├── README.md
├── No_Information_Problems_Section.xml
├── No_Information_Problems_Section_R2.xml
├── No_Known_Allergies_Status.xml
├── No_Implanted_Devices.xml
├── Plan_of_Treatment_EKG.xml
├── No_Known_Allergies_Status_with_Author_Timestamp.xml
├── Problem_List_Active_Problem.xml
├── noKnownMedication_R1.1.xml
├── Unknown_Immunization_Status.xml
├── Unknown_Immunization_Status_R2.xml
├── No_Known_Medication_Allergies_Status_with_Author_Timestamp.xml
├── No_Known_Health_Concerns.xml
├── Immunization_Not_Given_Patient_Refusal.xml
├── Influenza_Immunization_Complete.xml
├── Plan_of_Treatment_Medication.xml
├── No_Known_Problems_Section_20140226.xml
├── No_Known_Diabetes_Problems_Section.xml
├── No_Known_Problems_Section_R2.xml
├── Health_Concern_Linking_Example.xml
├── Doc-No Known Problems 20140226.xml
└── CCD_Transition_of_Care_Ambulatory_Complete_No_Known_Medications.xml


/README.md:
--------------------------------------------------------------------------------
 1 | # HL7-C-CDA-Task-Force-Examples
 2 | # These are some example C-CDAs created by Brett Marquard of River Rock Associates.
 3 | 
 4 | ## Not all samples have been approved by HL7 Example Task Force, so check out the http://wiki.hl7.org/index.php?title=CDA_Example_Task_Force for current status. 
 5 | 
 6 | The reason why we include complete files above is so that we can validate the XML using industry standard tools, such as the NIST TT Validator. 
 7 | 
 8 | ### Why?
 9 | *Lots* of people have implemented C-CDA and it's the primary document standard in MU2 and now MU3.
10 | (Note: if you'd like to submit a public sample, shcek@ https://github.com/chb/sample_ccdas)
11 | 
12 | ### Fine print
13 | Samples posted here may not been approved by HL7 or any other body. They are educated guesses
14 | 


--------------------------------------------------------------------------------
/No_Information_Problems_Section.xml:
--------------------------------------------------------------------------------
 1 | <!-- ************************* PROBLEM LIST ****************************** -->
 2 | <component>
 3 |     <!-- nullFlavor of NI indicates No Information.-->
 4 |     <!-- Validator currently checks for entries even in case of nullFlavor - this will need to be updated if approved.-->
 5 |     <section nullFlavor="NI">
 6 |         <!-- conforms to Problems section with entries optional -->
 7 |         <templateId root="2.16.840.1.113883.10.20.22.2.5"/>
 8 |         <!-- conforms to Problems section with entries required -->
 9 |         <templateId root="2.16.840.1.113883.10.20.22.2.5.1"/>
10 |         <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
11 |             displayName="PROBLEM LIST"/>
12 |         <title>PROBLEMS</title>
13 |         <text>No Information</text>
14 |     </section>
15 | </component>
16 | 


--------------------------------------------------------------------------------
/No_Information_Problems_Section_R2.xml:
--------------------------------------------------------------------------------
 1 | <!-- ************************* PROBLEM LIST ****************************** -->
 2 | <component>
 3 |     <!-- nullFlavor of NI indicates No Information.-->
 4 |     <!-- Validator currently checks for entries even in case of nullFlavor - this will need to be updated if approved.-->
 5 |     <section nullFlavor="NI">
 6 |         <!-- conforms to Problems section with entries optional -->
 7 |         <templateId root="2.16.840.1.113883.10.20.22.2.5.2"/>
 8 |         <!-- conforms to Problems section with entries required -->
 9 |         <templateId root="2.16.840.1.113883.10.20.22.2.5.1.2"/>
10 |         <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
11 |             displayName="PROBLEM LIST"/>
12 |         <title>PROBLEMS</title>
13 |         <text>No Information</text>
14 |     </section>
15 | </component>
16 | 


--------------------------------------------------------------------------------
/No_Known_Allergies_Status.xml:
--------------------------------------------------------------------------------
 1 | <entry typeCode="DRIV">
 2 |     <!-- Allergy Concern Act -->
 3 |     <act classCode="ACT" moodCode="EVN">
 4 |         <templateId root="2.16.840.1.113883.10.20.22.4.30"/>
 5 |         <id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
 6 |         <!-- Review use of 48765-2 with SDWG, consider consistency with problem concern act -->
 7 |         <code code="48765-2" codeSystem="2.16.840.1.113883.6.1"
 8 |             codeSystemName="LOINC"
 9 |             displayName="Allergies, adverse reactions, alerts"/>
10 |         <statusCode code="active"/> <!--currently tracked concerns are active concerns-->
11 |         <effectiveTime>
12 |             <low value="20091201"/> <!--show time when the concern first began being tracked-->
13 |         </effectiveTime>
14 |         <entryRelationship typeCode="SUBJ">
15 |             <!-- No Known Allergies -->
16 |             <observation classCode="OBS" moodCode="EVN" negationInd="true">
17 |                 <!-- allergy - intolerance observation template -->
18 |                 <templateId root="2.16.840.1.113883.10.20.22.4.7"/>
19 |                 <id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/>
20 |                 <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
21 |                 <statusCode code="completed"/>
22 |                 <!-- date/time the patient made the assertion -->
23 |                 <effectiveTime>
24 |                     <low value="20100103"/>
25 |                 </effectiveTime>
26 |                 <value xsi:type="CD" code="419199007"
27 |                     displayName="Allergy to substance (disorder)"
28 |                     codeSystem="2.16.840.1.113883.6.96"
29 |                     codeSystemName="SNOMED CT"/>
30 |             </observation>
31 |         </entryRelationship>
32 |     </act>
33 | </entry>
34 | 


--------------------------------------------------------------------------------
/No_Implanted_Devices.xml:
--------------------------------------------------------------------------------
 1 | <?xml version="1.0" encoding="UTF-8"?>
 2 | <!-- ************** PROCEDURES and UDI ***************** -->
 3 | <component>
 4 |     <section>
 5 |         <!-- Medical equipment section -->
 6 |         <templateId root="2.16.840.1.113883.10.20.22.2.23" extension="2014-06-09"/>
 7 |         <code code="46264-8" codeSystem="2.16.840.1.113883.6.1" />
 8 |         <title>MEDICAL EQUIPMENT</title>
 9 |         <text><paragraph ID="Proc">Patient has no history of implantable devices</paragraph></text>				
10 |         <entry>
11 |             <procedure classCode="PROC" moodCode="EVN" negationInd="true">
12 |                 <!-- Procedure Activity Procedure V2-->
13 |                 <templateId root="2.16.840.1.113883.10.20.22.4.14"/>
14 |                 <templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/>
15 |                 <id root="d5b614bd-01ce-410d-8726-e1fd01dcc72a" />
16 |                 <code code="71388002" codeSystem="2.16.840.1.113883.6.96"   
17 |                     displayName="Procedure"/>
18 |                 <text>
19 |                     <reference value="#Proc"/>
20 |                 </text>
21 |                 <statusCode code="completed" />
22 |                 <effectiveTime nullFlavor="NA" />
23 |                 <participant typeCode="DEV">
24 |                     <participantRole classCode="MANU">
25 |                         <templateId root="2.16.840.1.113883.10.20.22.4.37"/>
26 |                         <!-- No UDI since no procedure -->
27 |                         <id nullFlavor="NA" root="2.16.840.1.113883.3.3719"/>  
28 |                         <playingDevice>
29 |                             <code code="40388003" codeSystem="2.16.840.1.113883.6.96"   
30 |                                 displayName="Implant"/>
31 |                         </playingDevice>
32 |                         <scopingEntity>
33 |                             <id root="2.16.840.1.113883.3.3719"/>
34 |                         </scopingEntity>
35 |                     </participantRole>
36 |                 </participant>	
37 |             </procedure>
38 |         </entry>
39 |     </section>
40 | </component>
41 | 


--------------------------------------------------------------------------------
/Plan_of_Treatment_EKG.xml:
--------------------------------------------------------------------------------
 1 | <?xml version="1.0" encoding="UTF-8"?>
 2 | <component>
 3 |     <!-- here is the optional Plan of Treatment -->
 4 |     <section>
 5 |         <templateId root="2.16.840.1.113883.10.20.22.2.10"
 6 |             extension="2014-06-09"/>
 7 |         <code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Plan of Care"/>
 8 |         <title>Plan of Treatment</title>
 9 |         <!-- one Planned Observation in the human readable text and as a discrete entry -->
10 |         <text>
11 |             <!-- this section may contain many different Planned items, so we use the table caption to help identify each -->
12 |             <table>
13 |                 <caption>Planned Observation</caption>
14 |                 <thead>
15 |                     <tr>
16 |                         <th>Name</th>
17 |                         <th>Date</th>
18 |                         <th>Details</th>
19 |                     </tr>
20 |                 </thead>
21 |                 <tbody>
22 |                     <tr ID="ID0EFFFFFFCAB2">
23 |                         <td ID="ID0EFAAAAACAB2">EKG 12 channel panel</td>
24 |                         <td>June 23, 2015</td>
25 |                         <td/>
26 |                     </tr>
27 |                 </tbody>
28 |             </table>
29 |         </text>
30 |         <!-- a planned observation entry -->
31 |         <entry>
32 |             <!-- encounter with moodCode indicating Intent -->
33 |             <observation classCode="OBS" moodCode="INT">
34 |                 <templateId root="2.16.840.1.113883.10.20.22.4.44" 
35 |                     extension="2014-06-09"/>
36 |                 <id root="b52bee94-c34b-4e2c-8c15-5ad9d6def205" />
37 |                 <code code="34534-8" 
38 |                     codeSystem="2.16.840.1.113883.6.1" 
39 |                     codeSystemName="LOINC" 
40 |                     displayName="EKG 12 channel panel">
41 |                     <originalText>
42 |                         <reference value="#ID0EFAAAAACAB2"></reference>
43 |                     </originalText>
44 |                 </code>
45 |                 <text>
46 |                     <!-- referencing the entire text -->
47 |                     <reference value="#ID0EFFFFFFCAB2"/>
48 |                 </text>
49 |                 <statusCode code="active" />
50 |                 <effectiveTime value="20150623"/>
51 |             </observation>
52 |         </entry>
53 |     </section>
54 | </component>
55 | 


--------------------------------------------------------------------------------
/No_Known_Allergies_Status_with_Author_Timestamp.xml:
--------------------------------------------------------------------------------
 1 | <entry typeCode="DRIV">
 2 |     <!-- Allergy Concern Act -->
 3 |     <act classCode="ACT" moodCode="EVN">
 4 |         <templateId root="2.16.840.1.113883.10.20.22.4.30"/>
 5 |         <id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
 6 |         <!-- SDWG supports 48765-2 or CONC in the code element -->
 7 |         <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
 8 |         <statusCode code="active"/> <!--currently tracked concerns are active concerns-->
 9 |         <effectiveTime>
10 |             <low value="20091201"/> <!--show time when the concern first began being tracked-->
11 |         </effectiveTime>
12 |         <entryRelationship typeCode="SUBJ">
13 |             <!-- No Known Allergies -->
14 |             <!-- The negationInd = true negates the observation/value -->
15 |             <!-- The use of negationInd corresponds with the newer Observation.valueNegationInd -->
16 |             <observation classCode="OBS" moodCode="EVN" negationInd="true">
17 |                 <!-- allergy - intolerance observation template -->
18 |                 <templateId root="2.16.840.1.113883.10.20.22.4.7"/>
19 |                 <id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/>
20 |                 <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
21 |                 <statusCode code="completed"/>
22 |                 <!-- N/A - author/time records when this assertion was made -->
23 |                 <effectiveTime>
24 |                     <low nullFlavor= "NA" />
25 |                 </effectiveTime>
26 |                 <value xsi:type="CD" code="419199007"
27 |                     displayName="Allergy to substance (disorder)"
28 |                     codeSystem="2.16.840.1.113883.6.96"
29 |                     codeSystemName="SNOMED CT"/>
30 |                 <author>
31 |                     <time value="20100103"/>
32 |                     <assignedAuthor>
33 |                         <id extension="99999999" root="2.16.840.1.113883.4.6"/>
34 |                         <code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
35 |                             displayName="Allopathic &amp; Osteopathic Physicians"/>
36 |                         <telecom use="WP" value="tel:555-555-1002"/>
37 |                         <assignedPerson>
38 |                             <name>
39 |                                 <given>Henry</given>
40 |                                 <family>Seven</family>
41 |                             </name>
42 |                         </assignedPerson>
43 |                     </assignedAuthor>
44 |                 </author>
45 |                 <!-- In C-CDA R2 the participant is required. The SNOMED code ="105590001" displayName="Substance" could be used in the participant-->
46 |             </observation>
47 |         </entryRelationship>
48 |     </act>
49 | </entry>
50 | 


--------------------------------------------------------------------------------
/Problem_List_Active_Problem.xml:
--------------------------------------------------------------------------------
 1 | <section>
 2 |     <templateId root="2.16.840.1.113883.10.20.22.2.5.1"/>
 3 |     <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" displayName="Problem List"/>
 4 |     <title>Problem List</title>
 5 |     <text>
 6 |         <table>
 7 |             <thead>
 8 |                 <tr>
 9 |                     <th>Name</th>
10 |                     <th>Dates</th>
11 |                     <th>Status</th>
12 |                 </tr>
13 |             </thead>
14 |             <tbody>
15 |                 <tr ID="Problem1">
16 |                     <td>Community Acquired Pneumonia</td>
17 |                     <td>
18 |                         <content>Onset: February 27 2014</content>
19 |                     </td>
20 |                     <td>Active</td>
21 |                 </tr>
22 |             </tbody>
23 |         </table>
24 |     </text>
25 |     <entry>
26 |         <act classCode="ACT" moodCode="EVN">
27 |             <templateId root="2.16.840.1.113883.10.20.22.4.3" />
28 |             <id root="102ca2e9-884c-4523-a2b4-1b6c3469c397" />
29 |             <code code="CONC" codeSystem="2.16.840.1.113883.5.6" />
30 |             <!-- Since this is an active problem, the concern status is active. -->
31 |             <!-- While clinicians can track resolved problems, generally active problems will have active concern status and resolved concerns will be completed -->
32 |             <statusCode code="active" />
33 |             <effectiveTime>
34 |                 <!-- This equates to the time the concern was authored in the patient's chart. This may frequently be an EHR timestamp-->
35 |                 <low value="20140302124536+0500" />
36 |             </effectiveTime>
37 |             <entryRelationship typeCode="SUBJ">
38 |                 <observation classCode="OBS" moodCode="EVN">
39 |                     <templateId root="2.16.840.1.113883.10.20.22.4.4" />
40 |                     <id extension="10241104348" root="1.3.6.1.4.1.22812.4.111.0.4.1.2.1" />
41 |                     <code codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="55607006" displayName="Problem" />
42 |                     <text>
43 |                         <reference value="#Problem1" />
44 |                     </text>
45 |                     <statusCode code="completed"/>
46 |                     <effectiveTime>
47 |                         <!-- This represents the date of biological onset. -->
48 |                         <low value="20140227"/>
49 |                     </effectiveTime>
50 |                     <!-- This is a SNOMED code as the primary vocabulary for problem lists-->
51 |                     <value xsi:type="CD" code="385093006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Community Acquired Pneumonia"/>							
52 |                 </observation>
53 |             </entryRelationship>
54 |         </act>
55 |     </entry>
56 | </section>


--------------------------------------------------------------------------------
/noKnownMedication_R1.1.xml:
--------------------------------------------------------------------------------
 1 | <component>
 2 |     <section>
 3 |         <!-- conforms to Medications section with entries optional -->
 4 |         <templateId root="2.16.840.1.113883.10.20.22.2.1"/>
 5 |         <!-- Medications section with entries required -->
 6 |         <templateId root="2.16.840.1.113883.10.20.22.2.1.1"/>
 7 |         <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
 8 |             displayName="HISTORY OF MEDICATION USE"/>
 9 |         <title>MEDICATIONS</title>
10 |         <text>No Medications</text>
11 |         <entry>
12 |             <!-- Act.actionNegationInd -->
13 |             <substanceAdministration moodCode="EVN" classCode="SBADM" negationInd="true">
14 |                 <templateId root="2.16.840.1.113883.10.20.22.4.16"/>
15 |                 <!-- ** MEDICATION ACTIVITY -->
16 |                 <id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/>
17 |                 <statusCode code="active"/>
18 |                 <!-- Note: An error will be logged on the use of effectiveTime with nullFlavor until validator is updated for C-CDA DSTU Comment 423 -->
19 |                 <effectiveTime nullFlavor="NA"/>
20 |                 <consumable>
21 |                     <manufacturedProduct classCode="MANU">
22 |                         <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
23 |                         <manufacturedMaterial>
24 |                             <code nullFlavor="OTH" codeSystem="2.16.840.1.113883.6.88"> 
25 |                                 <translation code="410942007" displayName="drug or medication"
26 |                                     codeSystem="2.16.840.1.113883.6.96"            
27 |                                     codeSystemName="SNOMED CT"/>
28 |                             </code>
29 |                         </manufacturedMaterial>
30 |                     </manufacturedProduct>
31 |                 </consumable>
32 |                 <author>
33 |                     <!-- Time the author noted that patient is on no medications -->
34 |                     <time value="20130607160506+0500"/>
35 |                     <assignedAuthor>
36 |                         <id extension="66666" root="2.16.840.1.113883.4.6"/>
37 |                         <code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"
38 |                             displayName="Cardiovascular Disease"/>
39 |                         <addr>
40 |                             <streetAddressLine>6666 StreetName St.</streetAddressLine>
41 |                             <city>Silver Spring</city><state>MD</state><postalCode>20901</postalCode>
42 |                             <country>US</country>
43 |                         </addr>
44 |                         <telecom value="tel:+1(301)666-6666" use="WP"/>
45 |                         <assignedPerson>
46 |                             <name>
47 |                                 <given>Heartly</given>
48 |                                 <family>Sixer</family>
49 |                                 <suffix>MD</suffix>
50 |                             </name>
51 |                         </assignedPerson>
52 |                     </assignedAuthor>
53 |                 </author>
54 |             </substanceAdministration>
55 |         </entry>
56 |     </section>
57 | </component>
58 | 
59 | 


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/Unknown_Immunization_Status.xml:
--------------------------------------------------------------------------------
 1 | <component>
 2 |     <section>
 3 |         <!-- conforms to Immunizations section with entries optional -->
 4 |         <templateId root="2.16.840.1.113883.10.20.22.2.2"/>
 5 |         <!-- Immunizations section with entries required -->
 6 |         <templateId root="2.16.840.1.113883.10.20.22.2.2.1"/>
 7 |         <code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
 8 |             displayName="History of immunizations"/>
 9 |         <title>IMMUNIZATIONS</title>
10 |         <text>
11 |             <content ID="immunSect"/>
12 |             <table border="1" width="100%">
13 |                 <thead>
14 |                     <tr>
15 |                         <th>Vaccine</th>
16 |                         <th>Date</th>
17 |                         <th>Status</th>
18 |                     </tr>
19 |                 </thead>
20 |                 <tbody>
21 |                     <tr ID="immun1">
22 |                         <td> Unknown Immunization  Status</td>
23 |                         <td>Nov 1999</td>
24 |                         <td>Completed</td>
25 |                     </tr>
26 |                 </tbody>
27 |             </table>
28 |         </text>
29 |         <entry>
30 |             <substanceAdministration moodCode="EVN" classCode="SBADM" negationInd="false" nullFlavor="NI">
31 |                 <!--  We selected NI for this example, C-CDA R2 may describe other appropriate nullFlavors -->
32 |                 <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
33 |                 <!--  ****   Immunization activity template    **** -->
34 |                 <id root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f88"/>
35 |                 <!-- No information on whether the patient received a vaccination -->
36 |                 <text>
37 |                     <reference value="#immun1"/>
38 |                 </text>
39 |                 <!-- Link to narrative stating no information on whether the patient received a vaccination -->
40 |                 <statusCode code="completed"/>
41 |                 <effectiveTime value="199911"/>
42 |                 <!-- Date which you do not know whether or not patient received a vaccination -->
43 |                 <consumable>
44 |                     <manufacturedProduct classCode="MANU">
45 |                         <!-- ** Immunization medication information ** -->
46 |                         <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
47 |                         <manufacturedMaterial>
48 |                             <!-- Needed to use nullFlavor of OTH since templates requires CVX in code element-->
49 |                             <code nullFlavor="OTH">
50 |                                 <!-- Optional original text -->
51 |                                 <originalText>Vaccination</originalText>
52 |                                 <translation code="71181003" displayName="vaccine"
53 |                                     codeSystem="2.16.840.1.113883.6.96"
54 |                                     codeSystemName="SNOMED CT"/>
55 |                             </code>
56 |                         </manufacturedMaterial>
57 |                     </manufacturedProduct>
58 |                 </consumable>
59 |             </substanceAdministration>
60 |         </entry>
61 |     </section>
62 | </component>


--------------------------------------------------------------------------------
/Unknown_Immunization_Status_R2.xml:
--------------------------------------------------------------------------------
 1 | <component>
 2 |     <section>
 3 |         <!-- conforms to Immunizations section with entries optional -->
 4 |         <templateId root="2.16.840.1.113883.10.20.22.2.2.2"/>
 5 |         <!-- Immunizations section with entries required -->
 6 |         <templateId root="2.16.840.1.113883.10.20.22.2.2.1.2"/>
 7 |         <code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
 8 |             displayName="History of immunizations"/>
 9 |         <title>IMMUNIZATIONS</title>
10 |         <text>
11 |             <content ID="immunSect"/>
12 |             <table border="1" width="100%">
13 |                 <thead>
14 |                     <tr>
15 |                         <th>Vaccine</th>
16 |                         <th>Date</th>
17 |                         <th>Status</th>
18 |                     </tr>
19 |                 </thead>
20 |                 <tbody>
21 |                     <tr ID="immun1">
22 |                         <td> Unknown Immunization Status</td>
23 |                         <td>Nov 1999</td>
24 |                         <td>Completed</td>
25 |                     </tr>
26 |                 </tbody>
27 |             </table>
28 |         </text>
29 |         <entry>
30 |             <substanceAdministration moodCode="EVN" classCode="SBADM" negationInd="false" nullFlavor="NI">
31 |                 <!--  We selected NI for this example, C-CDA R2 did not describe other appropriate nullFlavors -->
32 |                 <templateId root="2.16.840.1.113883.10.20.22.4.52.2"/>
33 |                 <!--  ****   Immunization activity template    **** -->
34 |                 <id root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f88"/>
35 |                 <!-- No information on whether the patient received a vaccination -->
36 |                 <text>
37 |                     <reference value="#immun1"/>
38 |                 </text>
39 |                 <!-- Link to narrative stating no information on whether the patient received a vaccination -->
40 |                 <statusCode code="completed"/>
41 |                 <effectiveTime value="199911"/>
42 |                 <!-- Date which you do not know whether or not patient received a vaccination -->
43 |                 <consumable>
44 |                     <manufacturedProduct classCode="MANU">
45 |                         <!-- ** Immunization medication information ** -->
46 |                         <templateId root="2.16.840.1.113883.10.20.22.4.54.2"/>
47 |                         <manufacturedMaterial>
48 |                             <!-- Needed to use nullFlavor of OTH since templates requires CVX in code element-->
49 |                             <code nullFlavor="OTH">
50 |                                 <!-- Optional original text -->
51 |                                 <originalText>Vaccination</originalText>
52 |                                 <translation code="71181003" displayName="vaccine"
53 |                                     codeSystem="2.16.840.1.113883.6.96"
54 |                                     codeSystemName="SNOMED CT"/>
55 |                             </code>
56 |                         </manufacturedMaterial>
57 |                     </manufacturedProduct>
58 |                 </consumable>
59 |             </substanceAdministration>
60 |         </entry>
61 |     </section>
62 | </component>


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/No_Known_Medication_Allergies_Status_with_Author_Timestamp.xml:
--------------------------------------------------------------------------------
 1 | <?xml version="1.0" encoding="UTF-8"?>
 2 | <section>
 3 |     <templateId root="2.16.840.1.113883.10.20.22.2.6.1"/>
 4 |     <!-- Allergies (entries required) section template -->
 5 |     <code code="48765-2" codeSystem="2.16.840.1.113883.6.1"/>
 6 |     <title>Allergies, Adverse Reactions and Alerts</title>
 7 |     <text>No Known Drug Allergies</text>
 8 |     <entry typeCode="DRIV">
 9 |         <!-- Allergy Concern Act -->
10 |         <act classCode="ACT" moodCode="EVN">
11 |             <templateId root="2.16.840.1.113883.10.20.22.4.30"/>
12 |             <id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
13 |             <!-- SDWG supports 48765-2 or CONC in the code element -->
14 |             <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
15 |             <statusCode code="active"/>
16 |             <!--currently tracked concerns are active concerns-->
17 |             <effectiveTime>
18 |                 <low value="20140104"/>
19 |                 <!--show time when the concern first began being tracked-->
20 |             </effectiveTime>
21 |             <entryRelationship typeCode="SUBJ">
22 |                 <!-- No Known Drug Allergies -->
23 |                 <!-- The negationInd = true negates the observation/value -->
24 |                 <!-- The use of negationInd corresponds with the newer Observation.valueNegationInd -->
25 |                 <observation classCode="OBS" moodCode="EVN" negationInd="true">
26 |                     <!-- allergy - intolerance observation template -->
27 |                     <templateId root="2.16.840.1.113883.10.20.22.4.7"/>
28 |                     <id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/>
29 |                     <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
30 |                     <statusCode code="completed"/>
31 |                     <!-- N/A - author/time records when this assertion was made -->
32 |                     <effectiveTime nullFlavor="NA"/>
33 |                     <value xsi:type="CD" code="416098002"
34 |                         displayName="Drug allergy (disorder)"
35 |                         codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
36 |                     <author>
37 |                         <time value="20140104123506+0500"/>
38 |                         <assignedAuthor>
39 |                             <id extension="99999999" root="2.16.840.1.113883.4.6"/>
40 |                             <code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
41 |                                 displayName="Allopathic &amp; Osteopathic Physicians"/>
42 |                             <telecom use="WP" value="tel:555-555-1002"/>
43 |                             <assignedPerson>
44 |                                 <name>
45 |                                     <given>Henry</given>
46 |                                     <family>Seven</family>
47 |                                 </name>
48 |                             </assignedPerson>
49 |                         </assignedAuthor>
50 |                     </author>     
51 |                     <!-- In C-CDA R2 the participant is required. The SNOMED code ="410942007" displayName="drug or medication" could be used in the participant-->
52 |                 </observation>
53 |             </entryRelationship>
54 |         </act>
55 |     </entry>
56 | </section>
57 | 


--------------------------------------------------------------------------------
/No_Known_Health_Concerns.xml:
--------------------------------------------------------------------------------
 1 | <?xml version="1.0" encoding="UTF-8"?>
 2 | <component>
 3 |     <!-- No known health concerns is different than no information about health concerns --> 
 4 |     <!-- This example records assertion of no concerns -->
 5 |     <section>
 6 |         <!-- Health Concerns Section (V2) (V1 was added as a NEW template in R2.0, V2 was updated in R2.1) -->
 7 |         <templateId root="2.16.840.1.113883.10.20.22.2.58" extension="2015-08-01"/>
 8 |         <code code="75310-3" displayName="Health Concerns Document"
 9 |             codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
10 |         <title>Health Concerns</title>
11 |         <!--Including ID at text element is allowed -->
12 |         <text ID="HealthConcern_1">No Known Health Concerns on 11/15/2015</text>
13 |         <entry typeCode="COMP">
14 |             <!-- negationInd=true indicates no known health concerns at the stated time-->
15 |             <act classCode="ACT" moodCode="EVN" negationInd="true">
16 |                 <templateId root="2.16.840.1.113883.10.20.22.4.132" extension="2015-08-01"/>
17 |                 <id root="4eab0e52-dd7d-4285-99eb-72d32ddb195d"/>
18 |                 <code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
19 |                     displayName="Health Concern"/>
20 |                 <text>
21 |                     <reference value="#HealthConcern_1"/>
22 |                 </text>
23 |                 <!-- This Health Concern has a statusCode of concern because assertion is ongoing -->
24 |                 <statusCode code="active"/>
25 |                 <!-- The effective time is the date that the Health Concern started being followed - 
26 |                     this does not necessarily correlate to the onset date of the contained health issues-->
27 |                 <effectiveTime value="20151115123506+0500"/>
28 |                 <!-- Time at which THIS “concern” began being tracked.-->
29 |                 <!-- Optional Author Element-->
30 |                 <!-- This is different then No Known Problems in that we aren't requiring declaration that no concerns
31 |                 for each of the potential 30+ choices available.-->
32 |                 <author>
33 |                     <time value="20151115"/>
34 |                     <assignedAuthor>
35 |                         <id extension="66666" root="2.16.840.1.113883.4.6"/>
36 |                         <code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101"
37 |                             codeSystemName="NUCC" displayName="Cardiovascular Disease"/>
38 |                         <addr>
39 |                             <streetAddressLine>6666 StreetName St.</streetAddressLine>
40 |                             <city>Silver Spring</city>
41 |                             <state>MD</state>
42 |                             <postalCode>20901</postalCode>
43 |                             <country>US</country>
44 |                         </addr>
45 |                         <telecom value="tel:+1(301)666-6666" use="WP"/>
46 |                         <assignedPerson>
47 |                             <name>
48 |                                 <given>Heartly</given>
49 |                                 <family>Sixer</family>
50 |                                 <suffix>MD</suffix>
51 |                             </name>
52 |                         </assignedPerson>
53 |                     </assignedAuthor>
54 |                 </author>
55 |             </act>
56 |         </entry>
57 |     </section>
58 | </component>
59 | 


--------------------------------------------------------------------------------
/Immunization_Not_Given_Patient_Refusal.xml:
--------------------------------------------------------------------------------
 1 | <?xml version="1.0" encoding="UTF-8"?>
 2 | <component>
 3 |     <section>
 4 |         <!-- Immunizations section with entries required -->
 5 |         <templateId root="2.16.840.1.113883.10.20.22.2.2.1"/>
 6 |         <templateId root="2.16.840.1.113883.10.20.22.2.2.1" extension="2015-08-01"/>
 7 |         <code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
 8 |             displayName="History of Immunizations"/>
 9 |         <title>Immunizations</title>
10 |         <text><paragraph ID="immun1">Patient objected to <content ID="ImmunizationProduct_1">influenza, intradermal, quadrivalent</content> on 11/15/2015</paragraph></text>
11 |         <entry typeCode="COMP">
12 |             <!-- negationInd=true indicates substance was NOT given at this date-->
13 |             <substanceAdministration classCode="SBADM" moodCode="EVN"
14 |                 negationInd="true">
15 |                 <!-- ** Immunization activity ** -->
16 |                 <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
17 |                 <templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/>
18 |                 <id root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"/>
19 |                 <text>
20 |                     <reference value="#immun1"/>
21 |                 </text>
22 |                 <!-- Indicates the status of the substanceAdministartion -->
23 |                 <statusCode code="completed"/>
24 |                 <effectiveTime value="20151115"/>
25 |                 <consumable>
26 |                     <manufacturedProduct classCode="MANU">
27 |                         <!-- ** Immunization medication information ** -->
28 |                         <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
29 |                         <manufacturedMaterial>
30 |                             <code code="166" codeSystem="2.16.840.1.113883.12.292"
31 |                                 displayName="influenza, intradermal, quadrivalent, preservative free"
32 |                                 codeSystemName="CVX">
33 |                                 <originalText>
34 |                                     <reference value="#ImmunizationProduct_1"/>
35 |                                 </originalText>
36 |                             </code>
37 |                             <lotNumberText>1</lotNumberText>
38 |                         </manufacturedMaterial>
39 |                         <!-- Optional manufacturerOrganization
40 |                     				<manufacturerOrganization>
41 |                      				   <name>Health LS - Immuno Inc.</name>
42 |                    					 </manufacturerOrganization>-->
43 |                     </manufacturedProduct>
44 |                 </consumable>
45 |                 <entryRelationship typeCode="RSON">
46 |                     <observation classCode="OBS" moodCode="EVN">
47 |                         <!-- Immunization Refusal Reason  -->
48 |                         <!-- Included the reason since it may be relevant to a future clinician or quality measurement -->
49 |                         <templateId root="2.16.840.1.113883.10.20.22.4.53"/>
50 |                         <id root="c1296315-9a6d-45a2-aac0-ee225d375409"/>
51 |                         <code displayName="Patient Objection" code="PATOBJ"
52 |                             codeSystemName="HL7 ActNoImmunizationReason" codeSystem="2.16.840.1.113883.5.8"/>
53 |                         <statusCode code="completed"/>
54 |                     </observation>								
55 |                 </entryRelationship>
56 |             </substanceAdministration>
57 |         </entry>
58 |     </section>        
59 | </component>


--------------------------------------------------------------------------------
/Influenza_Immunization_Complete.xml:
--------------------------------------------------------------------------------
 1 | <?xml version="1.0" encoding="UTF-8"?>
 2 | <section>
 3 |     <!-- conforms to Immunizations section with entries optional -->
 4 |     <templateId root="2.16.840.1.113883.10.20.22.2.2"/>
 5 |     <!-- Immunizations section with entries required -->
 6 |     <templateId root="2.16.840.1.113883.10.20.22.2.2.1"/>
 7 |     <code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
 8 |         displayName="History of immunizations"/>
 9 |     <title>IMMUNIZATIONS</title>
10 |     <text>
11 |         <content ID="immunSect"/>
12 |         <table border="1" width="100%">
13 |             <thead>
14 |                 <tr>
15 |                     <th>Vaccine</th>
16 |                     <th>Lot Number</th>
17 |                     <th>Date</th>
18 |                     <th>Status</th>
19 |                 </tr>
20 |             </thead>
21 |             <tbody>
22 |                 <tr ID="immun1">
23 |                     <td>Influenza Virus Vaccine</td>
24 |                     <td>1</td>
25 |                     <td>8/15/2010</td>
26 |                     <td>Completed</td>
27 |                 </tr>
28 |             </tbody>
29 |         </table>
30 |     </text>
31 |     <entry typeCode="DRIV">
32 |         <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
33 |             <!-- ** Immunization activity ** -->
34 |             <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
35 |             <id root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"/>
36 |             <text>
37 |                 <reference value="#immun1"/>
38 |             </text>
39 |             <!-- Indicates the status of the substanceAdministartion -->
40 |             <statusCode code="completed"/>
41 |             <effectiveTime value="20100815"/>
42 |             <consumable>
43 |                 <manufacturedProduct classCode="MANU">
44 |                     <!-- ** Immunization medication information ** -->
45 |                     <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
46 |                     <manufacturedMaterial>
47 |                         <code code="88" codeSystem="2.16.840.1.113883.12.292"
48 |                             displayName="Influenza virus vaccine" codeSystemName="CVX"/>                                           
49 |                         <lotNumberText>1</lotNumberText>
50 |                     </manufacturedMaterial>
51 |                   <!-- Optional manufacturerOrganization
52 |                     <manufacturerOrganization>
53 |                         <name>Health LS - Immuno Inc.</name>
54 |                     </manufacturerOrganization>-->
55 |                 </manufacturedProduct>  
56 |             </consumable>
57 |             <!-- Optional Performer 
58 |             <performer>
59 |                 <assignedEntity>
60 |                     <id root="2.16.840.1.113883.19.5.9999.456" extension="2981824"/>
61 |                     <addr>
62 |                         <streetAddressLine>1021 Health Drive</streetAddressLine>
63 |                         <city>Ann Arbor</city>
64 |                         <state>MI</state>
65 |                         <postalCode>99099</postalCode>
66 |                         <country>US</country>
67 |                     </addr>
68 |                     <telecom nullFlavor="UNK"/>
69 |                     <assignedPerson>
70 |                         <name>
71 |                             <given>Amanda</given>
72 |                             <family>Assigned</family>
73 |                         </name>
74 |                     </assignedPerson>
75 |                     <representedOrganization>
76 |                         <id root="2.16.840.1.113883.19.5.9999.1394"/>
77 |                         <name>Good Health Clinic</name>
78 |                         <telecom nullFlavor="UNK"/>
79 |                         <addr nullFlavor="UNK"/>
80 |                     </representedOrganization>
81 |                 </assignedEntity>
82 |             </performer> -->
83 |         </substanceAdministration>
84 |     </entry>
85 | </section>
86 | 


--------------------------------------------------------------------------------
/Plan_of_Treatment_Medication.xml:
--------------------------------------------------------------------------------
 1 | <?xml version="1.0" encoding="UTF-8"?>
 2 | <component>
 3 |     <!-- here is the optional Plan of Treatment -->
 4 |     <!-- Plan for Clindamycin 300mg , RxNorm code – 748747, TID, if pain does not subside by the end of the day.-->
 5 |     <section>
 6 |         <templateId root="2.16.840.1.113883.10.20.22.2.10"/>
 7 |         <templateId root="2.16.840.1.113883.10.20.22.2.10"
 8 |             extension="2014-06-09"/>
 9 |         <code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Plan of Care"/>
10 |         <title>Plan of Treatment</title>
11 |         <!-- one Planned medication in the human readable text and as a discrete entry -->
12 |         <text>
13 |             <!-- this section may contain many different Planned items, so we use the table caption to help identify each -->
14 |             <table border="1" width="100%">
15 |                 <thead>
16 |                     <tr>
17 |                         <th>Planned Medication</th>
18 |                         <th>Instructions</th>
19 |                         <th>Dosage</th>
20 |                         <th>Effective Dates (start - stop)</th>
21 |                         <th>Status</th>
22 |                     </tr>
23 |                 </thead>
24 |                 <tbody>
25 |                     <tr ID="Medication_1">
26 |                         <td>
27 |                             <content ID="MedicationName_1" xmlns="urn:hl7-org:v3">Clindamycin 300 MG</content>
28 |                         </td>
29 |                         <td>
30 |                             <content ID="MedicationSig_1" xmlns="urn:hl7-org:v3">take every 8 hours if pain does not subside by the end of the day</content>
31 |                         </td>
32 |                         <td/>
33 |                         <td>June-22-2015 - </td>
34 |                         <td>Active</td>
35 |                     </tr>
36 |                 </tbody>
37 |             </table>
38 |         </text>
39 |         <!-- a planned medication entry -->
40 |         <entry typeCode="DRIV">
41 |             <substanceAdministration classCode="SBADM" moodCode="INT">
42 |                 <!-- This medication use case is a medication to be administered. If it has been already administered use moodCode = "EVN". If an ordered drug then use moodCode = "RQO" -->
43 |                 <!-- Dependencies exist between moodCode, statusCode and effectiveTime  -->
44 |                 <templateId root="2.16.840.1.113883.10.20.22.4.42"/>
45 |                 <templateId root="2.16.840.1.113883.10.20.22.4.42" extension="2014-06-09"/>
46 |                 <id root="55a199af-3373-4a74-a766-27cea1ea0b46"/>
47 |                 <text>
48 |                     <!-- This reference refers to medication information in unstructured portion of section-->
49 |                     <reference value="#Medication_1"/>
50 |                 </text>
51 |                 <statusCode code="active"/>
52 |                 <!-- This first effectiveTime shows that medication was prescribed on January 18, 2014 (not known to have stopped)-->
53 |                 <effectiveTime xsi:type="IVL_TS">
54 |                     <low value="20150622"/>
55 |                     <high nullFlavor="NI"/>
56 |                 </effectiveTime>
57 |                 <!-- This second effectiveTime represents every 8 hours from medication sig. -->
58 |                 <!-- InstituionSpecified = "false" is implied in ths omission of this attribute and means that it must be administered exactly once per day-->
59 |                 <!-- InstituionSpecified = "true"which is not default would mean that receiving institution has flexibility in dosing schedule-->
60 |                 <!-- Operator "A" means that this timing information is in addition to previous effectiveTime information provided-->
61 |                 <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
62 |                     <period value="8" unit="h"/>
63 |                 </effectiveTime>
64 |                 <consumable>
65 |                     <manufacturedProduct classCode="MANU">
66 |                         <!-- ** Medication information ** -->
67 |                         <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
68 |                         <id root="c195b8ec-9ef4-400e-8e35-9b7710703180"/>
69 |                         <manufacturedMaterial>
70 |                             <!-- Medications should be specified at a level corresponding to prescription when possible, such as 30mg oral tablet (branded)-->
71 |                             <code code="748747" displayName="Clindamycin 300 MG" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm">
72 |                                 <originalText>
73 |                                     <reference value="#MedicationName_1"/>
74 |                                 </originalText>
75 |                             </code>
76 |                         </manufacturedMaterial>
77 |                     </manufacturedProduct>
78 |                 </consumable>
79 |             </substanceAdministration>
80 |         </entry>
81 |       </section>
82 | </component>


--------------------------------------------------------------------------------
/No_Known_Problems_Section_20140226.xml:
--------------------------------------------------------------------------------
 1 | <?xml version="1.0" encoding="UTF-8"?>
 2 | <!-- Problem Section -->
 3 | <component>
 4 |     <section>
 5 |         <templateId root="2.16.840.1.113883.10.20.22.2.5.1"/> <!-- Problem Section with Coded Entries Required -->
 6 |         <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem List"/>
 7 |         <title>PROBLEMS</title>
 8 |         <text ID="Concern_1">
 9 |             Problem Concern:<br/>
10 |             Concern Tracker Start Date: 06/07/2013 16:05:06<br/>
11 |             Concern Tracker End Date: <br/>
12 |             Concern Status: Active<br/>
13 |             <content ID="problems1">No known <content ID="problemType1">problems.</content></content>
14 |         </text>
15 |         <entry typeCode="DRIV">
16 |             <!-- Problem Concern Act -->	
17 |             <act classCode="ACT" moodCode="EVN">
18 |                 <templateId root="2.16.840.1.113883.10.20.22.4.3"/>
19 |                 <id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
20 |                 <!-- SDWG supports 48765-2 or CONC in the code element -->
21 |                 <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
22 |                 <text><reference value="#Concern_1"></reference></text>
23 |                 <statusCode code="active"/> <!-- The concern is not active, in terms of there being an active condition to be managed.-->
24 |                 <effectiveTime>
25 |                     <low value="20130607160506"/> <!-- Time at which THIS “concern” began being tracked.-->
26 |                 </effectiveTime> <!-- status is active so high is not applicable. If high is present it should have nullFlavor of NA-->
27 |                 <!-- Optional Author Element-->
28 |                 <author>
29 |                     <time value="20130607160506"/>
30 |                     <assignedAuthor>
31 |                         <id extension="66666" root="2.16.840.1.113883.4.6"/>
32 |                         <code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"
33 |                             displayName="Cardiovascular Disease"/>
34 |                         <addr>
35 |                             <streetAddressLine>6666 StreetName St.</streetAddressLine>
36 |                             <city>Silver Spring</city><state>MD</state><postalCode>20901</postalCode>
37 |                             <country>US</country>
38 |                         </addr>
39 |                         <telecom value="tel:+1(301)666-6666" use="WP"/>
40 |                         <assignedPerson>
41 |                             <name>
42 |                                 <given>Heartly</given>
43 |                                 <family>Sixer</family>
44 |                                 <suffix>MD</suffix>
45 |                             </name>
46 |                         </assignedPerson>
47 |                     </assignedAuthor>
48 |                 </author>
49 |                 <entryRelationship typeCode="SUBJ">
50 |                     <observation classCode="OBS" moodCode="EVN" negationInd="true">
51 |                         <!-- Model of Meaning for No Problems -->
52 |                         <!-- This is more consistent with how we did no known allergies. -->
53 |                         <!-- The use of negationInd corresponds with the newer Observation.ValueNegationInd -->
54 |                         <!-- The negationInd = true negates the value element. --> 
55 |                         <!-- problem observation template -->
56 |                         <templateId root="2.16.840.1.113883.10.20.22.4.4"/>
57 |                         <id root="4adc1021-7b14-11db-9fe1-0800200c9a67"/>
58 |                         <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
59 |                         <text><reference value="#problems1"></reference></text>
60 |                         <statusCode code="completed"/>
61 |                         <effectiveTime>
62 |                             <low value="20130607160506"/>
63 |                         </effectiveTime>
64 |                         <!-- The time when this was biologically relevant ie True for the patient. -->
65 |                         <!-- As a minimum time interval over which this is true, populate the effectiveTime/low with the current time. -->
66 |                         <!-- It would be equally valid to have a longer range of time over which this statement was represented as being true. -->
67 |                         <!-- As a maximum, you would never indicate an effectiveTime/high that was greater than the current point in time. -->
68 |                         
69 |                         <!-- This idea assumes that the value element could come from the Problem value set, or-->
70 |                         <!-- when negationInd was true, is could also come from the ProblemType value set (and code would be ASSERTION). -->
71 |                         <value xsi:type="CD" code="55607006"
72 |                             displayName="Problem"
73 |                             codeSystem="2.16.840.1.113883.6.96"
74 |                             codeSystemName="SNOMED CT">
75 |                             <originalText><reference value="#problemType1"></reference></originalText>
76 |                         </value>
77 |                     </observation>
78 |                 </entryRelationship>
79 |             </act>
80 |         </entry>
81 |     </section>
82 | </component>
83 | 


--------------------------------------------------------------------------------
/No_Known_Diabetes_Problems_Section.xml:
--------------------------------------------------------------------------------
 1 | <?xml version="1.0" encoding="UTF-8"?>
 2 | <!-- Problem Section -->
 3 | <component>
 4 |     <section>
 5 |         <templateId root="2.16.840.1.113883.10.20.22.2.5.1"/> <!-- Problem Section with Coded Entries Required -->
 6 |         <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem List"/>
 7 |         <title>PROBLEMS</title>
 8 |         <text ID="Concern_1">
 9 |             Problem Concern:<br/>
10 |             Concern Tracker Start Date: 12/01/2015 16:05:06<br/>
11 |             Concern Tracker End Date: <br/>
12 |             Concern Status: Active<br/>
13 |             <content ID="problems1">Ruled out <content ID="problemType1">diabetes.</content></content>
14 |               <!-- The statement above and the associated problem observation could be placed in the History of Past Illness Section -->
15 |         </text>
16 |         <entry typeCode="COMP">
17 |             <!-- Problem Concern Act -->	
18 |             <act classCode="ACT" moodCode="EVN">
19 |                 <templateId root="2.16.840.1.113883.10.20.22.4.3"/>
20 |                 <id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
21 |                 <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
22 |                 <text><reference value="#Concern_1"></reference></text>
23 |                 <statusCode code="completed"/> <!-- The concern is not active, in terms of there being an active condition to be managed.-->
24 |                 <effectiveTime>
25 |                     <low value="2015120107160506"/> <!-- Time at which THIS “concern” began being tracked.-->
26 |                     <high nullFlavor="NA"/>
27 |                 </effectiveTime> <!-- status is active so high is not applicable. If high is present it should have nullFlavor of NA-->
28 |                 <!-- Optional Author Element-->
29 |                 <author>
30 |                     <time value="201512017160506"/>
31 |                     <assignedAuthor>
32 |                         <id extension="666545666" root="2.16.840.1.113883.4.6"/>
33 |                         <code code="363LA2100X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"
34 |                             displayName="Nurse Practitioner - Acute Care"/>
35 |                         <addr>
36 |                             <streetAddressLine>6666 StreetName St.</streetAddressLine>
37 |                             <city>Silver Spring</city><state>MD</state><postalCode>20901</postalCode>
38 |                             <country>US</country>
39 |                         </addr>
40 |                         <telecom value="tel:+1(301)666-6666" use="WP"/>
41 |                         <assignedPerson>
42 |                             <name>
43 |                                 <given>Jenheartly</given>
44 |                                 <family>Sixer</family>
45 |                                 <suffix>NP</suffix>
46 |                             </name>
47 |                         </assignedPerson>
48 |                     </assignedAuthor>
49 |                 </author>
50 |                 <entryRelationship typeCode="SUBJ">
51 |                     <!-- This problem observation could be placed in the History of Past Illness Section -->
52 |                     <!-- Or, in future, in the Health Concerns Section -->
53 |                     <observation classCode="OBS" moodCode="EVN" negationInd="true">
54 |                         <!-- Model of Meaning for No Diabetes -->
55 |                         <!-- The use of negationInd corresponds with the newer Observation.ValueNegationInd -->
56 |                         <!-- The negationInd = true negates the value element. --> 
57 |                         <!-- problem observation template -->
58 |                         <templateId root="2.16.840.1.113883.10.20.22.4.4"/>
59 |                         <id root="4adc1021-7b14-11db-9fe1-0800200c9a69"/>
60 |                         <code code="55607006"
61 |                             displayName="Problem"
62 |                             codeSystem="2.16.840.1.113883.6.96"
63 |                             codeSystemName="SNOMED CT"/>
64 |                         <text><reference value="#problems1"></reference></text>
65 |                         <statusCode code="completed"/>
66 |                         <effectiveTime>
67 |                             <low value="20151201160506"/>
68 |                         </effectiveTime>
69 |                         <!-- The time when this was biologically relevant ie True for the patient. -->
70 |                         <!-- As a minimum time interval over which this is true, populate the effectiveTime/low with the current time. -->
71 |                         <!-- It would be equally valid to have a longer range of time over which this statement was represented as being true. -->
72 |                         <!-- As a maximum, you would never indicate an effectiveTime/high that was greater than the current point in time. -->
73 |                          <value xsi:type="CD" code="44054006"
74 |                             displayName="Diabetes Mellitus Type 2 (Disorder)"
75 |                             codeSystem="2.16.840.1.113883.6.96"
76 |                             codeSystemName="SNOMED CT">
77 |                             <originalText><reference value="#problemType1"></reference></originalText>
78 |                         </value>
79 |                     </observation>
80 |                 </entryRelationship>
81 |             </act>
82 |         </entry>
83 |     </section>
84 | </component>
85 | 


--------------------------------------------------------------------------------
/No_Known_Problems_Section_R2.xml:
--------------------------------------------------------------------------------
 1 | <?xml version="1.0" encoding="UTF-8"?>
 2 | <!-- Problem Section -->
 3 | <component>
 4 |     <section>
 5 |         <templateId root="2.16.840.1.113883.10.20.22.2.5.2"/> <!-- Problem Section with Coded Entries Optional -->
 6 |         <templateId root="2.16.840.1.113883.10.20.22.2.5.1.2"/> <!-- Problem Section with Coded Entries Required -->
 7 |         <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem List"/>
 8 |         <title>PROBLEMS</title>
 9 |         <text ID="Concern_1">
10 |             Problem Concern:<br/>
11 |             Concern Tracker Start Date: 06/07/2013 16:05:06<br/>
12 |             Concern Tracker End Date: <br/>
13 |             Concern Status: Active<br/>
14 |             <content ID="problems1">No known <content ID="problemType1">problems.</content></content>
15 |         </text>
16 |         <entry typeCode="DRIV">
17 |             <!-- Problem Concern Act -->	
18 |             <act classCode="ACT" moodCode="EVN">
19 |                 <templateId root="2.16.840.1.113883.10.20.22.4.3.2"/>
20 |                 <id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
21 |                 <!-- C-CDA R1.1 supports 48765-2 or CONC. C-CDA R2 only supports CONC in the code element -->
22 |                 <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
23 |                 <text><reference value="#Concern_1"></reference></text>
24 |                 <statusCode code="active"/> <!-- The concern is not active, in terms of there being an active condition to be managed.-->
25 |                 <effectiveTime>
26 |                     <low value="20130607160506"/> <!-- Time at which THIS “concern” began being tracked.-->
27 |                 </effectiveTime> <!-- status is active so high is not applicable. If high is present it should have nullFlavor of NA-->
28 |                 <!-- Optional Author Element-->
29 |                 <author>
30 |                     <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
31 |                     <time value="20130607160506"/>
32 |                     <assignedAuthor>
33 |                         <id extension="66666" root="2.16.840.1.113883.4.6"/>
34 |                         <code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"
35 |                             displayName="Cardiovascular Disease"/>
36 |                         <addr>
37 |                             <streetAddressLine>6666 StreetName St.</streetAddressLine>
38 |                             <city>Silver Spring</city><state>MD</state><postalCode>20901</postalCode>
39 |                             <country>US</country>
40 |                         </addr>
41 |                         <telecom value="tel:+1(301)666-6666" use="WP"/>
42 |                         <assignedPerson>
43 |                             <name>
44 |                                 <given>Heartly</given>
45 |                                 <family>Sixer</family>
46 |                                 <suffix>MD</suffix>
47 |                             </name>
48 |                         </assignedPerson>
49 |                     </assignedAuthor>
50 |                 </author>
51 |                 <entryRelationship typeCode="SUBJ">
52 |                     <observation classCode="OBS" moodCode="EVN" negationInd="true">
53 |                         <!-- Model of Meaning for No Problems -->
54 |                         <!-- This is more consistent with how we did no known allergies. -->
55 |                         <!-- The use of negationInd corresponds with the newer Observation.ValueNegationInd -->
56 |                         <!-- The negationInd = true negates the value element. --> 
57 |                         <!-- problem observation template -->
58 |                         <templateId root="2.16.840.1.113883.10.20.22.4.4.2"/>
59 |                         <id root="4adc1021-7b14-11db-9fe1-0800200c9a67"/>
60 |                         <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
61 |                         <text><reference value="#problems1"></reference></text>
62 |                         <statusCode code="completed"/>
63 |                         <effectiveTime>
64 |                             <low value="20130607160506"/>
65 |                         </effectiveTime>
66 |                         <!-- The time when this was biologically relevant ie True for the patient. -->
67 |                         <!-- As a minimum time interval over which this is true, populate the effectiveTime/low with the current time. -->
68 |                         <!-- It would be equally valid to have a longer range of time over which this statement was represented as being true. -->
69 |                         <!-- As a maximum, you would never indicate an effectiveTime/high that was greater than the current point in time. -->
70 |                         
71 |                         <!-- This idea assumes that the value element could come from the Problem value set, or-->
72 |                         <!-- when negationInd was true, is could also come from the ProblemType value set (and code would be ASSERTION). -->
73 |                         <value xsi:type="CD" code="55607006"
74 |                             displayName="Problem"
75 |                             codeSystem="2.16.840.1.113883.6.96"
76 |                             codeSystemName="SNOMED CT">
77 |                             <originalText><reference value="#problemType1"></reference></originalText>
78 |                         </value>
79 |                     </observation>
80 |                 </entryRelationship>
81 |             </act>
82 |         </entry>
83 |     </section>
84 | </component>
85 | 


--------------------------------------------------------------------------------
/Health_Concern_Linking_Example.xml:
--------------------------------------------------------------------------------
  1 | <component>
  2 | 	<section>
  3 | 		<!-- Health Concerns Section -->
  4 | 		<templateId root="2.16.840.1.113883.10.20.22.2.58"/>
  5 | 		<code code="75310-3" displayName="Health Concerns Document" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
  6 | 		<title>Health Concerns Section</title>
  7 | 		<text>
  8 | 			<table border="1" width="100%">
  9 | 				<thead>
 10 | 					<tr>
 11 | 						<th>Health Concern</th>
 12 | 						<th>Date</th>
 13 | 						<th>Related Problem</th>
 14 | 					</tr>
 15 | 				</thead>
 16 | 				<tbody>
 17 | 					<tr>
 18 | 						<td>Patient is concerned about being contagious and infecting roommate.</td>
 19 | 						<td>Concern from 03/02/2014</td>
 20 | 						<!-- Providing this as a link to the related problem in problem list is an option using base CDA implementation guidance. -->
 21 | 						<td>Community Acquired Pneumonia</td>
 22 | 					</tr>
 23 | 				</tbody>
 24 | 			</table>
 25 | 		</text>
 26 | 		<entry>
 27 | 			<!-- Health Concern Act -->
 28 | 			<act classCode="ACT" moodCode="EVN">
 29 | 				<templateId root="2.16.840.1.113883.10.20.22.4.132"/>
 30 | 				<id root="63c5e137-3024-46cc-951f-885ec69d9030"/>
 31 | 				<code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health Concern"/>
 32 | 				<!-- This Health Concern has a statusCode of active because it is an active concern -->
 33 | 				<statusCode code="active"/>
 34 | 				<!-- The effective time is the date that the Health Concern started being followed - 
 35 | 							 this does not necessarily correlate to the onset date of the contained health issues-->
 36 | 				<effectiveTime value="20140302"/>
 37 | 				<entryRelationship typeCode="REFR">
 38 | 				<observation classCode="OBS" moodCode="EVN">
 39 | 					<templateId root="2.16.840.1.113883.10.20.22.4.4" />
 40 | 					<id root="59c5ca3e-662f-4e33-943f-2777ebc6227e"/>
 41 | 					<code codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="55607006" displayName="Problem" />
 42 | 					<text>
 43 | 						<reference value="#Concern1" />
 44 | 					</text>
 45 | 					<statusCode code="completed"/>
 46 | 					<effectiveTime>
 47 | 						<low value="20140302"/>
 48 | 					</effectiveTime>
 49 | 					<value xsi:type="ED">
 50 | 						<reference value="#Concern1Issue1" />
 51 | 					</value>						
 52 | 				</observation>
 53 | 				</entryRelationship>
 54 | 				<!-- Health Concern Problem: Community Acquired Pneumonia -->
 55 | 				<!-- This Entry Reference refers to a problem entry present in Problem List that the Health Concern is related to-->
 56 | 				<entryRelationship typeCode="REFR">
 57 | 					<act classCode="ACT" moodCode="EVN">
 58 | 						<templateId root="2.16.840.1.113883.10.20.22.4.122" />
 59 | 						<!-- This ID equals the ID of the Community Acquired Pneumonia problem -->
 60 | 						<id root="49c5ca3e-662f-4e33-948f-2777ebc6727e" />
 61 | 						<!-- The code is nulled to "NP" Not Present" -->
 62 | 						<code nullFlavor="NP" />
 63 | 						<statusCode code="completed" />
 64 | 					</act>
 65 | 				</entryRelationship>
 66 | 			</act>
 67 | 		</entry>
 68 | 	</section>
 69 | </component>
 70 | <component> 
 71 |     <section>
 72 |         <!-- Located elsewhere in the document -->
 73 |         <!-- Taken directly (changed observation/id) from prior example https://github.com/brettmarquard/HL7-C-CDA-Task-Force-Examples/blob/master/Problem_List_Active_Problem.xml -->
 74 |         <templateId root="2.16.840.1.113883.10.20.22.2.5.1"/>
 75 |         <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" displayName="Problem List"/>
 76 |         <title>Problem List</title>
 77 |         <text>
 78 |             <table>
 79 |                 <thead>
 80 |                     <tr>
 81 |                         <th>Name</th>
 82 |                         <th>Dates</th>
 83 |                         <th>Status</th>
 84 |                     </tr>
 85 |                 </thead>
 86 |                 <tbody>
 87 |                     <tr ID="Problem1">
 88 |                         <td>Community Acquired Pneumonia</td>
 89 |                         <td>
 90 |                             <content>Onset: 02/27/2014</content>
 91 |                         </td>
 92 |                         <td>Active</td>
 93 |                     </tr>
 94 |                 </tbody>
 95 |             </table>
 96 |         </text>
 97 |         <entry>
 98 |             <act classCode="ACT" moodCode="EVN">
 99 |                 <templateId root="2.16.840.1.113883.10.20.22.4.3" />
100 |                 <id root="102ca2e9-884c-4523-a2b4-1b6c3469c397" />
101 |                 <code code="CONC" codeSystem="2.16.840.1.113883.5.6" />
102 |                 <!-- Since this is an active problem, the concern status is active. -->
103 |                 <!-- While clinicians can track resolved problems, generally active problems will have active concern status and resolved concerns will be completed -->
104 |                 <statusCode code="active" />
105 |                 <effectiveTime>
106 |                     <!-- This equates to the time the concern was authored in the patient's chart. This may frequently be an EHR timestamp-->
107 |                     <low value="20140302124536+0500" />
108 |                 </effectiveTime>
109 |                 <entryRelationship typeCode="SUBJ">
110 |                     <observation classCode="OBS" moodCode="EVN">
111 |                         <templateId root="2.16.840.1.113883.10.20.22.4.4" />
112 |                         <id root="49c5ca3e-662f-4e33-948f-2777ebc6727e"/>
113 |                         <code codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="55607006" displayName="Problem" />
114 |                         <text>
115 |                             <reference value="#Problem1" />
116 |                         </text>
117 |                         <statusCode code="completed"/>
118 |                         <effectiveTime>
119 |                             <!-- This represents the date of biological onset. -->
120 |                             <low value="20140227"/>
121 |                         </effectiveTime>
122 |                         <!-- This is a SNOMED code as the primary vocabulary for problem lists-->
123 |                         <value xsi:type="CD" code="385093006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Community Acquired Pneumonia"/>							
124 |                     </observation>
125 |                 </entryRelationship>
126 |             </act>
127 |         </entry>
128 |     </section>
129 | </component>
130 | 


--------------------------------------------------------------------------------
/Doc-No Known Problems 20140226.xml:
--------------------------------------------------------------------------------
  1 | <?xml version="1.0" encoding="UTF-8"?>
  2 | <?xml-stylesheet type="text/xsl" href="CDA.xsl"?>
  3 | <ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
  4 |  xsi:schemaLocation="urn:hl7-org:v3 ../../05%20Professional/90%20HL7/00%20Standard%20-%20CDA%20R2/cda%20r2%20normativewebedition2010/infrastructure/cda/CDA.xsd"
  5 |  xmlns="urn:hl7-org:v3"
  6 |  xmlns:cda="urn:hl7-org:v3"
  7 |  xmlns:sdtc="urn:hl7-org:sdtc">
  8 |    <realmCode code="US"/>
  9 |    <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
 10 |    <templateId root="2.16.840.1.113883.10.20.22.1.1"/>  <!-- C-CDA -->
 11 |    <templateId root="2.16.840.1.113883.10.20.22.1.2"/>  <!-- CCD -->
 12 |    <id root="2.16.840.1.113883.3.3208.101.1" extension="20130607100315-CCDA-CCD"/>
 13 |    <code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="34133-9" displayName="Summarization of Episode Note"/> 
 14 |    <title>CDA PRO C-CDA CCD Skeleton That Validates on TTT</title>    
 15 |    <effectiveTime value="20130607000000-0000"/>
 16 |    <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
 17 |    <languageCode code="en-US"/>
 18 |    <recordTarget>
 19 |       <patientRole>
 20 | 		<id root="2.16.840.1.113883.3.3208.101.2" extension="20130607100800-Patient1"/>
 21 |         <addr use="HP">
 22 |             <streetAddressLine>1111 StreetName St.</streetAddressLine>
 23 |             <city>Silver Spring</city><state>MD</state><postalCode>20901</postalCode>
 24 |             <country>US</country>
 25 |          </addr>
 26 |          <telecom value="tel:+1(301)111-1111" use="HP"/>
 27 |          <patient>
 28 |             <name use="L"><given>Patient</given><family>One</family></name>
 29 |             <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" displayName="Male" codeSystemName="AdministrativeGender"/>
 30 |             <birthTime value="19300911"/>
 31 |             <maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2" codeSystemName="MaritalStatus"/>
 32 |             <raceCode code="2106-3" displayName="White"
 33 |                codeSystem="2.16.840.1.113883.6.238"
 34 |                codeSystemName="OMB Standards for Race and Ethnicity"/>
 35 |             <ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino"
 36 |                codeSystem="2.16.840.1.113883.6.238"
 37 |                codeSystemName="OMB Standards for Race and Ethnicity"/>
 38 |             <languageCommunication>
 39 | 				<languageCode code="eng"/>
 40 | 				<modeCode code="ESP" displayName="Expressed spoken" codeSystem="2.16.840.1.113883.5.60" codeSystemName="LanguageAbilityMode"/>
 41 | 				<proficiencyLevelCode code="E" displayName="Excellent" codeSystem="2.16.840.1.113883.5.61" codeSystemName="LanguageAbilityProficiency"/>
 42 | 			</languageCommunication>
 43 |          </patient>
 44 |       </patientRole>
 45 |    </recordTarget>
 46 |    <author>
 47 |       <time value="20130607161500"/>
 48 |       <assignedAuthor>
 49 |       		<id extension="66666" root="2.16.840.1.113883.4.6"/>
 50 |       		<code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"
 51 |       			displayName="Cardiovascular Disease"/>
 52 |       		<addr>
 53 |       			<streetAddressLine>6666 StreetName St.</streetAddressLine>
 54 |       			<city>Silver Spring</city><state>MD</state><postalCode>20901</postalCode>
 55 |       			<country>US</country>
 56 |       		</addr>
 57 |       		<telecom value="tel:+1(301)666-6666" use="WP"/>
 58 |       		<assignedPerson>
 59 |       			<name>
 60 |       				<given>Heartly</given>
 61 |       				<family>Sixer</family>
 62 |       				<suffix>MD</suffix>
 63 |       			</name>
 64 |       		</assignedPerson>
 65 | 		</assignedAuthor>
 66 |    </author>
 67 |    <dataEnterer>
 68 |       <assignedEntity>
 69 | 		 <id extension="33333" root="2.16.840.1.113883.4.6"/>
 70 |          <code code="364SA2200X" displayName="Adult Health" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"/>
 71 |          <addr use="WP">
 72 |             <streetAddressLine>3333 StreetName St.</streetAddressLine>
 73 |             <city>Silver Spring</city><state>MD</state><postalCode>20901</postalCode>
 74 |             <country>US</country>
 75 |          </addr>
 76 |          <telecom value="tel:+1(301)333-3333" use="WP"/>
 77 |          <assignedPerson>
 78 |             <name>
 79 |                <given>Nurse</given>
 80 |                <family>Tertiary</family>
 81 |             </name>
 82 |          </assignedPerson>
 83 |       </assignedEntity>
 84 |    </dataEnterer>
 85 |    <custodian>
 86 |       <assignedCustodian>
 87 |          <representedCustodianOrganization>
 88 | 			<id extension="44444" root="2.16.840.1.113883.4.6"/>
 89 |             <name>CDA PRO Fictional Hospital</name>
 90 |             <telecom value="tel:+1(301)444-4444" use="WP"/>
 91 |             <addr use="WP">
 92 | 				<streetAddressLine>4444 StreetName St.</streetAddressLine>
 93 | 				<city>Silver Spring</city><state>MD</state><postalCode>20901</postalCode>
 94 | 				<country>US</country>
 95 |             </addr>
 96 |          </representedCustodianOrganization>
 97 |       </assignedCustodian>
 98 |    </custodian>
 99 |    <legalAuthenticator>
100 |    	<time value="20130607161500"/>
101 | 	  <signatureCode code="S"/>
102 |    	<assignedEntity>
103 |    		<id extension="66666" root="2.16.840.1.113883.4.6"/>
104 |    		<code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"
105 |    			displayName="Cardiovascular Disease"/>
106 |    		<addr>
107 |    			<streetAddressLine>6666 StreetName St.</streetAddressLine>
108 |    			<city>Silver Spring</city><state>MD</state><postalCode>20901</postalCode>
109 |    			<country>US</country>
110 |    		</addr>
111 |    		<telecom value="tel:+1(301)666-6666" use="WP"/>
112 |    		<assignedPerson>
113 |    			<name>
114 |    				<given>Heartly</given>
115 |    				<family>Sixer</family>
116 |    				<suffix>MD</suffix>
117 |    			</name>
118 |    		</assignedPerson>
119 |    	</assignedEntity>
120 |    </legalAuthenticator>
121 |    <documentationOf>
122 |       <serviceEvent classCode="PCPR">
123 |          <effectiveTime>
124 |          	<low value="20130607160200"/>
125 |          	<high value="20130607161500"/>
126 |          </effectiveTime>
127 |          <performer typeCode="PRF">
128 |             <assignedEntity>
129 |                <id extension="66666" root="2.16.840.1.113883.4.6"/>
130 |                <code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"
131 |                   displayName="Cardiovascular Disease"/>
132 |                <addr>
133 | 					<streetAddressLine>6666 StreetName St.</streetAddressLine>
134 | 					<city>Silver Spring</city><state>MD</state><postalCode>20901</postalCode>
135 | 					<country>US</country>
136 |                </addr>
137 |                <telecom value="tel:+1(301)666-6666" use="WP"/>
138 |                <assignedPerson>
139 |                   <name>
140 |                      <given>Heartly</given>
141 |                      <family>Sixer</family>
142 |                      <suffix>MD</suffix>
143 |                   </name>
144 |                </assignedPerson>
145 |             </assignedEntity>
146 |          </performer>
147 |       </serviceEvent>
148 |    </documentationOf>
149 |    <!-- CDA Body -->
150 |    <component>
151 |       <structuredBody>
152 |       	<!-- Allergies Section -->
153 |       	<component>
154 |       		<section>
155 |       			<templateId root="2.16.840.1.113883.10.20.22.2.6.1"/> <!-- Allergies (entries required) section -->
156 |       			<code code="48765-2" codeSystem="2.16.840.1.113883.6.1" displayName="Allergies, adverse reactions, alerts" codeSystemName="LOINC"/>
157 |       			<title>ALLERGIES</title>
158 |       			<text>
159 |       				<content ID="Alg_Concern_1">Allergy Concern:
160 |       					Concern Tracker Start Date: 01/03/2014
161 |       					Concern Tracker End Date:
162 |       					Concern Tracker Status: Completed
163 |       					<content ID="allergy1">No known <content ID="adverseEvent1">allergies.</content></content></content></text>
164 |       			<entry typeCode="DRIV">
165 |       				<!-- Allergy Concern Act -->
166 |       				<act classCode="ACT" moodCode="EVN">
167 |       					<templateId root="2.16.840.1.113883.10.20.22.4.30"/>
168 |       					<id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
169 |       					<!-- SDWG supports 48765-2 or CONC in the code element -->
170 |       					<!--<code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>-->
171 |       					<code code="48765-2" codeSystem="2.16.840.1.113883.6.1" displayName="Allergies, adverse reactions, alerts" codeSystemName="LOINC"/>
172 |       					<text><reference value="#Alg_Concern_1"></reference></text>
173 |       					<statusCode code="completed"/> <!-- The concern is not active, in terms of there being an active condition to be managed.-->
174 |       					<effectiveTime>
175 |       						<low value="20100103"/> <!--show time when the concern about allergies was assessed and completed. -->
176 |       						<high/>
177 |       					</effectiveTime>
178 |       					<entryRelationship typeCode="SUBJ">
179 |       						<!-- No Known Allergies -->
180 |       						<!-- The use of negationInd corresponds with the newer Observation.valueNegationInd -->
181 |       						<!-- The negationInd = true negates the observation/value -->
182 |       						<observation classCode="OBS" moodCode="EVN" negationInd="true">
183 |       							<!-- allergy - intolerance observation template -->
184 |       							<templateId root="2.16.840.1.113883.10.20.22.4.7"/>
185 |       							<id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/>
186 |       							<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
187 |       							<statusCode code="completed"/> 
188 |       							<!-- N/A - author/time records when this assertion was made -->
189 |       							<effectiveTime>
190 |       								<low value="20100103"/>
191 |       							</effectiveTime>
192 |       							<!-- The time when this was biologically relevant ie True for the patient. -->
193 |       							<!-- As a minimum time interval over which this is true, populate the effectiveTime/low with the current time. -->
194 |       							<!-- It would be equally valid to have a longer range of time over which this statement was represented as being true. -->
195 |       							<!-- As a maximum, you would never indicate an effectiveTime/high that was greater than the current point in time. -->
196 |       							<value xsi:type="CD" code="419199007"
197 |       								displayName="Allergy to substance (disorder)"
198 |       								codeSystem="2.16.840.1.113883.6.96"
199 |       								codeSystemName="SNOMED CT"/>
200 |       							<author>
201 |       								<time value="20100103"/>
202 |       								<assignedAuthor>
203 |       									<id extension="99999999" root="2.16.840.1.113883.4.6"/>
204 |       									<code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
205 |       										displayName="Allopathic &amp; Osteopathic Physicians"/>
206 |       									<telecom use="WP" value="tel:555-555-1002"/>
207 |       									<assignedPerson>
208 |       										<name>
209 |       											<given>Henry</given>
210 |       											<family>Seven</family>
211 |       										</name>
212 |       									</assignedPerson>
213 |       								</assignedAuthor>
214 |       							</author>
215 |       						</observation>
216 |       					</entryRelationship>
217 |       				</act>
218 |       			</entry>
219 |       		</section>
220 |       	</component>
221 |          <!-- Medication Section -->
222 |          <component>
223 |             <section>
224 | 				<templateId root="2.16.840.1.113883.10.20.22.2.1.1"/> <!-- Medication Section (entries required) -->
225 | 				<code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of Medication Use"/>
226 | 				<title>MEDICATIONS</title>
227 | 				<text><content ID="meds1">No Information About Medications</content></text>
228 | 			   	<entry typeCode="DRIV">
229 | 					<substanceAdministration moodCode="EVN" classCode="SBADM" nullFlavor="NI">
230 | 						<templateId root="2.16.840.1.113883.10.20.22.4.16"/> <!-- Medication Activity -->
231 | 						<id root="2.16.840.1.113883.3.3208.101.10" extension="20130607111500-MedicationActivity"/>
232 | 						<text><reference value="#meds1"/></text>
233 | 						<statusCode code="completed"/>
234 | 						<effectiveTime xsi:type="IVL_TS"><low nullFlavor="NI"/><high nullFlavor="NI"/></effectiveTime>
235 | 						<effectiveTime xsi:type="PIVL_TS" operator="A" nullFlavor="NI"/> <!-- Added to meet the "SHOULD" and avoid the warning from the validator -->
236 | 						<doseQuantity nullFlavor="NI"/> <!-- Added to meet the "SHOULD" and avoid the warning from the validator -->
237 | 						<consumable>
238 | 							<manufacturedProduct classCode="MANU">
239 | 								<templateId root="2.16.840.1.113883.10.20.22.4.23"/> <!-- Medication Information -->
240 | 								<manufacturedMaterial>
241 | 									<code nullFlavor="NI">
242 | 										<originalText><reference value="#meds1"/></originalText> <!-- I don't this this should need to be present unless you are populating a table with NI-->
243 | 									</code>
244 | 								</manufacturedMaterial>
245 | 							</manufacturedProduct>
246 | 						</consumable>
247 | 					</substanceAdministration>
248 | 				</entry>
249 |             </section>
250 |          </component>
251 |       	<!-- Problem Section -->
252 |       	<component>
253 |       		<section>
254 |       			<templateId root="2.16.840.1.113883.10.20.22.2.5.1"/> <!-- Problem Section with Coded Entries Required -->
255 |       			<code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem List"/>
256 |       			<title>PROBLEMS</title>
257 |       			<text>
258 |       				<content ID="Concern_1">Problem Concern:
259 |       					Concern Tracker Start Date: 06/07/2013 16:05:06
260 |       					Concern Tracker End Date: 
261 |       					Concern Status: Active
262 |       					<content ID="problems1">No known <content ID="problemType1">problems.</content></content>
263 |       				</content>
264 |       			</text>
265 |       			<entry typeCode="DRIV">
266 |       				<!-- Problem Concern Act -->	
267 |       				<act classCode="ACT" moodCode="EVN">
268 |       					<templateId root="2.16.840.1.113883.10.20.22.4.3"/>
269 |       					<id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
270 |       					<!-- SDWG supports 48765-2 or CONC in the code element -->
271 |       					<code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
272 |       					<text><reference value="#Concern_1"></reference></text>
273 |       					<statusCode code="active"/> <!-- The concern is not active, in terms of there being an active condition to be managed.-->
274 |       					<effectiveTime>
275 |       						<low value="20130607160506"/> <!-- Time at which THIS “concern” began being tracked.-->
276 |       						<high/>
277 |       					</effectiveTime>
278 |       					<author>
279 |       						<time value="20130607160506"/>
280 |       						<assignedAuthor>
281 |       							<id extension="66666" root="2.16.840.1.113883.4.6"/>
282 |       							<code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"
283 |       								displayName="Cardiovascular Disease"/>
284 |       							<addr>
285 |       								<streetAddressLine>6666 StreetName St.</streetAddressLine>
286 |       								<city>Silver Spring</city><state>MD</state><postalCode>20901</postalCode>
287 |       								<country>US</country>
288 |       							</addr>
289 |       							<telecom value="tel:+1(301)666-6666" use="WP"/>
290 |       							<assignedPerson>
291 |       								<name>
292 |       									<given>Heartly</given>
293 |       									<family>Sixer</family>
294 |       									<suffix>MD</suffix>
295 |       								</name>
296 |       							</assignedPerson>
297 |       						</assignedAuthor>
298 |       					</author>
299 |       					<entryRelationship typeCode="SUBJ">
300 |       						<observation classCode="OBS" moodCode="EVN" negationInd="true">
301 |       						<!-- Model of Meaning for No Problems -->
302 |       						<!-- This is more consistent with how we did no known allergies. -->
303 |       						<!-- The use of negationInd corresponds with the newer Observation.ValueNegationInd -->
304 |       						<!-- The negationInd = true negates the value element. --> 
305 |       						<!-- problem observation template -->
306 |       						<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
307 |       						<id root="4adc1021-7b14-11db-9fe1-0800200c9a67"/>
308 |       						<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
309 |       						<text><reference value="#problems1"></reference></text>
310 |       						<statusCode code="completed"/>
311 |       						<effectiveTime>
312 |       							<low value="20130607160506"/>
313 |       						</effectiveTime>
314 |       						<!-- The time when this was biologically relevant ie True for the patient. -->
315 |       						<!-- As a minimum time interval over which this is true, populate the effectiveTime/low with the current time. -->
316 |       						<!-- It would be equally valid to have a longer range of time over which this statement was represented as being true. -->
317 |       						<!-- As a maximum, you would never indicate an effectiveTime/high that was greater than the current point in time. -->
318 |       						
319 |       						<!-- This idea assumes that the value element could come from the Problem value set, or-->
320 |       						<!-- when negationInd was true, is could also come from the ProblemType value set (and code would be ASSERTION). -->
321 |       						<value xsi:type="CD" code="55607006"
322 |       							displayName="Problem"
323 |       							codeSystem="2.16.840.1.113883.6.96"
324 |       							codeSystemName="SNOMED CT">
325 |       							<originalText><reference value="#problemType1"></reference></originalText>
326 |       						</value>
327 |       							<author>
328 |       								<time value="20130607160506"/>
329 |       								<assignedAuthor>
330 |       									<id extension="66666" root="2.16.840.1.113883.4.6"/>
331 |       									<code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"
332 |       										displayName="Cardiovascular Disease"/>
333 |       									<addr>
334 |       										<streetAddressLine>6666 StreetName St.</streetAddressLine>
335 |       										<city>Silver Spring</city><state>MD</state><postalCode>20901</postalCode>
336 |       										<country>US</country>
337 |       									</addr>
338 |       									<telecom value="tel:+1(301)666-6666" use="WP"/>
339 |       									<assignedPerson>
340 |       										<name>
341 |       											<given>Heartly</given>
342 |       											<family>Sixer</family>
343 |       											<suffix>MD</suffix>
344 |       										</name>
345 |       									</assignedPerson>
346 |       								</assignedAuthor>
347 |       							</author>
348 |   							</observation>
349 |       					</entryRelationship>
350 |       				</act>
351 |       			</entry>
352 |       		</section>
353 |       	</component>
354 |          <!-- Procedures Section -->
355 |          <component>
356 |             <section>
357 | 				<templateId root="2.16.840.1.113883.10.20.22.2.7.1"/> <!-- Procedures Section with Coded Entries Required-->
358 | 				<code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of Procedures"/>
359 | 				<title>PROCEDURES</title>
360 | 				<text><content ID="procedures1">No Information About Procedures</content></text>
361 | 				<entry typeCode="DRIV">
362 | 					<procedure classCode="PROC" moodCode="EVN"> <!-- I think it makes more sense for this to be an Procedure than an Act -->
363 | 						<!--<templateId root="2.16.840.1.113883.10.20.22.4.12"/>--> <!-- Procedure Activity Act-->
364 | 						<templateId root="2.16.840.1.113883.10.20.22.4.14"/> <!-- Procedure Activity Procedure-->
365 | 						<id root="2.16.840.1.113883.3.3208.101.10" extension="20130607114600-ProcedureActivity"/>
366 | 						<code xsi:type="CE" nullFlavor="NI"> 
367 | 							<originalText><reference value="#procedures1"/></originalText>
368 | 						</code>
369 | 						<statusCode code="completed" /> 
370 | 						<effectiveTime><low nullFlavor="NI"/><high value="20130607000000-0000"/></effectiveTime> <!-- Up until now. -->
371 | 						<targetSiteCode nullFlavor="NI"  codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"></targetSiteCode>
372 | 						<performer> <!-- Added to meet "SHOULD" requirment and avoid validator warning -->
373 | 							<assignedEntity>
374 | 								<id root="2.16.840.1.113883.3.3208.101.3" extension="20130607154800-UnknownPersonnel"/>
375 | 								<addr nullFlavor="NI"/>
376 | 								<telecom nullFlavor="NI"/>
377 | 								<representedOrganization nullFlavor="NI">
378 | 									<id root="2.16.840.1.113883.3.3208.101.5" extension="20130607155400-UnknownOrg" />
379 | 									<telecom nullFlavor="NI" />
380 | 									<addr nullFlavor="NI" />
381 | 								</representedOrganization>
382 | 							</assignedEntity>
383 | 						</performer>
384 | 					</procedure>
385 | 				</entry>
386 |             </section>
387 |         </component>
388 |         <!-- Results Section -->
389 |         <component>
390 |             <section>
391 | 				<templateId root="2.16.840.1.113883.10.20.22.2.3.1"/> <!-- Results Section with Coded Entries Required-->
392 | 				<code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Relevant diagnostic tests and/or laboratory data"/>
393 | 				<title>RESULTS</title>
394 | 				<text><content ID="results1">No Information About Results</content></text>
395 | 				<entry typeCode="DRIV">
396 | 					<organizer classCode="CLUSTER" moodCode="EVN">
397 | 						<templateId root="2.16.840.1.113883.10.20.22.4.1"/> <!-- Result Organizer -->
398 | 						<id root="2.16.840.1.113883.3.3208.101.10" extension="20130607113300-ResultOrganizer"/>
399 | 						<code xsi:type="CE" nullFlavor="NI"/>
400 | 						<statusCode code="completed"/>
401 | 						<effectiveTime><low nullFlavor="NI"/><high value="20130607000000-0000"/></effectiveTime> <!-- Up until now. --> <!-- Brian's sample had a weird date in here. -->
402 | 						<component>
403 | 							<observation classCode="OBS" moodCode="EVN" > <!-- removed this: nullFlavor="NI"-->
404 | 								<templateId root="2.16.840.1.113883.10.20.22.4.2"/> <!-- Results Observation -->
405 | 								<id nullFlavor="NI"/>
406 | 								<code nullFlavor="NI" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <!-- No code here -->
407 | 								<text><reference value="#results1"/></text>
408 | 								<statusCode code="completed"/>
409 | 								<effectiveTime><low nullFlavor="NI"/><high value="20130607000000-0000"/></effectiveTime> <!-- Up until now. -->
410 | 								<value  xsi:type="CD" nullFlavor="NI"/>
411 | 								<interpretationCode nullFlavor="NI"/>
412 | 							</observation>
413 | 						</component>
414 | 					</organizer>
415 |                </entry>
416 |             </section>
417 |         </component>
418 | 		<!-- Plan of Care Section -->
419 |         <component>
420 |             <section>
421 |                <templateId root="2.16.840.1.113883.10.20.22.2.10"/> <!-- Plan of Care Section-->
422 |                <code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Plan of Care"/>
423 |                <title>PLAN OF CARE</title>
424 |                <text>No Information About Plan of Care</text>
425 |             </section>
426 |         </component>
427 | 		<!-- Social History (with Smoking Status Observation) -->
428 |         <component>
429 |             <section>
430 |                <templateId root="2.16.840.1.113883.10.20.22.2.17"/> <!-- Social History Section -->
431 |                <code code="29762-2" codeSystem="2.16.840.1.113883.6.1" displayName="Social History"/>
432 | 			   <title>SOCIAL HISTORY</title>
433 |                <text><content ID="socialhist1">No Information About Social History</content></text>
434 |                <entry>
435 |                   <observation classCode="OBS" moodCode="EVN"> <!-- Removed nullFlavor="NI" -->
436 |                   	<templateId root="2.16.840.1.113883.10.20.22.4.85"/> <!-- Conforms to Tobacco Use template-->
437 |                   	<templateId root="2.16.840.1.113883.10.20.22.4.78"/> <!-- Smoking Status Observation 2.16.840.1.113883.10.20.22.4.78-->
438 |                      <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
439 |                   	 <text><reference value="#socialhist1"></reference></text>
440 |                      <statusCode code="completed"/>
441 |                   	<effectiveTime><low nullFlavor="NI"/><high value="20130607000000-0000"/></effectiveTime> <!-- I disagree with the template - The status can at best be observed up until now. I think it documents 
442 |                   	the smoking status up until this point in time.-->
443 |                      <value xsi:type="CD" nullFlavor="NI"  codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
444 |                   </observation>
445 |                </entry>
446 |             </section>
447 |          </component>
448 | 		<!-- Vital Signs Section (entries required) -->
449 | 		<component>
450 |             <section>
451 |                <templateId root="2.16.840.1.113883.10.20.22.2.4.1"/> <!-- Vital Signs (entries required) -->
452 |                <code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital Signs"/>
453 |                <title>VITAL SIGNS</title>
454 |                <text><content ID="vitalsigns1">No Information About Vital Signs</content></text>
455 |                <entry typeCode="DRIV">
456 |                   <organizer classCode="CLUSTER" moodCode="EVN">
457 | 					<templateId root="2.16.840.1.113883.10.20.22.4.26" /> <!-- Vital Signs Organizer -->
458 | 					<id root="2.16.840.1.113883.3.3208.101.10" extension="20130607125100-VitalSignsOrganizer"/>
459 | 					<code code="46680005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Vital signs"/>
460 | 					<statusCode code="completed"/>
461 |                   	<effectiveTime><low nullFlavor="NI"/><high value="20130607000000-0000"/></effectiveTime>
462 | 					<component>
463 | 						<observation classCode="OBS" moodCode="EVN" nullFlavor="NI">
464 | 							<templateId root="2.16.840.1.113883.10.20.22.4.27"/> <!-- Vital Signs Observation -->
465 | 							<id root="2.16.840.1.113883.3.3208.101.10" extension="20130607125100-VitalSignsObservation"/>
466 | 							<code nullFlavor="NI">
467 | 								<originalText><reference value="#vitalsigns1"></reference></originalText>
468 | 							</code>
469 | 							<text><reference value="#vitalsigns1"/></text>
470 | 							<statusCode code="completed"/>
471 | 							<effectiveTime><low nullFlavor="NI"/><high value="20130607000000-0000"/></effectiveTime>
472 | 							<value xsi:type="PQ" nullFlavor="NI"/>
473 | 						</observation>
474 | 					</component>
475 | 				  </organizer>
476 | 			   </entry>
477 |             </section>
478 |          </component>
479 |       </structuredBody>
480 |    </component>
481 | </ClinicalDocument>
482 | 
483 | 


--------------------------------------------------------------------------------
/CCD_Transition_of_Care_Ambulatory_Complete_No_Known_Medications.xml:
--------------------------------------------------------------------------------
   1 | <?xml version="1.0" encoding="UTF-8" standalone="yes"?><?xml-stylesheet type="text/xsl" href="CDA.xsl"?>
   2 | <!-- Title: US_Realm_Header_Template -->
   3 | <ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
   4 |  xsi:schemaLocation="urn:hl7-org:v3 ../../../../../Mdocuments/HL7/Standards%20Documentation/cda_r2_normativewebedition/CDA_R2_NormativeWebEdition2005/infrastructure/cda/CDA.xsd"
   5 |  xmlns="urn:hl7-org:v3"
   6 |  xmlns:cda="urn:hl7-org:v3"
   7 |  xmlns:sdtc="urn:hl7-org:sdtc">
   8 | 	<!-- ******************************************************** CDA Header 
   9 | 		******************************************************** -->
  10 | 	<realmCode code="US"/>
  11 | 	<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
  12 | 	<!-- US General Header Template -->
  13 | 	<templateId root="2.16.840.1.113883.10.20.22.1.1"/>
  14 | 	<!-- *** Note: The next templateId, code and title will differ depending 
  15 | 		on what type of document is being sent. *** -->
  16 | 	<!-- conforms to the document specific requirements -->
  17 | 	<templateId root="2.16.840.1.113883.10.20.22.1.2"/>
  18 | 	<id extension="TT988" root="2.16.840.1.113883.19.5.99999.1"/>
  19 | 	<code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="34133-9"
  20 | 		displayName="Summarization of Episode Note"/>
  21 | 	<title>Community Health and Hospitals: Health Summary</title>
  22 | 	<effectiveTime value="201209150000-0400"/>
  23 | 	<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
  24 | 	<languageCode code="en-US"/>
  25 | 	<setId extension="sTT988" root="2.16.840.1.113883.19.5.99999.19"/>
  26 | 	<versionNumber value="1"/>
  27 | 	<recordTarget>
  28 | 		<patientRole>
  29 | 			<id root="f02e86fe-b148-4661-be7a-4462fa00feb2" extension="23423"/>
  30 | 			<!-- Fake ID using HL7 example OID. -->
  31 | 			<!-- Fake Social Security Number using the actual SSN OID. -->
  32 | 			<addr use="HP">
  33 | 				<!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 -->
  34 | 				<streetAddressLine>1357 Amber Drive</streetAddressLine>
  35 | 				<city>Beaverton</city>
  36 | 				<state>OR</state>
  37 | 				<postalCode>97867</postalCode>
  38 | 				<country>US</country>
  39 | 				<!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->
  40 | 			</addr>
  41 | 			<telecom value="tel:(816)276-6909" use="HP"/>
  42 | 			<!-- HP is "primary home" from HL7 AddressUse 2.16.840.1.113883.5.1119 -->
  43 | 			<patient>
  44 | 				<name use="L">
  45 | 					<!-- L is "Legal" from HL7 EntityNameUse 2.16.840.1.113883.5.45 -->
  46 | 					<given>Isabella</given>
  47 | 					<given>Isa</given>
  48 | 					<!-- CL is "Call me" from HL7 EntityNamePartQualifier 2.16.840.1.113883.5.43 -->
  49 | 					<family>Jones</family>
  50 | 				</name>
  51 | 				<administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"
  52 | 					displayName="Female"/>
  53 | 				<birthTime value="19750501"/>
  54 | 				<maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2"
  55 | 					codeSystemName="MaritalStatusCode"/>
  56 | 				<religiousAffiliationCode code="1013"
  57 | 					displayName="Christian (non-Catholic, non-specific)"
  58 | 					codeSystemName="HL7 Religious Affiliation" codeSystem="2.16.840.1.113883.5.1076"/>
  59 | 				<!-- CDC Race and Ethnicity code set contains the minimum race and ethnicity categories defined by OMB Standards for Race and Ethnicity -->
  60 | 				<raceCode code="2106-3" displayName="White" codeSystem="2.16.840.1.113883.6.238"
  61 | 					codeSystemName="Race &amp; Ethnicity - CDC"/>
  62 | 				<ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino"
  63 | 					codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race &amp; Ethnicity - CDC"/>
  64 | 				<guardian>
  65 | 					<code code="PRN" displayName="Parent" codeSystem="2.16.840.1.113883.5.111"
  66 | 						codeSystemName="HL7 Role code"/>
  67 | 					<addr use="HP">
  68 | 						<!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 -->
  69 | 						<streetAddressLine>1357 Amber Drive</streetAddressLine>
  70 | 						<city>Beaverton</city>
  71 | 						<state>OR</state>
  72 | 						<postalCode>97867</postalCode>
  73 | 						<country>US</country>
  74 | 						<!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->
  75 | 					</addr>
  76 | 					<telecom value="tel:(816)276-6909" use="HP"/>
  77 | 					<guardianPerson>
  78 | 						<name>
  79 | 							<given>Ralph</given>
  80 | 							<family>Jones</family>
  81 | 						</name>
  82 | 					</guardianPerson>
  83 | 				</guardian>
  84 | 				<birthplace>
  85 | 					<place>
  86 | 						<addr>
  87 | 							<city>Beaverton</city>
  88 | 							<state>OR</state>
  89 | 							<postalCode>97867</postalCode>
  90 | 							<country>US</country>
  91 | 						</addr>
  92 | 					</place>
  93 | 				</birthplace>
  94 | 				<languageCommunication>
  95 | 					<languageCode code="eng"/>
  96 | 					<!-- EN is "English" as in the IG -->
  97 | 					<modeCode code="ESP" displayName="Expressed spoken"
  98 | 						codeSystem="2.16.840.1.113883.5.60" codeSystemName="LanguageAbilityMode"/>
  99 | 					<proficiencyLevelCode code="G" displayName="Good"
 100 | 						codeSystem="2.16.840.1.113883.5.61"
 101 | 						codeSystemName="LanguageAbilityProficiency"/>
 102 | 					<preferenceInd value="true"/>
 103 | 				</languageCommunication>
 104 | 			</patient>
 105 | 			<providerOrganization>
 106 | 				<id root="2.16.840.1.113883.4.6"/>
 107 | 				<name>Community Health and Hospitals</name>
 108 | 				<telecom use="WP" value="tel: 555-555-5000"/>
 109 | 				<addr>
 110 | 					<streetAddressLine>1001 Village Avenue</streetAddressLine>
 111 | 					<city>Portland</city>
 112 | 					<state>OR</state>
 113 | 					<postalCode>99123</postalCode>
 114 | 					<country>US</country>
 115 | 				</addr>
 116 | 			</providerOrganization>
 117 | 		</patientRole>
 118 | 	</recordTarget>
 119 | 	<author>
 120 | 		<time value="20050329224411+0500"/>
 121 | 		<assignedAuthor>
 122 | 			<id root="2.16.840.1.113883.4.6" nullFlavor="UNK"/>
 123 | 			<code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
 124 | 				displayName="Allopathic &amp; Osteopathic Physicians"/>
 125 | 			<addr>
 126 | 				<streetAddressLine>1002 Healthcare Drive </streetAddressLine>
 127 | 				<city>Portland</city>
 128 | 				<state>OR</state>
 129 | 				<postalCode>99123</postalCode>
 130 | 				<country>US</country>
 131 | 			</addr>
 132 | 			<telecom use="WP" value="tel:555-555-1002"/>
 133 | 			<assignedPerson>
 134 | 				<name>
 135 | 					<given>Henry</given>
 136 | 					<family>Seven</family>
 137 | 				</name>
 138 | 			</assignedPerson>
 139 | 		</assignedAuthor>
 140 | 	</author>
 141 | 	<dataEnterer>
 142 | 		<assignedEntity>
 143 | 			<id root="2.16.840.1.113883.4.6" extension="999999943252"/>
 144 | 			<addr>
 145 | 				<streetAddressLine>1001 Village Avenue</streetAddressLine>
 146 | 				<city>Portland</city>
 147 | 				<state>OR</state>
 148 | 				<postalCode>99123</postalCode>
 149 | 				<country>US</country>
 150 | 			</addr>
 151 | 			<telecom use="WP" value="tel:555-555-1002"/>
 152 | 			<assignedPerson>
 153 | 				<name>
 154 | 					<given>Henry</given>
 155 | 					<family>Seven</family>
 156 | 				</name>
 157 | 			</assignedPerson>
 158 | 		</assignedEntity>
 159 | 	</dataEnterer>
 160 | 	<informant>
 161 | 		<assignedEntity>
 162 | 			<id extension="KP00017" root="2.16.840.1.113883.19.5"/>
 163 | 			<addr>
 164 | 				<streetAddressLine>1001 Village Avenue</streetAddressLine>
 165 | 				<city>Portland</city>
 166 | 				<state>OR</state>
 167 | 				<postalCode>99123</postalCode>
 168 | 				<country>US</country>
 169 | 			</addr>
 170 | 			<telecom use="WP" value="tel:555-555-1002"/>
 171 | 			<assignedPerson>
 172 | 				<name>
 173 | 					<given>Henry</given>
 174 | 					<family>Seven</family>
 175 | 				</name>
 176 | 			</assignedPerson>
 177 | 		</assignedEntity>
 178 | 	</informant>
 179 | 	<informant>
 180 | 		<relatedEntity classCode="PRS">
 181 | 			<!-- classCode PRS represents a person with personal relationship with 
 182 | 				the patient. -->
 183 | 			<code code="SPS" displayName="SPOUSE" codeSystem="2.16.840.1.113883.1.11.19563"
 184 | 				codeSystemName="Personal Relationship Role Type Value Set"/>
 185 | 			<relatedPerson>
 186 | 				<name>
 187 | 					<given>Frank</given>
 188 | 					<family>Jones</family>
 189 | 				</name>
 190 | 			</relatedPerson>
 191 | 		</relatedEntity>
 192 | 	</informant>
 193 | 	<custodian>
 194 | 		<assignedCustodian>
 195 | 			<representedCustodianOrganization>
 196 | 				<id extension="99999999" root="2.16.840.1.113883.4.6"/>
 197 | 				<name>Community Health and Hospitals</name>
 198 | 				<telecom value="tel: 555-555-1002" use="WP"/>
 199 | 				<addr use="WP">
 200 | 					<streetAddressLine>1002 Healthcare Drive </streetAddressLine>
 201 | 					<city>Portland</city>
 202 | 					<state>OR</state>
 203 | 					<postalCode>99123</postalCode>
 204 | 					<country>US</country>
 205 | 				</addr>
 206 | 			</representedCustodianOrganization>
 207 | 		</assignedCustodian>
 208 | 	</custodian>
 209 | 	<informationRecipient>
 210 | 		<intendedRecipient>
 211 | 			<informationRecipient>
 212 | 				<name>
 213 | 					<given>Henry</given>
 214 | 					<family>Seven</family>
 215 | 				</name>
 216 | 			</informationRecipient>
 217 | 			<receivedOrganization>
 218 | 				<name>Community Health and Hospitals</name>
 219 | 			</receivedOrganization>
 220 | 		</intendedRecipient>
 221 | 	</informationRecipient>
 222 | 	<legalAuthenticator>
 223 | 		<time value="20090227130000+0500"/>
 224 | 		<signatureCode code="S"/>
 225 | 		<assignedEntity>
 226 | 			<id extension="999999999" root="2.16.840.1.113883.4.6"/>
 227 | 			<addr>
 228 | 				<streetAddressLine>1001 Village Avenue</streetAddressLine>
 229 | 				<city>Portland</city>
 230 | 				<state>OR</state>
 231 | 				<postalCode>99123</postalCode>
 232 | 				<country>US</country>
 233 | 			</addr>
 234 | 			<telecom use="WP" value="tel:555-555-1002"/>
 235 | 			<assignedPerson>
 236 | 				<name>
 237 | 					<given>Henry</given>
 238 | 					<family>Seven</family>
 239 | 				</name>
 240 | 			</assignedPerson>
 241 | 		</assignedEntity>
 242 | 	</legalAuthenticator>
 243 | 	<authenticator>
 244 | 		<time value="20090227130000+0500"/>
 245 | 		<signatureCode code="S"/>
 246 | 		<assignedEntity>
 247 | 			<id extension="999999999" root="2.16.840.1.113883.4.6"/>
 248 | 			<addr>
 249 | 				<streetAddressLine>1001 Village Avenue</streetAddressLine>
 250 | 				<city>Portland</city>
 251 | 				<state>OR</state>
 252 | 				<postalCode>99123</postalCode>
 253 | 				<country>US</country>
 254 | 			</addr>
 255 | 			<telecom use="WP" value="tel:555-555-1002"/>
 256 | 			<assignedPerson>
 257 | 				<name>
 258 | 					<given>Henry</given>
 259 | 					<family>Seven</family>
 260 | 				</name>
 261 | 			</assignedPerson>
 262 | 		</assignedEntity>
 263 | 	</authenticator>
 264 | 	<documentationOf>
 265 | 		<serviceEvent classCode="PCPR">
 266 | 			<code code="73761001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"
 267 | 				displayName="Colonoscopy"/>
 268 | 			<effectiveTime>
 269 | 				<low value="201209080000-0400"/>
 270 | 				<high value="201209150000-0400"/>
 271 | 			</effectiveTime>
 272 | 			<performer typeCode="PRF">
 273 | 				<functionCode code="PP" displayName="Primary Performer"
 274 | 					codeSystem="2.16.840.1.113883.12.443" codeSystemName="Provider Role">
 275 | 					<originalText>Primary Care Provider</originalText>
 276 | 				</functionCode>
 277 | 				<assignedEntity>
 278 | 					<!-- Provider NPI "PseudoMD-1" -->
 279 | 					<id extension="PseudoMD-1" root="2.16.840.1.113883.4.6"/>
 280 | 					<code code="207RG0100X" displayName="Gastroenterologist"
 281 | 						codeSystemName="Provider Codes" codeSystem="2.16.840.1.113883.6.101"/>
 282 | 					<addr>
 283 | 						<streetAddressLine>1001 Village Avenue</streetAddressLine>
 284 | 						<city>Portland</city>
 285 | 						<state>OR</state>
 286 | 						<postalCode>99123</postalCode>
 287 | 						<country>US</country>
 288 | 					</addr>
 289 | 					<telecom value="tel:+1-555-555-5000" use="HP"/>
 290 | 					<assignedPerson>
 291 | 						<name>
 292 | 							<prefix>Dr.</prefix>
 293 | 							<given>Henry</given>
 294 | 							<family>Seven</family>
 295 | 						</name>
 296 | 					</assignedPerson>
 297 | 					<representedOrganization>
 298 | 						<id root="2.16.840.1.113883.19.5.9999.1393"/>
 299 | 						<name>Community Health and Hospitals</name>
 300 | 						<telecom value="tel:+1-555-555-5000" use="HP"/>
 301 | 						<addr>
 302 | 							<streetAddressLine>1001 Village Avenue</streetAddressLine>
 303 | 							<city>Portland</city>
 304 | 							<state>OR</state>
 305 | 							<postalCode>99123</postalCode>
 306 | 							<country>US</country>
 307 | 						</addr>
 308 | 					</representedOrganization>
 309 | 				</assignedEntity>
 310 | 			</performer>
 311 | 		</serviceEvent>
 312 | 	</documentationOf>
 313 | 	<!-- ******************************************************** CDA Body ******************************************************** -->
 314 | 	<component>
 315 | 		<structuredBody>
 316 | 			<!-- *************************************** ADVANCE DIRECTIVES************************** -->
 317 | 			<component>
 318 | 				<section>
 319 | 					<!-- conforms to Advance Directives section with entries optional -->
 320 | 					<templateId root="2.16.840.1.113883.10.20.22.2.21"/>
 321 | 					<!-- Advance Directives section with entries required -->
 322 | 					<templateId root="2.16.840.1.113883.10.20.22.2.21.1"/>
 323 | 					<code code="42348-3" codeSystem="2.16.840.1.113883.6.1"/>
 324 | 					<title>ADVANCE DIRECTIVES</title>
 325 | 					<text>
 326 | 						<table border="1" width="100%">
 327 | 							<thead>
 328 | 								<tr>
 329 | 									<th>Directive</th>
 330 | 									<th>Description</th>
 331 | 									<th>Verification</th>
 332 | 									<th>Supporting Document(s)</th>
 333 | 								</tr>
 334 | 							</thead>
 335 | 							<tbody>
 336 | 								<tr>
 337 | 									<td>Resuscitation status</td>
 338 | 									<td>
 339 | 										<content ID="AD1">Do not resuscitate</content>
 340 | 									</td>
 341 | 									<td>Dr. Robert Dolin, Feb 13, 2011</td>
 342 | 									<td>
 343 | 										<linkHtml
 344 | 											href="AdvanceDirective.b50b7910-7ffb-4f4c-bbe4-177ed68cbbf3.pdf"
 345 | 											>Advance directive</linkHtml>
 346 | 									</td>
 347 | 								</tr>
 348 | 							</tbody>
 349 | 						</table>
 350 | 					</text>
 351 | 					<entry>
 352 | 						<observation classCode="OBS" moodCode="EVN">
 353 | 							<templateId root="2.16.840.1.113883.10.20.22.4.48"/>
 354 | 							<!-- ** Advance Directive Observation ** -->
 355 | 							<id root="9b54c3c9-1673-49c7-aef9-b037ed72ed27"/>
 356 | 							<code code="304251008" codeSystem="2.16.840.1.113883.6.96"
 357 | 								displayName="Resuscitation"/>
 358 | 							<statusCode code="completed"/>
 359 | 							<effectiveTime>
 360 | 								<low value="20110213"/>
 361 | 								<high nullFlavor="NA"/>
 362 | 							</effectiveTime>
 363 | 							<value xsi:type="CD" code="304253006"
 364 | 								codeSystem="2.16.840.1.113883.6.96" displayName="Do not resuscitate">
 365 | 								<originalText>
 366 | 									<reference value="#AD1"/>
 367 | 								</originalText>
 368 | 							</value>
 369 | 							<participant typeCode="VRF">
 370 | 								<templateId root="2.16.840.1.113883.10.20.1.58"/>
 371 | 								<time value="201102013"/>
 372 | 								<participantRole>
 373 | 									<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
 374 | 									<playingEntity>
 375 | 										<name>
 376 | 											<prefix>Dr.</prefix>
 377 | 											<family>Dolin</family>
 378 | 											<given>Robert</given>
 379 | 										</name>
 380 | 									</playingEntity>
 381 | 								</participantRole>
 382 | 							</participant>
 383 | 							<participant typeCode="CST">
 384 | 								<participantRole classCode="AGNT">
 385 | 									<addr>
 386 | 										<streetAddressLine>21 North Ave.</streetAddressLine>
 387 | 										<city>Burlington</city>
 388 | 										<state>MA</state>
 389 | 										<postalCode>02368</postalCode>
 390 | 										<country>US</country>
 391 | 									</addr>
 392 | 									<telecom value="tel:(555)555-1003"/>
 393 | 									<playingEntity>
 394 | 										<name>
 395 | 											<prefix>Dr.</prefix>
 396 | 											<family>Dolin</family>
 397 | 											<given>Robert</given>
 398 | 										</name>
 399 | 									</playingEntity>
 400 | 								</participantRole>
 401 | 							</participant>
 402 | 							<reference typeCode="REFR">
 403 | 								<seperatableInd value="false"/>
 404 | 								<externalDocument>
 405 | 									<id root="b50b7910-7ffb-4f4c-bbe4-177ed68cbbf3"/>
 406 | 									<text mediaType="application/pdf">
 407 | 										<reference
 408 | 											value="AdvanceDirective.b50b7910-7ffb-4f4c-bbe4-177ed68cbbf3.pdf"
 409 | 										/>
 410 | 									</text>
 411 | 								</externalDocument>
 412 | 							</reference>
 413 | 						</observation>
 414 | 					</entry>
 415 | 				</section>
 416 | 			</component>
 417 | 			<!-- ********************************* Allergies, Adverse Reactions, Alerts ****************************** -->
 418 | 			<component>
 419 | 				<section>
 420 | 					<!-- conforms to Allergies section with entries optional -->
 421 | 					<templateId root="2.16.840.1.113883.10.20.22.2.6"/>
 422 | 					<!-- Allergies section with entries required -->
 423 | 					<templateId root="2.16.840.1.113883.10.20.22.2.6.1"/>
 424 | 					<code code="48765-2" codeSystem="2.16.840.1.113883.6.1"/>
 425 | 					<title>ALLERGIES, ADVERSE REACTIONS, ALERTS</title>
 426 | 					<text>No Known Allergies 10/03/2010	</text>
 427 | 				    <entry typeCode="DRIV">
 428 | 				        <!-- Allergy Concern Act -->
 429 | 				        <act classCode="ACT" moodCode="EVN">
 430 | 				            <templateId root="2.16.840.1.113883.10.20.22.4.30"/>
 431 | 				            <id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
 432 | 				            <!-- Review use of 48765-2 with SDWG, consider consistency with problem concern act -->
 433 | 				            <code code="48765-2" codeSystem="2.16.840.1.113883.6.1"
 434 | 				                codeSystemName="LOINC"
 435 | 				                displayName="Allergies, adverse reactions, alerts"/>
 436 | 				            <statusCode code="active"/> <!--currently tracked concerns are active concerns-->
 437 | 				            <effectiveTime>
 438 | 				                <low value="20091201"/> <!--show time when the concern first began being tracked-->
 439 | 				            </effectiveTime>
 440 | 				            <entryRelationship typeCode="SUBJ">
 441 | 				                <!-- No Known Allergies -->
 442 | 				                <observation classCode="OBS" moodCode="EVN" negationInd="true">
 443 | 				                    <!-- allergy - intolerance observation template -->
 444 | 				                    <templateId root="2.16.840.1.113883.10.20.22.4.7"/>
 445 | 				                    <id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/>
 446 | 				                    <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
 447 | 				                    <statusCode code="completed"/>
 448 | 				                    <!-- date/time the patient made the assertion -->
 449 | 				                    <effectiveTime>
 450 | 				                        <low value="20100103"/>
 451 | 				                    </effectiveTime>
 452 | 				                    <value xsi:type="CD" code="419199007"
 453 | 				                        displayName="Allergy to substance (disorder)"
 454 | 				                        codeSystem="2.16.840.1.113883.6.96"
 455 | 				                        codeSystemName="SNOMED CT"/>
 456 | 				                </observation>
 457 | 				            </entryRelationship>
 458 | 				        </act>
 459 | 				    </entry>
 460 | 					<entry typeCode="DRIV">
 461 | 						<!-- Allergy Concern Act -->
 462 | 						<act classCode="ACT" moodCode="EVN">
 463 | 							<templateId root="2.16.840.1.113883.10.20.22.4.30"/>
 464 | 							<id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
 465 | 							<!-- Review use of 48765-2 with SDWG, consider consistency with problem concern act -->
 466 | 							<code code="48765-2" codeSystem="2.16.840.1.113883.6.1"
 467 | 								codeSystemName="LOINC"
 468 | 								displayName="Allergies, adverse reactions, alerts"/>
 469 | 							<statusCode code="active"/> <!--currently tracked concerns are active concerns-->
 470 | 							<effectiveTime>
 471 | 								<low value="20091201"/> <!--show time when the concern first began being tracked-->
 472 | 							</effectiveTime>
 473 | 							<entryRelationship typeCode="SUBJ">
 474 | 								<!-- No Known Allergies -->
 475 | 								<observation classCode="OBS" moodCode="EVN" negationInd="true">
 476 | 									<!-- allergy - intolerance observation template -->
 477 | 									<templateId root="2.16.840.1.113883.10.20.22.4.7"/>
 478 | 									<id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/>
 479 | 									<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
 480 | 									<statusCode code="completed"/>
 481 | 									<!-- date/time the patient made the assertion -->
 482 | 									<effectiveTime nullFlavor="NA"/>
 483 | 									<value xsi:type="CD" code="419199007"
 484 | 										displayName="Allergy to substance (disorder)"
 485 | 										codeSystem="2.16.840.1.113883.6.96"
 486 | 										codeSystemName="SNOMED CT"/>
 487 | 									<author>
 488 | 										<time value="20100103"/>
 489 | 										<assignedAuthor>
 490 | 											<id extension="99999999" root="2.16.840.1.113883.4.6"/>
 491 | 											<code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
 492 | 												displayName="Allopathic &amp; Osteopathic Physicians"/>
 493 | 											<telecom use="WP" value="tel:555-555-1002"/>
 494 | 											<assignedPerson>
 495 | 												<name>
 496 | 													<given>Henry</given>
 497 | 													<family>Seven</family>
 498 | 												</name>
 499 | 											</assignedPerson>
 500 | 										</assignedAuthor>
 501 | 									</author>
 502 | 								</observation>
 503 | 							</entryRelationship>
 504 | 						</act>
 505 | 					</entry>
 506 | 					
 507 | 					
 508 | 				</section>
 509 | 			</component>
 510 | 			<!-- ************************************ ASSESSMENT ************************************ -->
 511 | 			<component>
 512 | 				<section>
 513 | 					<!-- Assessment section -->
 514 | 					<templateId root="2.16.840.1.113883.10.20.22.2.8"/>
 515 | 					<code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="51848-0"
 516 | 						displayName="ASSESSMENT"/>
 517 | 					<title>ASSESSMENT</title>
 518 | 					<text>
 519 | 						<list listType="ordered" ID="problem15">
 520 | 							<item>Recurrent GI bleed of unknown etiology; hypotension perhaps
 521 | 								secondary to this but as likely secondary to polypharmacy.</item>
 522 | 							<item>Acute on chronic anemia secondary to #1.</item>
 523 | 							<item>Azotemia, acute renal failure with volume loss secondary to
 524 | 								#1.</item>
 525 | 							<item>Hyperkalemia secondary to #3 and on ACE and K+ supplement.</item>
 526 | 							<item>Other chronic diagnoses as noted above, currently stable.</item>
 527 | 						</list>
 528 | 					</text>
 529 | 					<entry>
 530 | 						<observation classCode="OBS" moodCode="EVN">
 531 | 							<!-- ** Problem observation ** -->
 532 | 							<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
 533 | 							<id root="ab1791b0-5c71-11db-b0de-0800200c9a66"/>
 534 | 							<code code="409586006" codeSystem="2.16.840.1.113883.6.96"
 535 | 								displayName="Complaint"/>
 536 | 							<text>
 537 | 								<reference value="#problem15"/>
 538 | 							</text>
 539 | 							<statusCode code="completed"/>
 540 | 							<effectiveTime>
 541 | 								<low value="20080103"/>
 542 | 								<high value="20080103"/>
 543 | 							</effectiveTime>
 544 | 							<value xsi:type="CD" code="233604007"
 545 | 								codeSystem="2.16.840.1.113883.6.96" displayName="Pneumonia"/>
 546 | 													</observation>
 547 | 					</entry>
 548 | 					
 549 | 				</section>
 550 | 			</component>
 551 | 			<!-- ******************************* ENCOUNTERS ***************************** -->
 552 | 			<component>
 553 | 				<section>
 554 | 					<!-- conforms to Encounters section with entries optional -->
 555 | 					<templateId root="2.16.840.1.113883.10.20.22.2.22"/>
 556 | 					<!-- Encounters section with entries required -->
 557 | 					<templateId root="2.16.840.1.113883.10.20.22.2.22.1"/>
 558 | 					<code code="46240-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
 559 | 						displayName="History of encounters"/>
 560 | 					<title>ENCOUNTERS</title>
 561 | 					<text>
 562 | 						<table border="1" width="100%">
 563 | 							<thead>
 564 | 								<tr>
 565 | 									<th>Encounter</th>
 566 | 									<th>Performer</th>
 567 | 									<th>Location</th>
 568 | 									<th>Date</th>
 569 | 								</tr>
 570 | 							</thead>
 571 | 							<tbody>
 572 | 								<tr>
 573 | 									<td>
 574 | 										<content ID="Encounter1"/> Checkup Examination </td>
 575 | 									<td>Performer Name</td>
 576 | 									<td>Community Urgent Care Center</td>
 577 | 									<td>20090227130000+0500</td>
 578 | 								</tr>
 579 | 							</tbody>
 580 | 						</table>
 581 | 					</text>
 582 | 					<entry typeCode="DRIV">
 583 | 						<encounter classCode="ENC" moodCode="EVN">
 584 | 							<!-- ** Encounter activities ** -->
 585 | 							<templateId root="2.16.840.1.113883.10.20.22.4.49"/>
 586 | 							<id root="2a620155-9d11-439e-92b3-5d9815ff4de8"/>
 587 | 							<code code="99213" displayName="Office outpatient visit 15 minutes"
 588 | 								codeSystemName="CPT" codeSystem="2.16.840.1.113883.6.12"
 589 | 								codeSystemVersion="4">
 590 | 								<originalText> Checkup Examination <reference value="#Encounter1"/>
 591 | 								</originalText>
 592 | 								<translation code="AMB" codeSystem="2.16.840.1.113883.5.4"
 593 | 									displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/>
 594 | 							</code>
 595 | 							<!-- February 27, 2009 at 1:00PM EST -->
 596 | 							<effectiveTime value="20090227130000+0500"/>
 597 | 							<performer>
 598 | 								<assignedEntity>
 599 | 									<!-- Provider NPI "PseduoMD-3" -->
 600 | 									<id root="PseduoMD-3"/>
 601 | 									<code code="59058001" codeSystem="2.16.840.1.113883.6.96"
 602 | 										codeSystemName="SNOMED CT" displayName="General Physician"/>
 603 | 								</assignedEntity>
 604 | 							</performer>
 605 | 							<participant typeCode="LOC">
 606 | 								<participantRole classCode="SDLOC">
 607 | 									<templateId root="2.16.840.1.113883.10.20.22.4.32"/>
 608 | 									<!-- Service Delivery Location template -->
 609 | 									<code code="1160-1" codeSystem="2.16.840.1.113883.6.259"
 610 | 										codeSystemName="HealthcareServiceLocation"
 611 | 										displayName="Urgent Care Center"/>
 612 | 									<addr>
 613 | 										<streetAddressLine>17 Daws Rd.</streetAddressLine>
 614 | 										<city>Blue Bell</city>
 615 | 										<state>MA</state>
 616 | 										<postalCode>02368</postalCode>
 617 | 										<country>US</country>
 618 | 									</addr>
 619 | 									<telecom nullFlavor="UNK"/>
 620 | 									<playingEntity classCode="PLC">
 621 | 										<name>Community Urgent Care Center</name>
 622 | 									</playingEntity>
 623 | 								</participantRole>
 624 | 							</participant>
 625 | 							<entryRelationship typeCode="RSON">
 626 | 								<observation classCode="OBS" moodCode="EVN">
 627 | 									<templateId root="2.16.840.1.113883.10.20.22.4.19"/>
 628 | 									<id root="db734647-fc99-424c-a864-7e3cda82e703"
 629 | 										extension="45665"/>
 630 | 									<code code="404684003" displayName="Finding"
 631 | 										codeSystem="2.16.840.1.113883.6.96"
 632 | 										codeSystemName="SNOMED CT"/>
 633 | 									<statusCode code="completed"/>
 634 | 									<effectiveTime>
 635 | 										<low value="20070103"/>
 636 | 									</effectiveTime>
 637 | 									<value xsi:type="CD" code="233604007" displayName="Pneumonia"
 638 | 										codeSystem="2.16.840.1.113883.6.96"/>
 639 | 								</observation>
 640 | 							</entryRelationship>
 641 | 						</encounter>
 642 | 					</entry>
 643 | 				</section>
 644 | 			</component>
 645 | 			<!-- ************************ FAMILY HISTORY ********************************** -->
 646 | 			<component>
 647 | 				<section>
 648 | 					<!-- Family history section -->
 649 | 					<templateId root="2.16.840.1.113883.10.20.22.2.15"/>
 650 | 					<code code="10157-6" codeSystem="2.16.840.1.113883.6.1"/>
 651 | 					<title>FAMILY HISTORY</title>
 652 | 					<text>
 653 | 						<paragraph>Father (deceased)</paragraph>
 654 | 						<table border="1" width="100%">
 655 | 							<thead>
 656 | 								<tr>
 657 | 									<th>Diagnosis</th>
 658 | 									<th>Age At Onset</th>
 659 | 								</tr>
 660 | 							</thead>
 661 | 							<tbody>
 662 | 								<tr>
 663 | 									<td>Myocardial Infarction (cause of death)</td>
 664 | 									<td>57</td>
 665 | 								</tr>
 666 | 								<tr>
 667 | 									<td>Diabetes</td>
 668 | 									<td>40</td>
 669 | 								</tr>
 670 | 							</tbody>
 671 | 						</table>
 672 | 					</text>
 673 | 					<entry typeCode="DRIV">
 674 | 						<organizer moodCode="EVN" classCode="CLUSTER">
 675 | 							<!-- ** Family history organizer ** -->
 676 | 							<templateId root="2.16.840.1.113883.10.20.22.4.45"/>
 677 | 							<statusCode code="completed"/>
 678 | 							<subject>
 679 | 								<relatedSubject classCode="PRS">
 680 | 									<code code="FTH" displayName="Father"
 681 | 										codeSystemName="FamilyRelationshipRoleType"
 682 | 										codeSystem="2.16.840.1.113883.5.111">
 683 | 										<translation code="9947008" displayName="Biological father"
 684 | 											codeSystemName="SNOMED"
 685 | 											codeSystem="2.16.840.1.113883.6.96"/>
 686 | 									</code>
 687 | 									<subject>
 688 | 										<!--<sdtc:id root="2.16.840.1.113883.19.5.99999.2"
 689 | 											extension="99999999"/>-->
 690 | 										<administrativeGenderCode code="M"
 691 | 											codeSystem="2.16.840.1.113883.5.1" displayName="Male"/>
 692 | 										<birthTime value="1910"/>
 693 | 										<!-- Example use of sdtc extensions included below in comments -->
 694 | 										<!-- <sdtc:deceasedInd value="true"/> <sdtc:deceasedTime value="1967"/> -->
 695 | 									</subject>
 696 | 								</relatedSubject>
 697 | 							</subject>
 698 | 							<component>
 699 | 								<observation classCode="OBS" moodCode="EVN">
 700 | 									<!-- ** Family history observation ** -->
 701 | 									<templateId root="2.16.840.1.113883.10.20.22.4.46"/>
 702 | 									<id root="d42ebf70-5c89-11db-b0de-0800200c9a66"/>
 703 | 									<code code="64572001" displayName="Condition"
 704 | 										codeSystemName="SNOMED CT"
 705 | 										codeSystem="2.16.840.1.113883.6.96"/>
 706 | 									<statusCode code="completed"/>
 707 | 									<effectiveTime value="1967"/>
 708 | 									<value xsi:type="CD" code="22298006"
 709 | 										codeSystem="2.16.840.1.113883.6.96"
 710 | 										displayName="Myocardial infarction"/>
 711 | 									<entryRelationship typeCode="CAUS">
 712 | 										<observation classCode="OBS" moodCode="EVN">
 713 | 											<!-- ** Family history death observation ** -->
 714 | 											<templateId root="2.16.840.1.113883.10.20.22.4.47"/>
 715 | 											<id root="6898fae0-5c8a-11db-b0de-0800200c9a66"/>
 716 | 											<code code="ASSERTION"
 717 | 												codeSystem="2.16.840.1.113883.5.4"/>
 718 | 											<statusCode code="completed"/>
 719 | 											<value xsi:type="CD" code="419099009"
 720 | 												codeSystem="2.16.840.1.113883.6.96"
 721 | 												displayName="Dead"/>
 722 | 										</observation>
 723 | 									</entryRelationship>
 724 | 									<entryRelationship typeCode="SUBJ" inversionInd="true">
 725 | 										<observation classCode="OBS" moodCode="EVN">
 726 | 											<!-- ** Age observation ** -->
 727 | 											<templateId root="2.16.840.1.113883.10.20.22.4.31"/>
 728 | 											<code code="445518008"
 729 | 												codeSystem="2.16.840.1.113883.6.96"
 730 | 												displayName="Age At Onset"/>
 731 | 											<statusCode code="completed"/>
 732 | 											<value xsi:type="PQ" value="57" unit="a"/>
 733 | 										</observation>
 734 | 									</entryRelationship>
 735 | 								</observation>
 736 | 							</component>
 737 | 							<component>
 738 | 								<observation classCode="OBS" moodCode="EVN">
 739 | 									<!-- ** Family history observation ** -->
 740 | 									<templateId root="2.16.840.1.113883.10.20.22.4.46"/>
 741 | 									<id root="5bfe3ec0-5c8b-11db-b0de-0800200c9a66"/>
 742 | 									<code code="64572001" displayName="Condition"
 743 | 										codeSystemName="SNOMED CT"
 744 | 										codeSystem="2.16.840.1.113883.6.96"/>
 745 | 									<statusCode code="completed"/>
 746 | 									<effectiveTime value="1950"/>
 747 | 									<value xsi:type="CD" code="44054006"
 748 | 										codeSystem="2.16.840.1.113883.6.96"
 749 | 										displayName="Diabetes mellitus type 2"/>
 750 | 									<entryRelationship typeCode="SUBJ" inversionInd="true">
 751 | 										<observation classCode="OBS" moodCode="EVN">
 752 | 											<!-- ** Age observation ** -->
 753 | 											<templateId root="2.16.840.1.113883.10.20.22.4.31"/>
 754 | 											<code code="445518008"
 755 | 												codeSystem="2.16.840.1.113883.6.96"
 756 | 												displayName="Age At Onset"/>
 757 | 											<statusCode code="completed"/>
 758 | 											<value xsi:type="PQ" value="40" unit="a"/>
 759 | 										</observation>
 760 | 									</entryRelationship>
 761 | 								</observation>
 762 | 							</component>
 763 | 						</organizer>
 764 | 					</entry>
 765 | 				</section>
 766 | 			</component>
 767 | 			<!-- **************************** FUNCTIONAL STATUS ************************************ -->
 768 | 			<component>
 769 | 				<section>
 770 | 					<!-- Functional status section -->
 771 | 					<templateId root="2.16.840.1.113883.10.20.22.2.14"/>
 772 | 					<code code="47420-5" codeSystem="2.16.840.1.113883.6.1"/>
 773 | 					<title>Functional Status</title>
 774 | 					<text>
 775 | 						<table border="1" width="100%">
 776 | 							<thead>
 777 | 								<tr>
 778 | 									<th>Functional or Cognitive Finding</th>
 779 | 									<th>Observation</th>
 780 | 									<th>Observation Date</th>
 781 | 									<th>Condition Status</th>
 782 | 								</tr>
 783 | 							</thead>
 784 | 							<tbody>
 785 | 								<tr>
 786 | 									<td><content ID="FUNC1">Ambulation(Dependent to
 787 | 											Independent)</content></td>
 788 | 									<td>Independently able</td>
 789 | 									<td>March 11, 2009</td>
 790 | 									<td>Active</td>
 791 | 								</tr>
 792 | 								<tr>
 793 | 									<td><content ID="FUNC2">Finding of Functional Performance and
 794 | 											Activity</content></td>
 795 | 									<td>Dyspnea</td>
 796 | 									<td>February 2007</td>
 797 | 									<td>Active</td>
 798 | 								</tr>
 799 | 								<tr>
 800 | 									<td>Cognitive Function Finding</td>
 801 | 									<td><content ID="COG2">Memory impairment</content></td>
 802 | 									<td>April 2007</td>
 803 | 									<td>Active</td>
 804 | 								</tr>
 805 | 							</tbody>
 806 | 						</table>
 807 | 					</text>
 808 | 					<entry typeCode="DRIV">
 809 | 						<organizer classCode="CLUSTER" moodCode="EVN">
 810 | 							<templateId root="2.16.840.1.113883.10.20.22.4.1"/>
 811 | 							<!-- ** conforms to Result Organizer ** -->
 812 | 							<templateId root="2.16.840.1.113883.10.20.22.4.66"/>
 813 | 							<!-- Functional Status Result Organizer template -->
 814 | 							<id root="9295dba4-df05-46bb-b94e-f2c4e4b156f8"/>
 815 | 							<code code="d5" displayName="Self-Care"
 816 | 								codeSystem="2.16.840.1.113883.6.254" codeSystemName="ICF"/>
 817 | 							<statusCode code="completed"/>
 818 | 							<component>
 819 | 								<observation classCode="OBS" moodCode="EVN">
 820 | 									<!-- ** conforms to Result observation ** -->
 821 | 									<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
 822 | 									<!-- ** Functional status result observation ** -->
 823 | 									<templateId root="2.16.840.1.113883.10.20.22.4.67"/>
 824 | 									<id root="c6b5a04b-2bf4-49d1-8336-636a3813df0a"/>
 825 | 									<code code="57251-1" displayName="Ambulation"
 826 | 										codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
 827 | 									<text>
 828 | 										<reference value="#FUNC1"/>
 829 | 									</text>
 830 | 									<statusCode code="completed"/>
 831 | 									<effectiveTime value="200903111230"/>
 832 | 									<value xsi:type="CD" code="371153006"
 833 | 										displayName="Independently able"
 834 | 										codeSystem="2.16.840.1.113883.6.96"
 835 | 										codeSystemName="SNOMED CT"/>
 836 | 									<interpretationCode code="B" codeSystem="2.16.840.1.113883.5.83"/>
 837 | 									<entryRelationship typeCode="COMP">
 838 | 										<observation classCode="OBS" moodCode="EVN">
 839 | 											<!-- ** Assessment scale observation ** -->
 840 | 											<templateId root="2.16.840.1.113883.10.20.22.4.69"/>
 841 | 											<id root="c6b5a04b-2bf4-49d1-8336-636a3813df0b"/>
 842 | 											<code code="54614-3"
 843 | 												displayName="Brief Interview for Mental Status"
 844 | 												codeSystem="2.16.840.1.113883.6.1"
 845 | 												codeSystemName="LOINC"/>
 846 | 											<derivationExpr>Text description of the
 847 | 												calculation</derivationExpr>
 848 | 											<statusCode code="completed"/>
 849 | 											<effectiveTime value="20120214"/>
 850 | 											<!-- Summed score of the component values -->
 851 | 											<value xsi:type="INT" value="7"/>
 852 | 											<entryRelationship typeCode="COMP">
 853 | 												<observation classCode="OBS" moodCode="EVN">
 854 | 												<!-- ** Assessment scale supporting observation ** -->
 855 | 												<templateId root="2.16.840.1.113883.10.20.22.4.86"/>
 856 | 												<id root="f4dce790-8328-11db-9fe1-0800200c9a33"/>
 857 | 												<code code="52731-7"
 858 | 												displayName="Repetition of Three Words"
 859 | 												codeSystem="2.16.840.1.113883.6.1"
 860 | 												codeSystemName="LOINC"/>
 861 | 												<statusCode code="completed"/>
 862 | 												<value xsi:type="CD" code="LA6395-3"
 863 | 												displayName="Three"
 864 | 												codeSystem="2.16.840.1.113883.6.1"/>
 865 | 												</observation>
 866 | 											</entryRelationship>
 867 | 											<entryRelationship typeCode="COMP">
 868 | 												<observation classCode="OBS" moodCode="EVN">
 869 | 												<!-- ** Assessment scale supporting observation ** -->
 870 | 												<templateId root="2.16.840.1.113883.10.20.22.4.86"/>
 871 | 												<id root="f4dce790-8328-11db-9fe1-0800200c9a22"/>
 872 | 												<code code="52732-5"
 873 | 												displayName="Temporal orientation - current year"
 874 | 												codeSystem="2.16.840.1.113883.6.1"
 875 | 												codeSystemName="LOINC"/>
 876 | 												<statusCode code="completed"/>
 877 | 												<value xsi:type="CD" code="LA10966-2"
 878 | 												displayName="Missed by 2-5 years"
 879 | 												codeSystem="2.16.840.1.113883.6.1"/>
 880 | 												</observation>
 881 | 											</entryRelationship>
 882 | 									<!--
 883 | 											<entryRelationship typeCode="REFR">
 884 | 												<observation classCode="OBS" moodCode="EVN">
 885 | 												 ** Caregiver characteristics ** 
 886 | 												<templateId root="2.16.840.1.113883.10.20.22.4.72"/>
 887 | 												<id root="c6b5a04b-2bf4-49d1-8336-636a3813df0c"/>
 888 | 												<code code="ASSERTION"
 889 | 												codeSystem="2.16.840.1.113883.5.4"/>
 890 | 												<statusCode code="completed"/>
 891 | 												<value xsi:type="CD" code="422615001"
 892 | 												codeSystem="2.16.840.1.113883.6.96"
 893 | 												displayName="caregiver difficulty providing physical care"/>
 894 | 												<participant typeCode="IND">
 895 | 												<participantRole classCode="IND">
 896 | 												<code code="MTH"
 897 | 												codeSystem="2.16.840.1.113883.5.111"
 898 | 												displayName="Mother"/>
 899 | 												</participantRole>
 900 | 												</participant>
 901 | 												</observation>
 902 | 											</entryRelationship> -->
 903 | 										</observation>
 904 | 									</entryRelationship>
 905 | 								</observation>
 906 | 							</component>
 907 | 						</organizer>
 908 | 					</entry>
 909 | 					<entry typeCode="DRIV">
 910 | 						<observation classCode="OBS" moodCode="EVN">
 911 | 							<!-- ** conforms to Problem observation ** -->
 912 | 							<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
 913 | 							<!-- ** Functional status problem observation ** -->
 914 | 							<templateId root="2.16.840.1.113883.10.20.22.4.68"/>
 915 | 							<id root="08edb7c0-2111-43f2-a784-9a5fdfaa67f0"/>
 916 | 							<code code="248536006" codeSystem="2.16.840.1.113883.6.96"
 917 | 								displayName="Finding of Functional Performance and Activity"/>
 918 | 							<text>
 919 | 								<reference value="#FUNC2"/>
 920 | 							</text>
 921 | 							<statusCode code="completed"/>
 922 | 							<effectiveTime>
 923 | 								<low value="200702"/>
 924 | 								<high value="200704"/>
 925 | 							</effectiveTime>
 926 | 							<value xsi:type="CD" code=" 162891007"
 927 | 								codeSystem="2.16.840.1.113883.6.96" displayName="dyspnea"/>
 928 | 						</observation>
 929 | 					</entry>
 930 | 					<entry typeCode="DRIV">
 931 | 						<observation classCode="OBS" moodCode="EVN">
 932 | 							<!-- ** conforms to Problem observation ** -->
 933 | 							<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
 934 | 							<!-- ** Cognitive status problem observation ** -->
 935 | 							<templateId root="2.16.840.1.113883.10.20.22.4.73"/>
 936 | 							<id root="08edb7c0-2111-43f2-a784-9a5fdfaa67f0"/>
 937 | 							<code code="373930000" codeSystem="2.16.840.1.113883.6.96"
 938 | 								displayName="Cognitive Function Finding"/>
 939 | 							<text>
 940 | 								<reference value="#COG2"/>
 941 | 							</text>
 942 | 							<statusCode code="completed"/>
 943 | 							<effectiveTime>
 944 | 								<low value="200704"/>
 945 | 								<high value="200706"/>
 946 | 							</effectiveTime>
 947 | 							<value xsi:type="CD" code="386807006"
 948 | 								codeSystem="2.16.840.1.113883.6.96" displayName="Memory impairment"
 949 | 							/>
 950 | 						</observation>
 951 | 				
 952 | 					
 953 | 					</entry>
 954 | 				</section>
 955 | 			</component>
 956 | 			<!-- ******************** IMMUNIZATIONS ********************* -->
 957 | 			<component>
 958 | 				<section>
 959 | 					<!-- conforms to Immunizations section with entries optional -->
 960 | 					<templateId root="2.16.840.1.113883.10.20.22.2.2"/>
 961 | 					<!-- Immunizations section with entries required -->
 962 | 					<templateId root="2.16.840.1.113883.10.20.22.2.2.1"/>
 963 | 					<code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
 964 | 						displayName="History of immunizations"/>
 965 | 					<title>IMMUNIZATIONS</title>
 966 | 				<text>
 967 | 						<content ID="immunSect"/>
 968 | 						<table border="1" width="100%">
 969 | 							<thead>
 970 | 								<tr>
 971 | 									<th>Vaccine</th>
 972 | 									<th>Date</th>
 973 | 									<th>Status</th>
 974 | 								</tr>
 975 | 							</thead>
 976 | 							<tbody>
 977 | 							    <tr ID="immun1">
 978 | 									<td> Unknown Immunization  Status</td>
 979 | 									<td>Nov 1999</td>
 980 | 									<td>Completed</td>
 981 | 								</tr>
 982 | 							</tbody>
 983 | 						</table>
 984 | 					</text>
 985 | 					<entry>
 986 | 					    <substanceAdministration moodCode="EVN" classCode="SBADM" negationInd="false" nullFlavor="NI">
 987 | 					        <!--  We selected NI for this example, C-CDA R2 may describe other appropriate nullFlavors -->
 988 | 					        <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
 989 | 					        <!--  ****   Immunization activity template    **** -->
 990 | 					        <id root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f88"/>
 991 | 					        <!-- No information on whether the patient received a vaccination -->
 992 | 					        <text>
 993 | 					            <reference value="#immun1"/>
 994 | 					        </text>
 995 | 					        <!-- Link to narrative stating no information on whether the patient received a vaccination -->
 996 | 					        <statusCode code="completed"/>
 997 | 					        <effectiveTime value="199911"/>
 998 | 					        <!-- Date which you do not know whether or not patient received a vaccination -->
 999 | 					        <consumable>
1000 | 					            <manufacturedProduct classCode="MANU">
1001 | 					                <!-- ** Immunization medication information ** -->
1002 | 					                <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
1003 | 					                <manufacturedMaterial>
1004 | 					                    <!-- Needed to use nullFlavor of OTH since templates requires CVX in code element-->
1005 | 					                    <code nullFlavor="OTH">
1006 | 					                        <!-- Optional original text -->
1007 | 					                        <originalText>Vaccination</originalText>
1008 | 					                        <translation code="71181003" displayName="vaccine"
1009 | 					                            codeSystem="2.16.840.1.113883.6.96"
1010 | 					                            codeSystemName="SNOMED CT"/>
1011 | 					                    </code>
1012 | 					                </manufacturedMaterial>
1013 | 					            </manufacturedProduct>
1014 | 					        </consumable>
1015 | 					    </substanceAdministration>
1016 | 					</entry>
1017 | 				</section>
1018 | 			</component>
1019 | 			<!-- ************************************ INTERVENTIONS ************************************ -->
1020 | 			<component>
1021 | 				<section>
1022 | 					<!-- Interventions section -->
1023 | 					<templateId root="2.16.840.1.113883.10.20.21.2.3"/>
1024 | 					<code code="62387-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
1025 | 						displayName="INTERVENTIONS"/>
1026 | 					<title>INTERVENTIONS PROVIDED</title>
1027 | 					<text>
1028 | 						<list listType="ordered">
1029 | 							<item>Therapeutic exercise intervention: knee extension, 3 sets, 10
1030 | 								repetitions, 10-lb weight. </item>
1031 | 							<item>Therapeutic exercise intervention: arm curl, 3 sets, 10
1032 | 								repetitions, 15-lb weight </item>
1033 | 						</list>
1034 | 					</text>
1035 | 				</section>
1036 | 			</component>
1037 | 			<!-- *********************** MEDICAL EQUIPMENT *************************** -->
1038 | 			<component>
1039 | 				<section>
1040 | 					<!-- Medical equipment section -->
1041 | 					<templateId root="2.16.840.1.113883.10.20.22.2.23"/>
1042 | 					<code code="46264-8" codeSystem="2.16.840.1.113883.6.1"/>
1043 | 					<title>MEDICAL EQUIPMENT</title>
1044 | 					<text>
1045 | 						<table border="1" width="100%">
1046 | 							<thead>
1047 | 								<tr>
1048 | 									<th>Supply/Device</th>
1049 | 									<th>Date Supplied</th>
1050 | 								</tr>
1051 | 							</thead>
1052 | 							<tbody>
1053 | 								<tr>
1054 | 									<td>Automatic implantable cardioverter/defibrillator</td>
1055 | 									<td>Nov 1999</td>
1056 | 								</tr>
1057 | 								<tr>
1058 | 									<td>Total hip replacement prosthesis</td>
1059 | 									<td>1998</td>
1060 | 								</tr>
1061 | 								<tr>
1062 | 									<td>Wheelchair</td>
1063 | 									<td>1999</td>
1064 | 								</tr>
1065 | 							</tbody>
1066 | 						</table>
1067 | 					</text>
1068 | 					<entry typeCode="DRIV">
1069 | 						<supply classCode="SPLY" moodCode="EVN">
1070 | 							<!-- ** Non-medicinal supply activity ** -->
1071 | 							<templateId root="2.16.840.1.113883.10.20.22.4.50"/>
1072 | 							<id root="2413773c-2372-4299-bbe6-5b0f60664446"/>
1073 | 							<statusCode code="completed"/>
1074 | 							<effectiveTime xsi:type="IVL_TS">
1075 | 								<high value="199911"/>
1076 | 							</effectiveTime>
1077 | 							<quantity value="2"/>
1078 | 							<participant typeCode="PRD">
1079 | 								<participantRole classCode="MANU">
1080 | 									<!-- ** Product instance ** -->
1081 | 									<templateId root="2.16.840.1.113883.10.20.22.4.37"/>
1082 | 									<id root="2413773c-2372-4299-bbe6-5b0f60664489"/>
1083 | 									<playingDevice>
1084 | 										<code code="72506001" codeSystem="2.16.840.1.113883.6.96"
1085 | 											displayName="Automatic implantable cardioverter/defibrillator"
1086 | 										/>
1087 | 									</playingDevice>
1088 | 									<scopingEntity>
1089 | 										<id root="eb936010-7b17-11db-9fe1-0800200c9b65"/>
1090 | 									</scopingEntity>
1091 | 								</participantRole>
1092 | 							</participant>
1093 | 						</supply>
1094 | 					</entry>
1095 | 					<entry typeCode="DRIV">
1096 | 						<supply classCode="SPLY" moodCode="EVN">
1097 | 							<!-- ** Non-medicinal supply activity ** -->
1098 | 							<templateId root="2.16.840.1.113883.10.20.22.4.50"/>
1099 | 							<id root="230b0ab7-206d-42d8-a947-ab4f63aad795"/>
1100 | 							<statusCode code="completed"/>
1101 | 							<effectiveTime xsi:type="IVL_TS">
1102 | 								<center value="1998"/>
1103 | 							</effectiveTime>
1104 | 							<quantity value="1"/>
1105 | 							<participant typeCode="PRD">
1106 | 								<participantRole classCode="MANU">
1107 | 									<!-- ** Product instance ** -->
1108 | 									<templateId root="2.16.840.1.113883.10.20.22.4.37"/>
1109 | 									<id root="eb936010-7b17-11db-9fe1-0800200c9a68"/>
1110 | 									<playingDevice>
1111 | 										<code code="304120007" codeSystem="2.16.840.1.113883.6.96"
1112 | 											displayName="Total hip replacement prosthesis"/>
1113 | 									</playingDevice>
1114 | 									<scopingEntity>
1115 | 										<id root="0abea950-5b40-4b7e-b8d9-2a5ea3ac5500"/>
1116 | 										<desc>Good Health Prostheses Company</desc>
1117 | 									</scopingEntity>
1118 | 								</participantRole>
1119 | 							</participant>
1120 | 						</supply>
1121 | 					</entry>
1122 | 					<entry typeCode="DRIV">
1123 | 						<supply classCode="SPLY" moodCode="EVN">
1124 | 							<!-- ** Non-medicinal supply activity ** -->
1125 | 							<templateId root="2.16.840.1.113883.10.20.22.4.50"/>
1126 | 							<id root="c4ffe98e-3cd3-4c54-b5bd-08ecb80379e0"/>
1127 | 							<statusCode code="completed"/>
1128 | 							<effectiveTime xsi:type="IVL_TS">
1129 | 								<center value="1999"/>
1130 | 							</effectiveTime>
1131 | 							<quantity value="1"/>
1132 | 							<participant typeCode="PRD">
1133 | 								<participantRole classCode="MANU">
1134 | 									<!-- ** Product instance ** -->
1135 | 									<templateId root="2.16.840.1.113883.10.20.22.4.37"/>
1136 | 									<id root="eb936010-7b17-11db-9fe1-0800200c9a68"/>
1137 | 									<playingDevice>
1138 | 										<code code="58938008" codeSystem="2.16.840.1.113883.6.96"
1139 | 											displayName="Wheelchair"/>
1140 | 									</playingDevice>
1141 | 									<scopingEntity>
1142 | 										<id root="eb936010-7b17-11db-9fe1-0800200c9b67"/>
1143 | 										<desc>Good Health Durable Medical Equipment</desc>
1144 | 									</scopingEntity>
1145 | 								</participantRole>
1146 | 							</participant>
1147 | 						</supply>
1148 | 					</entry>
1149 | 				</section>
1150 | 			</component>
1151 | 			<!-- ******************************* MEDICATIONS ***************************** -->
1152 | 			<component>
1153 | 				<section>
1154 | 					<!-- conforms to Medications section with entries optional -->
1155 | 					<templateId root="2.16.840.1.113883.10.20.22.2.1"/>
1156 | 					<!-- Medications section with entries required -->
1157 | 					<templateId root="2.16.840.1.113883.10.20.22.2.1.1"/>
1158 | 					<code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
1159 | 						displayName="HISTORY OF MEDICATION USE"/>
1160 | 					<title>MEDICATIONS</title>
1161 | 					<text>No Medications</text>
1162 | 					<entry>
1163 | 						<!-- Act.actionNegationInd -->
1164 | 						<substanceAdministration moodCode="EVN" classCode="SBADM" negationInd="true">
1165 | 							<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
1166 | 							<!-- ** MEDICATION ACTIVITY -->
1167 | 							<id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/>
1168 | 							<statusCode code="active"/>
1169 | 							<!-- Note: An error will be logged on the use of effectiveTime with nullFlavor until validator is updated for C-CDA DSTU Comment 423 -->
1170 | 							<effectiveTime nullFlavor="NA"/>
1171 | 							<consumable>
1172 | 								<manufacturedProduct classCode="MANU">
1173 | 									<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
1174 | 									<manufacturedMaterial>
1175 | 										<code nullFlavor="OTH" codeSystem="2.16.840.1.113883.6.88"> 
1176 | 											<translation code="410942007" displayName="drug or medication"
1177 | 												codeSystem="2.16.840.1.113883.6.96"            
1178 | 												codeSystemName="SNOMED CT"/>
1179 | 										</code>
1180 | 									</manufacturedMaterial>
1181 | 								</manufacturedProduct>
1182 | 							</consumable>
1183 | 							<author>
1184 | 								<!-- Time the author noted that patient is on no medications -->
1185 | 								<time value="20130607160506+0500"/>
1186 | 								<assignedAuthor>
1187 | 									<id extension="66666" root="2.16.840.1.113883.4.6"/>
1188 | 									<code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"
1189 | 										displayName="Cardiovascular Disease"/>
1190 | 									<addr>
1191 | 										<streetAddressLine>6666 StreetName St.</streetAddressLine>
1192 | 										<city>Silver Spring</city><state>MD</state><postalCode>20901</postalCode>
1193 | 										<country>US</country>
1194 | 									</addr>
1195 | 									<telecom value="tel:+1(301)666-6666" use="WP"/>
1196 | 									<assignedPerson>
1197 | 										<name>
1198 | 											<given>Heartly</given>
1199 | 											<family>Sixer</family>
1200 | 											<suffix>MD</suffix>
1201 | 										</name>
1202 | 									</assignedPerson>
1203 | 								</assignedAuthor>
1204 | 							</author>
1205 | 						</substanceAdministration>
1206 | 					</entry>
1207 | 				</section>
1208 | 			</component>
1209 | 			<!-- ******************************************************** PAYERS ******************************************************** -->
1210 | 			<component>
1211 | 				<section>
1212 | 					<!-- Payers section -->
1213 | 					<templateId root="2.16.840.1.113883.10.20.22.2.18"/>
1214 | 					<code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
1215 | 						displayName="Payer"/>
1216 | 					<title>INSURANCE PROVIDERS</title>
1217 | 					<text>
1218 | 						<table border="1" width="100%">
1219 | 							<thead>
1220 | 								<tr>
1221 | 									<th>Payer name</th>
1222 | 									<th>Policy type / Coverage type</th>
1223 | 									<th>Policy ID</th>
1224 | 									<th>Covered party ID</th>
1225 | 									<th>Policy Holder</th>
1226 | 								</tr>
1227 | 							</thead>
1228 | 							<tbody>
1229 | 								<tr>
1230 | 									<td>Good Health Insurance</td>
1231 | 									<td>Extended healthcare / Family</td>
1232 | 									<td>Contract Number</td>
1233 | 									<td>1138345</td>
1234 | 									<td>Patient's Mother</td>
1235 | 								</tr>
1236 | 							</tbody>
1237 | 						</table>
1238 | 					</text>
1239 | 					<entry typeCode="DRIV">
1240 | 						<act classCode="ACT" moodCode="EVN">
1241 | 							<!-- ** Coverage activity ** -->
1242 | 							<templateId root="2.16.840.1.113883.10.20.22.4.60"/>
1243 | 							<id root="1fe2cdd0-7aad-11db-9fe1-0800200c9a66"/>
1244 | 							<code code="48768-6" codeSystem="2.16.840.1.113883.6.1"
1245 | 								codeSystemName="LOINC" displayName="Payment sources"/>
1246 | 							<statusCode code="completed"/>
1247 | 							<entryRelationship typeCode="COMP">
1248 | 								<act classCode="ACT" moodCode="EVN">
1249 | 									<!-- ** Policy activity ** -->
1250 | 									<templateId root="2.16.840.1.113883.10.20.22.4.61"/>
1251 | 									<id root="3e676a50-7aac-11db-9fe1-0800200c9a66"/>
1252 | 									<code code="SELF" codeSystemName="HL7 RoleClassRelationship"
1253 | 										codeSystem="2.16.840.1.113883.5.110"/>
1254 | 									<statusCode code="completed"/>
1255 | 									<!-- Insurance Company Information -->
1256 | 									<performer typeCode="PRF">
1257 | 										<templateId root="2.16.840.1.113883.10.20.22.4.87"/>
1258 | 										<time>
1259 | 											<low nullFlavor="UNK"/>
1260 | 											<high nullFlavor="UNK"/>
1261 | 										</time>
1262 | 										<assignedEntity>
1263 | 											<id root="2.16.840.1.113883.19"/>
1264 | 											<code code="PAYOR" codeSystem="2.16.840.1.113883.5.110"
1265 | 												codeSystemName="HL7 RoleCode"/>
1266 | 											<addr use="WP">
1267 | 												<!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 -->
1268 | 												<streetAddressLine>123 Insurance
1269 | 												Road</streetAddressLine>
1270 | 												<city>Blue Bell</city>
1271 | 												<state>MA</state>
1272 | 												<postalCode>02368</postalCode>
1273 | 												<country>US</country>
1274 | 												<!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->
1275 | 											</addr>
1276 | 											<telecom value="tel:(781)555-1515" use="WP"/>
1277 | 											<representedOrganization>
1278 | 												<name>Good Health Insurance</name>
1279 | 												<telecom value="tel:(781)555-1515" use="WP"/>
1280 | 												<addr use="WP">
1281 | 												<!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 -->
1282 | 												<streetAddressLine>123 Insurance
1283 | 												Road</streetAddressLine>
1284 | 												<city>Blue Bell</city>
1285 | 												<state>MA</state>
1286 | 												<postalCode>02368</postalCode>
1287 | 												<country>US</country>
1288 | 												<!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->
1289 | 												</addr>
1290 | 											</representedOrganization>
1291 | 										</assignedEntity>
1292 | 									</performer>
1293 | 									<!-- Guarantor Information... The person responsible for the final bill. -->
1294 | 									<performer typeCode="PRF">
1295 | 										<templateId root="2.16.840.1.113883.10.20.22.4.88"/>
1296 | 										<time>
1297 | 											<low nullFlavor="UNK"/>
1298 | 											<high nullFlavor="UNK"/>
1299 | 										</time>
1300 | 										<assignedEntity>
1301 | 											<id root="329fcdf0-7ab3-11db-9fe1-0800200c9a66"/>
1302 | 											<code code="GUAR" codeSystem="2.16.840.1.113883.5.110"
1303 | 												codeSystemName="HL7 RoleCode"/>
1304 | 											<addr use="HP">
1305 | 												<!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 -->
1306 | 												<streetAddressLine>17 Daws Rd.</streetAddressLine>
1307 | 												<city>Blue Bell</city>
1308 | 												<state>MA</state>
1309 | 												<postalCode>02368</postalCode>
1310 | 												<country>US</country>
1311 | 												<!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->
1312 | 											</addr>
1313 | 											<telecom value="tel:(781)555-1212" use="HP"/>
1314 | 											<assignedPerson>
1315 | 												<name>
1316 | 												<prefix>Mr.</prefix>
1317 | 												<given>Adam</given>
1318 | 												<given>Frankie</given>
1319 | 												<family>Everyman</family>
1320 | 												</name>
1321 | 											</assignedPerson>
1322 | 										</assignedEntity>
1323 | 									</performer>
1324 | 									<participant typeCode="COV">
1325 | 										<!-- Covered Party Participant -->
1326 | 										<templateId root="2.16.840.1.113883.10.20.22.4.89"/>
1327 | 										<time>
1328 | 											<low nullFlavor="UNK"/>
1329 | 											<high nullFlavor="UNK"/>
1330 | 										</time>
1331 | 										<participantRole classCode="PAT">
1332 | 											<!-- Health plan ID for patient. -->
1333 | 											<id root="14d4a520-7aae-11db-9fe1-0800200c9a66"
1334 | 												extension="1138345"/>
1335 | 											<code code="SELF" codeSystem="2.16.840.1.113883.5.111"
1336 | 												displayName="Self"/>
1337 | 											<addr use="HP">
1338 | 												<!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 -->
1339 | 												<streetAddressLine>17 Daws Rd.</streetAddressLine>
1340 | 												<city>Blue Bell</city>
1341 | 												<state>MA</state>
1342 | 												<postalCode>02368</postalCode>
1343 | 												<country>US</country>
1344 | 												<!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->
1345 | 											</addr>
1346 | 											<playingEntity>
1347 | 												<name>
1348 | 												<!-- Name is needed if different than health plan name. -->
1349 | 												<prefix>Mr.</prefix>
1350 | 												<given>Frank</given>
1351 | 												<given>A.</given>
1352 | 												<family>Everyman</family>
1353 | 												</name>
1354 | 											</playingEntity>
1355 | 										</participantRole>
1356 | 									</participant>
1357 | 									<!-- Policy Holder -->
1358 | 									<participant typeCode="HLD">
1359 | 										<templateId root="2.16.840.1.113883.10.20.22.4.90"/>
1360 | 										<participantRole>
1361 | 											<id extension="1138345" root="2.16.840.1.113883.19"/>
1362 | 											<addr use="HP">
1363 | 												<streetAddressLine>17 Daws Rd.</streetAddressLine>
1364 | 												<city>Blue Bell</city>
1365 | 												<state>MA</state>
1366 | 												<postalCode>02368</postalCode>
1367 | 												<country>US</country>
1368 | 											</addr>
1369 | 										</participantRole>
1370 | 									</participant>
1371 | 									<entryRelationship typeCode="REFR">
1372 | 										<act classCode="ACT" moodCode="EVN">
1373 | 											<!-- ** Authorization activity ** -->
1374 | 											<templateId root="2.16.840.1.113883.10.20.1.19"/>
1375 | 											<id root="f4dce790-8328-11db-9fe1-0800200c9a66"/>
1376 | 											<code nullFlavor="NA"/>
1377 | 											<entryRelationship typeCode="SUBJ">
1378 | 												<procedure classCode="PROC" moodCode="PRMS">
1379 | 												<code code="73761001"
1380 | 												codeSystem="2.16.840.1.113883.6.96"
1381 | 												codeSystemName="SNOMED CT"
1382 | 												displayName="Colonoscopy"/>
1383 | 												</procedure>
1384 | 											</entryRelationship>
1385 | 										</act>
1386 | 									</entryRelationship>
1387 | 									<!-- The above entryRelationship OR the following. <entryRelationship 
1388 | 										typeCode="REFR"> <act classCode="ACT" moodCode="DEF"> <id root="f4dce790-8328-11db-9fe1-0800200c9a66"/> 
1389 | 										<code nullFlavor="UNK"/> <text>Health Plan Name<reference value="PntrToHealthPlanNameInSectionText"/> 
1390 | 										</text> <statusCode code="active"/> </act> </entryRelationship> -->
1391 | 								</act>
1392 | 							</entryRelationship>
1393 | 						</act>
1394 | 					</entry>
1395 | 				</section>
1396 | 			</component>
1397 | 			<!-- ***************************** PLAN OF CARE ******************************** -->
1398 | 			<component>
1399 | 				<section>
1400 | 					<!-- Plan of care section -->
1401 | 					<templateId root="2.16.840.1.113883.10.20.22.2.10"/>
1402 | 					<code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
1403 | 						displayName="Treatment plan"/>
1404 | 					<title>PLAN OF CARE</title>
1405 | 					<text>
1406 | 						<table border="1" width="100%">
1407 | 							<thead>
1408 | 								<tr>
1409 | 									<th>Planned Activity</th>
1410 | 									<th>Planned Date</th>
1411 | 								</tr>
1412 | 							</thead>
1413 | 							<tbody>
1414 | 								<tr>
1415 | 									<td>Colonoscopy</td>
1416 | 									<td>20120512</td>
1417 | 								</tr>
1418 | 							</tbody>
1419 | 						</table>
1420 | 					</text>
1421 | 					<!-- Examples of the same planned activity are shown in different plan of care entries -->
1422 | 					<entry typeCode="DRIV">
1423 | 						<observation classCode="OBS" moodCode="RQO">
1424 | 							<!-- ** Plan of care activity observation ** -->
1425 | 							<templateId root="2.16.840.1.113883.10.20.22.4.44"/>
1426 | 							<id root="9a6d1bac-17d3-4195-89a4-1121bc809b4a"/>
1427 | 							<code code="73761001" codeSystem="2.16.840.1.113883.6.96"
1428 | 								codeSystemName="SNOMED CT" displayName="Colonoscopy"/>
1429 | 							
1430 | 							<statusCode code="new"/>
1431 | 							<effectiveTime>
1432 | 								<center value="20120512"/>
1433 | 							</effectiveTime>
1434 | 						</observation>
1435 | 					</entry>
1436 | 					<entry>
1437 | 						<act moodCode="RQO" classCode="ACT">
1438 | 							<!-- ** Plan of care activity act ** -->
1439 | 							<templateId root="2.16.840.1.113883.10.20.22.4.39"/>
1440 | 							<id root="9a6d1bac-17d3-4195-89a4-1121bc809a5c"/>
1441 | 							<code code="73761001" codeSystem="2.16.840.1.113883.6.96"
1442 | 								codeSystemName="SNOMED CT" displayName="Colonoscopy"/>
1443 | 							<statusCode code="new"/>
1444 | 							<effectiveTime>
1445 | 								<center value="20120512"/>
1446 | 							</effectiveTime>
1447 | 						</act>
1448 | 					</entry>
1449 | 					<entry>
1450 | 						<encounter moodCode="INT" classCode="ENC">
1451 | 							<!-- ** Plan of care activity encounter ** -->
1452 | 							<templateId root="2.16.840.1.113883.10.20.22.4.40"/>
1453 | 							<id root="9a6d1bac-17d3-4195-89a4-1121bc809b4d"/>
1454 | 							<code code="73761001" codeSystem="2.16.840.1.113883.6.96"
1455 | 								codeSystemName="SNOMED CT" displayName="Colonoscopy"/>
1456 | 							<statusCode code="new"/>
1457 | 							<effectiveTime>
1458 | 								<center value="20120512"/>
1459 | 							</effectiveTime>
1460 | 						</encounter>
1461 | 					</entry>
1462 | 					<entry>
1463 | 						<procedure moodCode="RQO" classCode="PROC">
1464 | 							<!-- ** Plan of care activity procedure ** -->
1465 | 							<templateId root="2.16.840.1.113883.10.20.22.4.41"/>
1466 | 							<id root="9a6d1bac-17d3-4195-89c4-1121bc809b5a"/>
1467 | 							<code code="73761001" codeSystem="2.16.840.1.113883.6.96"
1468 | 								codeSystemName="SNOMED CT" displayName="Colonoscopy"/>
1469 | 							<statusCode code="new"/>
1470 | 							<effectiveTime>
1471 | 								<center value="20120512"/>
1472 | 							</effectiveTime>
1473 | 						</procedure>
1474 | 					</entry>
1475 | 				</section>
1476 | 			</component>
1477 | 			<!-- ************************* PROBLEM LIST ****************************** -->
1478 | 			<component>
1479 | 				<section>
1480 | 					<!-- conforms to Problems section with entries optional -->
1481 | 					<templateId root="2.16.840.1.113883.10.20.22.2.5"/>
1482 | 					<!-- Problems section with entries required -->
1483 | 					<templateId root="2.16.840.1.113883.10.20.22.2.5.1"/>
1484 | 					<code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
1485 | 						displayName="PROBLEM LIST"/>
1486 | 					<title>PROBLEMS</title>
1487 | 					<text>
1488 | 						<content ID="problems"/>
1489 | 						<list listType="ordered">
1490 | 							<item>
1491 | 								<content ID="problem1">Pneumonia </content>
1492 | 								<content ID="STAT1">Status: Resolved</content>
1493 | 							</item>
1494 | 						</list>
1495 | 					</text>
1496 | 					<entry typeCode="DRIV">
1497 | 						<act classCode="ACT" moodCode="EVN">
1498 | 							<!-- ** Problem concern act ** -->
1499 | 							<templateId root="2.16.840.1.113883.10.20.22.4.3"/>
1500 | 							<id nullFlavor="NI"/>
1501 | 							<code code="CONC" codeSystem="2.16.840.1.113883.5.6"
1502 | 								displayName="Concern"/>
1503 | 							<statusCode nullFlavor="UNK"/>
1504 | 							<effectiveTime>
1505 | 								<low nullFlavor="UNK"/>
1506 | 							</effectiveTime>
1507 | 							<entryRelationship typeCode="SUBJ">
1508 | 								<observation classCode="OBS" moodCode="EVN">
1509 | 									<!-- ** Problem observation ** -->
1510 | 									<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
1511 | 									<id root="ab1791b0-5c71-11db-b0de-0800200c9a66"/>
1512 | 									<code code="409586006" codeSystem="2.16.840.1.113883.6.96"
1513 | 										displayName="Complaint"/>
1514 | 									<text>
1515 | 										<reference value="#problem1"/>
1516 | 									</text>
1517 | 									<statusCode code="completed"/>
1518 | 									<effectiveTime>
1519 | 										<low value="20120505"/>
1520 | 									</effectiveTime>
1521 | 									<value xsi:type="CD" code="29857009"
1522 | 										codeSystem="2.16.840.1.113883.6.96" displayName="Chest Pain" codeSystemName="SNOMED">
1523 | 										<translation code="786.5" codeSystem="2.16.840.1.113883.6.103" displayName="Chest Pain"/>
1524 | 										<translation code="R07.9" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD-10"
1525 | 											displayName="Chest pain, unspecified"/>
1526 | 									</value>
1527 | 								</observation>
1528 | 							</entryRelationship>
1529 | 						</act>
1530 | 					</entry>
1531 | 				</section>
1532 | 			</component>
1533 | 			<!-- ************************** PROCEDURES **************************************** -->
1534 | 			<component>
1535 | 				<section>
1536 | 					<!-- conforms to Procedures section with entries optional -->
1537 | 					<templateId root="2.16.840.1.113883.10.20.22.2.7"/>
1538 | 					<!-- Procedures section with entries required -->
1539 | 					<templateId root="2.16.840.1.113883.10.20.22.2.7.1"/>
1540 | 					<code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
1541 | 						displayName="HISTORY OF PROCEDURES"/>
1542 | 					<title>PROCEDURES</title>
1543 | 					<text>
1544 | 						<table border="1" width="100%">
1545 | 							<thead>
1546 | 								<tr>
1547 | 									<th>Procedure</th>
1548 | 									<th>Date</th>
1549 | 								</tr>
1550 | 							</thead>
1551 | 							<tbody>
1552 | 								<tr>
1553 | 									<td>
1554 | 										<content ID="Proc1">Colonic polypectomy</content>
1555 | 									</td>
1556 | 									<td>1998</td>
1557 | 								</tr>
1558 | 							</tbody>
1559 | 						</table>
1560 | 					</text>
1561 | 					<!-- Examples of the same procedure are shown in different procedure entries -->
1562 | 					<entry typeCode="DRIV">
1563 | 						<procedure classCode="PROC" moodCode="EVN">
1564 | 							<!-- ** Procedure activity procedure ** -->
1565 | 							<templateId root="2.16.840.1.113883.10.20.22.4.14"/>
1566 | 							<id root="d68b7e32-7810-4f5b-9cc2-acd54b0fd85d"/>
1567 | 							<code code="73761001" codeSystem="2.16.840.1.113883.6.96"
1568 | 								codeSystemName="SNOMED CT" displayName="Colonoscopy">
1569 | 								<originalText>
1570 | 									<reference value="#Proc1"/>
1571 | 								</originalText>
1572 | 							</code>
1573 | 							<statusCode code="completed"/>
1574 | 							<effectiveTime value="20120512"/>
1575 | 							<methodCode nullFlavor="UNK"/>
1576 | 							<!--<targetSiteCode code="appropriate_code" displayName="colon"
1577 | 								codeSystem="2.16.840.1.113883.3.88.12.3221.8.9"
1578 | 								codeSystemName="Body Site Value Set"/> -->
1579 | 							<specimen typeCode="SPC">
1580 | 								<specimenRole classCode="SPEC">
1581 | 									<id root="c2ee9ee9-ae31-4628-a919-fec1cbb58683"/>
1582 | 									<specimenPlayingEntity>
1583 | 										<code code="309226005" codeSystem="2.16.840.1.113883.6.96"
1584 | 											displayName="colonic polyp sample"/>
1585 | 									</specimenPlayingEntity>
1586 | 								</specimenRole>
1587 | 							</specimen>
1588 | 							<performer>
1589 | 								<assignedEntity>
1590 | 									<id root="2.16.840.1.113883.19.5.9999.456" extension="2981823"/>
1591 | 									<addr>
1592 | 										<streetAddressLine>1001 Village Avenue</streetAddressLine>
1593 | 										<city>Portland</city>
1594 | 										<state>OR</state>
1595 | 										<postalCode>99123</postalCode>
1596 | 										<country>US</country>
1597 | 									</addr>
1598 | 									<telecom use="WP" value="555-555-5000"/>
1599 | 									<representedOrganization>
1600 | 										<id root="2.16.840.1.113883.19.5.9999.1393"/>
1601 | 										<name>Community Health and Hospitals</name>
1602 | 										<telecom use="WP" value="555-555-5000"/>
1603 | 										<addr>
1604 | 											<streetAddressLine>1001 Village
1605 | 												Avenue</streetAddressLine>
1606 | 											<city>Portland</city>
1607 | 											<state>OR</state>
1608 | 											<postalCode>99123</postalCode>
1609 | 											<country>US</country>
1610 | 										</addr>
1611 | 									</representedOrganization>
1612 | 								</assignedEntity>
1613 | 							</performer>
1614 | 							<participant typeCode="DEV">
1615 | 								<participantRole classCode="MANU">
1616 | 									<!-- ** Product instance ** -->
1617 | 									<templateId root="2.16.840.1.113883.10.20.22.4.37"/>
1618 | 									<id root="742aee30-21c5-11e1-bfc2-0800200c9a66"/>
1619 | 									<playingDevice>
1620 | 										<code code="90412006" codeSystem="2.16.840.1.113883.6.96"
1621 | 											displayName="Colonoscope"/>
1622 | 									</playingDevice>
1623 | 									<scopingEntity>
1624 | 										<id root="eb936010-7b17-11db-9fe1-0800200c9b65"/>
1625 | 									</scopingEntity>
1626 | 								</participantRole>
1627 | 							</participant>
1628 | 						</procedure>
1629 | 					</entry>
1630 | 					<entry>
1631 | 						<observation classCode="OBS" moodCode="EVN">
1632 | 							<!-- ** Procedure activity observation ** -->
1633 | 							<templateId root="2.16.840.1.113883.10.20.22.4.13"/>
1634 | 							<id extension="123456789" root="2.16.840.1.113883.19"/>
1635 | 							<code code="274025005" codeSystem="2.16.840.1.113883.6.96"
1636 | 								displayName="Colonic polypectomy" codeSystemName="SNOMED-CT">
1637 | 								<originalText>
1638 | 									<reference value="#Proc1"/>
1639 | 								</originalText>
1640 | 							</code>
1641 | 							<statusCode code="aborted"/>
1642 | 							<effectiveTime value="20110203"/>
1643 | 							<priorityCode code="CR" codeSystem="2.16.840.1.113883.5.7"
1644 | 								codeSystemName="ActPriority" displayName="Callback results"/>
1645 | 							<value xsi:type="CD"/>
1646 | 							<methodCode nullFlavor="UNK"/>
1647 | 							<!--BAM
1648 | 							<targetSiteCode code="416949008" codeSystem="2.16.840.1.113883.6.96"
1649 | 								codeSystemName="SNOMED CT" displayName="Abdomen and pelvis"/>-->
1650 | 							<performer>
1651 | 								<assignedEntity>
1652 | 									<id root="2.16.840.1.113883.19.5" extension="1234"/>
1653 | 									<addr>
1654 | 										<streetAddressLine>17 Daws Rd.</streetAddressLine>
1655 | 										<city>Blue Bell</city>
1656 | 										<state>MA</state>
1657 | 										<postalCode>02368</postalCode>
1658 | 										<country>US</country>
1659 | 									</addr>
1660 | 									<telecom use="WP" value="(555)555-555-1234"/>
1661 | 									<representedOrganization>
1662 | 										<id root="2.16.840.1.113883.19.5"/>
1663 | 										<name>Community Health and Hospitals</name>
1664 | 										<telecom nullFlavor="UNK"/>
1665 | 										<addr nullFlavor="UNK"/>
1666 | 									</representedOrganization>
1667 | 								</assignedEntity>
1668 | 							</performer>
1669 | 							<participant typeCode="LOC">
1670 | 								<participantRole classCode="SDLOC">
1671 | 									<!-- ** Service delivery location ** -->
1672 | 									<templateId root="2.16.840.1.113883.10.20.22.4.32"/>
1673 | 									<code code="1118-9" codeSystem="2.16.840.1.113883.6.259"
1674 | 										codeSystemName="HealthcareServiceLocation"
1675 | 										displayName="Gastroenterology Clinic"/>
1676 | 									<addr>
1677 | 										<streetAddressLine>17 Daws Rd.</streetAddressLine>
1678 | 										<city>Blue Bell</city>
1679 | 										<state>MA</state>
1680 | 										<postalCode>02368</postalCode>
1681 | 										<country>US</country>
1682 | 									</addr>
1683 | 									<telecom nullFlavor="UNK"/>
1684 | 									<playingEntity classCode="PLC">
1685 | 										<name>Community Gastroenterology Clinic</name>
1686 | 									</playingEntity>
1687 | 								</participantRole>
1688 | 							</participant>
1689 | 						</observation>
1690 | 					</entry>
1691 | 					<entry>
1692 | 						<act classCode="ACT" moodCode="INT">
1693 | 							<!-- Procedure activity act -->
1694 | 							<templateId root="2.16.840.1.113883.10.20.22.4.12"/>
1695 | 							<id root="1.2.3.4.5.6.7.8" extension="1234567"/>
1696 | 							<code code="274025005" codeSystem="2.16.840.1.113883.6.96"
1697 | 								codeSystemName="SNOMED CT" displayName="Colonic polypectomy">
1698 | 								<originalText>
1699 | 									<reference value="#Proc1"/>
1700 | 								</originalText>
1701 | 							</code>
1702 | 							<statusCode code="completed"/>
1703 | 							<effectiveTime value="20110203"/>
1704 | 							<priorityCode code="CR" codeSystem="2.16.840.1.113883.5.7"
1705 | 								codeSystemName="ActPriority" displayName="Callback results"/>
1706 | 							<performer>
1707 | 								<assignedEntity>
1708 | 									<id root="2.16.840.1.113883.19" extension="1234"/>
1709 | 									<addr>
1710 | 										<streetAddressLine>17 Daws Rd.</streetAddressLine>
1711 | 										<city>Blue Bell</city>
1712 | 										<state>MA</state>
1713 | 										<postalCode>02368</postalCode>
1714 | 										<country>US</country>
1715 | 									</addr>
1716 | 									<telecom use="WP" value="(555)555-555-1234"/>
1717 | 									<representedOrganization>
1718 | 										<id root="2.16.840.1.113883.19.5"/>
1719 | 										<name>Community Health and Hospitals</name>
1720 | 										<telecom nullFlavor="UNK"/>
1721 | 										<addr nullFlavor="UNK"/>
1722 | 									</representedOrganization>
1723 | 								</assignedEntity>
1724 | 							</performer>
1725 | 							<participant typeCode="LOC">
1726 | 								<participantRole classCode="SDLOC">
1727 | 									<!-- ** Service delivery location ** -->
1728 | 									<templateId root="2.16.840.1.113883.10.20.22.4.32"/>
1729 | 									<code code="1118-9" codeSystem="2.16.840.1.113883.6.259"
1730 | 										codeSystemName="HealthcareServiceLocation"
1731 | 										displayName="Gastroenterology Clinic"/>
1732 | 									<addr>
1733 | 										<streetAddressLine>17 Daws Rd.</streetAddressLine>
1734 | 										<city>Blue Bell</city>
1735 | 										<state>MA</state>
1736 | 										<postalCode>02368</postalCode>
1737 | 										<country>US</country>
1738 | 									</addr>
1739 | 									<telecom nullFlavor="UNK"/>
1740 | 									<playingEntity classCode="PLC">
1741 | 										<name>Community Gastroenterology Clinic</name>
1742 | 									</playingEntity>
1743 | 								</participantRole>
1744 | 							</participant>
1745 | 						</act>
1746 | 					</entry>
1747 | 				</section>
1748 | 			</component>
1749 | 			<!-- **************************** RESULTS **************************************** -->
1750 | 			<component>
1751 | 				<section>
1752 | 					<!-- conforms to Results section with entries optional -->
1753 | 					<templateId root="2.16.840.1.113883.10.20.22.2.3"/>
1754 | 					<!-- Results section with entries required -->
1755 | 					<templateId root="2.16.840.1.113883.10.20.22.2.3.1"/>
1756 | 					<code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
1757 | 						displayName="RESULTS"/>
1758 | 					<title>RESULTS</title>
1759 | 					<text>
1760 | 						<table>
1761 | 							<tbody>
1762 | 								<tr>
1763 | 									<td colspan="2">LABORATORY INFORMATION</td>
1764 | 								</tr>
1765 | 								<tr>
1766 | 									<td colspan="2">Chemistries and drug levels</td>
1767 | 								</tr>
1768 | 								<tr>
1769 | 									<td>
1770 | 										<content ID="result1">HGB (M 13-18 g/dl; F 12-16
1771 | 											g/dl)</content>
1772 | 									</td>
1773 | 									<td>13.2</td>
1774 | 								</tr>
1775 | 								<tr>
1776 | 									<td>
1777 | 										<content ID="result2">WBC (4.3-10.8 10+3/ul)</content>
1778 | 									</td>
1779 | 									<td>6.7</td>
1780 | 								</tr>
1781 | 								<tr>
1782 | 									<td>
1783 | 										<content ID="result3">PLT (135-145 meq/l)</content>
1784 | 									</td>
1785 | 									<td>123 (L)</td>
1786 | 								</tr>
1787 | 								<tr>
1788 | 									<td colspan="2">Liver Functions and Other Laboratory Values</td>
1789 | 								</tr>
1790 | 								<tr>
1791 | 									<td>ALT (SGPT)</td>
1792 | 									<td>31.0</td>
1793 | 								</tr>
1794 | 								<tr>
1795 | 									<td>AST (SGOT)</td>
1796 | 									<td>18.0</td>
1797 | 								</tr>
1798 | 								<tr>
1799 | 									<td>GGT</td>
1800 | 									<td>28.0 Alk</td>
1801 | 								</tr>
1802 | 								<tr>
1803 | 									<td>Phos</td>
1804 | 									<td>86.0</td>
1805 | 								</tr>
1806 | 								<tr>
1807 | 									<td>Total Bili</td>
1808 | 									<td>0.1</td>
1809 | 								</tr>
1810 | 								<tr>
1811 | 									<td>Albumin</td>
1812 | 									<td>3.2</td>
1813 | 								</tr>
1814 | 								<tr>
1815 | 									<td colspan="2">Blood Count</td>
1816 | 								</tr>
1817 | 								<tr>
1818 | 									<td>White Count</td>
1819 | 									<td>7.7</td>
1820 | 								</tr>
1821 | 								<tr>
1822 | 									<td>Platelets</td>
1823 | 									<td>187.0</td>
1824 | 								</tr>
1825 | 								<tr>
1826 | 									<td>Hematocrit</td>
1827 | 									<td>23.7</td>
1828 | 								</tr>
1829 | 								<tr>
1830 | 									<td>Hemoglobin</td>
1831 | 									<td>8.1</td>
1832 | 								</tr>
1833 | 								<tr>
1834 | 									<td colspan="2">ELECTROCARDIOGRAM (EKG) INFORMATION</td>
1835 | 								</tr>
1836 | 								<tr>
1837 | 									<td>EKG</td>
1838 | 									<td>Sinus rhythm without acute changes</td>
1839 | 								</tr>
1840 | 							</tbody>
1841 | 						</table>
1842 | 					</text>
1843 | 					<entry typeCode="DRIV">
1844 | 						<organizer classCode="BATTERY" moodCode="EVN">
1845 | 							<!-- ** Result organizer ** -->
1846 | 							<templateId root="2.16.840.1.113883.10.20.22.4.1"/>
1847 | 							<id root="7d5a02b0-67a4-11db-bd13-0800200c9a66"/>
1848 | 							<code code="43789009" displayName="CBC WO DIFFERENTIAL"
1849 | 								codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
1850 | 							<statusCode code="completed"/>
1851 | 							<component>
1852 | 								<observation classCode="OBS" moodCode="EVN">
1853 | 									<!-- ** Result observation ** -->
1854 | 									<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
1855 | 									<id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
1856 | 									<code code="30313-1" displayName="HGB"
1857 | 										codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
1858 | 									<text>
1859 | 										<reference value="#result1"/>
1860 | 									</text>
1861 | 									<statusCode code="completed"/>
1862 | 									<effectiveTime value="200003231430"/>
1863 | 									<value xsi:type="PQ" value="13.2" unit="g/dl"/>
1864 | 									<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
1865 | 									<referenceRange>
1866 | 										<observationRange>
1867 | 											<text>M 13-18 g/dl; F 12-16 g/dl</text>
1868 | 										</observationRange>
1869 | 									</referenceRange>
1870 | 								</observation>
1871 | 							</component>
1872 | 							<component>
1873 | 								<observation classCode="OBS" moodCode="EVN">
1874 | 									<!-- ** Result observation ** -->
1875 | 									<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
1876 | 									<id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
1877 | 									<code code="33765-9" displayName="WBC"
1878 | 										codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
1879 | 									<text>
1880 | 										<reference value="#result2"/>
1881 | 									</text>
1882 | 									<statusCode code="completed"/>
1883 | 									<effectiveTime value="200003231430"/>
1884 | 									<value xsi:type="PQ" value="6.7" unit="10+3/ul"/>
1885 | 									<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
1886 | 									<referenceRange>
1887 | 										<observationRange>
1888 | 											<value xsi:type="IVL_PQ">
1889 | 												<low value="4.3" unit="10+3/ul"/>
1890 | 												<high value="10.8" unit="10+3/ul"/>
1891 | 											</value>
1892 | 										</observationRange>
1893 | 									</referenceRange>
1894 | 								</observation>
1895 | 							</component>
1896 | 							<component>
1897 | 								<observation classCode="OBS" moodCode="EVN">
1898 | 									<!-- ** Result observation ** -->
1899 | 									<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
1900 | 									<id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
1901 | 									<code code="26515-7" displayName="PLT"
1902 | 										codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
1903 | 									<text>
1904 | 										<reference value="#result3"/>
1905 | 									</text>
1906 | 									<statusCode code="completed"/>
1907 | 									<effectiveTime value="200003231430"/>
1908 | 									<value xsi:type="PQ" value="123" unit="10+3/ul"/>
1909 | 									<interpretationCode code="L" codeSystem="2.16.840.1.113883.5.83"/>
1910 | 									<referenceRange>
1911 | 										<observationRange>
1912 | 											<value xsi:type="IVL_PQ">
1913 | 												<low value="150" unit="10+3/ul"/>
1914 | 												<high value="350" unit="10+3/ul"/>
1915 | 											</value>
1916 | 										</observationRange>
1917 | 									</referenceRange>
1918 | 								</observation>
1919 | 							</component>
1920 | 						</organizer>
1921 | 					</entry>
1922 | 				</section>
1923 | 			</component>
1924 | 			<!-- ***************************** SOCIAL HISTORY ********************************* -->
1925 | 			<component>
1926 | 				<section>
1927 | 					<!-- Social history section -->
1928 | 					<templateId root="2.16.840.1.113883.10.20.22.2.17"/>
1929 | 					<code code="29762-2" codeSystem="2.16.840.1.113883.6.1"
1930 | 						displayName="Social History"/>
1931 | 					<title>SOCIAL HISTORY</title>
1932 | 					<text>
1933 | 						<table border="1" width="100%">
1934 | 							<thead>
1935 | 								<tr>
1936 | 									<th>Social History Element</th>
1937 | 									<th>Description</th>
1938 | 									<th>Effective Dates</th>
1939 | 								</tr>
1940 | 							</thead>
1941 | 							<tbody>
1942 | 								<tr>
1943 | 									<td>
1944 | 										<content ID="soc1"/> smoking </td>
1945 | 									<td>1 pack per day</td>
1946 | 									<td>20050501 to 20090227130000+0500</td>
1947 | 								</tr>
1948 | 								<tr>
1949 | 									<td>
1950 | 										<content ID="soc2"/> smoking </td>
1951 | 									<td>None</td>
1952 | 									<td>20090227130000+0500 - today</td>
1953 | 								</tr>
1954 | 								<tr>
1955 | 									<td>
1956 | 										<content ID="soc3"/> Alcohol consumption </td>
1957 | 									<td>None</td>
1958 | 									<td>20050501 - </td>
1959 | 								</tr>
1960 | 							</tbody>
1961 | 						</table>
1962 | 					</text>
1963 | 					<entry typeCode="DRIV">
1964 | 						<observation classCode="OBS" moodCode="EVN">
1965 | 							<!-- ** Smoking status observation ** -->
1966 | 							<templateId root="2.16.840.1.113883.10.20.22.4.78"/>
1967 | 							<id extension="123456789" root="2.16.840.1.113883.19"/>
1968 | 							<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
1969 | 							<statusCode code="completed"/>
1970 | 							<effectiveTime>
1971 | 								<low value="20050501"/>
1972 | 								<high value="20090227130000+0500"/>
1973 | 							</effectiveTime>
1974 | 							<value xsi:type="CD" code="8517006" displayName="Former smoker"
1975 | 								codeSystem="2.16.840.1.113883.6.96"/>
1976 | 						</observation>
1977 | 					</entry>
1978 | 					<entry typeCode="DRIV">
1979 | 						<observation classCode="OBS" moodCode="EVN">
1980 | 							<!-- ** Social history observation ** -->
1981 | 							<templateId root="2.16.840.1.113883.10.20.22.4.38"/>
1982 | 							<id root="9b56c25d-9104-45ee-9fa4-e0f3afaa01c1"/>
1983 | 							<code code="229819007" codeSystem="2.16.840.1.113883.6.96"
1984 | 								displayName="Tobacco use and exposure">
1985 | 								<originalText>
1986 | 									<reference value="#soc1"/>
1987 | 								</originalText>
1988 | 							</code>
1989 | 							<statusCode code="completed"/>
1990 | 							<effectiveTime>
1991 | 								<low value="20050501"/>
1992 | 								<high value="20090227130000+0500"/>
1993 | 							</effectiveTime>
1994 | 							<value xsi:type="ST">1 pack per day</value>
1995 | 						</observation>
1996 | 					</entry>
1997 | 					<entry typeCode="DRIV">
1998 | 						<observation classCode="OBS" moodCode="EVN">
1999 | 							<!-- ** Social history observation ** -->
2000 | 							<templateId root="2.16.840.1.113883.10.20.22.4.38"/>
2001 | 							<id root="45efb604-7049-4a2e-ad33-d38556c9636c"/>
2002 | 							<code code="229819007" codeSystem="2.16.840.1.113883.6.96"
2003 | 								displayName="Tobacco use and exposure">
2004 | 								<originalText>
2005 | 									<reference value="#soc2"/>
2006 | 								</originalText>
2007 | 							</code>
2008 | 							<statusCode code="completed"/>
2009 | 							<effectiveTime>
2010 | 								<low value="20090227130000+0500"/>
2011 | 							</effectiveTime>
2012 | 							<value xsi:type="ST">None</value>
2013 | 						</observation>
2014 | 					</entry>
2015 | 					<entry typeCode="DRIV">
2016 | 						<observation classCode="OBS" moodCode="EVN">
2017 | 							<!-- ** Social history observation ** -->
2018 | 							<templateId root="2.16.840.1.113883.10.20.22.4.38"/>
2019 | 							<id root="37f76c51-6411-4e1d-8a37-957fd49d2cef"/>
2020 | 							<code code="160573003" codeSystem="2.16.840.1.113883.6.96"
2021 | 								displayName="Alcohol consumption">
2022 | 								<originalText>
2023 | 									<reference value="#soc3"/>
2024 | 								</originalText>
2025 | 							</code>
2026 | 							<statusCode code="completed"/>
2027 | 							<effectiveTime>
2028 | 								<low value="20050501"/>
2029 | 							</effectiveTime>
2030 | 							<value xsi:type="ST">None</value>
2031 | 						</observation>
2032 | 					</entry>
2033 | 				</section>
2034 | 			</component>
2035 | 			<!-- ******************** VITAL SIGNS ****************************************** -->
2036 | 			<component>
2037 | 				<section>
2038 | 					<!-- conforms to Vital Signs section with entries optional -->
2039 | 					<templateId root="2.16.840.1.113883.10.20.22.2.4"/>
2040 | 					<!-- Vital Signs section with entries required -->
2041 | 					<templateId root="2.16.840.1.113883.10.20.22.2.4.1"/>
2042 | 					<code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
2043 | 						displayName="VITAL SIGNS"/>
2044 | 					<title>VITAL SIGNS</title>
2045 | 					<text>
2046 | 						<table border="1" width="100%">
2047 | 							<thead>
2048 | 								<tr>
2049 | 									<th align="right">Date / Time: </th>
2050 | 									<th>Nov 14, 1999</th>
2051 | 									<th>April 7, 2000</th>
2052 | 								</tr>
2053 | 							</thead>
2054 | 							<tbody>
2055 | 								<tr>
2056 | 									<th align="left">Height</th>
2057 | 									<td>
2058 | 										<content ID="vit1">177 cm</content>
2059 | 									</td>
2060 | 									<td>
2061 | 										<content ID="vit2">177 cm</content>
2062 | 									</td>
2063 | 								</tr>
2064 | 								<tr>
2065 | 									<th align="left">Weight</th>
2066 | 									<td>
2067 | 										<content ID="vit3">86 kg</content>
2068 | 									</td>
2069 | 									<td>
2070 | 										<content ID="vit4">88 kg</content>
2071 | 									</td>
2072 | 								</tr>
2073 | 								<tr>
2074 | 									<th align="left">Blood Pressure</th>
2075 | 									<td>
2076 | 										<content ID="vit5">132/86 mmHg</content>
2077 | 									</td>
2078 | 									<td>
2079 | 										<content ID="vit6">145/88 mmHg</content>
2080 | 									</td>
2081 | 								</tr>
2082 | 							</tbody>
2083 | 						</table>
2084 | 					</text>
2085 | 					<entry typeCode="DRIV">
2086 | 						<organizer classCode="CLUSTER" moodCode="EVN">
2087 | 							<!-- ** Vital signs organizer ** -->
2088 | 							<templateId root="2.16.840.1.113883.10.20.22.4.26"/>
2089 | 							<id root="c6f88320-67ad-11db-bd13-0800200c9a66"/>
2090 | 							<code code="46680005" codeSystem="2.16.840.1.113883.6.96"
2091 | 								codeSystemName="SNOMED -CT" displayName="Vital signs"/>
2092 | 							<statusCode code="completed"/>
2093 | 							<effectiveTime value="19991114"/>
2094 | 							<component>
2095 | 								<observation classCode="OBS" moodCode="EVN">
2096 | 									<!-- ** Vital sign observation ** -->
2097 | 									<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
2098 | 									<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
2099 | 									<code code="8302-2" codeSystem="2.16.840.1.113883.6.1"
2100 | 										codeSystemName="LOINC" displayName="Height"/>
2101 | 									<text>
2102 | 										<reference value="#vit1"/>
2103 | 									</text>
2104 | 									<statusCode code="completed"/>
2105 | 									<effectiveTime value="19991114"/>
2106 | 									<value xsi:type="PQ" value="177" unit="cm"/>
2107 | 									<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"
2108 | 									/>
2109 | 								</observation>
2110 | 							</component>
2111 | 							<component>
2112 | 								<observation classCode="OBS" moodCode="EVN">
2113 | 									<!-- ** Vital sign observation ** -->
2114 | 									<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
2115 | 									<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
2116 | 									<code code="3141-9" codeSystem="2.16.840.1.113883.6.1"
2117 | 										codeSystemName="LOINC"
2118 | 										displayName="Patient Body Weight - Measured"/>
2119 | 									<text>
2120 | 										<reference value="#vit3"/>
2121 | 									</text>
2122 | 									<statusCode code="completed"/>
2123 | 									<effectiveTime value="19991114"/>
2124 | 									<value xsi:type="PQ" value="86" unit="kg"/>
2125 | 									<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"
2126 | 									/>
2127 | 								</observation>
2128 | 							</component>
2129 | 							<component>
2130 | 								<observation classCode="OBS" moodCode="EVN">
2131 | 									<!-- ** Vital sign observation ** -->
2132 | 									<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
2133 | 									<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
2134 | 									<code code="8480-6" codeSystem="2.16.840.1.113883.6.1"
2135 | 										codeSystemName="LOINC" displayName="Intravascular Systolic"/>
2136 | 									<text>
2137 | 										<reference value="#vit5"/>
2138 | 									</text>
2139 | 									<statusCode code="completed"/>
2140 | 									<effectiveTime value="19991114"/>
2141 | 									<value xsi:type="PQ" value="132" unit="mm[Hg]"/>
2142 | 									<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"
2143 | 									/>
2144 | 								</observation>
2145 | 							</component>
2146 | 						</organizer>
2147 | 					</entry>
2148 | 					<entry typeCode="DRIV">
2149 | 						<organizer classCode="CLUSTER" moodCode="EVN">
2150 | 							<!-- ** Vital signs organizer ** -->
2151 | 							<templateId root="2.16.840.1.113883.10.20.22.4.26"/>
2152 | 							<id root="c6f88320-67ad-11db-bd13-0800200c9a66"/>
2153 | 							<code code="46680005" codeSystem="2.16.840.1.113883.6.96"
2154 | 								codeSystemName="SNOMED -CT" displayName="Vital signs"/>
2155 | 							<statusCode code="completed"/>
2156 | 							<effectiveTime value="20000407"/>
2157 | 							<component>
2158 | 								<observation classCode="OBS" moodCode="EVN">
2159 | 									<!-- ** Vital sign observation ** -->
2160 | 									<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
2161 | 									<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
2162 | 									<code code="8302-2" codeSystem="2.16.840.1.113883.6.1"
2163 | 										codeSystemName="LOINC" displayName="Height"/>
2164 | 									<text>
2165 | 										<reference value="#vit2"/>
2166 | 									</text>
2167 | 									<statusCode code="completed"/>
2168 | 									<effectiveTime value="20000407"/>
2169 | 									<value xsi:type="PQ" value="177" unit="cm"/>
2170 | 									<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"
2171 | 									/>
2172 | 								</observation>
2173 | 							</component>
2174 | 							<component>
2175 | 								<observation classCode="OBS" moodCode="EVN">
2176 | 									<!-- ** Vital sign observation ** -->
2177 | 									<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
2178 | 									<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
2179 | 									<code code="3141-9" codeSystem="2.16.840.1.113883.6.1"
2180 | 										codeSystemName="LOINC"
2181 | 										displayName="Patient Body Weight - Measured"/>
2182 | 									<text>
2183 | 										<reference value="#vit4"/>
2184 | 									</text>
2185 | 									<statusCode code="completed"/>
2186 | 									<effectiveTime value="20000407"/>
2187 | 									<value xsi:type="PQ" value="88" unit="kg"/>
2188 | 									<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"
2189 | 									/>
2190 | 								</observation>
2191 | 							</component>
2192 | 							<component>
2193 | 								<observation classCode="OBS" moodCode="EVN">
2194 | 									<!-- ** Vital sign observation ** -->
2195 | 									<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
2196 | 									<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
2197 | 									<code code="8480-6" codeSystem="2.16.840.1.113883.6.1"
2198 | 										codeSystemName="LOINC" displayName="Intravascular Systolic"/>
2199 | 									<text>
2200 | 										<reference value="#vit6"/>
2201 | 									</text>
2202 | 									<statusCode code="completed"/>
2203 | 									<effectiveTime value="20000407"/>
2204 | 									<value xsi:type="PQ" value="145" unit="mm[Hg]"/>
2205 | 									<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"
2206 | 									/>
2207 | 								</observation>
2208 | 							</component>
2209 | 						</organizer>
2210 | 					</entry>
2211 | 				</section>
2212 | 			</component>
2213 | 		</structuredBody>
2214 | 	</component>
2215 | </ClinicalDocument>
2216 | 


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