <component>\r\n <section>\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.2.4.1"/>\r\n <code\r\n code="8716-3"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="VITAL SIGNS"/>\r\n <title>VITAL SIGNS</title>\r\n <text>\r\n <table\r\n border="1"\r\n width="100%">\r\n <thead>\r\n <tr>\r\n <th\r\n align="right">Date / Time: </th>\r\n <th>Nov 1, 2008</th>\r\n <th>August 6, 2012</th>\r\n </tr>\r\n </thead>\r\n <tbody>\r\n <tr>\r\n <th\r\n align="left">Height</th>\r\n <td>\r\n <content\r\n ID="vit1">177 cm</content></td>\r\n <td>\r\n <content\r\n ID="vit2">177 cm</content></td>\r\n </tr>\r\n <tr>\r\n <th\r\n align="left">Weight</th>\r\n <td>\r\n <content\r\n ID="vit3">86 kg</content></td>\r\n <td>\r\n <content\r\n ID="vit4">88 kg</content></td>\r\n </tr>\r\n <tr>\r\n <th\r\n align="left">Blood Pressure</th>\r\n <td><content\r\n ID="vit5">132/86 mmHg</content></td>\r\n <td><content\r\n ID="vit6">145/88 mmHg</content></td>\r\n </tr>\r\n <tr>\r\n <th\r\n align="left">BMI</th>\r\n <td><content\r\n ID="vit7">27.45</content></td>\r\n <td><content\r\n ID="vit8">28.09</content></td>\r\n </tr>\r\n </tbody>\r\n </table>\r\n </text>\r\n <entry\r\n typeCode="DRIV">\r\n <organizer\r\n classCode="CLUSTER"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.26"/>\r\n <!-- Vital signs organizer template -->\r\n <id\r\n root="c6f88320-67ad-11db-bd13-0800200c9a66"/>\r\n <code\r\n code="46680005"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED -CT"\r\n displayName="Vital signs"/>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20081101"/>\r\n <component>\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.27"/>\r\n <!-- Vital Sign Observation template -->\r\n <id\r\n root="c6f88321-67ad-11db-bd13-0800200c9a66"/>\r\n <code\r\n code="8302-2"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="Height"/>\r\n <text><reference\r\n value="#vit1"/></text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20081101"/>\r\n <value\r\n xsi:type="PQ"\r\n value="177"\r\n unit="cm"/>\r\n <interpretationCode\r\n code="N"\r\n codeSystem="2.16.840.1.113883.5.83"/>\r\n </observation>\r\n </component>\r\n <component>\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.27"/>\r\n <!-- Vital Sign Observation template -->\r\n <id\r\n root="c6f88321-67ad-11db-bd13-0800200c9a66"/>\r\n <code\r\n code="3141-9"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="Patient Body Weight - Measured"/>\r\n <text><reference\r\n value="#vit4"/></text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20081101"/>\r\n <value\r\n xsi:type="PQ"\r\n value="86"\r\n unit="kg"/>\r\n <interpretationCode\r\n code="N"\r\n codeSystem="2.16.840.1.113883.5.83"/>\r\n </observation>\r\n </component>\r\n <component>\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.27"/>\r\n <!-- Vital Sign Observation template -->\r\n <id\r\n root="c6f88321-67ad-11db-bd13-0800200c9a66"/>\r\n <code\r\n code="8480-6"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="Intravascular Systolic"/>\r\n <text><reference\r\n value="#vit5"/></text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20081101"/>\r\n <value\r\n xsi:type="PQ"\r\n value="132"\r\n unit="mm[Hg]"/>\r\n <interpretationCode\r\n code="N"\r\n codeSystem="2.16.840.1.113883.5.83"/>\r\n </observation>\r\n </component>\r\n <component>\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.27"/>\r\n <!-- Vital Sign Observation template -->\r\n <id\r\n root="c6f88321-67ad-11db-bd13-0800200c9a66"/>\r\n <code\r\n code="60621009"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED-CT"\r\n displayName="BMI"/>\r\n <text><reference\r\n value="#vit7"/></text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20081101"/>\r\n <value\r\n xsi:type="PQ"\r\n value="27.45" unit="kg/m2"/>\r\n </observation>\r\n </component>\r\n </organizer>\r\n </entry>\r\n <entry\r\n typeCode="DRIV">\r\n <organizer\r\n classCode="CLUSTER"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.26"/>\r\n <!-- Vital signs organizer template -->\r\n <id\r\n root="c6f88320-67ad-11db-bd13-0800200c9a66"/>\r\n <code\r\n code="46680005"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED -CT"\r\n displayName="Vital signs"/>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20120806"/>\r\n <component>\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.27"/>\r\n <!-- Vital Sign Observation template -->\r\n <id\r\n root="c6f88321-67ad-11db-bd13-0800200c9a66"/>\r\n <code\r\n code="8302-2"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="Height"/>\r\n <text><reference\r\n value="#vit2"/></text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20120806"/>\r\n <value\r\n xsi:type="PQ"\r\n value="177"\r\n unit="cm"/>\r\n <interpretationCode\r\n code="N"\r\n codeSystem="2.16.840.1.113883.5.83"/>\r\n </observation>\r\n </component>\r\n <component>\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.27"/>\r\n <!-- Vital Sign Observation template -->\r\n <id\r\n root="c6f88321-67ad-11db-bd13-0800200c9a66"/>\r\n <code\r\n code="3141-9"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="Patient Body Weight - Measured"/>\r\n <text><reference\r\n value="#vit4"/></text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20120806"/>\r\n <value\r\n xsi:type="PQ"\r\n value="88"\r\n unit="kg"/>\r\n <interpretationCode\r\n code="N"\r\n codeSystem="2.16.840.1.113883.5.83"/>\r\n </observation>\r\n </component>\r\n <component>\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.27"/>\r\n <!-- Vital Sign Observation template -->\r\n <id\r\n root="c6f88321-67ad-11db-bd13-0800200c9a66"/>\r\n <code\r\n code="8480-6"\r\n codeSystem="2.16.840.1.113883.6.1"\r\n codeSystemName="LOINC"\r\n displayName="Intravascular Systolic"/>\r\n <text><reference\r\n value="#vit6"/></text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20120806"/>\r\n <value\r\n xsi:type="PQ"\r\n value="145"\r\n unit="mm[Hg]"/>\r\n <interpretationCode\r\n code="N"\r\n codeSystem="2.16.840.1.113883.5.83"/>\r\n </observation>\r\n </component>\r\n <component>\r\n <observation\r\n classCode="OBS"\r\n moodCode="EVN">\r\n <templateId\r\n root="2.16.840.1.113883.10.20.22.4.27"/>\r\n <!-- Vital Sign Observation template -->\r\n <id\r\n root="c6f88321-67ad-11db-bd13-0800200c9a66"/>\r\n <code\r\n code="60621009"\r\n codeSystem="2.16.840.1.113883.6.96"\r\n codeSystemName="SNOMED-CT"\r\n displayName="BMI"/>\r\n <text><reference\r\n value="#vit8"/></text>\r\n <statusCode\r\n code="completed"/>\r\n <effectiveTime\r\n value="20120806"/>\r\n <value\r\n xsi:type="PQ"\r\n value="28.09" unit="kg.m2"/>\r\n </observation>\r\n </component>\r\n </organizer>\r\n </entry>\r\n </section>\r\n </component>\r\n \r\n </structuredBody>\r\n </component>\r\n</ClinicalDocument>\r\n'
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