plan_executor 1.0.2 → 1.8.0

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Files changed (420) hide show
  1. checksums.yaml +4 -4
  2. data/.gitignore +1 -0
  3. data/.travis.yml +3 -2
  4. data/Gemfile +3 -6
  5. data/Gemfile.lock +52 -48
  6. data/README.md +2 -2
  7. data/fixtures/attachment/ccda_pdf.pdf +0 -0
  8. data/fixtures/attachment/ccda_pdf_base64.txt +2489 -0
  9. data/fixtures/attachment/ccda_structured.xml +1976 -0
  10. data/fixtures/attachment/ccda_unstructured.xml +2563 -0
  11. data/fixtures/daf/conformance-daf-query-responder.xml +2024 -193
  12. data/fixtures/diagnostic_report/diagnosticreport-familyhistory-create.xml +67 -0
  13. data/fixtures/diagnostic_report/diagnosticreport-hlatyping-create.xml +64 -0
  14. data/fixtures/diagnostic_report/diagnosticreport-pathologyreport-create.xml +312 -0
  15. data/fixtures/diagnostic_report/dr-100.xml +3 -3
  16. data/fixtures/diagnostic_report/dr-200.xml +5 -5
  17. data/fixtures/diagnostic_report/dr-300.xml +3 -3
  18. data/fixtures/diagnostic_report/dr-400.xml +3 -3
  19. data/fixtures/{diagnostic_order → diagnostic_request}/do-100.xml +57 -64
  20. data/fixtures/diagnostic_request/do-200.xml +73 -0
  21. data/fixtures/{diagnostic_order → diagnostic_request}/do-300.xml +73 -91
  22. data/{lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/DiagnosticOrder → fixtures/diagnostic_request}/do-400.xml +74 -88
  23. data/fixtures/family_member_history/familymemberhistory-familyhistory-create.xml +27 -0
  24. data/fixtures/financial/claim-example-oral-average.xml +199 -0
  25. data/fixtures/financial/claim-example-oral-orthoplan.xml +298 -0
  26. data/fixtures/financial/claim-example.xml +98 -0
  27. data/fixtures/financial/eligibilityrequest-example.xml +40 -0
  28. data/fixtures/observation/obs-401.xml +7 -17
  29. data/fixtures/observation/obs-402.xml +7 -17
  30. data/fixtures/observation/obs-403.xml +4 -29
  31. data/fixtures/observation/obs-407.xml +4 -11
  32. data/fixtures/observation/observation-datawarehouse-create.xml +72 -0
  33. data/fixtures/observation/observation-familyhistory-create.xml +61 -0
  34. data/fixtures/observation/observation-germline-create.xml +72 -0
  35. data/fixtures/observation/observation-register-create.xml +72 -0
  36. data/fixtures/patch/medicationrequest-simple.xml +16 -0
  37. data/fixtures/patient/patient-example-updated.xml +1 -7
  38. data/fixtures/patient/patient-example-us-extensions.xml +119 -0
  39. data/fixtures/patient/patient-example.xml +46 -27
  40. data/fixtures/patient/patient-familyhistory-create.xml +45 -0
  41. data/fixtures/patient/patient-register-create.xml +47 -0
  42. data/fixtures/practitioner/practitioner-register-create.xml +32 -0
  43. data/fixtures/record/condition-example-f201-fever.xml +54 -49
  44. data/fixtures/record/condition-example-f205-infection.xml +16 -15
  45. data/fixtures/record/diagnosticreport-example-f201-brainct.xml +45 -18
  46. data/fixtures/record/encounter-example-f201-20130404.xml +42 -15
  47. data/fixtures/record/encounter-example-f202-20130128.xml +57 -15
  48. data/fixtures/record/observation-example-f202-temperature.xml +85 -60
  49. data/fixtures/record/organization-example-f201-aumc.xml +87 -4
  50. data/fixtures/record/organization-example-f203-bumc.xml +53 -4
  51. data/fixtures/record/patient-example-f201-roel.xml +108 -8
  52. data/fixtures/record/practitioner-example-f201-ab.xml +73 -14
  53. data/fixtures/record/procedure-example-f201-tpf.xml +39 -9
  54. data/fixtures/scheduling/slot-simple.xml +1 -1
  55. data/fixtures/sequence/sequence-register-create.xml +31 -0
  56. data/fixtures/specimen/spec-100.xml +8 -8
  57. data/fixtures/specimen/spec-400.xml +11 -11
  58. data/fixtures/specimen/spec-uslab-example1.xml +11 -11
  59. data/fixtures/specimen/specimen-familyhistory-create.xml +54 -0
  60. data/fixtures/specimen/specimen-register-create.xml +49 -0
  61. data/fixtures/terminology/codesystem-data-types.json +230 -0
  62. data/fixtures/terminology/codesystem-resource-types.json +482 -0
  63. data/fixtures/terminology/codesystem-simple.xml +129 -0
  64. data/fixtures/terminology/conceptmap-example.xml +141 -0
  65. data/fixtures/terminology/v2-codesystem.json +1297 -0
  66. data/fixtures/terminology/v2-valueset.json +16 -0
  67. data/fixtures/terminology/valueset-defined-types.json +25 -0
  68. data/fixtures/terminology/valueset-example.xml +111 -0
  69. data/fixtures/validation/observation.profile.xml +1534 -253
  70. data/fixtures/validation/observations/observation-example.xml +66 -0
  71. data/lib/FHIR_structure.json +129 -82
  72. data/lib/daf_resource_generator.rb +7 -7
  73. data/lib/data/resources.rb +50 -30
  74. data/lib/ext/client.rb +2 -2
  75. data/lib/plan_executor.rb +6 -1
  76. data/lib/resource_generator.rb +413 -212
  77. data/lib/tasks/tasks.rake +151 -20
  78. data/lib/tests/assertions.rb +24 -18
  79. data/lib/tests/base_test.rb +17 -3
  80. data/lib/tests/suites/argonaut_provider_connectathon_test.rb +234 -0
  81. data/lib/tests/suites/base_suite.rb +7 -3
  82. data/lib/tests/suites/connectathon_attachment_track_test.rb +124 -0
  83. data/lib/tests/suites/connectathon_audit_track.rb +113 -69
  84. data/lib/tests/suites/connectathon_care_plan_track.rb +237 -0
  85. data/lib/tests/suites/connectathon_fetch_patient_record.rb +40 -39
  86. data/lib/tests/suites/connectathon_financial_track.rb +231 -23
  87. data/lib/tests/suites/connectathon_genomics_track_test.rb +255 -0
  88. data/lib/tests/suites/connectathon_lab_order_track.rb +131 -104
  89. data/lib/tests/suites/connectathon_patch_track.rb +125 -0
  90. data/lib/tests/suites/connectathon_patient_track.rb +75 -68
  91. data/lib/tests/suites/connectathon_profile_validation.rb +9 -8
  92. data/lib/tests/suites/connectathon_scheduling_track.rb +127 -70
  93. data/lib/tests/suites/connectathon_terminology_track.rb +211 -34
  94. data/lib/tests/suites/daf_profiles_test.rb +112 -72
  95. data/lib/tests/suites/format_test.rb +113 -255
  96. data/lib/tests/suites/history_test.rb +72 -68
  97. data/lib/tests/suites/read_test.rb +31 -27
  98. data/lib/tests/suites/resource_test.rb +283 -85
  99. data/lib/tests/suites/search_test.rb +5 -3
  100. data/lib/tests/suites/search_test_robust.rb +8 -76
  101. data/lib/tests/suites/sprinkler_search_test.rb +104 -84
  102. data/lib/tests/suites/suite_engine.rb +17 -23
  103. data/lib/tests/suites/transaction_test.rb +117 -174
  104. data/lib/tests/testscripts/base_testscript.rb +425 -189
  105. data/lib/tests/testscripts/scripts/connectathon/Patient-01-Intro/Client Assigned Id/connectathon-14-patient-base-client-id-json.xml +517 -0
  106. data/lib/tests/testscripts/scripts/connectathon/Patient-01-Intro/Client Assigned Id/connectathon-14-patient-base-client-id-xml.xml +517 -0
  107. data/lib/tests/testscripts/scripts/connectathon/Patient-01-Intro/Client Assigned Id/connectathon-14-patient-bonus-client-id-json.xml +648 -0
  108. data/lib/tests/testscripts/scripts/connectathon/Patient-01-Intro/Client Assigned Id/connectathon-14-patient-bonus-client-id-xml.xml +648 -0
  109. data/lib/tests/testscripts/scripts/connectathon/Patient-01-Intro/README.html +68 -0
  110. data/lib/tests/testscripts/scripts/connectathon/Patient-01-Intro/Server Assigned Id/connectathon-14-patient-base-server-id-json.xml +515 -0
  111. data/lib/tests/testscripts/scripts/connectathon/Patient-01-Intro/Server Assigned Id/connectathon-14-patient-base-server-id-xml.xml +515 -0
  112. data/lib/tests/testscripts/scripts/connectathon/Patient-01-Intro/Server Assigned Id/connectathon-14-patient-bonus-server-id-json.xml +645 -0
  113. data/lib/tests/testscripts/scripts/connectathon/Patient-01-Intro/Server Assigned Id/connectathon-14-patient-bonus-server-id-xml.xml +642 -0
  114. data/lib/tests/testscripts/scripts/connectathon/Patient-01-Intro/_reference/capabilities/PatientCapabilityStatement.xml +43 -0
  115. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-create-PeterChalmers-min.json +1 -3
  116. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-create-PeterChalmers-min.xml +0 -0
  117. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-create-PeterChalmers.json +5 -10
  118. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-create-PeterChalmers.xml +5 -5
  119. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-create-bonus-PeterChalmers-min.json +1 -3
  120. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-create-bonus-PeterChalmers-min.xml +0 -0
  121. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-create-bonus-PeterChalmers.json +5 -10
  122. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-create-bonus-PeterChalmers.xml +4 -5
  123. data/lib/tests/testscripts/scripts/connectathon/Patient-01-Intro/_reference/resources/patient-create-client-id-PeterChalmers.json +96 -0
  124. data/lib/tests/testscripts/scripts/connectathon/Patient-01-Intro/_reference/resources/patient-create-client-id-PeterChalmers.xml +103 -0
  125. data/lib/tests/testscripts/scripts/connectathon/Patient-01-Intro/_reference/resources/patient-create-client-id-bonus-PeterChalmers.json +104 -0
  126. data/lib/tests/testscripts/scripts/connectathon/Patient-01-Intro/_reference/resources/patient-create-client-id-bonus-PeterChalmers.xml +108 -0
  127. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-update-PeterChalmers-min.json +1 -3
  128. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-update-PeterChalmers-min.xml +0 -0
  129. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-update-PeterChalmers.json +6 -10
  130. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-update-PeterChalmers.xml +6 -5
  131. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-update-bonus1-PeterChalmers-min.json +1 -3
  132. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-update-bonus1-PeterChalmers-min.xml +0 -0
  133. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-update-bonus1-PeterChalmers.json +7 -11
  134. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-update-bonus1-PeterChalmers.xml +5 -5
  135. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-update-bonus2-PeterChalmers-min.json +2 -4
  136. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-update-bonus2-PeterChalmers-min.xml +1 -1
  137. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-update-bonus2-PeterChalmers.json +7 -11
  138. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient → scripts/connectathon/Patient-01-Intro}/_reference/resources/patient-update-bonus2-PeterChalmers.xml +8 -7
  139. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRClient/01-RegisterPatient/connectathon-14-patient-fhirclient-01-register-client-id-xml.xml +306 -0
  140. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRClient/01-RegisterPatient/connectathon-14-patient-fhirclient-01-register-server-id-xml.xml +317 -0
  141. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRClient/02-PatientUpdate/connectathon-14-patient-fhirclient-02-update-client-id-xml.xml +346 -0
  142. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRClient/02-PatientUpdate/connectathon-14-patient-fhirclient-02-update-server-id-xml.xml +385 -0
  143. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRClient/_reference/capabilities/PatientCapabilityStatement.json +50 -0
  144. data/lib/tests/testscripts/{xml/Connectathon11/Track1-Patient/_reference/conformance/PatientConformance.xml → scripts/connectathon/Patient-02-Formal/FHIRClient/_reference/capabilities/PatientCapabilityStatement.xml} +10 -2
  145. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRClient/_reference/resources/patient-create-client-id.json +21 -0
  146. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRClient/_reference/resources/patient-create-client-id.xml +15 -0
  147. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRClient/_reference/resources/patient-create-server-id.json +20 -0
  148. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRClient/_reference/resources/patient-create-server-id.xml +14 -0
  149. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRClient/_reference/resources/patient-update-client-id.json +21 -0
  150. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRClient/_reference/resources/patient-update-client-id.xml +15 -0
  151. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRClient/_reference/resources/patient-update-server-id.json +20 -0
  152. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRClient/_reference/resources/patient-update-server-id.xml +14 -0
  153. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/01-RegisterPatient/connectathon-14-patient-fhirserver-01-register-client-id-json.xml +262 -0
  154. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/01-RegisterPatient/connectathon-14-patient-fhirserver-01-register-client-id-xml.xml +262 -0
  155. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/01-RegisterPatient/connectathon-14-patient-fhirserver-01-register-server-id-json.xml +273 -0
  156. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/01-RegisterPatient/connectathon-14-patient-fhirserver-01-register-server-id-xml.xml +273 -0
  157. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/02-PatientUpdate/connectathon-14-patient-fhirserver-02-update-client-id-json.xml +290 -0
  158. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/02-PatientUpdate/connectathon-14-patient-fhirserver-02-update-client-id-xml.xml +290 -0
  159. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/02-PatientUpdate/connectathon-14-patient-fhirserver-02-update-server-id-json.xml +326 -0
  160. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/02-PatientUpdate/connectathon-14-patient-fhirserver-02-update-server-id-xml.xml +326 -0
  161. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/03-PatientRead/connectathon-14-patient-fhirserver-03-read-client-id-json.xml +247 -0
  162. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/03-PatientRead/connectathon-14-patient-fhirserver-03-read-client-id-xml.xml +247 -0
  163. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/03-PatientRead/connectathon-14-patient-fhirserver-03-read-server-id-json.xml +282 -0
  164. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/03-PatientRead/connectathon-14-patient-fhirserver-03-read-server-id-xml.xml +281 -0
  165. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/04-PatientHistory/connectathon-14-patient-fhirserver-04-history-client-id-json.xml +330 -0
  166. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/04-PatientHistory/connectathon-14-patient-fhirserver-04-history-client-id-xml.xml +330 -0
  167. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/04-PatientHistory/connectathon-14-patient-fhirserver-04-history-server-id-json.xml +366 -0
  168. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/04-PatientHistory/connectathon-14-patient-fhirserver-04-history-server-id-xml.xml +366 -0
  169. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/05-PatientVRead/connectathon-14-patient-fhirserver-05-vread-client-id-json.xml +527 -0
  170. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/05-PatientVRead/connectathon-14-patient-fhirserver-05-vread-client-id-xml.xml +527 -0
  171. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/05-PatientVRead/connectathon-14-patient-fhirserver-05-vread-server-id-json.xml +519 -0
  172. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/05-PatientVRead/connectathon-14-patient-fhirserver-05-vread-server-id-xml.xml +519 -0
  173. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/06-PatientSearching/connectathon-14-patient-fhirserver-06-search-client-id-json.xml +290 -0
  174. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/06-PatientSearching/connectathon-14-patient-fhirserver-06-search-client-id-xml.xml +290 -0
  175. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/06-PatientSearching/connectathon-14-patient-fhirserver-06-search-server-id-json.xml +288 -0
  176. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/06-PatientSearching/connectathon-14-patient-fhirserver-06-search-server-id-xml.xml +288 -0
  177. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/07-PatientDeletion/connectathon-14-patient-fhirserver-07-delete-client-id-json.xml +252 -0
  178. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/07-PatientDeletion/connectathon-14-patient-fhirserver-07-delete-client-id-xml.xml +252 -0
  179. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/07-PatientDeletion/connectathon-14-patient-fhirserver-07-delete-server-id-json.xml +284 -0
  180. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/07-PatientDeletion/connectathon-14-patient-fhirserver-07-delete-server-id-xml.xml +284 -0
  181. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/99-PatientAll/connectathon-14-patient-fhirserver-99-all-client-id-json.xml +897 -0
  182. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/99-PatientAll/connectathon-14-patient-fhirserver-99-all-client-id-xml.xml +897 -0
  183. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/99-PatientAll/connectathon-14-patient-fhirserver-99-all-server-id-json.xml +963 -0
  184. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/99-PatientAll/connectathon-14-patient-fhirserver-99-all-server-id-xml.xml +963 -0
  185. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/_reference/capabilities/PatientCapabilityStatement.json +50 -0
  186. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/_reference/capabilities/PatientCapabilityStatement.xml +42 -0
  187. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/_reference/resources/patient-create-client-id.json +86 -0
  188. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/_reference/resources/patient-create-client-id.xml +62 -0
  189. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/_reference/resources/patient-create-server-id.json +85 -0
  190. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/_reference/resources/patient-create-server-id.xml +61 -0
  191. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/_reference/resources/patient-update-client-id.json +86 -0
  192. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/_reference/resources/patient-update-client-id.xml +62 -0
  193. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/_reference/resources/patient-update-server-id.json +86 -0
  194. data/lib/tests/testscripts/scripts/connectathon/Patient-02-Formal/FHIRServer/_reference/resources/patient-update-server-id.xml +62 -0
  195. data/lib/tests/testscripts/scripts/spec/_reference/resources/patient-example-update.json +145 -0
  196. data/lib/tests/testscripts/scripts/spec/_reference/resources/patient-example.json +146 -0
  197. data/lib/tests/testscripts/scripts/spec/testscript-example-history.xml +191 -0
  198. data/lib/tests/testscripts/scripts/spec/testscript-example-multisystem.xml +190 -0
  199. data/lib/tests/testscripts/scripts/spec/testscript-example-readtest.xml +178 -0
  200. data/lib/tests/testscripts/scripts/spec/testscript-example-rule.xml +266 -0
  201. data/lib/tests/testscripts/scripts/spec/testscript-example-search.xml +177 -0
  202. data/lib/tests/testscripts/scripts/spec/testscript-example-update.xml +163 -0
  203. data/lib/tests/testscripts/scripts/spec/testscript-example.xml +228 -0
  204. data/lib/tests/testscripts/testscript_engine.rb +36 -22
  205. data/logs/.keep +0 -0
  206. data/plan_executor.gemspec +11 -3
  207. data/test/test_helper.rb +3 -3
  208. data/test/unit/fixtures_test.rb +24 -24
  209. data/test/unit/metadata_test.rb +19 -9
  210. data/test/unit/resource_generator_test.rb +20 -0
  211. metadata +244 -249
  212. data/fixtures/diagnostic_order/do-200.xml +0 -121
  213. data/fixtures/diagnostic_order/do-400.xml +0 -88
  214. data/fixtures/financial/claim-example-average.xml +0 -168
  215. data/fixtures/financial/claim-example-simple.xml +0 -67
  216. data/fixtures/order/order-100.xml +0 -61
  217. data/fixtures/order/order-200.xml +0 -61
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  398. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Specimen/spec-400.xml +0 -70
  399. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Specimen/spec-uslab-example1.xml +0 -82
  400. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Testscript 1 Document.txt +0 -122
  401. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Testscript 2 Document.txt +0 -103
  402. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Testscript 3 Document.txt +0 -201
  403. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Testscript 4 Document.txt +0 -310
  404. data/lib/tests/testscripts/xml/Connectathon11/Track9-Patch/_reference/conformance/MedicationStatementCreate.xml +0 -11
  405. data/lib/tests/testscripts/xml/Connectathon11/Track9-Patch/_reference/conformance/PatientSearchType.xml +0 -15
  406. data/lib/tests/testscripts/xml/Connectathon11/Track9-Patch/_reference/resources/medicationstatement-create.json +0 -39
  407. data/lib/tests/testscripts/xml/Connectathon11/Track9-Patch/_reference/resources/medicationstatement-patch.json +0 -3
  408. data/lib/tests/testscripts/xml/Connectathon11/Track9-Patch/track9-patch-medicationstatement-json-if-match.xml +0 -321
  409. data/lib/tests/testscripts/xml/Connectathon11/Track9-Patch/track9-patch-medicationstatement-json.xml +0 -303
  410. data/lib/tests/testscripts/xml/Connectathon11/Track9-Patch/track9-patch-peer2peer-patient-json.xml +0 -235
  411. data/test/fixtures/testscript-example.xml +0 -202
  412. data/test/fixtures/testscript-history.xml +0 -143
  413. data/test/fixtures/testscript-readtest.xml +0 -272
  414. data/test/fixtures/testscript-search.xml +0 -282
  415. data/test/fixtures/testscript-update.xml +0 -147
  416. data/test/unit/argonaut_sprint6_test.rb +0 -31
  417. data/test/unit/argonaut_sprint7_test.rb +0 -21
  418. data/test/unit/basic_test.rb +0 -27
  419. data/test/unit/fetch_patient_record_test.rb +0 -357
  420. data/test/unit/financial_test.rb +0 -41
data/lib/tests/testscripts/xml/Connectathon11/Track11-SDC/_reference/C-CDA_R2-1_CCD-ussg.xml DELETED
@@ -1,3414 +0,0 @@
1
- <?xml version="1.0" encoding="UTF-8"?>
2
- <?xml-stylesheet type="text/xsl" href="CDA.xsl"?>
3
- <!--
4
- Title: Continuity of Care Document (CCD)
5
- Filename: C-CDA_R2.1_CCD.xml
6
- Created by: Lantana Consulting Group, LLC
7
- Updated: C-CDA R2.1 editing team
8
-
9
- $LastChangedDate: 2015-8-11 11:25:09 -0400 (Wed, 11 Aug 2015) $
10
- 2016-01-08: Minor updates applied to align with existing FHIR patient
11
-
12
- ********************************************************
13
- Disclaimer: This sample file contains representative data elements to represent a Continuity of Care Document (CCD).
14
- The file depicts a fictional character's health data. Any resemblance to a real person is coincidental.
15
- To illustrate as many data elements as possible, the clinical scenario may not be plausible.
16
- The data in this sample file is not intended to represent real patients, people or clinical events.
17
- This sample is designed to be used in conjunction with the C-CDA Clinical Notes Implementation Guide.
18
- ********************************************************
19
-
20
- -->
21
- <ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:voc="urn:hl7-org:v3/voc" xmlns:sdtc="urn:hl7-org:sdtc">
22
- <realmCode code="US"/>
23
- <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
24
- <!-- CCD template ID-->
25
- <templateId root="2.16.840.1.113883.10.20.22.1.2" extension="2015-08-01"/>
26
- <templateId root="2.16.840.1.113883.10.20.22.1.2"/>
27
- <!-- Globally unique identifier for the document -->
28
- <id extension="TT988" root="2.16.840.1.113883.19.5.99999.1"/>
29
- <code code="34133-9" displayName="Summarization of Episode Note" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
30
- <!-- Title of this document -->
31
- <title>Patient Chart Summary</title>
32
- <effectiveTime value="201308151030-0800"/>
33
- <confidentialityCode code="N" displayName="normal" codeSystem="2.16.840.1.113883.5.25" codeSystemName="Confidentiality"/>
34
- <languageCode code="en-US"/>
35
- <setId extension="sTT988" root="2.16.840.1.113883.19.5.99999.19"/>
36
- <!-- Version of this document -->
37
- <versionNumber value="1"/>
38
- <recordTarget>
39
- <patientRole>
40
- <id extension="444222222" root="2.16.840.1.113883.4.1"/>
41
- <!-- Example Social Security Number using the actual SSN OID. -->
42
- <addr use="HP">
43
- <!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 -->
44
- <streetAddressLine>2222 Home Street</streetAddressLine>
45
- <city>Beaverton</city>
46
- <state>OR</state>
47
- <postalCode>97867</postalCode>
48
- <country>US</country>
49
- <!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->
50
- </addr>
51
- <telecom value="tel:+1(555)555-2003" use="HP"/>
52
- <!-- HP is "primary home" from HL7 AddressUse 2.16.840.1.113883.5.1119 -->
53
- <patient>
54
- <name use="L">
55
- <given>Eve</given>
56
- <!-- The "SP" is "Spouse" from HL7 Code System EntityNamePartQualifier 2.16.840.1.113883.5.43 -->
57
- <family qualifier="SP">Everywoman</family>
58
- </name>
59
- <administrativeGenderCode code="F" displayName="Female" codeSystem="2.16.840.1.113883.5.1" codeSystemName="AdministrativeGender"/>
60
- <!-- Date of birth need only be precise to the day -->
61
- <birthTime value="19730531"/>
62
- <maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2" codeSystemName="MaritalStatusCode"/>
63
- <religiousAffiliationCode code="1013" displayName="Christian (non-Catholic, non-specific)" codeSystem="2.16.840.1.113883.5.1076" codeSystemName="HL7 Religious Affiliation"/>
64
- <!-- CDC Race and Ethnicity code set contains the five minimum race and ethnicity
65
- categories defined by OMB Standards -->
66
- <raceCode code="2106-3" displayName="White" codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race &amp; Ethnicity - CDC"/>
67
- <!-- The raceCode extension is only used if raceCode is valued -->
68
- <sdtc:raceCode code="2076-8" displayName="Hawaiian or Other Pacific Islander" codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race &amp; Ethnicity - CDC"/>
69
- <ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino" codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race &amp; Ethnicity - CDC"/>
70
- <guardian>
71
- <code code="POWATT" displayName="Power of Attorney" codeSystem="2.16.840.1.113883.1.11.19830" codeSystemName="ResponsibleParty"/>
72
- <addr use="HP">
73
- <streetAddressLine>2222 Home Street</streetAddressLine>
74
- <city>Beaverton</city>
75
- <state>OR</state>
76
- <postalCode>97867</postalCode>
77
- <country>US</country>
78
- </addr>
79
- <telecom value="tel:+1(555)555-2008" use="MC"/>
80
- <guardianPerson>
81
- <name>
82
- <given>Boris</given>
83
- <given qualifier="CL">Bo</given>
84
- <family>Betterhalf</family>
85
- </name>
86
- </guardianPerson>
87
- </guardian>
88
- <birthplace>
89
- <place>
90
- <addr>
91
- <streetAddressLine>4444 Home Street</streetAddressLine>
92
- <city>Beaverton</city>
93
- <state>OR</state>
94
- <postalCode>97867</postalCode>
95
- <country>US</country>
96
- </addr>
97
- </place>
98
- </birthplace>
99
- <languageCommunication>
100
- <languageCode code="en"/>
101
- <!-- "en" is ISO 639-1 alpha-2 code for "English" -->
102
- <modeCode code="ESP" displayName="Expressed spoken" codeSystem="2.16.840.1.113883.5.60" codeSystemName="LanguageAbilityMode"/>
103
- <proficiencyLevelCode code="G" displayName="Good" codeSystem="2.16.840.1.113883.5.61" codeSystemName="LanguageAbilityProficiency"/>
104
- <!-- Patient's preferred language -->
105
- <preferenceInd value="true"/>
106
- </languageCommunication>
107
- </patient>
108
- <providerOrganization>
109
- <id extension="219BX" root="2.16.840.1.113883.4.6"/>
110
- <name>The DoctorsTogether Physician Group</name>
111
- <telecom use="WP" value="tel: +1(555)555-5000"/>
112
- <addr>
113
- <streetAddressLine>1007 Health Drive</streetAddressLine>
114
- <city>Portland</city>
115
- <state>OR</state>
116
- <postalCode>99123</postalCode>
117
- <country>US</country>
118
- </addr>
119
- </providerOrganization>
120
- </patientRole>
121
- </recordTarget>
122
- <!-- The author represents the person who provides the content in the document -->
123
- <author>
124
- <time value="201308151030-0800"/>
125
- <assignedAuthor>
126
- <id extension="5555555555" root="2.16.840.1.113883.4.6"/>
127
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
128
- <addr>
129
- <streetAddressLine>1004 Healthcare Drive </streetAddressLine>
130
- <city>Portland</city>
131
- <state>OR</state>
132
- <postalCode>99123</postalCode>
133
- <country>US</country>
134
- </addr>
135
- <telecom use="WP" value="tel:+1(555)555-1004"/>
136
- <assignedPerson>
137
- <name>
138
- <given>Patricia</given>
139
- <given qualifier="CL">Patty</given>
140
- <family>Primary</family>
141
- <suffix qualifier="AC">M.D.</suffix>
142
- </name>
143
- </assignedPerson>
144
- </assignedAuthor>
145
- </author>
146
- <!-- The dataEnterer transferred the content created by the author into the document -->
147
- <dataEnterer>
148
- <assignedEntity>
149
- <id extension="333777777" root="2.16.840.1.113883.4.6"/>
150
- <addr>
151
- <streetAddressLine>1007 Healthcare Drive</streetAddressLine>
152
- <city>Portland</city>
153
- <state>OR</state>
154
- <postalCode>99123</postalCode>
155
- <country>US</country>
156
- </addr>
157
- <telecom use="WP" value="tel:+1(555)555-1050"/>
158
- <assignedPerson>
159
- <name>
160
- <given>Ellen</given>
161
- <family>Enter</family>
162
- </name>
163
- </assignedPerson>
164
- </assignedEntity>
165
- </dataEnterer>
166
- <!-- The informant represents any sources of information for document content -->
167
- <informant>
168
- <assignedEntity>
169
- <id extension="888888888" root="2.16.840.1.113883.4.6"/>
170
- <addr>
171
- <streetAddressLine>1007 Healthcare Drive</streetAddressLine>
172
- <city>Portland</city>
173
- <state>OR</state>
174
- <postalCode>99123</postalCode>
175
- <country>US</country>
176
- </addr>
177
- <telecom use="WP" value="tel:+1(555)555-1003"/>
178
- <assignedPerson>
179
- <name>
180
- <given>Harold</given>
181
- <family>Hippocrates</family>
182
- <suffix qualifier="AC">M.D.</suffix>
183
- </name>
184
- </assignedPerson>
185
- <representedOrganization>
186
- <name>The DoctorsApart Physician Group</name>
187
- </representedOrganization>
188
- </assignedEntity>
189
- </informant>
190
- <informant>
191
- <assignedEntity>
192
- <id extension="222223333" root="2.16.840.1.113883.4.6"/>
193
- <addr>
194
- <streetAddressLine>1025 Health Drive</streetAddressLine>
195
- <city>Portland</city>
196
- <state>OR</state>
197
- <postalCode>99123</postalCode>
198
- <country>US</country>
199
- </addr>
200
- <telecom use="WP" value="tel:+1(555)555-1025"/>
201
- <assignedPerson>
202
- <name>
203
- <given>Ramsey</given>
204
- <family>Reaction</family>
205
- <suffix qualifier="AC">M.D.</suffix>
206
- </name>
207
- </assignedPerson>
208
- <representedOrganization>
209
- <name>The DoctorsApart Physician Group</name>
210
- </representedOrganization>
211
- </assignedEntity>
212
- </informant>
213
- <informant>
214
- <assignedEntity>
215
- <id extension="333444444" root="2.16.840.1.113883.4.6"/>
216
- <addr>
217
- <streetAddressLine>1017 Health Drive</streetAddressLine>
218
- <city>Portland</city>
219
- <state>OR</state>
220
- <postalCode>99123</postalCode>
221
- <country>US</country>
222
- </addr>
223
- <telecom use="WP" value="tel:+1(555)555-1017"/>
224
- <assignedPerson>
225
- <name>
226
- <given>William</given>
227
- <given qualifier="CL">Bill</given>
228
- <family>Beaker</family>
229
- </name>
230
- </assignedPerson>
231
- <representedOrganization>
232
- <name>Good Health Laboratory</name>
233
- </representedOrganization>
234
- </assignedEntity>
235
- </informant>
236
- <informant>
237
- <assignedEntity>
238
- <id extension="333222222" root="2.16.840.1.113883.4.6"/>
239
- <addr>
240
- <streetAddressLine>1016 Health Drive</streetAddressLine>
241
- <city>Portland</city>
242
- <state>OR</state>
243
- <postalCode>99123</postalCode>
244
- <country>US</country>
245
- </addr>
246
- <telecom use="WP" value="tel:+1(555)555-1016"/>
247
- <assignedPerson>
248
- <name>
249
- <given>Susan</given>
250
- <family>Script</family>
251
- <suffix qualifier="AC">Pharm.D.</suffix>
252
- </name>
253
- </assignedPerson>
254
- <representedOrganization>
255
- <name>People's Pharmacy</name>
256
- </representedOrganization>
257
- </assignedEntity>
258
- </informant>
259
- <informant>
260
- <assignedEntity>
261
- <id extension="222334444" root="2.16.840.1.113883.4.6"/>
262
- <addr>
263
- <streetAddressLine>1027 Health Drive</streetAddressLine>
264
- <city>Portland</city>
265
- <state>OR</state>
266
- <postalCode>99123</postalCode>
267
- <country>US</country>
268
- </addr>
269
- <telecom use="WP" value="tel:+1(555)555-1027"/>
270
- <assignedPerson>
271
- <name>
272
- <given>Patrick</given>
273
- <family>Pump</family>
274
- <suffix qualifier="AC">M.D.</suffix>
275
- </name>
276
- </assignedPerson>
277
- <representedOrganization>
278
- <name>The DoctorsApart Physician Group</name>
279
- </representedOrganization>
280
- </assignedEntity>
281
- </informant>
282
- <informant>
283
- <relatedEntity classCode="PRS">
284
- <!-- classCode "PRS" represents a person with personal relationship with the patient -->
285
- <code code="SPS" displayName="SPOUSE" codeSystem="2.16.840.1.113883.1.11.19563" codeSystemName="Personal Relationship Role Type Value Set"/>
286
- <relatedPerson>
287
- <name>
288
- <given>Boris</given>
289
- <given qualifier="CL">Bo</given>
290
- <family>Betterhalf</family>
291
- </name>
292
- </relatedPerson>
293
- </relatedEntity>
294
- </informant>
295
- <!-- The custodian represents the organization charged with maintaining the original source document -->
296
- <custodian>
297
- <assignedCustodian>
298
- <representedCustodianOrganization>
299
- <id extension="321CX" root="2.16.840.1.113883.4.6"/>
300
- <name>Good Health HIE</name>
301
- <telecom use="WP" value="tel:+1(555)555-1009"/>
302
- <addr use="WP">
303
- <streetAddressLine>1009 Healthcare Drive </streetAddressLine>
304
- <city>Portland</city>
305
- <state>OR</state>
306
- <postalCode>99123</postalCode>
307
- <country>US</country>
308
- </addr>
309
- </representedCustodianOrganization>
310
- </assignedCustodian>
311
- </custodian>
312
- <!-- The informationRecipient represents the intended recipient of the document -->
313
- <informationRecipient>
314
- <intendedRecipient>
315
- <informationRecipient>
316
- <name>
317
- <given>Sara</given>
318
- <family>Specialize</family>
319
- <suffix qualifier="AC">M.D.</suffix>
320
- </name>
321
- </informationRecipient>
322
- <receivedOrganization>
323
- <name>The DoctorsApart Physician Group</name>
324
- </receivedOrganization>
325
- </intendedRecipient>
326
- </informationRecipient>
327
- <!-- The legalAuthenticator represents the individual who is responsible for the document -->
328
- <legalAuthenticator>
329
- <time value="20130815223615-0800"/>
330
- <signatureCode code="S"/>
331
- <assignedEntity>
332
- <id extension="5555555555" root="2.16.840.1.113883.4.6"/>
333
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
334
- <addr>
335
- <streetAddressLine>1004 Healthcare Drive </streetAddressLine>
336
- <city>Portland</city>
337
- <state>OR</state>
338
- <postalCode>99123</postalCode>
339
- <country>US</country>
340
- </addr>
341
- <telecom use="WP" value="tel:+1(555)555-1004"/>
342
- <assignedPerson>
343
- <name>
344
- <given>Patricia</given>
345
- <given qualifier="CL">Patty</given>
346
- <family>Primary</family>
347
- <suffix qualifier="AC">M.D.</suffix>
348
- </name>
349
- </assignedPerson>
350
- </assignedEntity>
351
- </legalAuthenticator>
352
- <!-- The authenticator represents the individual attesting to the accuracy of information in the document-->
353
- <authenticator>
354
- <time value="20130815221545-0800"/>
355
- <signatureCode code="S"/>
356
- <assignedEntity>
357
- <id extension="5555555555" root="2.16.840.1.113883.4.6"/>
358
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
359
- <addr>
360
- <streetAddressLine>1004 Healthcare Drive </streetAddressLine>
361
- <city>Portland</city>
362
- <state>OR</state>
363
- <postalCode>99123</postalCode>
364
- <country>US</country>
365
- </addr>
366
- <telecom use="WP" value="tel:+1(555)555-1004"/>
367
- <assignedPerson>
368
- <name>
369
- <given>Patricia</given>
370
- <given qualifier="CL">Patty</given>
371
- <family>Primary</family>
372
- <suffix qualifier="AC">M.D.</suffix>
373
- </name>
374
- </assignedPerson>
375
- </assignedEntity>
376
- </authenticator>
377
- <!-- The participant represents supporting entities -->
378
- <participant typeCode="IND">
379
- <!-- typeCode "IND" represents an individual -->
380
- <associatedEntity classCode="NOK">
381
- <!-- classCode "NOK" represents the patient's next of kin-->
382
- <addr use="HP">
383
- <streetAddressLine>2222 Home Street</streetAddressLine>
384
- <city>Beaverton</city>
385
- <state>OR</state>
386
- <postalCode>97867</postalCode>
387
- <country>US</country>
388
- </addr>
389
- <telecom value="tel:+1(555)555-2008" use="MC"/>
390
- <associatedPerson>
391
- <name>
392
- <given>Boris</given>
393
- <given qualifier="CL">Bo</given>
394
- <family>Betterhalf</family>
395
- </name>
396
- </associatedPerson>
397
- </associatedEntity>
398
- </participant>
399
- <!-- Entities playing multiple roles are recorded in multiple participants -->
400
- <participant typeCode="IND">
401
- <associatedEntity classCode="ECON">
402
- <!-- classCode "ECON" represents an emergency contact -->
403
- <addr use="HP">
404
- <streetAddressLine>2222 Home Street</streetAddressLine>
405
- <city>Beaverton</city>
406
- <state>OR</state>
407
- <postalCode>97867</postalCode>
408
- <country>US</country>
409
- </addr>
410
- <telecom value="tel:+1(555)555-2008" use="MC"/>
411
- <associatedPerson>
412
- <name>
413
- <given>Boris</given>
414
- <given qualifier="CL">Bo</given>
415
- <family>Betterhalf</family>
416
- </name>
417
- </associatedPerson>
418
- </associatedEntity>
419
- </participant>
420
- <documentationOf>
421
- <serviceEvent classCode="PCPR">
422
- <!-- The effectiveTime reflects the provision of care summarized in the document.
423
- In this scenario, the provision of care summarized is the lifetime for the patient -->
424
- <effectiveTime>
425
- <low value="19750501"/>
426
- <!-- The low value represents when the summarized provision of care began.
427
- In this scenario, the patient's date of birth -->
428
- <high value="20130815"/>
429
- <!-- The high value represents when the summarized provision of care being ended.
430
- In this scenario, when chart summary was created -->
431
- </effectiveTime>
432
- <performer typeCode="PRF">
433
- <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88" codeSystemName="ParticipationFunction" displayName="Primary Care Provider">
434
- <originalText>Primary Care Provider</originalText>
435
- </functionCode>
436
- <assignedEntity>
437
- <id extension="5555555555" root="2.16.840.1.113883.4.6"/>
438
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
439
- <addr>
440
- <streetAddressLine>1004 Healthcare Drive </streetAddressLine>
441
- <city>Portland</city>
442
- <state>OR</state>
443
- <postalCode>99123</postalCode>
444
- <country>US</country>
445
- </addr>
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- <telecom use="WP" value="tel:+1(555)555-1004"/>
447
- <assignedPerson>
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- <name>
449
- <given>Patricia</given>
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- <given qualifier="CL">Patty</given>
451
- <family>Primary</family>
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- <suffix qualifier="AC">M.D.</suffix>
453
- </name>
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- </assignedPerson>
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- <representedOrganization>
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- <id extension="219BX" root="1.2.16.840.1.113883.4.6"/>
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- <name>The DoctorsTogether Physician Group</name>
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- <telecom use="WP" value="tel: +1(555)555-5000"/>
459
- <addr>
460
- <streetAddressLine>1004 Health Drive</streetAddressLine>
461
- <city>Portland</city>
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- <state>OR</state>
463
- <postalCode>99123</postalCode>
464
- <country>US</country>
465
- </addr>
466
- </representedOrganization>
467
- </assignedEntity>
468
- </performer>
469
- </serviceEvent>
470
- </documentationOf>
471
- <!-- ******************************************************** CDA Body ******************************************************** -->
472
- <component>
473
- <structuredBody>
474
- <!-- ************* ADVANCE DIRECTIVES *************** -->
475
- <component>
476
- <section>
477
- <!-- *** Advance Directives section with entries required *** -->
478
- <templateId root="2.16.840.1.113883.10.20.22.2.21" extension="2015-08-01"/>
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- <templateId root="2.16.840.1.113883.10.20.22.2.21"/>
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- <code code="42348-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
481
- <title>ADVANCE DIRECTIVES</title>
482
- <text>
483
- <table border="1" width="100%">
484
- <thead>
485
- <tr>
486
- <th>Directive</th>
487
- <th>Description</th>
488
- <th>Verification</th>
489
- <th>Supporting Document(s)</th>
490
- </tr>
491
- </thead>
492
- <tbody>
493
- <tr>
494
- <td>Resuscitation status</td>
495
- <td ID="AD1">Do not resuscitate</td>
496
- <td>Dr. Patricia Primary, Feb 19, 2011</td>
497
- <td>
498
- <linkHtml href="AdvanceDirective.b50b7910.pdf">Advance directive</linkHtml>
499
- </td>
500
- </tr>
501
- </tbody>
502
- </table>
503
- </text>
504
- <entry>
505
- <!-- *** Advance Directive Organizer (V2) template -->
506
- <organizer classCode="CLUSTER" moodCode="EVN">
507
- <templateId root="2.16.840.1.113883.10.20.22.4.108" extension="2015-08-01"/>
508
- <templateId root="2.16.840.1.113883.10.20.22.4.108"/>
509
- <id root="af6ebdf2-d996-11e2-a5b8-f23c91aec05e"/>
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- <code code="45473-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="advance directive - living will"/>
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- <statusCode code="completed"/>
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- <author>
513
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
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- <time value="201308011235-0800"/>
515
- <assignedAuthor>
516
- <id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
517
- <code code="163W00000X" displayName="Registered nurse" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
518
- <assignedPerson>
519
- <name>
520
- <given>Nurse</given>
521
- <family>Nightingale</family>
522
- <suffix>RN</suffix>
523
- </name>
524
- </assignedPerson>
525
- <representedOrganization classCode="ORG">
526
- <id root="2.16.840.1.113883.19.5"/>
527
- <name>Good Health Hospital</name>
528
- </representedOrganization>
529
- </assignedAuthor>
530
- </author>
531
- <component>
532
- <!-- ** Advance Directive Observation (V3) ** -->
533
- <observation classCode="OBS" moodCode="EVN">
534
- <templateId root="2.16.840.1.113883.10.20.22.4.48" extension="2015-08-01"/>
535
- <templateId root="2.16.840.1.113883.10.20.22.4.48"/>
536
- <id root="9b54c3c9-1673-49c7-aef9-b037ed72ed27"/>
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- <code code="304251008" displayName="Resuscitation" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96">
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- <translation code="75320-2" displayName="Advance directive" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
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- </code>
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- <statusCode code="completed"/>
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- <effectiveTime>
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- <low value="20110219"/>
543
- <high nullFlavor="NA"/>
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- </effectiveTime>
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- <value xsi:type="CD" code="304253006" displayName="Do not resuscitate" codeSystem="2.16.840.1.113883.6.96"/>
546
- <author>
547
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
548
- <time value="201308011235-0800"/>
549
- <assignedAuthor>
550
- <id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
551
- <code code="163W00000X" displayName="Registered nurse" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
552
- <assignedPerson>
553
- <name>
554
- <given>Nurse</given>
555
- <family>Nightingale</family>
556
- <suffix>RN</suffix>
557
- </name>
558
- </assignedPerson>
559
- <representedOrganization classCode="ORG">
560
- <id root="2.16.840.1.113883.19.5"/>
561
- <name>Good Health Hospital</name>
562
- </representedOrganization>
563
- </assignedAuthor>
564
- </author>
565
- <participant typeCode="VRF">
566
- <templateId root="2.16.840.1.113883.10.20.1.58"/>
567
- <time value="201102019"/>
568
- <participantRole>
569
- <id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
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- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
571
- <playingEntity>
572
- <name>
573
- <prefix>Dr.</prefix>
574
- <family>Patricia</family>
575
- <given>Primary</given>
576
- </name>
577
- </playingEntity>
578
- </participantRole>
579
- </participant>
580
- <participant typeCode="CST">
581
- <participantRole classCode="AGNT">
582
- <addr>
583
- <streetAddressLine>1004 Health Drive</streetAddressLine>
584
- <city>Portland</city>
585
- <state>OR</state>
586
- <postalCode>99123</postalCode>
587
- <country>US</country>
588
- </addr>
589
- <telecom use="WP" value="tel:+1(555)555-1004"/>
590
- <playingEntity>
591
- <name>
592
- <prefix>Dr.</prefix>
593
- <family>Patricia</family>
594
- <given>Primary</given>
595
- </name>
596
- </playingEntity>
597
- </participantRole>
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- </participant>
599
- <reference typeCode="REFR">
600
- <seperatableInd value="false"/>
601
- <externalDocument>
602
- <id root="b50b7910-7ffb-4f4c-bbe4-177ed68cbbf3"/>
603
- <text mediaType="application/pdf">
604
- <reference value="AdvanceDirective.b50b7910.pdf"/>
605
- </text>
606
- </externalDocument>
607
- </reference>
608
- </observation>
609
- </component>
610
- </organizer>
611
- </entry>
612
- </section>
613
- </component>
614
- <!-- ***************** ALLERGIES *************** -->
615
- <component>
616
- <section>
617
- <!-- *** Allergies and Intolerances Section (entries required) (V3) *** -->
618
- <templateId root="2.16.840.1.113883.10.20.22.2.6.1" extension="2015-08-01"/>
619
- <templateId root="2.16.840.1.113883.10.20.22.2.6.1"/>
620
- <code code="48765-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
621
- <title>ALLERGIES AND ADVERSE REACTIONS</title>
622
- <text>
623
- <table border="1" width="100%">
624
- <thead>
625
- <tr>
626
- <th>Substance</th>
627
- <th>Reaction</th>
628
- </tr>
629
- </thead>
630
- <tbody>
631
- <tr>
632
- <td ID="substance1">Penicillin</td>
633
- <td ID="reaction1">Nausea</td>
634
- </tr>
635
- <tr>
636
- <td ID="substance2">Codeine</td>
637
- <td ID="reaction2">Wheezing</td>
638
- </tr>
639
- </tbody>
640
- </table>
641
- </text>
642
- <entry typeCode="DRIV">
643
- <act classCode="ACT" moodCode="EVN">
644
- <!-- ** Allergy Concern Act (V3) ** -->
645
- <templateId root="2.16.840.1.113883.10.20.22.4.30" extension="2015-08-01"/>
646
- <!--Critical Change-->
647
- <templateId root="2.16.840.1.113883.10.20.22.4.30"/>
648
- <id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
649
- <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
650
- <!-- The statusCode represents the need to continue tracking the allergy -->
651
- <!-- This is of ongoing concern to the provider -->
652
- <statusCode code="active"/>
653
- <effectiveTime>
654
- <!-- The low value represents when the allergy was first recorded in the patient's chart -->
655
- <!-- Concern was documented on May 1, 1998 -->
656
- <low value="199805011145-0800"/>
657
- </effectiveTime>
658
- <author typeCode="AUT">
659
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
660
- <!-- Same as Concern effectiveTime/low -->
661
- <time value="199805011145-0800"/>
662
- <assignedAuthor>
663
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
664
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
665
- </assignedAuthor>
666
- </author>
667
- <entryRelationship typeCode="SUBJ">
668
- <observation classCode="OBS" moodCode="EVN">
669
- <!-- ** Allergy observation (V2) ** -->
670
- <templateId root="2.16.840.1.113883.10.20.22.4.7" extension="2014-06-09"/>
671
- <templateId root="2.16.840.1.113883.10.20.22.4.7"/>
672
- <id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/>
673
- <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
674
- <text>
675
- <reference value="#allergytype1"/>
676
- </text>
677
- <!-- Observation statusCode represents the status of the act of observing -->
678
- <statusCode code="completed"/>
679
- <effectiveTime>
680
- <!-- The low value reflects the date of onset of the allergy -->
681
- <!-- Based on patient symptoms, presumed onset is May 1, 1998 -->
682
- <low value="19980501"/>
683
- <!-- The high value reflects when the allergy was known to be resolved (and will generally be absent) -->
684
- </effectiveTime>
685
- <value xsi:type="CD" code="419199007" displayName="Allergy to substance" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
686
- <author typeCode="AUT">
687
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
688
- <time value="199805011145-0800"/>
689
- <assignedAuthor>
690
- <id extension="222223333" root="2.16.840.1.113883.4.6"/>
691
- <code code="207KA0200X" displayName="Allergy" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
692
- </assignedAuthor>
693
- </author>
694
- <participant typeCode="CSM">
695
- <participantRole classCode="MANU">
696
- <playingEntity classCode="MMAT">
697
- <code code="70618" displayName="Penicillin" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"/>
698
- </playingEntity>
699
- </participantRole>
700
- </participant>
701
- <entryRelationship typeCode="SUBJ" inversionInd="true">
702
- <observation classCode="OBS" moodCode="EVN">
703
- <!-- ** Severity Observation (V2)** -->
704
- <!-- When the Severity Observation is associated directly with an allergy it characterizes the allergy.
705
- When the Severity Observation is associated with a Reaction Observation it characterizes a Reaction. -->
706
- <templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09"/>
707
- <templateId root="2.16.840.1.113883.10.20.22.4.8"/>
708
- <code code="SEV" displayName="Severity Observation" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
709
- <text>
710
- <reference value="#allergyseverity1"/>
711
- </text>
712
- <statusCode code="completed"/>
713
- <value xsi:type="CD" code="371924009" displayName="Moderate to severe" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
714
- </observation>
715
- </entryRelationship>
716
- <entryRelationship typeCode="MFST" inversionInd="true">
717
- <observation classCode="OBS" moodCode="EVN">
718
- <!-- ** Reaction Observation (V2) ** -->
719
- <templateId root="2.16.840.1.113883.10.20.22.4.9" extension="2014-06-09"/>
720
- <templateId root="2.16.840.1.113883.10.20.22.4.9"/>
721
- <id root="4adc1020-7b14-11db-9fe1-0800200c9a64"/>
722
- <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
723
- <text>
724
- <reference value="#reaction1"/>
725
- </text>
726
- <statusCode code="completed"/>
727
- <effectiveTime>
728
- <low value="200802260805-0800"/>
729
- <high value="200802281205-0800"/>
730
- </effectiveTime>
731
- <value xsi:type="CD" code="422587007" codeSystem="2.16.840.1.113883.6.96" displayName="Nausea"/>
732
- <entryRelationship typeCode="SUBJ" inversionInd="true">
733
- <observation classCode="OBS" moodCode="EVN">
734
- <!-- ** Severity observation ** -->
735
- <!-- When the Severity Observation is associated directly with an allergy it characterizes the allergy.
736
- When the Severity Observation is associated with a Reaction Observation it characterizes a Reaction. -->
737
- <templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09"/>
738
- <templateId root="2.16.840.1.113883.10.20.22.4.8"/>
739
- <code code="SEV" displayName="Severity Observation" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
740
- <statusCode code="completed"/>
741
- <value xsi:type="CD" code="255604002" displayName="Mild" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
742
- </observation>
743
- </entryRelationship>
744
- </observation>
745
- </entryRelationship>
746
- </observation>
747
- </entryRelationship>
748
- </act>
749
- </entry>
750
- <entry typeCode="DRIV">
751
- <act classCode="ACT" moodCode="EVN">
752
- <!-- ** Allergy concern act ** -->
753
- <templateId root="2.16.840.1.113883.10.20.22.4.30" extension="2015-08-01"/>
754
- <!--Critical Change-->
755
- <templateId root="2.16.840.1.113883.10.20.22.4.30"/>
756
- <id root="b03805bd-2eb6-4ab8-a9ff-473c6653971a"/>
757
- <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
758
- <!-- The statusCode represents the need to continue tracking the allergy -->
759
- <!-- This is of ongoing concern to the provider -->
760
- <statusCode code="active"/>
761
- <effectiveTime>
762
- <!-- The low value represents when the allergy was first recorded in the patient's chart -->
763
- <!-- Concern was documented on May 1, 1998 -->
764
- <low value="199805011145-0800"/>
765
- </effectiveTime>
766
- <author typeCode="AUT">
767
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
768
- <!-- Same as Concern effectiveTime/low -->
769
- <time value="199805011145-0800"/>
770
- <assignedAuthor>
771
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
772
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
773
- </assignedAuthor>
774
- </author>
775
- <entryRelationship typeCode="SUBJ">
776
- <observation classCode="OBS" moodCode="EVN">
777
- <!-- ** Allergy observation ** -->
778
- <templateId root="2.16.840.1.113883.10.20.22.4.7" extension="2014-06-09"/>
779
- <templateId root="2.16.840.1.113883.10.20.22.4.7"/>
780
- <id root="901db0f8-9355-4794-81cd-fd951ef07917"/>
781
- <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
782
- <text>
783
- <reference value="#allergytype2"/>
784
- </text>
785
- <!-- Observation statusCode represents the status of the act of observing -->
786
- <statusCode code="completed"/>
787
- <effectiveTime>
788
- <!-- The low value reflects the date of onset of the allergy -->
789
- <low nullFlavor="UNK"/>
790
- <!-- The high value reflects when the allergy was known to be resolved (and will generally be absent) -->
791
- </effectiveTime>
792
- <value xsi:type="CD" code="419199007" displayName="Allergy to substance" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
793
- <author typeCode="AUT">
794
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
795
- <time value="201010110915-0800"/>
796
- <assignedAuthor>
797
- <id extension="222223333" root="2.16.840.1.113883.4.6"/>
798
- <code code="207KA0200X" displayName="Allergy" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
799
- </assignedAuthor>
800
- </author>
801
- <participant typeCode="CSM">
802
- <participantRole classCode="MANU">
803
- <playingEntity classCode="MMAT">
804
- <code code="2670" displayName="Codeine" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"/>
805
- </playingEntity>
806
- </participantRole>
807
- </participant>
808
- <entryRelationship typeCode="MFST" inversionInd="true">
809
- <observation classCode="OBS" moodCode="EVN">
810
- <!-- ** Reaction observation ** -->
811
- <templateId root="2.16.840.1.113883.10.20.22.4.9" extension="2014-06-09"/>
812
- <templateId root="2.16.840.1.113883.10.20.22.4.9"/>
813
- <id root="38c63dea-1a43-4f84-ab71-1ffd04f6a1dd"/>
814
- <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
815
- <text>
816
- <reference value="#reaction2"/>
817
- </text>
818
- <statusCode code="completed"/>
819
- <effectiveTime>
820
- <low nullFlavor="UNK"/>
821
- </effectiveTime>
822
- <value xsi:type="CD" code="56018004" displayName="Wheezing" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
823
- <entryRelationship typeCode="SUBJ" inversionInd="true">
824
- <observation classCode="OBS" moodCode="EVN">
825
- <!-- ** Severity observation ** -->
826
- <!-- When the Severity Observation is associated directly with an allergy it characterizes the allergy.
827
- When the Severity Observation is associated with a Reaction Observation it characterizes a Reaction. -->
828
- <templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09"/>
829
- <templateId root="2.16.840.1.113883.10.20.22.4.8"/>
830
- <code code="SEV" displayName="Severity Observation" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
831
- <text>
832
- <reference value="#reactionseverity2"/>
833
- </text>
834
- <statusCode code="completed"/>
835
- <value xsi:type="CD" code="6736007" displayName="Moderate" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
836
- </observation>
837
- </entryRelationship>
838
- </observation>
839
- </entryRelationship>
840
- <entryRelationship typeCode="SUBJ" inversionInd="true">
841
- <observation classCode="OBS" moodCode="EVN">
842
- <!-- ** Severity observation ** -->
843
- <!-- When the Severity Observation is associated directly with an allergy it characterizes the allergy.
844
- When the Severity Observation is associated with a Reaction Observation it characterizes a Reaction. -->
845
- <templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09"/>
846
- <templateId root="2.16.840.1.113883.10.20.22.4.8"/>
847
- <code code="SEV" displayName="Severity Observation" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
848
- <text>
849
- <reference value="#allergyseverity2"/>
850
- </text>
851
- <statusCode code="completed"/>
852
- <value xsi:type="CD" code="255604002" displayName="Mild" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
853
- </observation>
854
- </entryRelationship>
855
- </observation>
856
- </entryRelationship>
857
- </act>
858
- </entry>
859
- </section>
860
- </component>
861
- <!-- ************************ ENCOUNTERS *********************** -->
862
- <component>
863
- <section>
864
- <!-- *** Encounters section (entries required) (V3) *** -->
865
- <templateId root="2.16.840.1.113883.10.20.22.2.22.1" extension="2015-08-01"/>
866
- <templateId root="2.16.840.1.113883.10.20.22.2.22.1"/>
867
- <code code="46240-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of encounters"/>
868
- <title>ENCOUNTERS</title>
869
- <text>
870
- <table border="1" width="100%">
871
- <thead>
872
- <tr>
873
- <th>Encounter</th>
874
- <th>Performer</th>
875
- <th>Location</th>
876
- <th>Date</th>
877
- </tr>
878
- </thead>
879
- <tbody>
880
- <tr>
881
- <td ID="Encounter1"> Checkup Examination </td>
882
- <td>Performer Name</td>
883
- <td>Community Urgent Care Center</td>
884
- <td>September 27, 2012 at 1:00pm</td>
885
- </tr>
886
- </tbody>
887
- </table>
888
- </text>
889
- <entry typeCode="DRIV">
890
- <encounter classCode="ENC" moodCode="EVN">
891
- <!-- ** Encounter Activity (V3) ** -->
892
- <templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2015-08-01"/>
893
- <templateId root="2.16.840.1.113883.10.20.22.4.49"/>
894
- <id root="2a620155-9d11-439e-92b3-5d9815ff4de8"/>
895
- <code code="99213" displayName="Office outpatient visit 15 minutes" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12">
896
- <originalText>
897
- <reference value="#Encounter1"/>
898
- </originalText>
899
- <!-- MAY MAY contain zero or one [0..1] translation (CONF:1198-32323)
900
- The translation may exist to map the code of EncounterTypeCode (2.16.840.1.113883.3.88.12.80.32) valueset to the code of Encounter Planned (2.16.840.1.113883.11.20.9.52) valueset.
901
- <translation code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/>
902
- -->
903
- </code>
904
- <effectiveTime value="201209271300+0500"/>
905
- <performer>
906
- <assignedEntity>
907
- <!-- Provider NPI "333444555" -->
908
- <id extension="333444555" root="2.16.840.1.113883.4.6"/>
909
- <code code="59058001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="General Physician"/>
910
- </assignedEntity>
911
- </performer>
912
- <participant typeCode="LOC">
913
- <participantRole classCode="SDLOC">
914
- <templateId root="2.16.840.1.113883.10.20.22.4.32"/>
915
- <!-- Service Delivery Location template -->
916
- <code code="1160-1" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HL7 HealthcareServiceLocation" displayName="Urgent Care Center"/>
917
- <addr>
918
- <streetAddressLine>1007 Health Drive</streetAddressLine>
919
- <city>Portland</city>
920
- <state>OR</state>
921
- <postalCode>99123</postalCode>
922
- <country>US</country>
923
- </addr>
924
- <telecom use="WP" value="tel: +1(555)555-1030"/>
925
- <playingEntity classCode="PLC">
926
- <name>Good Health Urgent Care</name>
927
- </playingEntity>
928
- </participantRole>
929
- </participant>
930
- <entryRelationship typeCode="RSON">
931
- <!-- ** Indivcation (V2) ** -->
932
- <observation classCode="OBS" moodCode="EVN">
933
- <templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09"/>
934
- <templateId root="2.16.840.1.113883.10.20.22.4.19"/>
935
- <id root="db734647-fc99-424c-a864-7e3cda82e703" extension="45665"/>
936
- <!-- code is required; MAY be selected from ValueSet Problem Type (LOINC) urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 STATIC 2014-09-02 (CONF:1098-31229) -->
937
- <code code="404684003" displayName="Finding" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96">
938
- <!-- of course this MAY be present
939
- <translation code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/>
940
- -->
941
- </code>
942
- <statusCode code="completed"/>
943
- <effectiveTime>
944
- <low value="201209251130+0500"/>
945
- </effectiveTime>
946
- <value xsi:type="CD" code="233604007" displayName="Pneumonia" codeSystem="2.16.840.1.113883.6.96"/>
947
- </observation>
948
- </entryRelationship>
949
- </encounter>
950
- </entry>
951
- </section>
952
- </component>
953
- <!-- ************************ FAMILY HISTORY *********************** -->
954
- <component>
955
- <section>
956
- <!-- *** Family history section (V3) *** -->
957
- <templateId root="2.16.840.1.113883.10.20.22.2.15" extension="2015-08-01"/>
958
- <templateId root="2.16.840.1.113883.10.20.22.2.15"/>
959
- <code code="10157-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
960
- <title>FAMILY HISTORY</title>
961
- <text>
962
- <paragraph>Father (deceased)</paragraph>
963
- <table border="1" width="100%">
964
- <thead>
965
- <tr>
966
- <th>Diagnosis</th>
967
- <th>Age At Onset</th>
968
- </tr>
969
- </thead>
970
- <tbody>
971
- <tr>
972
- <td>Myocardial Infarction (cause of death)</td>
973
- <td>57</td>
974
- </tr>
975
- <tr>
976
- <td>Diabetes</td>
977
- <td>40</td>
978
- </tr>
979
- </tbody>
980
- </table>
981
- </text>
982
- <entry typeCode="DRIV">
983
- <organizer moodCode="EVN" classCode="CLUSTER">
984
- <!-- ** Family history organizer (V3) ** -->
985
- <templateId root="2.16.840.1.113883.10.20.22.4.45" extension="2015-08-01"/>
986
- <templateId root="2.16.840.1.113883.10.20.22.4.45"/>
987
- <id root="d42ebf70-5c89-11db-b0de-0855200c9a66"/>
988
- <statusCode code="completed"/>
989
- <subject>
990
- <relatedSubject classCode="PRS">
991
- <code code="FTH" displayName="Father" codeSystemName="FamilyRelationshipRoleType" codeSystem="2.16.840.1.113883.5.111">
992
- <!--
993
- <translation code="9947008" displayName="Biological father" codeSystemName="SNOMED" codeSystem="2.16.840.1.113883.6.96"/>
994
- -->
995
- </code>
996
- <subject>
997
- <sdtc:id root="2.16.840.1.113883.19.5.99999.2" extension="99999999"/>
998
- <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.1.11.1" displayName="Male"/>
999
- <birthTime value="1910"/>
1000
- <!-- Example use of sdtc extensions included below in comments -->
1001
- <!-- <sdtc:deceasedInd value="true"/> <sdtc:deceasedTime value="1967"/> -->
1002
- </subject>
1003
- </relatedSubject>
1004
- </subject>
1005
- <component>
1006
- <observation classCode="OBS" moodCode="EVN">
1007
- <!-- ** Family history observation (V3) ** -->
1008
- <templateId root="2.16.840.1.113883.10.20.22.4.46" extension="2015-08-01"/>
1009
- <!--Critical Change-->
1010
- <templateId root="2.16.840.1.113883.10.20.22.4.46"/>
1011
- <id root="d42ebf70-5c89-11db-b0de-0800200c9a66"/>
1012
- <code code="64572001" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96" displayName="Condition">
1013
- <!-- a. This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC)
1014
- <translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/>
1015
- very likely that the following is present, but use of LOINC as shown above would be better -->
1016
- <translation nullFlavor="NI"/>
1017
- </code>
1018
- <statusCode code="completed"/>
1019
- <effectiveTime value="1967"/>
1020
- <value xsi:type="CD" code="22298006" codeSystem="2.16.840.1.113883.6.96" displayName="Myocardial infarction"/>
1021
- <entryRelationship typeCode="CAUS">
1022
- <observation classCode="OBS" moodCode="EVN">
1023
- <!-- ** Family history death observation ** -->
1024
- <templateId root="2.16.840.1.113883.10.20.22.4.47"/>
1025
- <id root="6898fae0-5c8a-11db-b0de-0800200c9a66"/>
1026
- <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
1027
- <statusCode code="completed"/>
1028
- <value xsi:type="CD" code="419099009" codeSystem="2.16.840.1.113883.6.96" displayName="Dead"/>
1029
- </observation>
1030
- </entryRelationship>
1031
- <entryRelationship typeCode="SUBJ" inversionInd="true">
1032
- <observation classCode="OBS" moodCode="EVN">
1033
- <!-- ** Age observation ** -->
1034
- <templateId root="2.16.840.1.113883.10.20.22.4.31"/>
1035
- <code code="445518008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Age At Onset"/>
1036
- <statusCode code="completed"/>
1037
- <value xsi:type="PQ" value="57" unit="a"/>
1038
- </observation>
1039
- </entryRelationship>
1040
- </observation>
1041
- </component>
1042
- <component>
1043
- <observation classCode="OBS" moodCode="EVN">
1044
- <!-- ** Family history observation ** -->
1045
- <templateId root="2.16.840.1.113883.10.20.22.4.46" extension="2015-08-01"/>
1046
- <!--Critical Change-->
1047
- <templateId root="2.16.840.1.113883.10.20.22.4.46"/>
1048
- <id root="5bfe3ec0-5c8b-11db-b0de-0800200c9a66"/>
1049
- <code code="64572001" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96" displayName="Condition">
1050
- <!-- a. This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC)
1051
- <translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/>
1052
- very likely that the following is present, but use of LOINC as shown above would be better -->
1053
- <translation nullFlavor="NI"/>
1054
- </code>
1055
- <statusCode code="completed"/>
1056
- <effectiveTime value="1950"/>
1057
- <value xsi:type="CD" code="44054006" codeSystem="2.16.840.1.113883.6.96" displayName="Diabetes mellitus type 2"/>
1058
- <entryRelationship typeCode="SUBJ" inversionInd="true">
1059
- <observation classCode="OBS" moodCode="EVN">
1060
- <!-- ** Age observation ** -->
1061
- <templateId root="2.16.840.1.113883.10.20.22.4.31"/>
1062
- <code code="445518008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Age At Onset"/>
1063
- <statusCode code="completed"/>
1064
- <value xsi:type="PQ" value="40" unit="a"/>
1065
- </observation>
1066
- </entryRelationship>
1067
- </observation>
1068
- </component>
1069
- </organizer>
1070
- </entry>
1071
- </section>
1072
- </component>
1073
- <!-- ***************** FUNCTIONAL STATUS *********************** -->
1074
- <component>
1075
- <!-- Functional Status Section (V2)-->
1076
- <section>
1077
- <templateId root="2.16.840.1.113883.10.20.22.2.14" extension="2014-06-09"/>
1078
- <templateId root="2.16.840.1.113883.10.20.22.2.14"/>
1079
- <code code="47420-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Functional Status"/>
1080
- <title>FUNCTIONAL STATUS</title>
1081
- <text>
1082
- <table border="1" width="100%">
1083
- <thead>
1084
- <tr>
1085
- <th>Functional Category</th>
1086
- <th>Effective Dates</th>
1087
- <th>Results of Evaluation</th>
1088
- </tr>
1089
- </thead>
1090
- <tbody>
1091
- <tr>
1092
- <td ID="FUNC1">Functional Assessment</td>
1093
- <td>March 11, 2013</td>
1094
- <td>Independent Walking</td>
1095
- </tr>
1096
- <tr>
1097
- <td>ADL/IADL: Bathing</td>
1098
- <td>March 11,2013</td>
1099
- <td>Independent</td>
1100
- </tr>
1101
- </tbody>
1102
- </table>
1103
- </text>
1104
- <entry>
1105
- <organizer classCode="CLUSTER" moodCode="EVN">
1106
- <!-- Functional Status Organizer (V2) -->
1107
- <templateId root="2.16.840.1.113883.10.20.22.4.66" extension="2014-06-09"/>
1108
- <templateId root="2.16.840.1.113883.10.20.22.4.66"/>
1109
- <id root="a7bc1062-8649-42a0-833d-eed65bd017c9"/>
1110
- <code code="d5" displayName="Self-Care" codeSystem="2.16.840.1.113883.6.254" codeSystemName="ICF"/>
1111
- <statusCode code="completed"/>
1112
- <author typeCode="AUT">
1113
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
1114
- <time value="201307061145-0800"/>
1115
- <assignedAuthor>
1116
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
1117
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
1118
- </assignedAuthor>
1119
- </author>
1120
- <component>
1121
- <observation classCode="OBS" moodCode="EVN">
1122
- <!-- Functional Status Observation (V2)-->
1123
- <templateId root="2.16.840.1.113883.10.20.22.4.67" extension="2014-06-09"/>
1124
- <templateId root="2.16.840.1.113883.10.20.22.4.67"/>
1125
- <id root="b63a8636-cfff-4461-b018-40ba58ba8b32"/>
1126
- <code code="54522-8" displayName="Functional status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
1127
- <text>
1128
- <reference value="#FUNC1"/>
1129
- </text>
1130
- <statusCode code="completed"/>
1131
- <effectiveTime value="20130311"/>
1132
- <value xsi:type="CD" code="165245003" displayName=" Independent walking" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
1133
- <author typeCode="AUT">
1134
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
1135
- <time value="201307061145-0800"/>
1136
- <assignedAuthor>
1137
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
1138
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
1139
- </assignedAuthor>
1140
- </author>
1141
- <entryRelationship typeCode="COMP">
1142
- <!-- Non-Medicinal Supply Activity (V2) -->
1143
- <supply classCode="SPLY" moodCode="EVN">
1144
- <templateId root="2.16.840.1.113883.10.20.22.4.50" extension="2014-06-09"/>
1145
- <templateId root="2.16.840.1.113883.10.20.22.4.50"/>
1146
- <id root="2413773c-2372-4299-bbe6-5b0f60664446"/>
1147
- <statusCode code="completed"/>
1148
- <effectiveTime xsi:type="IVL_TS">
1149
- <high value="20130311"/>
1150
- </effectiveTime>
1151
- <quantity value="2"/>
1152
- <participant typeCode="PRD">
1153
- <participantRole classCode="MANU">
1154
- <templateId root="2.16.840.1.113883.10.20.22.4.37"/>
1155
- <!-- Product instance template -->
1156
- <id root="742aee30-21c5-11e1-bfc2-0800200c9a66"/>
1157
- <playingDevice>
1158
- <code code="87405001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="cane, device (physical object)"/>
1159
- </playingDevice>
1160
- <scopingEntity>
1161
- <id root="eb936010-7b17-11db-9fe1-0800200c9b65"/>
1162
- </scopingEntity>
1163
- </participantRole>
1164
- </participant>
1165
- </supply>
1166
- </entryRelationship>
1167
- </observation>
1168
- </component>
1169
- <component>
1170
- <observation classCode="OBS" moodCode="EVN">
1171
- <!-- Self-Care Activities (ADL and IADL) -->
1172
- <templateId root="2.16.840.1.113883.10.20.22.4.128"/>
1173
- <id root="c6b5a04b-2bf4-49d1-8336-636a3813df0a"/>
1174
- <code code="46008-9 " displayName="Bathing" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
1175
- <statusCode code="completed"/>
1176
- <effectiveTime value="200130311"/>
1177
- <value xsi:type="CD" code="371153006" displayName="Independent" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
1178
- <author typeCode="AUT">
1179
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
1180
- <time value="201307061148-0800"/>
1181
- <assignedAuthor>
1182
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
1183
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
1184
- </assignedAuthor>
1185
- </author>
1186
- </observation>
1187
- </component>
1188
- </organizer>
1189
- </entry>
1190
- </section>
1191
- </component>
1192
- <!-- ******************** IMMUNIZATIONS ********************* -->
1193
- <component>
1194
- <section>
1195
- <!-- *** Immunizations Section (entries required) (V2) *** -->
1196
- <templateId root="2.16.840.1.113883.10.20.22.2.2.1" extension="2014-06-09"/>
1197
- <templateId root="2.16.840.1.113883.10.20.22.2.2.1"/>
1198
- <code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunizations"/>
1199
- <title>IMMUNIZATIONS</title>
1200
- <text>
1201
- <content ID="immunSect"/>
1202
- <table border="1" width="100%">
1203
- <thead>
1204
- <tr>
1205
- <th>Vaccine</th>
1206
- <th>Date</th>
1207
- <th>Status</th>
1208
- <th>Series number</th>
1209
- </tr>
1210
- </thead>
1211
- <tbody>
1212
- <tr>
1213
- <td>
1214
- <content ID="immi1"/> Influenza, seasonal, IM </td>
1215
- <td>Nov 1999</td>
1216
- <td>Completed</td>
1217
- <td>N/A</td>
1218
- </tr>
1219
- <tr>
1220
- <td>
1221
- <content ID="immi2"/> Influenza, seasonal, IM </td>
1222
- <td>Dec 1998</td>
1223
- <td>Completed</td>
1224
- <td>N/A</td>
1225
- </tr>
1226
- <tr>
1227
- <td>
1228
- <content ID="immi3"/> Pneumococcal polysaccharide vaccine, IM </td>
1229
- <td>Dec 1998</td>
1230
- <td>Completed</td>
1231
- <td>N/A</td>
1232
- </tr>
1233
- <tr>
1234
- <td>
1235
- <content ID="immi4"/> Tetanus and diphtheria toxoids, IM </td>
1236
- <td>1997</td>
1237
- <td>Refused</td>
1238
- <td>N/A</td>
1239
- </tr>
1240
- <tr>
1241
- <td>Hepatitis B</td>
1242
- <td>Aug 1, 2013</td>
1243
- <td>Completed</td>
1244
- <td>3rd</td>
1245
- </tr>
1246
- </tbody>
1247
- </table>
1248
- </text>
1249
- <entry typeCode="DRIV">
1250
- <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
1251
- <!-- ** Immunization Activity (V3) ** -->
1252
- <templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/>
1253
- <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
1254
- <id root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"/>
1255
- <text>Influenza, seasonal, IM</text>
1256
- <statusCode code="completed"/>
1257
- <effectiveTime value="199911"/>
1258
- <routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/>
1259
- <doseQuantity value="50" unit="ug"/>
1260
- <consumable>
1261
- <manufacturedProduct classCode="MANU">
1262
- <!-- ** Immunization Medication Information (V2) ** -->
1263
- <templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
1264
- <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
1265
- <manufacturedMaterial>
1266
- <code code="88" codeSystem="2.16.840.1.113883.6.59" displayName="Influenza virus vaccine" codeSystemName="CVX"/>
1267
- <lotNumberText>1</lotNumberText>
1268
- </manufacturedMaterial>
1269
- <manufacturerOrganization>
1270
- <name>Health LS - Immuno Inc.</name>
1271
- </manufacturerOrganization>
1272
- </manufacturedProduct>
1273
- </consumable>
1274
- <performer>
1275
- <assignedEntity>
1276
- <id root="2.16.840.1.113883.19.5.9999.456" extension="2981824"/>
1277
- <addr>
1278
- <streetAddressLine>1007 Health Drive</streetAddressLine>
1279
- <city>Portland</city>
1280
- <state>OR</state>
1281
- <postalCode>99123</postalCode>
1282
- <country>US</country>
1283
- </addr>
1284
- <telecom use="WP" value="tel: +1(555)555-1030"/>
1285
- <assignedPerson>
1286
- <name>
1287
- <given>Harold</given>
1288
- <family>Hippocrates</family>
1289
- </name>
1290
- </assignedPerson>
1291
- <representedOrganization>
1292
- <id root="2.16.840.1.113883.19.5.9999.1394"/>
1293
- <name>Good Health Clinic</name>
1294
- <telecom use="WP" value="tel: +1(555)555-1030"/>
1295
- <addr>
1296
- <streetAddressLine>1007 Health Drive</streetAddressLine>
1297
- <city>Portland</city>
1298
- <state>OR</state>
1299
- <postalCode>99123</postalCode>
1300
- <country>US</country>
1301
- </addr>
1302
- </representedOrganization>
1303
- </assignedEntity>
1304
- </performer>
1305
- <entryRelationship typeCode="SUBJ" inversionInd="false">
1306
- <act classCode="ACT" moodCode="INT">
1307
- <!-- ** Instruction (V2) ** -->
1308
- <templateId root="2.16.840.1.113883.10.20.22.4.20" extension="2014-06-09"/>
1309
- <templateId root="2.16.840.1.113883.10.20.22.4.20"/>
1310
- <code code="171044003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="immunization education"/>
1311
- <text>
1312
- <reference value="#immunSect"/> Possible flu-like symptoms for three days. </text>
1313
- <statusCode code="completed"/>
1314
- </act>
1315
- </entryRelationship>
1316
- </substanceAdministration>
1317
- </entry>
1318
- <entry typeCode="DRIV">
1319
- <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="true">
1320
- <!-- ** Immunization Activity (V3) ** -->
1321
- <templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/>
1322
- <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
1323
- <id root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"/>
1324
- <text>
1325
- <reference value="#immun2"/>
1326
- </text>
1327
- <statusCode code="completed"/>
1328
- <effectiveTime value="19981215"/>
1329
- <routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/>
1330
- <doseQuantity value="50" unit="ug"/>
1331
- <consumable>
1332
- <manufacturedProduct classCode="MANU">
1333
- <!-- ** Immunization Medication Information (V2) ** -->
1334
- <templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
1335
- <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
1336
- <manufacturedMaterial>
1337
- <code code="88" codeSystem="2.16.840.1.113883.6.59" displayName="Influenza virus vaccine" codeSystemName="CVX">
1338
- <!-- i. This code MAY contain zero or more [0..*] translation, which MAY be selected from ValueSet Vaccine Clinical Drug urn:oid:2.16.840.1.113762.1.4.1010.8 DYNAMIC (CONF:1098-31543).
1339
- ii. This code MAY contain zero or more [0..*] translation, which MAY be selected from ValueSet Specific Vaccine Clinical Drug urn:oid:2.16.840.1.113762.1.4.1010.10 DYNAMIC (CONF:1098-31881).
1340
-
1341
- <translation code="1427027" displayName="Influenza A virus vaccine, A-California-7-2009 (H1N1)-like virus 0.03 MG/ML / Influenza A virus vaccine, A-Victoria-361-2011 (H3N2)-like virus 0.03 MG/ML / Influenza B virus vaccine, B-Brisbane-60-2008-like virus 0.03 MG/ML / Influenza B virus vaccine, B-Massachusetts-2-2012-like virus 0.03 MG/ML Injectable Suspension" codeSystemName="RxNORM" codeSystem="2.16.840.1.113883.6.88"/>
1342
- -->
1343
- </code>
1344
- <lotNumberText>1</lotNumberText>
1345
- </manufacturedMaterial>
1346
- <manufacturerOrganization>
1347
- <name>Health LS - Immuno Inc.</name>
1348
- </manufacturerOrganization>
1349
- </manufacturedProduct>
1350
- </consumable>
1351
- <performer>
1352
- <assignedEntity>
1353
- <id root="2.16.840.1.113883.19.5.9999.456" extension="2981824"/>
1354
- <addr>
1355
- <streetAddressLine>1007 Health Drive</streetAddressLine>
1356
- <city>Portland</city>
1357
- <state>OR</state>
1358
- <postalCode>99123</postalCode>
1359
- <country>US</country>
1360
- </addr>
1361
- <telecom use="WP" value="tel: +1(555)555-1030"/>
1362
- <assignedPerson>
1363
- <name>
1364
- <given>Harold</given>
1365
- <family>Hippocrates</family>
1366
- </name>
1367
- </assignedPerson>
1368
- <representedOrganization>
1369
- <id root="2.16.840.1.113883.19.5.9999.1394"/>
1370
- <name>Good Health Clinic</name>
1371
- <telecom use="WP" value="tel: +1(555)555-1030"/>
1372
- <addr>
1373
- <streetAddressLine>1007 Health Drive</streetAddressLine>
1374
- <city>Portland</city>
1375
- <state>OR</state>
1376
- <postalCode>99123</postalCode>
1377
- <country>US</country>
1378
- </addr>
1379
- </representedOrganization>
1380
- </assignedEntity>
1381
- </performer>
1382
- <entryRelationship typeCode="SUBJ" inversionInd="true">
1383
- <act classCode="ACT" moodCode="INT">
1384
- <!-- ** Instruction (V2) ** -->
1385
- <templateId root="2.16.840.1.113883.10.20.22.4.20" extension="2014-06-09"/>
1386
- <templateId root="2.16.840.1.113883.10.20.22.4.20"/>
1387
- <code code="171044003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="immunization education"/>
1388
- <text>
1389
- <reference value="#immunSect"/> Possible flu-like symptoms for three days. </text>
1390
- <statusCode code="completed"/>
1391
- </act>
1392
- </entryRelationship>
1393
- </substanceAdministration>
1394
- </entry>
1395
- <entry typeCode="DRIV">
1396
- <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
1397
- <!-- ** Immunization Activity (V3) ** -->
1398
- <templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/>
1399
- <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
1400
- <id root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"/>
1401
- <text>
1402
- <reference value="#immun3"/>
1403
- </text>
1404
- <statusCode code="completed"/>
1405
- <effectiveTime value="19981215"/>
1406
- <routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/>
1407
- <doseQuantity value="50" unit="ug"/>
1408
- <consumable>
1409
- <manufacturedProduct classCode="MANU">
1410
- <!-- ** Immunization Medication Information (V2) ** -->
1411
- <templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
1412
- <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
1413
- <manufacturedMaterial>
1414
- <code code="33" codeSystem="2.16.840.1.113883.6.59" displayName="Pneumococcal polysaccharide vaccine" codeSystemName="CVX">
1415
- <!-- i. This code MAY contain zero or more [0..*] translation, which MAY be selected from ValueSet Vaccine Clinical Drug urn:oid:2.16.840.1.113762.1.4.1010.8 DYNAMIC (CONF:1098-31543).
1416
- ii. This code MAY contain zero or more [0..*] translation, which MAY be selected from ValueSet Specific Vaccine Clinical Drug urn:oid:2.16.840.1.113762.1.4.1010.10 DYNAMIC (CONF:1098-31881).
1417
-
1418
- <translation code="854981" displayName="Pneumovax 23 (Pneumococcal vaccine polyvalent) Injectable Solution" codeSystemName="RxNORM" codeSystem="2.16.840.1.113883.6.88"/>
1419
- -->
1420
- </code>
1421
- <lotNumberText>1</lotNumberText>
1422
- </manufacturedMaterial>
1423
- <manufacturerOrganization>
1424
- <name>Health LS - Immuno Inc.</name>
1425
- </manufacturerOrganization>
1426
- </manufacturedProduct>
1427
- </consumable>
1428
- <performer>
1429
- <assignedEntity>
1430
- <id root="2.16.840.1.113883.19.5.9999.456" extension="2981824"/>
1431
- <addr>
1432
- <streetAddressLine>1007 Health Drive</streetAddressLine>
1433
- <city>Portland</city>
1434
- <state>OR</state>
1435
- <postalCode>99123</postalCode>
1436
- <country>US</country>
1437
- </addr>
1438
- <telecom use="WP" value="tel: +1(555)555-1030"/>
1439
- <assignedPerson>
1440
- <name>
1441
- <given>Harold</given>
1442
- <family>Hippocrates</family>
1443
- </name>
1444
- </assignedPerson>
1445
- <representedOrganization>
1446
- <id root="2.16.840.1.113883.19.5.9999.1394"/>
1447
- <name>Good Health Clinic</name>
1448
- <telecom use="WP" value="tel: +1(555)555-1030"/>
1449
- <addr>
1450
- <streetAddressLine>1007 Health Drive</streetAddressLine>
1451
- <city>Portland</city>
1452
- <state>OR</state>
1453
- <postalCode>99123</postalCode>
1454
- <country>US</country>
1455
- </addr>
1456
- </representedOrganization>
1457
- </assignedEntity>
1458
- </performer>
1459
- </substanceAdministration>
1460
- </entry>
1461
- <entry typeCode="DRIV">
1462
- <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="true">
1463
- <!-- ** Immunization Activity (V3) ** -->
1464
- <templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/>
1465
- <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
1466
- <id root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"/>
1467
- <text>
1468
- <reference value="#immun4"/>
1469
- </text>
1470
- <statusCode code="completed"/>
1471
- <effectiveTime value="19981215"/>
1472
- <routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/>
1473
- <doseQuantity value="50" unit="ug"/>
1474
- <consumable>
1475
- <manufacturedProduct classCode="MANU">
1476
- <!-- ** Immunization Medication Information (V2) ** -->
1477
- <templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
1478
- <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
1479
- <manufacturedMaterial>
1480
- <code code="103" codeSystem="2.16.840.1.113883.6.59" displayName="Tetanus and diphtheria toxoids - preservative free" codeSystemName="CVX">
1481
- <!-- i. This code MAY contain zero or more [0..*] translation, which MAY be selected from ValueSet Vaccine Clinical Drug urn:oid:2.16.840.1.113762.1.4.1010.8 DYNAMIC (CONF:1098-31543).
1482
- ii. This code MAY contain zero or more [0..*] translation, which MAY be selected from ValueSet Specific Vaccine Clinical Drug urn:oid:2.16.840.1.113762.1.4.1010.10 DYNAMIC (CONF:1098-31881).
1483
-
1484
- <translation code="1300310" displayName="Daptacel DTaP (Diphtheria and Tetanus Toxoids and Acellular Pertussis Vaccine Adsorbed) Injectable Suspension" codeSystemName="RxNORM" codeSystem="2.16.840.1.113883.6.88"/>
1485
- -->
1486
- </code>
1487
- <lotNumberText>1</lotNumberText>
1488
- </manufacturedMaterial>
1489
- <manufacturerOrganization>
1490
- <name>Health LS - Immuno Inc.</name>
1491
- </manufacturerOrganization>
1492
- </manufacturedProduct>
1493
- </consumable>
1494
- <performer>
1495
- <assignedEntity>
1496
- <id root="2.16.840.1.113883.19.5.9999.456" extension="2981824"/>
1497
- <addr>
1498
- <streetAddressLine>1007 Health Drive</streetAddressLine>
1499
- <city>Portland</city>
1500
- <state>OR</state>
1501
- <postalCode>99123</postalCode>
1502
- <country>US</country>
1503
- </addr>
1504
- <telecom use="WP" value="tel: +1(555)555-1030"/>
1505
- <assignedPerson>
1506
- <name>
1507
- <given>Harold</given>
1508
- <family>Hippocrates</family>
1509
- </name>
1510
- </assignedPerson>
1511
- <representedOrganization>
1512
- <id root="2.16.840.1.113883.19.5.9999.1394"/>
1513
- <name>Good Health Clinic</name>
1514
- <telecom use="WP" value="tel: +1(555)555-1030"/>
1515
- <addr nullFlavor="UNK"/>
1516
- </representedOrganization>
1517
- </assignedEntity>
1518
- </performer>
1519
- <entryRelationship typeCode="RSON">
1520
- <observation classCode="OBS" moodCode="EVN">
1521
- <!-- ** Immunization Refusal ** -->
1522
- <templateId root="2.16.840.1.113883.10.20.22.4.53"/>
1523
- <id root="2a620155-9d11-439e-92b3-5d9815ff4dd8"/>
1524
- <code displayName="Patient Objection" code="PATOBJ" codeSystemName="HL7 ActNoImmunizationReason" codeSystem="2.16.840.1.113883.5.8"/>
1525
- <statusCode code="completed"/>
1526
- </observation>
1527
- </entryRelationship>
1528
- </substanceAdministration>
1529
- </entry>
1530
- <entry typeCode="DRIV">
1531
- <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
1532
- <!-- ** Immunization Activity (V3) ** -->
1533
- <templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/>
1534
- <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
1535
- <id root="de10790f-1496-4719-8fe6-f1b87b6219f7"/>
1536
- <statusCode code="completed"/>
1537
- <effectiveTime value="20130801"/>
1538
- <routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/>
1539
- <consumable>
1540
- <manufacturedProduct classCode="MANU">
1541
- <!-- ** Immunization Medication Information (V2) ** -->
1542
- <templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
1543
- <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
1544
- <manufacturedMaterial>
1545
- <code code="45" codeSystem="2.16.840.1.113883.6.59" displayName="Hepatitis B vaccine" codeSystemName="CVX"/>
1546
- <lotNumberText>1</lotNumberText>
1547
- </manufacturedMaterial>
1548
- </manufacturedProduct>
1549
- </consumable>
1550
- <performer>
1551
- <assignedEntity>
1552
- <id root="2.16.840.1.113883.19.5.9999.456" extension="2981824"/>
1553
- <addr>
1554
- <streetAddressLine>1007 Health Drive</streetAddressLine>
1555
- <city>Portland</city>
1556
- <state>OR</state>
1557
- <postalCode>99123</postalCode>
1558
- <country>US</country>
1559
- </addr>
1560
- <telecom use="WP" value="tel: +1(555)555-1030"/>
1561
- <assignedPerson>
1562
- <name>
1563
- <given>Harold</given>
1564
- <family>Hippocrates</family>
1565
- </name>
1566
- </assignedPerson>
1567
- <representedOrganization>
1568
- <id root="2.16.840.1.113883.19.5.9999.1394"/>
1569
- <name>Good Health Clinic</name>
1570
- <telecom use="WP" value="tel: +1(555)555-1030"/>
1571
- <addr>
1572
- <streetAddressLine>1007 Health Drive</streetAddressLine>
1573
- <city>Portland</city>
1574
- <state>OR</state>
1575
- <postalCode>99123</postalCode>
1576
- <country>US</country>
1577
- </addr>
1578
- </representedOrganization>
1579
- </assignedEntity>
1580
- </performer>
1581
- <entryRelationship typeCode="COMP" inversionInd="true">
1582
- <sequenceNumber value="3"/>
1583
- <act classCode="ACT" moodCode="EVN">
1584
- <!-- Substance Administered Act -->
1585
- <templateId root="2.16.840.1.113883.10.20.22.4.118"/>
1586
- <id root="3f998a26-1b8b-4cbf-8e91-16fbb7a7080f"/>
1587
- <code code="416118004" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="administration"/>
1588
- <statusCode code="completed"/>
1589
- </act>
1590
- </entryRelationship>
1591
- </substanceAdministration>
1592
- </entry>
1593
- </section>
1594
- </component>
1595
- <!-- *********************** MEDICAL EQUIPMENT *************************** -->
1596
- <component>
1597
- <section>
1598
- <!-- Medical Equipment Section (V2) -->
1599
- <templateId root="2.16.840.1.113883.10.20.22.2.23" extension="2014-06-09"/>
1600
- <templateId root="2.16.840.1.113883.10.20.22.2.23"/>
1601
- <code code="46264-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
1602
- <title>MEDICAL EQUIPMENT</title>
1603
- <text>
1604
- <content styleCode="Bold">Medical Equipment</content>
1605
- <list>
1606
- <item>Implanted Devices: Cardiac PaceMaker July 3, 2013</item>
1607
- <item>Implanted Devices: Upper GI Prosthesis, January 3, 2013</item>
1608
- <item>Cane, February 2, 2003</item>
1609
- </list>
1610
- <content ID="Eqpt1">Biliary Stent, May 5, 2013</content>
1611
- </text>
1612
- <entry>
1613
- <!-- Medical Equipment Organizer -->
1614
- <organizer classCode="CLUSTER" moodCode="EVN">
1615
- <templateId root="2.16.840.1.113883.10.20.22.4.135"/>
1616
- <id root="3e414708-0e61-4d48-8863-484a2d473a02"/>
1617
- <code code="40388003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Implant">
1618
- <originalText>Implants</originalText>
1619
- </code>
1620
- <statusCode code="completed"/>
1621
- <effectiveTime xsi:type="IVL_TS">
1622
- <low value="20070103"/>
1623
- <high nullFlavor="UNK"/>
1624
- </effectiveTime>
1625
- <component>
1626
- <!-- Non-medicinal supply activity V2 template ******* -->
1627
- <supply classCode="SPLY" moodCode="EVN">
1628
- <templateId root="2.16.840.1.113883.10.20.22.4.50" extension="2014-06-09"/>
1629
- <templateId root="2.16.840.1.113883.10.20.22.4.50"/>
1630
- <id root="39b5f1b4-a8e1-4ad7-8849-0deab10c97b1"/>
1631
- <statusCode code="completed"/>
1632
- <effectiveTime xsi:type="IVL_TS">
1633
- <high value="20130703"/>
1634
- </effectiveTime>
1635
- <quantity value="1"/>
1636
- <participant typeCode="PRD">
1637
- <participantRole classCode="MANU">
1638
- <templateId root="2.16.840.1.113883.10.20.22.4.37"/>
1639
- <!-- Product instance template -->
1640
- <id root="24993f33-6222-41ce-add6-37a9d3da6acb"/>
1641
- <playingDevice>
1642
- <code code="14106009" displayName="cardiac pacemaker, device (physical object)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
1643
- <originalText>Cardiac Pacemaker</originalText>
1644
- </code>
1645
- </playingDevice>
1646
- <scopingEntity>
1647
- <id root="eb936010-7b17-11db-9fe1-0800200c9b65"/>
1648
- <desc>Good Health Durable Medical Equipment</desc>
1649
- </scopingEntity>
1650
- </participantRole>
1651
- </participant>
1652
- </supply>
1653
- </component>
1654
- <component>
1655
- <supply classCode="SPLY" moodCode="EVN">
1656
- <templateId root="2.16.840.1.113883.10.20.22.4.50" extension="2014-06-09"/>
1657
- <templateId root="2.16.840.1.113883.10.20.22.4.50"/>
1658
- <!-- Non-medicinal supply activity V2 template ******* -->
1659
- <id root="39b5f1b4-a8e1-4ad7-8849-0deab10c97b1"/>
1660
- <statusCode code="completed"/>
1661
- <effectiveTime xsi:type="IVL_TS">
1662
- <high value="20130103"/>
1663
- </effectiveTime>
1664
- <quantity value="1"/>
1665
- <participant typeCode="PRD">
1666
- <participantRole classCode="MANU">
1667
- <templateId root="2.16.840.1.113883.10.20.22.4.37"/>
1668
- <!-- Product instance template -->
1669
- <id root="24993f33-6222-41ce-add6-37a9d3da6acb"/>
1670
- <playingDevice>
1671
- <code code="303406003" displayName="upper gastrointestinal prosthesis (physical object)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
1672
- <originalText>Upper GI Prosthesis</originalText>
1673
- </code>
1674
- </playingDevice>
1675
- <scopingEntity>
1676
- <id root="eb936010-7b17-11db-9fe1-0800200c9b65"/>
1677
- <desc>Good Health Durable Medical Equipment</desc>
1678
- </scopingEntity>
1679
- </participantRole>
1680
- </participant>
1681
- </supply>
1682
- </component>
1683
- </organizer>
1684
- </entry>
1685
- <entry>
1686
- <supply classCode="SPLY" moodCode="EVN">
1687
- <templateId root="2.16.840.1.113883.10.20.22.4.50" extension="2014-06-09"/>
1688
- <templateId root="2.16.840.1.113883.10.20.22.4.50"/>
1689
- <!-- Non-medicinal supply activity V2 template ******* -->
1690
- <id root="cf75f5be-1da0-4256-8276-94b7fc73f9f9"/>
1691
- <statusCode code="completed"/>
1692
- <effectiveTime xsi:type="IVL_TS">
1693
- <high value="20030202"/>
1694
- </effectiveTime>
1695
- <quantity value="1"/>
1696
- <participant typeCode="PRD">
1697
- <participantRole classCode="MANU">
1698
- <templateId root="2.16.840.1.113883.10.20.22.4.37"/>
1699
- <!-- Product instance template -->
1700
- <id root="24993f33-6222-41ce-add6-37a9d3da6acb"/>
1701
- <playingDevice>
1702
- <code code="87405001" displayName="cane" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
1703
- <originalText>Upper GI Prosthesis</originalText>
1704
- </code>
1705
- </playingDevice>
1706
- <scopingEntity>
1707
- <id root="eb936010-7b17-11db-9fe1-0800200c9b65"/>
1708
- <desc>Good Health Durable Medical Equipment</desc>
1709
- </scopingEntity>
1710
- </participantRole>
1711
- </participant>
1712
- </supply>
1713
- </entry>
1714
- <entry>
1715
- <procedure classCode="PROC" moodCode="EVN">
1716
- <!-- Procedure Activity Procedure V2-->
1717
- <templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/>
1718
- <templateId root="2.16.840.1.113883.10.20.22.4.14"/>
1719
- <id root="d5b614bd-01ce-410d-8726-e1fd01dcc72a"/>
1720
- <code code="103716009" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Stent Placement">
1721
- <originalText>
1722
- <reference value="#Proc1"/>
1723
- </originalText>
1724
- </code>
1725
- <statusCode code="completed"/>
1726
- <effectiveTime value="20130512"/>
1727
- <targetSiteCode code="28273000" displayName="bile duct" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
1728
- <specimen typeCode="SPC">
1729
- <specimenRole classCode="SPEC">
1730
- <id root="a6d7b927-2b70-43c7-bdf3-0e7c4133062c"/>
1731
- <specimenPlayingEntity>
1732
- <code code="57259009" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="gallbladder bile"/>
1733
- </specimenPlayingEntity>
1734
- </specimenRole>
1735
- </specimen>
1736
- <performer>
1737
- <assignedEntity>
1738
- <id root="2.16.840.1.113883.19" extension="1234"/>
1739
- <addr>
1740
- <streetAddressLine>1004 Health Care Drive</streetAddressLine>
1741
- <city>Ann Arbor</city>
1742
- <state>MI</state>
1743
- <postalCode>02368</postalCode>
1744
- <country>US</country>
1745
- </addr>
1746
- <telecom use="WP" value="tel: +1(555)-555-5004"/>
1747
- <representedOrganization>
1748
- <id root="2.16.840.1.113883.19.5"/>
1749
- <name>Community Health and Hospitals</name>
1750
- <telecom use="WP" value="tel:+1(555)-555-5005"/>
1751
- <addr>
1752
- <streetAddressLine>1003 Health Care Drive</streetAddressLine>
1753
- <city>Ann Arbor</city>
1754
- <state>MI</state>
1755
- <postalCode>02368</postalCode>
1756
- <country>US</country>
1757
- </addr>
1758
- </representedOrganization>
1759
- </assignedEntity>
1760
- </performer>
1761
- </procedure>
1762
- </entry>
1763
- </section>
1764
- </component>
1765
- <!-- ******************************* MEDICATIONS ***************************** -->
1766
- <component>
1767
- <section>
1768
- <!-- *** Medications Section (entries required) (V2) *** -->
1769
- <templateId root="2.16.840.1.113883.10.20.22.2.1.1" extension="2014-06-09"/>
1770
- <templateId root="2.16.840.1.113883.10.20.22.2.1.1"/>
1771
- <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF MEDICATION USE"/>
1772
- <title>MEDICATIONS</title>
1773
- <text>
1774
- <table border="1" width="100%">
1775
- <thead>
1776
- <tr>
1777
- <th>Medication</th>
1778
- <th>Directions</th>
1779
- <th>Start Date</th>
1780
- <th>Status</th>
1781
- <th>Indications</th>
1782
- <th>Fill Instructions</th>
1783
- </tr>
1784
- </thead>
1785
- <tbody>
1786
- <tr>
1787
- <td>Proventil 0.09 MG/ACTUAT inhalant solution</td>
1788
- <td>2 puffs q6 hours PRN wheezing</td>
1789
- <td>Jan 3, 2011</td>
1790
- <td>Active</td>
1791
- <td>Asthma</td>
1792
- <td>Generic Substitition Allowed</td>
1793
- </tr>
1794
- <tr>
1795
- <td>Atenolol 25 MG Oral Tablet</td>
1796
- <td>1 every 12 hours Orally</td>
1797
- <td>Mar 18, 2012</td>
1798
- <td>Active</td>
1799
- <td>Hypertension</td>
1800
- <td>-none-</td>
1801
- </tr>
1802
- </tbody>
1803
- </table>
1804
- </text>
1805
- <entry typeCode="DRIV">
1806
- <substanceAdministration classCode="SBADM" moodCode="EVN">
1807
- <!-- ** Medication Activity (V2) ** -->
1808
- <templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/>
1809
- <templateId root="2.16.840.1.113883.10.20.22.4.16"/>
1810
- <id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/>
1811
- <statusCode code="active"/>
1812
- <effectiveTime xsi:type="IVL_TS">
1813
- <low value="20110103"/>
1814
- <high nullFlavor="UNK"/>
1815
- </effectiveTime>
1816
- <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
1817
- <period value="6" unit="h"/>
1818
- </effectiveTime>
1819
- <routeCode code="C38216" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" displayName="RESPIRATORY (INHALATION)"/>
1820
- <doseQuantity value="2"/>
1821
- <administrationUnitCode code="PUFF" displayName="Puff" codeSystem="2.16.840.1.113883.5.85" codeSystemName="orderableDrugForm"/>
1822
- <consumable>
1823
- <manufacturedProduct classCode="MANU">
1824
- <!-- ** Medication information ** -->
1825
- <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
1826
- <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
1827
- <id root="2a620155-9d11-439e-92b3-5d9815ff4ee8"/>
1828
- <manufacturedMaterial>
1829
- <code code="573621" displayName="Proventil 0.09 MG/ACTUAT inhalant solution" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"/>
1830
- </manufacturedMaterial>
1831
- <manufacturerOrganization>
1832
- <name>Medication Factory Inc.</name>
1833
- </manufacturerOrganization>
1834
- </manufacturedProduct>
1835
- </consumable>
1836
- <performer>
1837
- <assignedEntity>
1838
- <id extension="5555555555" root="2.16.840.1.113883.4.6"/>
1839
- <addr nullFlavor="UNK"/>
1840
- <telecom use="WP" value="tel: +1(555)555-1004"/>
1841
- <representedOrganization>
1842
- <id root="2.16.840.1.113883.19.5.9999.1393"/>
1843
- <name>Community Health and Hospitals</name>
1844
- <telecom use="WP" value="tel: +1(555)555-5000"/>
1845
- <addr nullFlavor="UNK"/>
1846
- </representedOrganization>
1847
- </assignedEntity>
1848
- </performer>
1849
- <participant typeCode="CSM">
1850
- <participantRole classCode="MANU">
1851
- <!-- ** Drug vehicle ** -->
1852
- <templateId root="2.16.840.1.113883.10.20.22.4.24"/>
1853
- <code code="412307009" displayName="drug vehicle" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
1854
- <playingEntity classCode="MMAT">
1855
- <code code="324049" displayName="Aerosol" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"/>
1856
- <name>Aerosol</name>
1857
- </playingEntity>
1858
- </participantRole>
1859
- </participant>
1860
- <entryRelationship typeCode="RSON">
1861
- <observation classCode="OBS" moodCode="EVN">
1862
- <!-- ** Indication (V2) ** -->
1863
- <templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09"/>
1864
- <templateId root="2.16.840.1.113883.10.20.22.4.19"/>
1865
- <id root="db734647-fc99-424c-a864-7e3cda82e703" extension="45665"/>
1866
- <code code="404684003" displayName="Finding" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96">
1867
- <!-- MAY contain
1868
- <translation code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/>
1869
- -->
1870
- </code>
1871
- <statusCode code="completed"/>
1872
- <effectiveTime>
1873
- <low value="20110103"/>
1874
- </effectiveTime>
1875
- <value xsi:type="CD" code="195967001" displayName="Asthma" codeSystem="2.16.840.1.113883.6.96"/>
1876
- </observation>
1877
- </entryRelationship>
1878
- <entryRelationship typeCode="REFR">
1879
- <supply classCode="SPLY" moodCode="INT">
1880
- <!-- ** Medication supply order (V2) ** -->
1881
- <templateId root="2.16.840.1.113883.10.20.22.4.17" extension="2014-06-09"/>
1882
- <templateId root="2.16.840.1.113883.10.20.22.4.17"/>
1883
- <id nullFlavor="NI"/>
1884
- <statusCode code="completed"/>
1885
- <effectiveTime xsi:type="IVL_TS">
1886
- <low value="20070103"/>
1887
- <high nullFlavor="UNK"/>
1888
- </effectiveTime>
1889
- <repeatNumber value="1"/>
1890
- <quantity value="75"/>
1891
- <product>
1892
- <manufacturedProduct classCode="MANU">
1893
- <!-- ** Medication information (V2) ** -->
1894
- <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
1895
- <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
1896
- <id root="2a620155-9d11-439e-92b3-5d9815ff4ee8"/>
1897
- <manufacturedMaterial>
1898
- <code code="573621" codeSystem="2.16.840.1.113883.6.88" displayName="Proventil 0.09 MG/ACTUAT inhalant solution">
1899
- <!-- i. This code MAY contain zero or more [0..*] translation, which MAY be selected from ValueSet Clinical Substance
1900
- <translation code="219483" codeSystem="2.16.840.1.113883.6.88" displayName="Proventil HFA" codeSystemName="RxNorm"/>
1901
- -->
1902
- </code>
1903
- </manufacturedMaterial>
1904
- <manufacturerOrganization>
1905
- <name>Medication Factory Inc.</name>
1906
- </manufacturerOrganization>
1907
- </manufacturedProduct>
1908
- </product>
1909
- <author typeCode="AUT">
1910
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
1911
- <time value="201208151235-0800"/>
1912
- <assignedAuthor>
1913
- <id extension="5555555555" root="2.16.840.1.113883.4.6"/>
1914
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
1915
- <addr>
1916
- <streetAddressLine>1004 Healthcare Drive </streetAddressLine>
1917
- <city>Portland</city>
1918
- <state>OR</state>
1919
- <postalCode>99123</postalCode>
1920
- <country>US</country>
1921
- </addr>
1922
- <telecom use="WP" value="tel:+1(555)555-1004"/>
1923
- <assignedPerson>
1924
- <name>
1925
- <given>Patricia</given>
1926
- <given qualifier="CL">Patty</given>
1927
- <family>Primary</family>
1928
- <suffix qualifier="AC">M.D.</suffix>
1929
- </name>
1930
- </assignedPerson>
1931
- </assignedAuthor>
1932
- </author>
1933
- <entryRelationship typeCode="SUBJ" inversionInd="true">
1934
- <act classCode="ACT" moodCode="INT">
1935
- <!-- ** Instruction (v2) ** -->
1936
- <templateId root="2.16.840.1.113883.10.20.22.4.20" extension="2014-06-09"/>
1937
- <templateId root="2.16.840.1.113883.10.20.22.4.20"/>
1938
- <code code="409073007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="instruction"/>
1939
- <text> label in spanish </text>
1940
- <statusCode code="completed"/>
1941
- </act>
1942
- </entryRelationship>
1943
- </supply>
1944
- </entryRelationship>
1945
- <entryRelationship typeCode="REFR">
1946
- <supply classCode="SPLY" moodCode="EVN">
1947
- <!-- ** Medication dispense (v2) ** -->
1948
- <templateId root="2.16.840.1.113883.10.20.22.4.18" extension="2014-06-09"/>
1949
- <templateId root="2.16.840.1.113883.10.20.22.4.18"/>
1950
- <id root="1.2.3.4.56789.1" extension="cb734647-fc99-424c-a864-7e3cda82e704"/>
1951
- <statusCode code="completed"/>
1952
- <effectiveTime value="201208151450-0800"/>
1953
- <repeatNumber value="1"/>
1954
- <quantity value="75"/>
1955
- <product>
1956
- <manufacturedProduct classCode="MANU">
1957
- <!-- ** Medication information ** -->
1958
- <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
1959
- <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
1960
- <id root="2a620155-9d11-439e-92b3-5d9815ff4ee8"/>
1961
- <manufacturedMaterial>
1962
- <code code="573621" codeSystem="2.16.840.1.113883.6.88" displayName="Proventil 0.09 MG/ACTUAT inhalant solution"/>
1963
- </manufacturedMaterial>
1964
- <manufacturerOrganization>
1965
- <name>Medication Factory Inc.</name>
1966
- </manufacturerOrganization>
1967
- </manufacturedProduct>
1968
- </product>
1969
- <performer>
1970
- <assignedEntity>
1971
- <id extension="333222222" root="2.16.840.1.113883.4.6"/>
1972
- <addr>
1973
- <streetAddressLine>1016 Health Drive</streetAddressLine>
1974
- <city>Portland</city>
1975
- <state>OR</state>
1976
- <postalCode>99123</postalCode>
1977
- <country>US</country>
1978
- </addr>
1979
- <telecom use="WP" value="tel:+1(555)555-1016"/>
1980
- <assignedPerson>
1981
- <name>
1982
- <given>Susan</given>
1983
- <family>Script</family>
1984
- <suffix qualifier="AC">Pharm.D.</suffix>
1985
- </name>
1986
- </assignedPerson>
1987
- <representedOrganization>
1988
- <name>People's Pharmacy</name>
1989
- </representedOrganization>
1990
- </assignedEntity>
1991
- </performer>
1992
- </supply>
1993
- </entryRelationship>
1994
- <precondition typeCode="PRCN">
1995
- <criterion>
1996
- <!-- ** Precondition for substance administration (V2) ** -->
1997
- <templateId root="2.16.840.1.113883.10.20.22.4.25" extension="2014-06-09"/>
1998
- <templateId root="2.16.840.1.113883.10.20.22.4.25"/>
1999
- <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
2000
- <value xsi:type="CD" code="56018004" codeSystem="2.16.840.1.113883.6.96" displayName="Wheezing"/>
2001
- </criterion>
2002
- </precondition>
2003
- </substanceAdministration>
2004
- </entry>
2005
- <entry typeCode="DRIV">
2006
- <substanceAdministration classCode="SBADM" moodCode="EVN">
2007
- <!-- ** Medication activity ** -->
2008
- <templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/>
2009
- <templateId root="2.16.840.1.113883.10.20.22.4.16"/>
2010
- <id root="6c844c75-aa34-411c-b7bd-5e4a9f206e29"/>
2011
- <statusCode code="active"/>
2012
- <effectiveTime xsi:type="IVL_TS">
2013
- <low value="20120318"/>
2014
- <high nullFlavor="UNK"/>
2015
- </effectiveTime>
2016
- <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
2017
- <period value="12" unit="h"/>
2018
- </effectiveTime>
2019
- <routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" displayName="ORAL"/>
2020
- <doseQuantity value="1"/>
2021
- <consumable>
2022
- <manufacturedProduct classCode="MANU">
2023
- <!-- ** Medication information ** -->
2024
- <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
2025
- <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
2026
- <id root="2a620155-9d11-439e-92b3-5d9815ff4ee8"/>
2027
- <manufacturedMaterial>
2028
- <code code="197380" displayName="Atenolol 25 MG Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"/>
2029
- </manufacturedMaterial>
2030
- </manufacturedProduct>
2031
- </consumable>
2032
- <entryRelationship typeCode="RSON">
2033
- <observation classCode="OBS" moodCode="EVN">
2034
- <!-- ** Indication ** -->
2035
- <templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09"/>
2036
- <templateId root="2.16.840.1.113883.10.20.22.4.19"/>
2037
- <id root="e63166c7-6482-4a44-83a1-37ccdbde725b"/>
2038
- <code code="404684003" displayName="Finding" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96">
2039
- <!-- MAY
2040
- <translation code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/>
2041
- -->
2042
- </code>
2043
- <statusCode code="completed"/>
2044
- <value xsi:type="CD" code="38341003" displayName="Hypertension" codeSystem="2.16.840.1.113883.6.96"/>
2045
- </observation>
2046
- </entryRelationship>
2047
- </substanceAdministration>
2048
- </entry>
2049
- </section>
2050
- </component>
2051
- <!-- *********************** PAYERS ********************** -->
2052
- <component>
2053
- <section>
2054
- <!-- *** Payers Section (V3) *** -->
2055
- <templateId root="2.16.840.1.113883.10.20.22.2.18" extension="2015-08-01"/>
2056
- <templateId root="2.16.840.1.113883.10.20.22.2.18"/>
2057
- <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payer"/>
2058
- <title>INSURANCE PROVIDERS</title>
2059
- <text>
2060
- <table border="1" width="100%">
2061
- <thead>
2062
- <tr>
2063
- <th>Payer name</th>
2064
- <th>Policy type / Coverage type</th>
2065
- <th>Policy ID</th>
2066
- <th>Covered party ID</th>
2067
- <th>Policy Holder</th>
2068
- </tr>
2069
- </thead>
2070
- <tbody>
2071
- <tr>
2072
- <td>Good Health Insurance</td>
2073
- <td>Extended healthcare / Family</td>
2074
- <td>Contract Number</td>
2075
- <td>1138345</td>
2076
- <td>Patient's Mother</td>
2077
- </tr>
2078
- </tbody>
2079
- </table>
2080
- </text>
2081
- <entry typeCode="DRIV">
2082
- <act classCode="ACT" moodCode="EVN">
2083
- <!-- ** Coverage activity (V3) ** -->
2084
- <templateId root="2.16.840.1.113883.10.20.22.4.60" extension="2015-08-01"/>
2085
- <templateId root="2.16.840.1.113883.10.20.22.4.60"/>
2086
- <id root="1fe2cdd0-7aad-11db-9fe1-0800200c9a66"/>
2087
- <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment sources"/>
2088
- <statusCode code="completed"/>
2089
- <entryRelationship typeCode="COMP">
2090
- <sequenceNumber value="2"/>
2091
- <act classCode="ACT" moodCode="EVN">
2092
- <!-- ** Policy activity (V3) ** -->
2093
- <templateId root="2.16.840.1.113883.10.20.22.4.61" extension="2015-08-01"/>
2094
- <!--Critical Change-->
2095
- <templateId root="2.16.840.1.113883.10.20.22.4.61"/>
2096
- <id root="3e676a50-7aac-11db-9fe1-0800200c9a66"/>
2097
- <!-- 5. SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Health Insurance Type -->
2098
- <code>
2099
- <!-- a. This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Payer urn:oid:2.16.840.1.114222.4.11.3591 (CONF:1198-32852).
2100
- <translation code="81" displayName="self-pay" codeSystemName="Source of Payment Typology (PHDSC)" codeSystem="2.16.840.1.113883.3.221.5"/>
2101
- -->
2102
- <translation nullFlavor="NI"/>
2103
- </code>
2104
- <statusCode code="completed"/>
2105
- <!-- Insurance Company Information -->
2106
- <performer typeCode="PRF">
2107
- <templateId root="2.16.840.1.113883.10.20.22.4.87"/>
2108
- <assignedEntity>
2109
- <id root="2.16.840.1.113883.19"/>
2110
- <code code="PAYOR" codeSystem="2.16.840.1.113883.5.110" codeSystemName="HL7 RoleCode"/>
2111
- <addr use="WP">
2112
- <streetAddressLine>9009 Health Drive</streetAddressLine>
2113
- <city>Portland</city>
2114
- <state>OR</state>
2115
- <postalCode>99123</postalCode>
2116
- <country>US</country>
2117
- </addr>
2118
- <telecom value="tel:+1(555)555-1515" use="WP"/>
2119
- <representedOrganization>
2120
- <name>Good Health Insurance</name>
2121
- <telecom value="tel:+1(555)555-1515" use="WP"/>
2122
- <addr use="WP">
2123
- <streetAddressLine>9009 Health Drive</streetAddressLine>
2124
- <city>Portland</city>
2125
- <state>OR</state>
2126
- <postalCode>99123</postalCode>
2127
- </addr>
2128
- </representedOrganization>
2129
- </assignedEntity>
2130
- </performer>
2131
- <!-- Guarantor Information... The person responsible for the final bill. -->
2132
- <performer typeCode="PRF">
2133
- <templateId root="2.16.840.1.113883.10.20.22.4.88"/>
2134
- <time>
2135
- <low nullFlavor="UNK"/>
2136
- <high nullFlavor="UNK"/>
2137
- </time>
2138
- <assignedEntity>
2139
- <id root="329fcdf0-7ab3-11db-9fe1-0800200c9a66"/>
2140
- <code code="GUAR" codeSystem="2.16.840.1.113883.5.110" codeSystemName="HL7 RoleCode"/>
2141
- <addr use="HP">
2142
- <streetAddressLine>2222 Home Street</streetAddressLine>
2143
- <city>Beaverton</city>
2144
- <state>OR</state>
2145
- <postalCode>97867</postalCode>
2146
- </addr>
2147
- <telecom value="tel:+1(555)555-1000" use="HP"/>
2148
- <assignedPerson>
2149
- <name>
2150
- <given>Boris</given>
2151
- <family>Betterhalf</family>
2152
- </name>
2153
- </assignedPerson>
2154
- </assignedEntity>
2155
- </performer>
2156
- <participant typeCode="COV">
2157
- <!-- Covered Party Participant -->
2158
- <templateId root="2.16.840.1.113883.10.20.22.4.89"/>
2159
- <time>
2160
- <low nullFlavor="UNK"/>
2161
- <high nullFlavor="UNK"/>
2162
- </time>
2163
- <participantRole classCode="PAT">
2164
- <!-- Health plan ID for patient. -->
2165
- <id root="14d4a520-7aae-11db-9fe1-0800200c9a66" extension="1138345"/>
2166
- <code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="Self"/>
2167
- <addr use="HP">
2168
- <streetAddressLine>2222 Home Street</streetAddressLine>
2169
- <city>Beaverton</city>
2170
- <state>OR</state>
2171
- <postalCode>97867</postalCode>
2172
- </addr>
2173
- <playingEntity>
2174
- <name>
2175
- <!-- Name is needed if different than health plan name. -->
2176
- <given>Boris</given>
2177
- <family>Betterhalf</family>
2178
- </name>
2179
- <sdtc:birthTime value="19750501"/>
2180
- </playingEntity>
2181
- </participantRole>
2182
- </participant>
2183
- <!-- Policy Holder -->
2184
- <participant typeCode="HLD">
2185
- <templateId root="2.16.840.1.113883.10.20.22.4.90"/>
2186
- <participantRole>
2187
- <id extension="1138345" root="2.16.840.1.113883.19"/>
2188
- <addr use="HP">
2189
- <streetAddressLine>2222 Home Street</streetAddressLine>
2190
- <city>Beaverton</city>
2191
- <state>OR</state>
2192
- <postalCode>97867</postalCode>
2193
- </addr>
2194
- </participantRole>
2195
- </participant>
2196
- <entryRelationship typeCode="REFR">
2197
- <act classCode="ACT" moodCode="EVN">
2198
- <!-- ** Authorization activity ** -->
2199
- <templateId root="2.16.840.1.113883.10.20.1.19"/>
2200
- <id root="f4dce790-8328-11db-9fe1-0800200c9a66"/>
2201
- <code nullFlavor="NA"/>
2202
- <entryRelationship typeCode="SUBJ">
2203
- <procedure classCode="PROC" moodCode="PRMS">
2204
- <code code="73761001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Colonoscopy"/>
2205
- </procedure>
2206
- </entryRelationship>
2207
- </act>
2208
- </entryRelationship>
2209
- <!-- The above entryRelationship OR the following. <entryRelationship
2210
- typeCode="REFR"> <act classCode="ACT" moodCode="DEF"> <id root="f4dce790-8328-11db-9fe1-0800200c9a66"/>
2211
- <code nullFlavor="UNK"/> <text>Health Plan Name<reference value="PntrToHealthPlanNameInSectionText"/>
2212
- </text> <statusCode code="active"/> </act> </entryRelationship> -->
2213
- </act>
2214
- </entryRelationship>
2215
- </act>
2216
- </entry>
2217
- </section>
2218
- </component>
2219
- <!-- ******************* PLAN OF TREATMENT ********************** -->
2220
- <component>
2221
- <section>
2222
- <!-- **** Plan of Treatment Section (V2) **** -->
2223
- <templateId root="2.16.840.1.113883.10.20.22.2.10" extension="2014-06-09"/>
2224
- <templateId root="2.16.840.1.113883.10.20.22.2.10"/>
2225
- <code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Treatment plan"/>
2226
- <title>TREATMENT PLAN</title>
2227
- <text>
2228
- <content styleCode="Bold"> Hand-off Communication:</content>
2229
- <content>Nurse Florence, RN to MD to Nancy Nightingale, RN</content>
2230
- <br/>
2231
- <br/>
2232
- <table border="1" width="100%">
2233
- <thead>
2234
- <tr>
2235
- <th>Planned Care</th>
2236
- <th>Start Date</th>
2237
- <th>Patient Provider Rating</th>
2238
- <th>Provider Provider Rating</th>
2239
- <th>Provider</th>
2240
- <th>Patient Support/Caregiver</th>
2241
- </tr>
2242
- </thead>
2243
- <tbody>
2244
- <tr>
2245
- <td>Procedure: Colonoscopy</td>
2246
- <td>June 15, 2013</td>
2247
- <td>1st, Medium</td>
2248
- <td>3rd, Medium</td>
2249
- <td/>
2250
- <td>Caregiver: Mother</td>
2251
- </tr>
2252
- <tr>
2253
- <td>Medication: Heparin 0.25 ml pre-filled syringe</td>
2254
- <td>July 12, 2013</td>
2255
- <td/>
2256
- <td>First, Medium</td>
2257
- <td>Third, Medium</td>
2258
- <td>Caregiver: Mother</td>
2259
- </tr>
2260
- </tbody>
2261
- </table>
2262
- </text>
2263
- <entry>
2264
- <!-- Planned Procedure (V2) -->
2265
- <procedure moodCode="RQO" classCode="PROC">
2266
- <templateId root="2.16.840.1.113883.10.20.22.4.41" extension="2014-06-09"/>
2267
- <templateId root="2.16.840.1.113883.10.20.22.4.41"/>
2268
- <id root="9a6d1bac-17d3-4195-89c4-1121bc809b5a"/>
2269
- <code code="73761001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Colonoscopy"/>
2270
- <statusCode code="active"/>
2271
- <effectiveTime value="20130613"/>
2272
- <!--
2273
- Author Participation Template
2274
- In this case, the author is the same as a participant already
2275
- described in the header.
2276
- However, the author could be a different provider - someone else in the
2277
- header, or a new provider not elsewhere specified.
2278
- -->
2279
- <author typeCode="AUT">
2280
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
2281
- <time value="201306131145-0800"/>
2282
- <assignedAuthor>
2283
- <!-- This id points back to a participant in the header -->
2284
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
2285
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
2286
- </assignedAuthor>
2287
- </author>
2288
- <entryRelationship typeCode="COMP">
2289
- <!-- Planned Coverage -->
2290
- <act classCode="ACT" moodCode="INT">
2291
- <templateId root="2.16.840.1.113883.10.20.22.4.129"/>
2292
- <id root="03f5e10b-7e79-4610-9626-d2984ff10cc1"/>
2293
- <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources"/>
2294
- <statusCode code="active"/>
2295
- <entryRelationship typeCode="COMP">
2296
- <act classCode="ACT" moodCode="INT">
2297
- <!-- These act/identifiers are unique identifiers
2298
- for the policy or program providing the coverage. -->
2299
- <id root="4c9a3be1-5f09-46dd-88e7-14c8ec612e4c"/>
2300
- <code code="111" displayName="Medicare HMO" codeSystemName="Source of Payment Typology (PHDSC)" codeSystem="2.16.840.1.113883.3.221.5"/>
2301
- <statusCode code="active"/>
2302
- </act>
2303
- </entryRelationship>
2304
- </act>
2305
- </entryRelationship>
2306
- <entryRelationship typeCode="REFR">
2307
- <observation classCode="OBS" moodCode="EVN">
2308
- <!-- Priority Preference -->
2309
- <templateId root="2.16.840.1.113883.10.20.22.4.143"/>
2310
- <id root="9a6d1bac-17d3-4195-89a4-1121bc809b4d"/>
2311
- <code code="225773000" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"> </code>
2312
- <effectiveTime value="20130615"/>
2313
- <priorityCode code="255216001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="First"/>
2314
- <value xsi:type="CD" code="394848005" codeSystem="2.16.840.1.113883.6.96" displayName="Normal priority"/>
2315
- <author typeCode="AUT">
2316
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
2317
- <time value="201306151145-0800"/>
2318
- <assignedAuthor>
2319
- <!-- this id indicates the priority preference is a provider not a patient priority preference -->
2320
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
2321
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
2322
- </assignedAuthor>
2323
- </author>
2324
- </observation>
2325
- </entryRelationship>
2326
- <entryRelationship typeCode="REFR">
2327
- <observation classCode="OBS" moodCode="EVN">
2328
- <!-- Priority Preference-->
2329
- <templateId root="2.16.840.1.113883.10.20.22.4.143"/>
2330
- <id root="9a6d1bac-17d3-4195-89a4-1121bc809b4d"/>
2331
- <code code="225773000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="preference"/>
2332
- <effectiveTime value="20130615"/>
2333
- <value xsi:type="CD" code="394848005" codeSystem="2.16.840.1.113883.6.96" displayName="Normal priority"/>
2334
- <author typeCode="AUT">
2335
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
2336
- <time value="201306151145-0800"/>
2337
- <assignedAuthor>
2338
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
2339
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
2340
- </assignedAuthor>
2341
- </author>
2342
- </observation>
2343
- </entryRelationship>
2344
- </procedure>
2345
- </entry>
2346
- </section>
2347
- </component>
2348
- <!-- ***************** PROBLEM LIST *********************** -->
2349
- <component>
2350
- <section>
2351
- <!-- *** Problem Section (entries required) (V3) *** -->
2352
- <templateId root="2.16.840.1.113883.10.20.22.2.5.1" extension="2015-08-01"/>
2353
- <templateId root="2.16.840.1.113883.10.20.22.2.5.1"/>
2354
- <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PROBLEM LIST"/>
2355
- <title>PROBLEMS</title>
2356
- <text>
2357
- <paragraph>Active Concerns</paragraph>
2358
- <list>
2359
- <item>Problem #1<list>
2360
- <item>Pneumonia (onset July 3, 2013; resolution Aug 14, 2013) [authored Aug 14, 2013]</item>
2361
- </list>
2362
- </item>
2363
- <item>Problem #2<list>
2364
- <item>Chest pain (onset Apr 14, 2007) [authored Apr 14, 2007]</item>
2365
- <item>Angina (onset Apr 17, 2007) [authored Apr 17, 2007]</item>
2366
- </list>
2367
- </item>
2368
- </list>
2369
- <paragraph>Resolved Concerns</paragraph>
2370
- <list>
2371
- <item>Problem #3<list>
2372
- <item>Pneumonia - Left lower lobe (onset Mar 10, 1998; resolution Mar 16, 1998) [authored Mar 16,
2373
- 1998]</item>
2374
- </list>
2375
- </item>
2376
- </list>
2377
- </text>
2378
- <entry typeCode="DRIV">
2379
- <act classCode="ACT" moodCode="EVN">
2380
- <!-- ** Problem Concern Act (V3) ** -->
2381
- <templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01"/>
2382
- <templateId root="2.16.840.1.113883.10.20.22.4.3"/>
2383
- <id root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>
2384
- <code code="CONC" codeSystem="2.16.840.1.113883.5.6" displayName="Concern"/>
2385
- <!-- The statusCode represents the need to continue tracking the problem -->
2386
- <!-- This is of ongoing concern to the provider -->
2387
- <statusCode code="active"/>
2388
- <effectiveTime>
2389
- <!-- The low value represents when the problem was first recorded in the patient's chart -->
2390
- <!-- Concern was documented on July 6, 2013 -->
2391
- <low value="201307061145-0800"/>
2392
- </effectiveTime>
2393
- <author typeCode="AUT">
2394
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
2395
- <!-- Same as Concern effectiveTime/low -->
2396
- <time value="201307061145-0800"/>
2397
- <assignedAuthor>
2398
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
2399
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
2400
- </assignedAuthor>
2401
- </author>
2402
- <entryRelationship typeCode="SUBJ">
2403
- <observation classCode="OBS" moodCode="EVN">
2404
- <!-- ** Problem observation (V3)** -->
2405
- <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/>
2406
- <templateId root="2.16.840.1.113883.10.20.22.4.4"/>
2407
- <id root="ab1791b0-5c71-11db-b0de-0800200c9a66"/>
2408
- <code code="64572001" displayName="Condition" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96">
2409
- <!-- a. This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC)
2410
- <translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/>
2411
- -->
2412
- <translation nullFlavor="NI"/>
2413
- </code>
2414
- <!-- The statusCode reflects the status of the observation itself -->
2415
- <statusCode code="completed"/>
2416
- <effectiveTime>
2417
- <!-- The low value reflects the date of onset -->
2418
- <!-- Based on patient symptoms, presumed onset is July 3, 2013 -->
2419
- <low value="20130703"/>
2420
- <!-- The high value reflects when the problem was known to be resolved -->
2421
- <!-- Based on signs and symptoms, appears to be resolved on Aug 14, 2013 -->
2422
- <high value="20080814"/>
2423
- </effectiveTime>
2424
- <value xsi:type="CD" code="233604007" codeSystem="2.16.840.1.113883.6.96" displayName="Pneumonia"/>
2425
- <author typeCode="AUT">
2426
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
2427
- <time value="200808141030-0800"/>
2428
- <assignedAuthor>
2429
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
2430
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
2431
- </assignedAuthor>
2432
- </author>
2433
- </observation>
2434
- </entryRelationship>
2435
- </act>
2436
- </entry>
2437
- <entry typeCode="DRIV">
2438
- <act classCode="ACT" moodCode="EVN">
2439
- <!-- Problem concern act ** -->
2440
- <templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01"/>
2441
- <templateId root="2.16.840.1.113883.10.20.22.4.3"/>
2442
- <id root="682f6be1-0793-42f4-904b-e199e6e8e457"/>
2443
- <code code="CONC" codeSystem="2.16.840.1.113883.5.6" displayName="Concern"/>
2444
- <!-- The statusCode represents the need to continue tracking the problem -->
2445
- <statusCode code="active"/>
2446
- <!-- This is of ongoing concern to the provider -->
2447
- <effectiveTime>
2448
- <!-- The low value represents when the problem was first recorded in the patient's chart -->
2449
- <low value="200704141515-0800"/>
2450
- <!-- Concern was documented on Apr 14, 2007 -->
2451
- </effectiveTime>
2452
- <author typeCode="AUT">
2453
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
2454
- <time value="200704141515-0800"/>
2455
- <!-- Same as Concern effectiveTime/low -->
2456
- <assignedAuthor>
2457
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
2458
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
2459
- </assignedAuthor>
2460
- </author>
2461
- <entryRelationship typeCode="SUBJ">
2462
- <observation classCode="OBS" moodCode="EVN">
2463
- <!-- ** Problem observation ** -->
2464
- <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/>
2465
- <templateId root="2.16.840.1.113883.10.20.22.4.4"/>
2466
- <id root="11d088a8-b957-401c-8ee0-3bd20a772fc0"/>
2467
- <code code="64572001" displayName="Condition" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96">
2468
- <!-- a. This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC)
2469
- <translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/>
2470
- -->
2471
- <translation nullFlavor="NI"/>
2472
- </code>
2473
- <!-- The statusCode reflects the status of the observation itself -->
2474
- <statusCode code="completed"/>
2475
- <effectiveTime>
2476
- <!-- The low value reflects the date of onset -->
2477
- <low value="20070414"/>
2478
- <!-- Based on patient symptoms, presumed onset is July 3, 2013 -->
2479
- <!-- Absence of effectiveTime/high means the condition is not resolved -->
2480
- </effectiveTime>
2481
- <value xsi:type="CD" code="29857009" codeSystem="2.16.840.1.113883.6.96" displayName="Chest pain"/>
2482
- <author typeCode="AUT">
2483
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
2484
- <time value="200704141515-0800"/>
2485
- <assignedAuthor>
2486
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
2487
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
2488
- </assignedAuthor>
2489
- </author>
2490
- </observation>
2491
- </entryRelationship>
2492
- <entryRelationship typeCode="SUBJ">
2493
- <observation classCode="OBS" moodCode="EVN">
2494
- <!-- ** Problem observation ** -->
2495
- <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/>
2496
- <templateId root="2.16.840.1.113883.10.20.22.4.4"/>
2497
- <id root="4991db40-4c4f-41e8-9146-50c12d716424"/>
2498
- <code code="64572001" displayName="Condition" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96">
2499
- <!-- a. This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC)
2500
- <translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/>
2501
- -->
2502
- <translation nullFlavor="NI"/>
2503
- </code>
2504
- <!-- The statusCode reflects the status of the observation itself -->
2505
- <statusCode code="completed"/>
2506
- <effectiveTime>
2507
- <!-- The low value reflects the date of onset -->
2508
- <low value="20070417"/>
2509
- <!-- Absence of effectiveTime/high means the condition is not resolved -->
2510
- </effectiveTime>
2511
- <value xsi:type="CD" code="194828000" codeSystem="2.16.840.1.113883.6.96" displayName="Angina"/>
2512
- <author typeCode="AUT">
2513
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
2514
- <time value="200704171515-0800"/>
2515
- <assignedAuthor>
2516
- <id extension="222334444" root="2.16.840.1.113883.4.6"/>
2517
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
2518
- </assignedAuthor>
2519
- </author>
2520
- </observation>
2521
- </entryRelationship>
2522
- </act>
2523
- </entry>
2524
- <entry typeCode="DRIV">
2525
- <act classCode="ACT" moodCode="EVN">
2526
- <!-- ** Problem concern act (V2) ** -->
2527
- <templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01"/>
2528
- <templateId root="2.16.840.1.113883.10.20.22.4.3"/>
2529
- <id root="b5159d48-04aa-4927-b355-00d1dcb7158c"/>
2530
- <code code="CONC" codeSystem="2.16.840.1.113883.5.6" displayName="Concern"/>
2531
- <!-- The statusCode represents the need to continue tracking the problem -->
2532
- <!-- This is no longer of ongoing concern to the provider -->
2533
- <statusCode code="completed"/>
2534
- <effectiveTime>
2535
- <!-- The low value represents when the problem was first recorded in the patient's chart -->
2536
- <!-- Concern was documented on Mar 10, 1998 -->
2537
- <low value="199803101030-0800"/>
2538
- <!-- The high value reflects when there was no longer a need to track the problem -->
2539
- <!-- Concern was closed on May 4, 1998 -->
2540
- <high value="199805041145-0800"/>
2541
- </effectiveTime>
2542
- <author typeCode="AUT">
2543
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
2544
- <!-- Same as Concern effectiveTime/low -->
2545
- <time value="199803161030-0800"/>
2546
- <assignedAuthor>
2547
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
2548
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
2549
- </assignedAuthor>
2550
- </author>
2551
- <entryRelationship typeCode="SUBJ">
2552
- <observation classCode="OBS" moodCode="EVN">
2553
- <!-- ** Problem observation (V2) ** -->
2554
- <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/>
2555
- <templateId root="2.16.840.1.113883.10.20.22.4.4"/>
2556
- <id root="10506b4d-c30a-4220-8bec-97bff9568fd1"/>
2557
- <code code="64572001" displayName="Condition" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96">
2558
- <!-- a. This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC)
2559
- <translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/>
2560
- -->
2561
- <translation nullFlavor="NI"/>
2562
- </code>
2563
- <!-- The statusCode reflects the status of the observation itself -->
2564
- <statusCode code="completed"/>
2565
- <effectiveTime>
2566
- <!-- The low value reflects the date of onset -->
2567
- <!-- Based on patient symptoms, presumed onset is Mar 10, 1998 -->
2568
- <low value="19980310"/>
2569
- <!-- The high value reflects when the problem was known to be resolved -->
2570
- <high value="19980316"/>
2571
- </effectiveTime>
2572
- <value xsi:type="CD" code="233604007" codeSystem="2.16.840.1.113883.6.96" displayName="Pneumonia">
2573
- <qualifier>
2574
- <name code="363698007" displayName="Finding site"/>
2575
- <value code="41224006" displayName="Left lower lobe of lung"/>
2576
- </qualifier>
2577
- </value>
2578
- <author typeCode="AUT">
2579
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
2580
- <time value="199803161030-0800"/>
2581
- <assignedAuthor>
2582
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
2583
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
2584
- </assignedAuthor>
2585
- </author>
2586
- </observation>
2587
- </entryRelationship>
2588
- </act>
2589
- </entry>
2590
- </section>
2591
- </component>
2592
- <!-- ************** PROCEDURES ***************** -->
2593
- <component>
2594
- <section>
2595
- <!-- Procedures Section (entries required) (V2) -->
2596
- <templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/>
2597
- <templateId root="2.16.840.1.113883.10.20.22.2.7.1"/>
2598
- <code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES"/>
2599
- <title>PROCEDURES</title>
2600
- <text>
2601
- <table border="1" width="100%">
2602
- <thead>
2603
- <tr>
2604
- <th>Procedure</th>
2605
- <th>Date</th>
2606
- </tr>
2607
- </thead>
2608
- <tbody>
2609
- <tr>
2610
- <td ID="Proc1">Colonic polypectomy</td>
2611
- <td>1998</td>
2612
- </tr>
2613
- </tbody>
2614
- </table>
2615
- </text>
2616
- <!-- Examples of the same procedure are shown in different procedure entries -->
2617
- <entry typeCode="DRIV">
2618
- <procedure classCode="PROC" moodCode="EVN">
2619
- <!-- ** Procedure activity procedure ** -->
2620
- <templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/>
2621
- <templateId root="2.16.840.1.113883.10.20.22.4.14"/>
2622
- <id root="d68b7e32-7810-4f5b-9cc2-acd54b0fd85d"/>
2623
- <code code="73761001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Colonoscopy">
2624
- <originalText>
2625
- <reference value="#Proc1"/>
2626
- </originalText>
2627
- </code>
2628
- <statusCode code="completed"/>
2629
- <effectiveTime value="20120512"/>
2630
- <methodCode nullFlavor="UNK"/>
2631
- <targetSiteCode code="appropriate_code" displayName="colon" codeSystem="2.16.840.1.113883.3.88.12.3221.8.9" codeSystemName="Body Site Value Set"/>
2632
- <specimen typeCode="SPC">
2633
- <specimenRole classCode="SPEC">
2634
- <id root="c2ee9ee9-ae31-4628-a919-fec1cbb58683"/>
2635
- <specimenPlayingEntity>
2636
- <code code="309226005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="colonic polyp sample"/>
2637
- </specimenPlayingEntity>
2638
- </specimenRole>
2639
- </specimen>
2640
- <performer>
2641
- <assignedEntity>
2642
- <id root="2.16.840.1.113883.19.5.9999.456" extension="2981823"/>
2643
- <addr>
2644
- <streetAddressLine>1001 Village Avenue</streetAddressLine>
2645
- <city>Portland</city>
2646
- <state>OR</state>
2647
- <postalCode>99123</postalCode>
2648
- <country>US</country>
2649
- </addr>
2650
- <telecom use="WP" value="+1(555)555-5000"/>
2651
- <representedOrganization classCode="ORG">
2652
- <id root="2.16.840.1.113883.19.5.9999.1393"/>
2653
- <name>Community Health and Hospitals</name>
2654
- <telecom use="WP" value="+1(555)555-5000"/>
2655
- <addr>
2656
- <streetAddressLine>1001 Village Avenue</streetAddressLine>
2657
- <city>Portland</city>
2658
- <state>OR</state>
2659
- <postalCode>99123</postalCode>
2660
- <country>US</country>
2661
- </addr>
2662
- </representedOrganization>
2663
- </assignedEntity>
2664
- </performer>
2665
- <participant typeCode="DEV">
2666
- <participantRole classCode="MANU">
2667
- <!-- ** Product instance ** -->
2668
- <templateId root="2.16.840.1.113883.10.20.22.4.37"/>
2669
- <id root="742aee30-21c5-11e1-bfc2-0800200c9a66"/>
2670
- <playingDevice>
2671
- <code code="90412006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Colonoscope"/>
2672
- </playingDevice>
2673
- <scopingEntity>
2674
- <id root="eb936010-7b17-11db-9fe1-0800200c9b65"/>
2675
- </scopingEntity>
2676
- </participantRole>
2677
- </participant>
2678
- </procedure>
2679
- </entry>
2680
- <entry>
2681
- <observation classCode="OBS" moodCode="EVN">
2682
- <!-- ** Procedure activity observation (V2) ** -->
2683
- <templateId root="2.16.840.1.113883.10.20.22.4.13" extension="2014-06-09"/>
2684
- <templateId root="2.16.840.1.113883.10.20.22.4.13"/>
2685
- <id extension="123456789" root="2.16.840.1.113883.19"/>
2686
- <code code="274025005" codeSystem="2.16.840.1.113883.6.96" displayName="Colonic polypectomy" codeSystemName="SNOMED CT">
2687
- <originalText>
2688
- <reference value="#Proc1"/>
2689
- </originalText>
2690
- </code>
2691
- <statusCode code="aborted"/>
2692
- <effectiveTime value="20110203"/>
2693
- <priorityCode code="CR" codeSystem="2.16.840.1.113883.5.7" codeSystemName="ActPriority" displayName="Callback results"/>
2694
- <value xsi:type="CD"/>
2695
- <methodCode nullFlavor="UNK"/>
2696
- <targetSiteCode code="416949008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Abdomen and pelvis"/>
2697
- <performer>
2698
- <assignedEntity>
2699
- <id root="2.16.840.1.113883.19.5" extension="1234"/>
2700
- <addr>
2701
- <streetAddressLine>1001 Village Avenue</streetAddressLine>
2702
- <city>Portland</city>
2703
- <state>OR</state>
2704
- <postalCode>99123</postalCode>
2705
- <country>US</country>
2706
- </addr>
2707
- <telecom use="WP" value="tel: +1(555)555-5000"/>
2708
- <representedOrganization>
2709
- <id root="2.16.840.1.113883.19.5"/>
2710
- <name>Community Health and Hospitals</name>
2711
- <telecom use="WP" value="tel: +1(555)555-5000"/>
2712
- <addr>
2713
- <streetAddressLine>1001 Village Avenue</streetAddressLine>
2714
- <city>Portland</city>
2715
- <state>OR</state>
2716
- <postalCode>99123</postalCode>
2717
- <country>US</country>
2718
- </addr>
2719
- </representedOrganization>
2720
- </assignedEntity>
2721
- </performer>
2722
- <participant typeCode="LOC">
2723
- <participantRole classCode="SDLOC">
2724
- <!-- ** Service delivery location ** -->
2725
- <templateId root="2.16.840.1.113883.10.20.22.4.32"/>
2726
- <code code="1118-9" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HL7 HealthcareServiceLocation" displayName="Gastroenterology Clinic"/>
2727
- <addr>
2728
- <streetAddressLine>1009 Health Drive</streetAddressLine>
2729
- <city>Portland</city>
2730
- <state>OR</state>
2731
- <postalCode>99123</postalCode>
2732
- <country>US</country>
2733
- </addr>
2734
- <telecom use="WP" value="tel: +1(555)555-5009"/>
2735
- <playingEntity classCode="PLC">
2736
- <name>Community Gastroenterology Clinic</name>
2737
- </playingEntity>
2738
- </participantRole>
2739
- </participant>
2740
- </observation>
2741
- </entry>
2742
- <entry>
2743
- <act classCode="ACT" moodCode="EVN">
2744
- <!-- Procedure activity act (V2) -->
2745
- <templateId root="2.16.840.1.113883.10.20.22.4.12" extension="2014-06-09"/>
2746
- <templateId root="2.16.840.1.113883.10.20.22.4.12"/>
2747
- <id root="1.2.3.4.5.6.7.8" extension="1234567"/>
2748
- <code code="274025005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Colonic polypectomy">
2749
- <originalText>
2750
- <reference value="#Proc1"/>
2751
- </originalText>
2752
- </code>
2753
- <statusCode code="completed"/>
2754
- <effectiveTime value="20110203"/>
2755
- <priorityCode code="CR" codeSystem="2.16.840.1.113883.5.7" codeSystemName="ActPriority" displayName="Callback results"/>
2756
- <performer>
2757
- <assignedEntity>
2758
- <id root="2.16.840.1.113883.19" extension="1234"/>
2759
- <addr>
2760
- <streetAddressLine>1001 Village Avenue</streetAddressLine>
2761
- <city>Portland</city>
2762
- <state>OR</state>
2763
- <postalCode>99123</postalCode>
2764
- <country>US</country>
2765
- </addr>
2766
- <telecom use="WP" value="tel: +1(555)555-5000"/>
2767
- <representedOrganization>
2768
- <id root="2.16.840.1.113883.19.5"/>
2769
- <name>Community Health and Hospitals</name>
2770
- <telecom use="WP" value="tel: +1(555)555-5000"/>
2771
- <addr>
2772
- <streetAddressLine>1001 Village Avenue</streetAddressLine>
2773
- <city>Portland</city>
2774
- <state>OR</state>
2775
- <postalCode>99123</postalCode>
2776
- <country>US</country>
2777
- </addr>
2778
- </representedOrganization>
2779
- </assignedEntity>
2780
- </performer>
2781
- <participant typeCode="LOC">
2782
- <participantRole classCode="SDLOC">
2783
- <!-- ** Service delivery location ** -->
2784
- <templateId root="2.16.840.1.113883.10.20.22.4.32"/>
2785
- <code code="1118-9" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HL7 HealthcareServiceLocation" displayName="Gastroenterology Clinic"/>
2786
- <addr>
2787
- <streetAddressLine>1009 Health Drive</streetAddressLine>
2788
- <city>Portland</city>
2789
- <state>OR</state>
2790
- <postalCode>99123</postalCode>
2791
- <country>US</country>
2792
- </addr>
2793
- <telecom use="WP" value="tel: +1(555)-555-5009"/>
2794
- <playingEntity classCode="PLC">
2795
- <name>Community Gastroenterology Clinic</name>
2796
- </playingEntity>
2797
- </participantRole>
2798
- </participant>
2799
- </act>
2800
- </entry>
2801
- </section>
2802
- </component>
2803
- <!-- ******************** RESULTS ************************ -->
2804
- <component>
2805
- <section>
2806
- <!-- Results Section (entries required) (V3) -->
2807
- <templateId root="2.16.840.1.113883.10.20.22.2.3.1" extension="2015-08-01"/>
2808
- <templateId root="2.16.840.1.113883.10.20.22.2.3.1"/>
2809
- <code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="RESULTS"/>
2810
- <title>RESULTS</title>
2811
- <text>
2812
- <table>
2813
- <thead>
2814
- <tr>
2815
- <th>Result Type</th>
2816
- <th>Result Value</th>
2817
- <th>Relevant Reference Range</th>
2818
- <th>Interpretation</th>
2819
- <th>Date</th>
2820
- </tr>
2821
- </thead>
2822
- <tbody>
2823
- <tr>
2824
- <td ID="result1">Hemoglobin</td>
2825
- <td ID="resultvalue1">13.2 g/dL</td>
2826
- <td ID="referencerange1">Normal range for women is 12.0 to 15.5 grams per deciliter</td>
2827
- <td>Normal</td>
2828
- <td>03/19/2008</td>
2829
- </tr>
2830
- <tr>
2831
- <td ID="result2">Leukocytes</td>
2832
- <td ID="resultvalue2">6.7 10*9/L</td>
2833
- <td ID="referencerange2">Normal white blood cell count range 3.5-10.5 billion cells/L</td>
2834
- <td>Normal</td>
2835
- <td>03/19/2008</td>
2836
- </tr>
2837
- <tr>
2838
- <td ID="result3">Platelets</td>
2839
- <td ID="resultvalue3">123 10*9/L</td>
2840
- <td ID="referencerange3">Normal white blood cell count range 3.5-10.5 billion cells/L</td>
2841
- <td>Low</td>
2842
- <td>03/19/2008</td>
2843
- </tr>
2844
- <tr>
2845
- <td ID="result4">Hematocrit</td>
2846
- <td ID="resultvalue4">35.3 %</td>
2847
- <td ID="referencerange4">Normal hematocrit range for female: 34.9-44.5 percent</td>
2848
- <td>Normal</td>
2849
- <td>03/19/2008</td>
2850
- </tr>
2851
- <tr>
2852
- <td ID="result5">Erythrocytes</td>
2853
- <td ID="resultvalue5">4.21 10*12/L</td>
2854
- <td ID="referencerange5">Normal red blood cell count range 3.90-5.03 trillion cells/L</td>
2855
- <td>Normal</td>
2856
- <td>03/19/2008</td>
2857
- </tr>
2858
- <tr>
2859
- <td ID="result6">Urea nitrogen, Serum</td>
2860
- <td>Pending</td>
2861
- <td>Pending</td>
2862
- <td>Pending</td>
2863
- <td>March 20, 2008</td>
2864
- </tr>
2865
- </tbody>
2866
- </table>
2867
- </text>
2868
- <entry typeCode="DRIV">
2869
- <organizer classCode="BATTERY" moodCode="EVN">
2870
- <!-- ** Result organizer (V3) ** -->
2871
- <templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/>
2872
- <templateId root="2.16.840.1.113883.10.20.22.4.1"/>
2873
- <id root="7d5a02b0-67a4-11db-bd13-0800200c9a66"/>
2874
- <code code="57021-8" displayName="CBC W Auto Differential panel in Blood" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
2875
- <statusCode code="completed"/>
2876
- <effectiveTime>
2877
- <low value="200803190830-0800"/>
2878
- <high value="200803190830-0800"/>
2879
- </effectiveTime>
2880
- <component>
2881
- <observation classCode="OBS" moodCode="EVN">
2882
- <!-- ** Result observation (V3) ** -->
2883
- <templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/>
2884
- <templateId root="2.16.840.1.113883.10.20.22.4.2"/>
2885
- <id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
2886
- <code code="718-7" displayName="Hemoglobin" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
2887
- <statusCode code="completed"/>
2888
- <effectiveTime value="200803190830-0800"/>
2889
- <value xsi:type="PQ" value="13.2" unit="g/dL"/>
2890
- <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
2891
- <author typeCode="AUT">
2892
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
2893
- <time value="200803190830-0800"/>
2894
- <assignedAuthor>
2895
- <id extension="333444444" root="2.16.840.1.113883.4.6"/>
2896
- <code code="246Q00000X" displayName="Technician, Pathology" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
2897
- </assignedAuthor>
2898
- </author>
2899
- <referenceRange>
2900
- <observationRange>
2901
- <value xsi:type="IVL_PQ">
2902
- <low value="12.0" unit="g/dL"/>
2903
- <high value="15.5" unit="g/dL"/>
2904
- </value>
2905
- </observationRange>
2906
- </referenceRange>
2907
- </observation>
2908
- </component>
2909
- <component>
2910
- <observation classCode="OBS" moodCode="EVN">
2911
- <!-- ** Result observation ** -->
2912
- <templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/>
2913
- <templateId root="2.16.840.1.113883.10.20.22.4.2"/>
2914
- <id root="a69b3d60-2ffd-4440-958b-72b3335ff35f"/>
2915
- <code code="6690-2" displayName="Leukocytes" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
2916
- <statusCode code="completed"/>
2917
- <effectiveTime value="200803190830-0800"/>
2918
- <value xsi:type="PQ" value="6.7" unit="10*9/L">
2919
- <translation>
2920
- <originalText>6.7 billion per liter</originalText>
2921
- </translation>
2922
- </value>
2923
- <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
2924
- <author typeCode="AUT">
2925
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
2926
- <time value="200803190830-0800"/>
2927
- <assignedAuthor>
2928
- <id extension="333444444" root="2.16.840.1.113883.4.6"/>
2929
- <code code="246Q00000X" displayName="Technician, Pathology" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
2930
- </assignedAuthor>
2931
- </author>
2932
- <referenceRange>
2933
- <observationRange>
2934
- <value xsi:type="IVL_PQ">
2935
- <low value="4.3" unit="10*9/L"/>
2936
- <high value="10.8" unit="10*9/L"/>
2937
- </value>
2938
- </observationRange>
2939
- </referenceRange>
2940
- </observation>
2941
- </component>
2942
- <component>
2943
- <observation classCode="OBS" moodCode="EVN">
2944
- <!-- ** Result observation ** -->
2945
- <templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/>
2946
- <templateId root="2.16.840.1.113883.10.20.22.4.2"/>
2947
- <id root="ef5c1c58-4665-4556-a8e8-6e720d82f572"/>
2948
- <code code="777-3" displayName="Platelets" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
2949
- <text>
2950
- <reference value="#result3"/>
2951
- </text>
2952
- <statusCode code="completed"/>
2953
- <effectiveTime value="200803190830-0800"/>
2954
- <value xsi:type="PQ" value="123" unit="10*9/L"/>
2955
- <interpretationCode code="LX" codeSystem="2.16.840.1.113883.5.83"/>
2956
- <author typeCode="AUT">
2957
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
2958
- <time value="200803190830-0800"/>
2959
- <assignedAuthor>
2960
- <id extension="333444444" root="2.16.840.1.113883.4.6"/>
2961
- <code code="246Q00000X" displayName="Technician, Pathology" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
2962
- </assignedAuthor>
2963
- </author>
2964
- <referenceRange>
2965
- <observationRange>
2966
- <value xsi:type="IVL_PQ">
2967
- <low value="150" unit="10*9/L"/>
2968
- <high value="350" unit="10*9/L"/>
2969
- </value>
2970
- </observationRange>
2971
- </referenceRange>
2972
- </observation>
2973
- </component>
2974
- <component>
2975
- <observation classCode="OBS" moodCode="EVN">
2976
- <!-- ** Result observation ** -->
2977
- <templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/>
2978
- <templateId root="2.16.840.1.113883.10.20.22.4.2"/>
2979
- <id root="7c0704bb-9c40-41b5-9c7d-26b2d59e234f"/>
2980
- <code code="4544-3" displayName="Hematocrit" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
2981
- <text>
2982
- <reference value="#result4"/>
2983
- </text>
2984
- <statusCode code="completed"/>
2985
- <effectiveTime value="200803190830-0800"/>
2986
- <value xsi:type="PQ" value="35.3" unit="%"/>
2987
- <interpretationCode code="LX" codeSystem="2.16.840.1.113883.5.83"/>
2988
- <author typeCode="AUT">
2989
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
2990
- <time value="200803190830-0800"/>
2991
- <assignedAuthor>
2992
- <id extension="333444444" root="2.16.840.1.113883.4.6"/>
2993
- <code code="246Q00000X" displayName="Technician, Pathology" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
2994
- </assignedAuthor>
2995
- </author>
2996
- <referenceRange>
2997
- <observationRange>
2998
- <value xsi:type="IVL_PQ">
2999
- <low value="34.9" unit="%"/>
3000
- <high value="44.5" unit="%"/>
3001
- </value>
3002
- </observationRange>
3003
- </referenceRange>
3004
- </observation>
3005
- </component>
3006
- <component>
3007
- <observation classCode="OBS" moodCode="EVN">
3008
- <!-- ** Result observation ** -->
3009
- <templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2014-06-09"/>
3010
- <templateId root="2.16.840.1.113883.10.20.22.4.2"/>
3011
- <id root="bccd6fc9-0c7f-455e-8616-923ed0d04d09"/>
3012
- <code code="789-8" displayName="Erythrocytes" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
3013
- <statusCode code="completed"/>
3014
- <effectiveTime value="200803190830-0800"/>
3015
- <value xsi:type="PQ" value="4.21" unit="10*12/L"/>
3016
- <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
3017
- <author typeCode="AUT">
3018
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
3019
- <time value="200803190830-0800"/>
3020
- <assignedAuthor>
3021
- <id extension="333444444" root="2.16.840.1.113883.4.6"/>
3022
- <code code="246Q00000X" displayName="Technician, Pathology" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
3023
- </assignedAuthor>
3024
- </author>
3025
- <referenceRange>
3026
- <observationRange>
3027
- <value xsi:type="IVL_PQ">
3028
- <low value="3.90" unit="10*12/L"/>
3029
- <high value="5.03" unit="10*12/L"/>
3030
- </value>
3031
- </observationRange>
3032
- </referenceRange>
3033
- </observation>
3034
- </component>
3035
- </organizer>
3036
- </entry>
3037
- <entry typeCode="DRIV">
3038
- <organizer classCode="BATTERY" moodCode="EVN">
3039
- <!-- ** Result organizer ** -->
3040
- <templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/>
3041
- <templateId root="2.16.840.1.113883.10.20.22.4.1"/>
3042
- <id root="122ed3ae-6d9e-43d0-bfa2-434ea34b1426"/>
3043
- <code code="166312007" displayName="Blood chemistry test" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
3044
- <statusCode code="active"/>
3045
- <effectiveTime>
3046
- <low value="200803200930-0800"/>
3047
- <high value="200803200930-0800"/>
3048
- </effectiveTime>
3049
- <component>
3050
- <observation classCode="OBS" moodCode="EVN">
3051
- <!-- ** Result observation ** -->
3052
- <templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/>
3053
- <templateId root="2.16.840.1.113883.10.20.22.4.2"/>
3054
- <id root="aed821af-3330-4138-97f0-e84dfe5f3c35"/>
3055
- <code code="3094-0" displayName="Urea nitrogen, Serum" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
3056
- <statusCode code="active"/>
3057
- <effectiveTime value="200803200930-0800"/>
3058
- <value xsi:type="PQ" nullFlavor="NI"/>
3059
- </observation>
3060
- </component>
3061
- </organizer>
3062
- </entry>
3063
- </section>
3064
- </component>
3065
- <!-- ******************* SOCIAL HISTORY ********************* -->
3066
- <component>
3067
- <section>
3068
- <!-- ** Social History Section (V3) ** -->
3069
- <templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/>
3070
- <templateId root="2.16.840.1.113883.10.20.22.2.17"/>
3071
- <code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Social History"/>
3072
- <title>SOCIAL HISTORY</title>
3073
- <text>
3074
- <table border="1" width="100%">
3075
- <thead>
3076
- <tr>
3077
- <th>Social History Observation</th>
3078
- <th>Description</th>
3079
- <th>Dates Observed</th>
3080
- </tr>
3081
- </thead>
3082
- <tbody>
3083
- <tr>
3084
- <td>Current Smoking Status</td>
3085
- <td>Former smoker</td>
3086
- <td>September 10, 2012</td>
3087
- </tr>
3088
- <tr>
3089
- <td>Tobacco Use</td>
3090
- <td>Moderate cigarette smoker, 10-19/day</td>
3091
- <td>February, 2009 - February, 2011</td>
3092
- </tr>
3093
- <tr>
3094
- <td>Alcoholic drinks per day</td>
3095
- <td>12</td>
3096
- <td>Since February, 2012</td>
3097
- </tr>
3098
- </tbody>
3099
- </table>
3100
- </text>
3101
- <entry typeCode="DRIV">
3102
- <observation classCode="OBS" moodCode="EVN">
3103
- <!-- ** Smoking Status - Meaningful Use (V2) ** -->
3104
- <templateId root="2.16.840.1.113883.10.20.22.4.78" extension="2014-06-09"/>
3105
- <templateId root="2.16.840.1.113883.10.20.22.4.78"/>
3106
- <id extension="123456789" root="2.16.840.1.113883.19"/>
3107
- <code code="72166-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Tobacco smoking status NHIS"/>
3108
- <statusCode code="completed"/>
3109
- <!-- The effectiveTime reflects when the current smoking status was observed. -->
3110
- <effectiveTime value="20120910"/>
3111
- <!-- The value represents the patient's smoking status currently observed. -->
3112
- <value xsi:type="CD" code="8517006" displayName="Former smoker" codeSystem="2.16.840.1.113883.6.96"/>
3113
- <author typeCode="AUT">
3114
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
3115
- <time value="201209101145-0800"/>
3116
- <assignedAuthor>
3117
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
3118
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
3119
- </assignedAuthor>
3120
- </author>
3121
- </observation>
3122
- </entry>
3123
- <entry typeCode="DRIV">
3124
- <observation classCode="OBS" moodCode="EVN">
3125
- <!-- ** Tobacco use (V2) ** -->
3126
- <templateId root="2.16.840.1.113883.10.20.22.4.85" extension="2014-06-09"/>
3127
- <templateId root="2.16.840.1.113883.10.20.22.4.85"/>
3128
- <id root="45efb604-7049-4a2e-ad33-d38556c9636c"/>
3129
- <code code="11367-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of tobacco use"/>
3130
- <statusCode code="completed"/>
3131
- <effectiveTime>
3132
- <!-- The low value reflects the start date of the observation/value (moderate smoker) -->
3133
- <low value="20090214"/>
3134
- <!-- The high value reflects the end date of the observation/value (moderate smoker) -->
3135
- <high value="20110215"/>
3136
- </effectiveTime>
3137
- <value xsi:type="CD" code="160604004" displayName="Moderate cigarette smoker, 10-19/day" codeSystem="2.16.840.1.113883.6.96"/>
3138
- <author typeCode="AUT">
3139
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
3140
- <time value="201209101145-0800"/>
3141
- <assignedAuthor>
3142
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
3143
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
3144
- </assignedAuthor>
3145
- </author>
3146
- </observation>
3147
- </entry>
3148
- <entry typeCode="DRIV">
3149
- <observation classCode="OBS" moodCode="EVN">
3150
- <!-- ** Social history observation (V3) ** -->
3151
- <templateId root="2.16.840.1.113883.10.20.22.4.38" extension="2015-08-01"/>
3152
- <templateId root="2.16.840.1.113883.10.20.22.4.38"/>
3153
- <id root="37f76c51-6411-4e1d-8a37-957fd49d2cef"/>
3154
- <code code="74013-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Alcoholic drinks per day"/>
3155
- <statusCode code="completed"/>
3156
- <effectiveTime>
3157
- <low value="20120215"/>
3158
- </effectiveTime>
3159
- <value xsi:type="PQ" value="12"/>
3160
- <author typeCode="AUT">
3161
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
3162
- <time value="201209101145-0800"/>
3163
- <assignedAuthor>
3164
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
3165
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
3166
- </assignedAuthor>
3167
- </author>
3168
- </observation>
3169
- </entry>
3170
- </section>
3171
- </component>
3172
- <!-- ************* VITAL SIGNS *************** -->
3173
- <component>
3174
- <section>
3175
- <!-- ** Vital Signs Section (entries required) (V3) ** -->
3176
- <templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01"/>
3177
- <templateId root="2.16.840.1.113883.10.20.22.2.4.1"/>
3178
- <code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="VITAL SIGNS"/>
3179
- <title>VITAL SIGNS</title>
3180
- <text>
3181
- <table border="1" width="100%">
3182
- <thead>
3183
- <tr>
3184
- <th align="right">Date / Time: </th>
3185
- <th>Sept 10, 2012</th>
3186
- <th>Sept 1, 2011</th>
3187
- </tr>
3188
- </thead>
3189
- <tbody>
3190
- <tr>
3191
- <th align="left">Height</th>
3192
- <td ID="vit1">177 cm</td>
3193
- <td ID="vit2">177 cm</td>
3194
- </tr>
3195
- <tr>
3196
- <th align="left">Weight</th>
3197
- <td ID="vit3">86 kg</td>
3198
- <td ID="vit4">88 kg</td>
3199
- </tr>
3200
- <tr>
3201
- <th align="left">Blood Pressure</th>
3202
- <td ID="vit5">132/88</td>
3203
- <td ID="vit6">128/80</td>
3204
- </tr>
3205
- </tbody>
3206
- </table>
3207
- </text>
3208
- <entry typeCode="DRIV">
3209
- <organizer classCode="CLUSTER" moodCode="EVN">
3210
- <!-- ** Vital signs organizer (V3) ** -->
3211
- <templateId root="2.16.840.1.113883.10.20.22.4.26" extension="2015-08-01"/>
3212
- <templateId root="2.16.840.1.113883.10.20.22.4.26"/>
3213
- <id root="31b73bd0-cffc-4599-902e-dbe54bc56cb4"/>
3214
- <code code="46680005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Vital signs">
3215
- <!-- A vitals organizer conformant to both C-CDA 1.1 and C-CDA 2.1 would contain the SNOMED code (46680005) from R1.1 in the root code and a LOINC code in the translation -->
3216
- <translation code="74728-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital signs"/>
3217
- </code>
3218
- <statusCode code="completed"/>
3219
- <effectiveTime>
3220
- <low value="20120910"/>
3221
- <high value="20120910"/>
3222
- </effectiveTime>
3223
- <component>
3224
- <observation classCode="OBS" moodCode="EVN">
3225
- <!-- ** Vital sign observation (V2) ** -->
3226
- <templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
3227
- <templateId root="2.16.840.1.113883.10.20.22.4.27"/>
3228
- <id root="ed9589fd-fda0-41f7-a3d0-dc537554f5c2"/>
3229
- <code code="8302-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Height"/>
3230
- <statusCode code="completed"/>
3231
- <effectiveTime value="20120910"/>
3232
- <value xsi:type="PQ" value="177" unit="cm"/>
3233
- <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
3234
- <author typeCode="AUT">
3235
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
3236
- <time value="201209101145-0800"/>
3237
- <assignedAuthor>
3238
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
3239
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
3240
- </assignedAuthor>
3241
- </author>
3242
- </observation>
3243
- </component>
3244
- <component>
3245
- <observation classCode="OBS" moodCode="EVN">
3246
- <!-- ** Vital sign observation ** -->
3247
- <templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
3248
- <templateId root="2.16.840.1.113883.10.20.22.4.27"/>
3249
- <id root="f4e729e2-a97f-4a7e-8e23-c92f9b6b55cf"/>
3250
- <code code="3141-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Patient Body Weight - Measured"/>
3251
- <statusCode code="completed"/>
3252
- <effectiveTime value="20120910"/>
3253
- <value xsi:type="PQ" value="86" unit="kg"/>
3254
- <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
3255
- <author typeCode="AUT">
3256
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
3257
- <time value="201209101145-0800"/>
3258
- <assignedAuthor>
3259
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
3260
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
3261
- </assignedAuthor>
3262
- </author>
3263
- </observation>
3264
- </component>
3265
- <component>
3266
- <observation classCode="OBS" moodCode="EVN">
3267
- <!-- ** Vital sign observation ** -->
3268
- <templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
3269
- <templateId root="2.16.840.1.113883.10.20.22.4.27"/>
3270
- <id root="a0e39c70-9674-4b2a-9837-cdf74200d8d5"/>
3271
- <code code="8480-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Intravascular Systolic"/>
3272
- <statusCode code="completed"/>
3273
- <effectiveTime value="20120910"/>
3274
- <value xsi:type="PQ" value="132" unit="mm[Hg]"/>
3275
- <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
3276
- <author typeCode="AUT">
3277
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
3278
- <time value="201209101145-0800"/>
3279
- <assignedAuthor>
3280
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
3281
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
3282
- </assignedAuthor>
3283
- </author>
3284
- </observation>
3285
- </component>
3286
- <component>
3287
- <observation classCode="OBS" moodCode="EVN">
3288
- <!-- ** Vital sign observation ** -->
3289
- <templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
3290
- <templateId root="2.16.840.1.113883.10.20.22.4.27"/>
3291
- <id root="1c2748b7-e440-41ba-bc01-dde97d84a036"/>
3292
- <code code="8462-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BP Diastolic"/>
3293
- <statusCode code="completed"/>
3294
- <effectiveTime value="20120910"/>
3295
- <value xsi:type="PQ" value="88" unit="mm[Hg]"/>
3296
- <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
3297
- <author typeCode="AUT">
3298
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
3299
- <time value="201109010915-0800"/>
3300
- <assignedAuthor>
3301
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
3302
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
3303
- </assignedAuthor>
3304
- </author>
3305
- </observation>
3306
- </component>
3307
- </organizer>
3308
- </entry>
3309
- <entry typeCode="DRIV">
3310
- <organizer classCode="CLUSTER" moodCode="EVN">
3311
- <!-- ** Vital signs organizer ** -->
3312
- <templateId root="2.16.840.1.113883.10.20.22.4.26" extension="2015-08-01"/>
3313
- <templateId root="2.16.840.1.113883.10.20.22.4.26"/>
3314
- <id root="24f6ad18-c512-40fc-82bd-1e131aa9e52b"/>
3315
- <code code="46680005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Vital signs">
3316
- <!-- A vitals organizer conformant to both C-CDA 1.1 and C-CDA 2.1 would contain the SNOMED code (46680005) from R1.1 in the root code and a LOINC code in the translation -->
3317
- <translation code="74728-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital signs"/>
3318
- </code>
3319
- <statusCode code="completed"/>
3320
- <effectiveTime>
3321
- <low value="20110901"/>
3322
- <high value="20110901"/>
3323
- </effectiveTime>
3324
- <component>
3325
- <observation classCode="OBS" moodCode="EVN">
3326
- <!-- ** Vital sign observation ** -->
3327
- <templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
3328
- <templateId root="2.16.840.1.113883.10.20.22.4.27"/>
3329
- <id root="05c047cd-28c3-41cd-be6c-56f8cc0c3f2f"/>
3330
- <code code="8302-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Height"/>
3331
- <statusCode code="completed"/>
3332
- <effectiveTime value="20110901"/>
3333
- <value xsi:type="PQ" value="177" unit="cm"/>
3334
- <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
3335
- <author typeCode="AUT">
3336
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
3337
- <time value="201109010915-0800"/>
3338
- <assignedAuthor>
3339
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
3340
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
3341
- </assignedAuthor>
3342
- </author>
3343
- </observation>
3344
- </component>
3345
- <component>
3346
- <observation classCode="OBS" moodCode="EVN">
3347
- <!-- ** Vital sign observation ** -->
3348
- <templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
3349
- <templateId root="2.16.840.1.113883.10.20.22.4.27"/>
3350
- <id root="21b0f3d5-7d07-4f4f-ad7e-c33dc2ca3835"/>
3351
- <code code="3141-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Patient Body Weight - Measured"/>
3352
- <statusCode code="completed"/>
3353
- <effectiveTime value="20110901"/>
3354
- <value xsi:type="PQ" value="88" unit="kg"/>
3355
- <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
3356
- <author typeCode="AUT">
3357
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
3358
- <time value="201109010915-0800"/>
3359
- <assignedAuthor>
3360
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
3361
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
3362
- </assignedAuthor>
3363
- </author>
3364
- </observation>
3365
- </component>
3366
- <component>
3367
- <observation classCode="OBS" moodCode="EVN">
3368
- <!-- ** Vital sign observation ** -->
3369
- <templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
3370
- <templateId root="2.16.840.1.113883.10.20.22.4.27"/>
3371
- <id root="b046c35a-59c7-4215-ae09-9a8409a30b21"/>
3372
- <code code="8480-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BP Systolic"/>
3373
- <statusCode code="completed"/>
3374
- <effectiveTime value="20110901"/>
3375
- <value xsi:type="PQ" value="128" unit="mm[Hg]"/>
3376
- <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
3377
- <author typeCode="AUT">
3378
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
3379
- <time value="201109010915-0800"/>
3380
- <assignedAuthor>
3381
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
3382
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
3383
- </assignedAuthor>
3384
- </author>
3385
- </observation>
3386
- </component>
3387
- <component>
3388
- <observation classCode="OBS" moodCode="EVN">
3389
- <!-- ** Vital sign observation ** -->
3390
- <templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
3391
- <templateId root="2.16.840.1.113883.10.20.22.4.27"/>
3392
- <id root="44f54e66-fb4b-4ee5-9ced-9574ef307a23"/>
3393
- <code code="8462-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BP Diastolic"/>
3394
- <statusCode code="completed"/>
3395
- <effectiveTime value="20110901"/>
3396
- <value xsi:type="PQ" value="80" unit="mm[Hg]"/>
3397
- <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
3398
- <author typeCode="AUT">
3399
- <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
3400
- <time value="201109010915-0800"/>
3401
- <assignedAuthor>
3402
- <id extension="555555555" root="2.16.840.1.113883.4.6"/>
3403
- <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
3404
- </assignedAuthor>
3405
- </author>
3406
- </observation>
3407
- </component>
3408
- </organizer>
3409
- </entry>
3410
- </section>
3411
- </component>
3412
- </structuredBody>
3413
- </component>
3414
- </ClinicalDocument>