plan_executor 1.0.2

This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
Files changed (337) hide show
  1. checksums.yaml +7 -0
  2. data/.gitignore +44 -0
  3. data/.simplecov +16 -0
  4. data/.travis.yml +13 -0
  5. data/Gemfile +26 -0
  6. data/Gemfile.lock +197 -0
  7. data/LICENSE +201 -0
  8. data/README.md +126 -0
  9. data/Rakefile +25 -0
  10. data/fixtures/daf/conformance-daf-query-responder.xml +1471 -0
  11. data/fixtures/diagnostic_order/do-100.xml +64 -0
  12. data/fixtures/diagnostic_order/do-200.xml +121 -0
  13. data/fixtures/diagnostic_order/do-300.xml +91 -0
  14. data/fixtures/diagnostic_order/do-400.xml +88 -0
  15. data/fixtures/diagnostic_report/dr-100.xml +96 -0
  16. data/fixtures/diagnostic_report/dr-200.xml +125 -0
  17. data/fixtures/diagnostic_report/dr-300.xml +132 -0
  18. data/fixtures/diagnostic_report/dr-400.xml +121 -0
  19. data/fixtures/financial/claim-example-average.xml +168 -0
  20. data/fixtures/financial/claim-example-simple.xml +67 -0
  21. data/fixtures/observation/obs-100.xml +58 -0
  22. data/fixtures/observation/obs-101.xml +58 -0
  23. data/fixtures/observation/obs-200.xml +125 -0
  24. data/fixtures/observation/obs-300.xml +106 -0
  25. data/fixtures/observation/obs-301.xml +106 -0
  26. data/fixtures/observation/obs-302.xml +106 -0
  27. data/fixtures/observation/obs-303.xml +106 -0
  28. data/fixtures/observation/obs-304.xml +106 -0
  29. data/fixtures/observation/obs-400.xml +87 -0
  30. data/fixtures/observation/obs-401.xml +95 -0
  31. data/fixtures/observation/obs-402.xml +95 -0
  32. data/fixtures/observation/obs-403.xml +84 -0
  33. data/fixtures/observation/obs-404.xml +84 -0
  34. data/fixtures/observation/obs-405.xml +83 -0
  35. data/fixtures/observation/obs-406.xml +83 -0
  36. data/fixtures/observation/obs-407.xml +70 -0
  37. data/fixtures/observation/obs-408.xml +84 -0
  38. data/fixtures/observation/obs-uslab-example5.xml +102 -0
  39. data/fixtures/order/order-100.xml +61 -0
  40. data/fixtures/order/order-200.xml +61 -0
  41. data/fixtures/order/order-300.xml +61 -0
  42. data/fixtures/order/order-400.xml +61 -0
  43. data/fixtures/order_response/ordresp-100.xml +79 -0
  44. data/fixtures/order_response/ordresp-110.xml +79 -0
  45. data/fixtures/order_response/ordresp-200.xml +79 -0
  46. data/fixtures/order_response/ordresp-210.xml +79 -0
  47. data/fixtures/order_response/ordresp-300.xml +79 -0
  48. data/fixtures/order_response/ordresp-310.xml +79 -0
  49. data/fixtures/order_response/ordresp-400.xml +79 -0
  50. data/fixtures/order_response/ordresp-410.xml +79 -0
  51. data/fixtures/organization/org-uslab-example3.xml +49 -0
  52. data/fixtures/patient/patient-example-updated.xml +140 -0
  53. data/fixtures/patient/patient-example-us-extensions(us01).xml +81 -0
  54. data/fixtures/patient/patient-example.xml +132 -0
  55. data/fixtures/patient/patient-format-example.xml +101 -0
  56. data/fixtures/patient/patient-minimal.xml +9 -0
  57. data/fixtures/patient/patient-uslab-example1.xml +44 -0
  58. data/fixtures/practitioner/pract-uslab-example1.xml +18 -0
  59. data/fixtures/practitioner/pract-uslab-example3.xml +36 -0
  60. data/fixtures/record/condition-example-f201-fever.xml +63 -0
  61. data/fixtures/record/condition-example-f205-infection.xml +20 -0
  62. data/fixtures/record/diagnosticreport-example-f201-brainct.xml +18 -0
  63. data/fixtures/record/encounter-example-f201-20130404.xml +17 -0
  64. data/fixtures/record/encounter-example-f202-20130128.xml +17 -0
  65. data/fixtures/record/observation-example-f202-temperature.xml +60 -0
  66. data/fixtures/record/organization-example-f201-aumc.xml +5 -0
  67. data/fixtures/record/organization-example-f203-bumc.xml +5 -0
  68. data/fixtures/record/patient-example-f201-roel.xml +16 -0
  69. data/fixtures/record/practitioner-example-f201-ab.xml +14 -0
  70. data/fixtures/record/procedure-example-f201-tpf.xml +23 -0
  71. data/fixtures/scheduling/appointment-simple.xml +24 -0
  72. data/fixtures/scheduling/appointmentresponse-patient-simple.xml +12 -0
  73. data/fixtures/scheduling/appointmentresponse-practitioner-simple.xml +12 -0
  74. data/fixtures/scheduling/practitioner-simple.xml +10 -0
  75. data/fixtures/scheduling/schedule-simple.xml +12 -0
  76. data/fixtures/scheduling/slot-simple.xml +10 -0
  77. data/fixtures/specimen/spec-100.xml +65 -0
  78. data/fixtures/specimen/spec-400.xml +70 -0
  79. data/fixtures/specimen/spec-uslab-example1.xml +82 -0
  80. data/fixtures/validation/observation.profile.xml +2045 -0
  81. data/fixtures/validation/observations/observation-example(example).xml +50 -0
  82. data/lib/FHIR_structure.json +529 -0
  83. data/lib/daf_resource_generator.rb +94 -0
  84. data/lib/data/fhir_structure.rb +8 -0
  85. data/lib/data/resources.rb +138 -0
  86. data/lib/executor.rb +56 -0
  87. data/lib/ext/client.rb +27 -0
  88. data/lib/ext/client_reply.rb +19 -0
  89. data/lib/plan_executor.rb +31 -0
  90. data/lib/resource_generator.rb +656 -0
  91. data/lib/tasks/tasks.rake +329 -0
  92. data/lib/tasks/templates/summary.html.erb +163 -0
  93. data/lib/test_result.rb +69 -0
  94. data/lib/tests/assertions.rb +261 -0
  95. data/lib/tests/base_test.rb +117 -0
  96. data/lib/tests/suites/argonaut_resprint_1_test.rb +260 -0
  97. data/lib/tests/suites/argonaut_resprint_2_test.rb +369 -0
  98. data/lib/tests/suites/argonaut_resprint_3_test.rb +309 -0
  99. data/lib/tests/suites/argonaut_sprint_1_test.rb +187 -0
  100. data/lib/tests/suites/argonaut_sprint_2_test.rb +115 -0
  101. data/lib/tests/suites/argonaut_sprint_3_test.rb +208 -0
  102. data/lib/tests/suites/argonaut_sprint_4_test.rb +335 -0
  103. data/lib/tests/suites/argonaut_sprint_5_test.rb +196 -0
  104. data/lib/tests/suites/argonaut_sprint_6_test.rb +243 -0
  105. data/lib/tests/suites/argonaut_sprint_7_test.rb +161 -0
  106. data/lib/tests/suites/base_suite.rb +116 -0
  107. data/lib/tests/suites/connectathon_audit_track.rb +354 -0
  108. data/lib/tests/suites/connectathon_fetch_patient_record.rb +443 -0
  109. data/lib/tests/suites/connectathon_financial_track.rb +380 -0
  110. data/lib/tests/suites/connectathon_lab_order_track.rb +239 -0
  111. data/lib/tests/suites/connectathon_patient_track.rb +364 -0
  112. data/lib/tests/suites/connectathon_profile_validation.rb +101 -0
  113. data/lib/tests/suites/connectathon_scheduling_track.rb +266 -0
  114. data/lib/tests/suites/connectathon_terminology_track.rb +242 -0
  115. data/lib/tests/suites/daf_profiles_test.rb +431 -0
  116. data/lib/tests/suites/format_test.rb +453 -0
  117. data/lib/tests/suites/history_test.rb +311 -0
  118. data/lib/tests/suites/read_test.rb +104 -0
  119. data/lib/tests/suites/resource_test.rb +553 -0
  120. data/lib/tests/suites/search_test.rb +219 -0
  121. data/lib/tests/suites/search_test_robust.rb +172 -0
  122. data/lib/tests/suites/sprinkler_search_test.rb +660 -0
  123. data/lib/tests/suites/suite_engine.rb +114 -0
  124. data/lib/tests/suites/transaction_test.rb +571 -0
  125. data/lib/tests/testscripts/base_testscript.rb +480 -0
  126. data/lib/tests/testscripts/testscript_engine.rb +81 -0
  127. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/Client Assigned Id/track1-patient-base-client-id-json.xml +348 -0
  128. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/Client Assigned Id/track1-patient-base-client-id-xml.xml +348 -0
  129. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/Client Assigned Id/track1-patient-bonus-client-id-json.xml +420 -0
  130. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/Client Assigned Id/track1-patient-bonus-client-id-xml.xml +420 -0
  131. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/README.html +68 -0
  132. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/Server Assigned Id/track1-patient-base-server-id-json.xml +352 -0
  133. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/Server Assigned Id/track1-patient-base-server-id-xml.xml +352 -0
  134. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/Server Assigned Id/track1-patient-bonus-server-id-json.xml +421 -0
  135. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/Server Assigned Id/track1-patient-bonus-server-id-xml.xml +421 -0
  136. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/conformance/PatientConformance.xml +34 -0
  137. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-create-PeterChalmers-min.json +45 -0
  138. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-create-PeterChalmers-min.xml +26 -0
  139. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-create-PeterChalmers.json +100 -0
  140. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-create-PeterChalmers.xml +102 -0
  141. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-create-bonus-PeterChalmers-min.json +53 -0
  142. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-create-bonus-PeterChalmers-min.xml +30 -0
  143. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-create-bonus-PeterChalmers.json +108 -0
  144. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-create-bonus-PeterChalmers.xml +108 -0
  145. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-update-PeterChalmers-min.json +45 -0
  146. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-update-PeterChalmers-min.xml +26 -0
  147. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-update-PeterChalmers.json +100 -0
  148. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-update-PeterChalmers.xml +102 -0
  149. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-update-bonus1-PeterChalmers-min.json +53 -0
  150. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-update-bonus1-PeterChalmers-min.xml +30 -0
  151. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-update-bonus1-PeterChalmers.json +108 -0
  152. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-update-bonus1-PeterChalmers.xml +107 -0
  153. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-update-bonus2-PeterChalmers-min.json +53 -0
  154. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-update-bonus2-PeterChalmers-min.xml +31 -0
  155. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-update-bonus2-PeterChalmers.json +108 -0
  156. data/lib/tests/testscripts/xml/Connectathon11/Track1-Patient/_reference/resources/patient-update-bonus2-PeterChalmers.xml +106 -0
  157. data/lib/tests/testscripts/xml/Connectathon11/Track11-SDC/_reference/C-CDA_R2-1_CCD-ussg.xml +3414 -0
  158. data/lib/tests/testscripts/xml/Connectathon11/Track11-SDC/_reference/resources/parameters-A1-empty-on-instance.xml +9 -0
  159. data/lib/tests/testscripts/xml/Connectathon11/Track11-SDC/_reference/resources/parameters-A2-empty-by-ref.xml +15 -0
  160. data/lib/tests/testscripts/xml/Connectathon11/Track11-SDC/_reference/resources/parameters-A3-empty-by-identifier.xml +13 -0
  161. data/lib/tests/testscripts/xml/Connectathon11/Track11-SDC/_reference/resources/parameters-A4-empty-by-contained.xml +15 -0
  162. data/lib/tests/testscripts/xml/Connectathon11/Track11-SDC/_reference/resources/parameters-B1-CCDA-on-instance.xml +15 -0
  163. data/lib/tests/testscripts/xml/Connectathon11/Track11-SDC/_reference/resources/parameters-B2-CCDA-by-ref.xml +21 -0
  164. data/lib/tests/testscripts/xml/Connectathon11/Track11-SDC/_reference/resources/parameters-B3-CCDA-by-identifier.xml +19 -0
  165. data/lib/tests/testscripts/xml/Connectathon11/Track11-SDC/_reference/resources/parameters-B4-CCDA-by-contained.xml +21 -0
  166. data/lib/tests/testscripts/xml/Connectathon11/Track11-SDC/_reference/resources/questionnaire-sdc-profile-example-ussg-fht.xml +3905 -0
  167. data/lib/tests/testscripts/xml/Connectathon11/Track11-SDC/_reference/resources/questionnaireresponse-expected-ussg-fht-CCDA.xml +190 -0
  168. data/lib/tests/testscripts/xml/Connectathon11/Track11-SDC/_reference/resources/questionnaireresponse-expected-ussg-fht-empty.xml +177 -0
  169. data/lib/tests/testscripts/xml/Connectathon11/Track11-SDC/track11-sdc-prepop-xml.xml +142 -0
  170. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/Expand/Client Assigned Id/track2-ts-suite1-expand-client-id.xml +925 -0
  171. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/Expand/Client Assigned Id/track2-ts-suite2-expand-filter-client-id.xml +930 -0
  172. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/Expand/Server Assigned Id/track2-ts-suite1-expand-server-id.xml +953 -0
  173. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/Expand/Server Assigned Id/track2-ts-suite2-expand-filter-server-id.xml +958 -0
  174. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/Lookup/track2-ts-suite5-loinc-lookup-xml.xml +224 -0
  175. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/Lookup/track2-ts-suite5-snomed-lookup-xml.xml +224 -0
  176. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/README.html +85 -0
  177. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/Translate/track2-ts-suite6-translate-xml.xml +224 -0
  178. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/Validate-code/Client Assigned Id/track2-ts-suite3-validate-code-client-id.xml +1807 -0
  179. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/Validate-code/Client Assigned Id/track2-ts-suite4-validate-code-client-id.xml +714 -0
  180. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/Validate-code/Server Assigned Id/track2-ts-suite3-validate-code-server-id.xml +1835 -0
  181. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/Validate-code/Server Assigned Id/track2-ts-suite4-validate-code-server-id.xml +742 -0
  182. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/conformance/ConceptMapSuite6Conformance.xml +11 -0
  183. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/conformance/ValueSetSuite1Conformance.xml +17 -0
  184. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/conformance/ValueSetSuite2Conformance.xml +17 -0
  185. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/conformance/ValueSetSuite3Conformance.xml +14 -0
  186. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/conformance/ValueSetSuite4Conformance.xml +14 -0
  187. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/conformance/ValueSetSuite5Conformance.xml +11 -0
  188. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/input/extensional-case-1-input-4-2-a.xml +11 -0
  189. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/input/extensional-case-1-input-4-2-b.xml +11 -0
  190. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/input/extensional-case-1-input-4-3-a.xml +13 -0
  191. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/input/extensional-case-1-input-4-3-b.xml +13 -0
  192. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/input/extensional-case-1-input-4-4-a.xml +15 -0
  193. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/input/extensional-case-1-input-4-4-b.xml +15 -0
  194. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/input/lookup-loinc-input-5-2.xml +10 -0
  195. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/input/lookup-loinc-input-5-3.xml +11 -0
  196. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/input/lookup-snomed-input-5-2.xml +10 -0
  197. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/input/lookup-snomed-input-5-3.xml +11 -0
  198. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/input/translate-conceptmap-input-6-2.xml +14 -0
  199. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/input/translate-conceptmap-input-6-3.xml +15 -0
  200. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/extensional-case-1-expand-min.xml +47 -0
  201. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/extensional-case-1-filter-min.xml +23 -0
  202. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/extensional-case-2-expand-min.xml +132 -0
  203. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/extensional-case-2-filter-min.xml +38 -0
  204. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/extensional-case-3-expand-min.xml +252 -0
  205. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/extensional-case-3-filter-min.xml +58 -0
  206. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/extensional-case-4-expand-min.xml +57 -0
  207. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/extensional-case-4-filter-min.xml +28 -0
  208. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/intensional-case-1-expand-min.xml +347 -0
  209. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/intensional-case-1-filter-min.xml +33 -0
  210. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/intensional-case-2-expand-min.xml +637 -0
  211. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/intensional-case-2-filter-min.xml +33 -0
  212. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/intensional-case-3-filter-min.xml +58 -0
  213. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/lookup-loinc-min.xml +11 -0
  214. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/lookup-snomed-min.xml +11 -0
  215. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/suite3-invalid-min.xml +10 -0
  216. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/suite3-valid-min.xml +7 -0
  217. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/suite4-invalid-min.xml +10 -0
  218. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/suite4-valid-min.xml +7 -0
  219. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/output/translate-conceptmap-min.xml +17 -0
  220. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/resources/extensional-case-1.xml +55 -0
  221. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/resources/extensional-case-2.xml +122 -0
  222. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/resources/extensional-case-3.xml +222 -0
  223. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/resources/extensional-case-4.xml +65 -0
  224. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/resources/intensional-case-1.xml +31 -0
  225. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/resources/intensional-case-2.xml +31 -0
  226. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/resources/intensional-case-3.xml +31 -0
  227. data/lib/tests/testscripts/xml/Connectathon11/Track2-Terminology/_reference/resources/translate-conceptmap-case-1.xml +145 -0
  228. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/conformance/DecisionSupportServiceModule-Evaluate.xml +17 -0
  229. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/resources/ecrs-fhir-cdc-immunizations-incomplete-request-payload.xml +26 -0
  230. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/resources/ecrs-fhir-cdc-immunizations-incomplete-response-min-payload.xml +7 -0
  231. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/resources/ecrs-fhir-cdc-immunizations-incomplete-response-payload.xml +332 -0
  232. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/resources/ecrs-fhir-cdc-immunizations-malformed-request-payload.xml +28 -0
  233. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/resources/ecrs-fhir-cdc-immunizations-malformed-response-min-payload.xml +7 -0
  234. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/resources/ecrs-fhir-cdc-immunizations-malformed-response-payload.xml +20 -0
  235. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/resources/ecrs-fhir-cdc-immunizations-request-payload.xml +28 -0
  236. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/resources/ecrs-fhir-cdc-immunizations-response-min-payload.xml +7 -0
  237. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/resources/ecrs-fhir-cdc-immunizations-response-payload.xml +332 -0
  238. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/resources/ecrs-fhir-cdc-immunizations-unauthorized-request-payload.xml +28 -0
  239. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/resources/ecrs-fhir-cdc-immunizations-unauthorized-response-min-payload.xml +7 -0
  240. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/resources/ecrs-fhir-cdc-immunizations-unauthorized-response-payload.xml +8 -0
  241. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/resources/gao-assessment-request-payload.xml +176 -0
  242. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/resources/gao-assessment-response-payload-min.xml +32 -0
  243. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/_reference/resources/gao-assessment-response-payload.xml +80 -0
  244. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/track3-cds-evaluate-cdc-immunization.xml +290 -0
  245. data/lib/tests/testscripts/xml/Connectathon11/Track3-CDS-on-FHIR/track3-cds-evaluate-gao-profile.xml +110 -0
  246. data/lib/tests/testscripts/xml/Connectathon11/Track6-FHIR-Genomics/Client_Assigned_Id/TestScript_FHIR-Genomics.xml +170 -0
  247. data/lib/tests/testscripts/xml/Connectathon11/Track6-FHIR-Genomics/_reference/resources/sequence-example-1.xml +31 -0
  248. data/lib/tests/testscripts/xml/Connectathon11/Track6-FHIR-Genomics/_reference/resources/sequence-example-2.xml +31 -0
  249. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/Actors.png +0 -0
  250. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/Client_Assigned_Id/track7-laborder100-xml.xml +590 -0
  251. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/Client_Assigned_Id/track7-laborder200-xml.xml +587 -0
  252. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/Client_Assigned_Id/track7-laborder300-xml.xml +612 -0
  253. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/Client_Assigned_Id/track7-laborder400-xml.xml +635 -0
  254. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/Peer-to-Peer/track7-laborder100-peer2peer-xml.xml +752 -0
  255. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/Thumbs.db +0 -0
  256. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/conformance/LabOrderLabReport-CreateDeleteReadUpdate.xml +187 -0
  257. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/conformance/html.xslt +45 -0
  258. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/DiagnosticOrder/do-100-update.xml +64 -0
  259. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/DiagnosticOrder/do-100.xml +64 -0
  260. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/DiagnosticOrder/do-200-update.xml +121 -0
  261. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/DiagnosticOrder/do-200.xml +121 -0
  262. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/DiagnosticOrder/do-300-update.xml +91 -0
  263. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/DiagnosticOrder/do-300.xml +91 -0
  264. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/DiagnosticOrder/do-400-update.xml +88 -0
  265. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/DiagnosticOrder/do-400.xml +88 -0
  266. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/DiagnosticReport/dr-100.xml +96 -0
  267. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/DiagnosticReport/dr-200.xml +125 -0
  268. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/DiagnosticReport/dr-300.xml +132 -0
  269. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/DiagnosticReport/dr-400.xml +121 -0
  270. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-100.xml +58 -0
  271. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-101.xml +58 -0
  272. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-200.xml +125 -0
  273. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-300.xml +106 -0
  274. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-301.xml +106 -0
  275. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-302.xml +106 -0
  276. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-303.xml +106 -0
  277. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-304.xml +106 -0
  278. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-400.xml +87 -0
  279. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-401.xml +95 -0
  280. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-402.xml +95 -0
  281. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-403.xml +84 -0
  282. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-404.xml +84 -0
  283. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-405.xml +83 -0
  284. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-406.xml +83 -0
  285. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-407.xml +70 -0
  286. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-408.xml +84 -0
  287. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Observation/obs-uslab-example5.xml +102 -0
  288. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Order/order-100.xml +61 -0
  289. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Order/order-200.xml +61 -0
  290. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Order/order-300.xml +61 -0
  291. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Order/order-400.xml +61 -0
  292. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/OrderResponse/ordresp-100.xml +79 -0
  293. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/OrderResponse/ordresp-110.xml +79 -0
  294. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/OrderResponse/ordresp-200.xml +79 -0
  295. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/OrderResponse/ordresp-210.xml +79 -0
  296. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/OrderResponse/ordresp-300.xml +79 -0
  297. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/OrderResponse/ordresp-310.xml +79 -0
  298. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/OrderResponse/ordresp-400.xml +79 -0
  299. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/OrderResponse/ordresp-410.xml +79 -0
  300. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Organization/org-uslab-example3.xml +49 -0
  301. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Patient/patient-uslab-example1.xml +44 -0
  302. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Practitioner/pract-uslab-example1.xml +18 -0
  303. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Practitioner/pract-uslab-example3.xml +36 -0
  304. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Specimen/Thumbs.db +0 -0
  305. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Specimen/spec-100.xml +65 -0
  306. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Specimen/spec-400.xml +70 -0
  307. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Specimen/spec-uslab-example1.xml +82 -0
  308. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Testscript 1 Document.txt +122 -0
  309. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Testscript 2 Document.txt +103 -0
  310. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Testscript 3 Document.txt +201 -0
  311. data/lib/tests/testscripts/xml/Connectathon11/Track7-LabOrderLabReport/_reference/resources/Testscript 4 Document.txt +310 -0
  312. data/lib/tests/testscripts/xml/Connectathon11/Track9-Patch/_reference/conformance/MedicationStatementCreate.xml +11 -0
  313. data/lib/tests/testscripts/xml/Connectathon11/Track9-Patch/_reference/conformance/PatientSearchType.xml +15 -0
  314. data/lib/tests/testscripts/xml/Connectathon11/Track9-Patch/_reference/resources/medicationstatement-create.json +39 -0
  315. data/lib/tests/testscripts/xml/Connectathon11/Track9-Patch/_reference/resources/medicationstatement-patch.json +3 -0
  316. data/lib/tests/testscripts/xml/Connectathon11/Track9-Patch/track9-patch-medicationstatement-json-if-match.xml +321 -0
  317. data/lib/tests/testscripts/xml/Connectathon11/Track9-Patch/track9-patch-medicationstatement-json.xml +303 -0
  318. data/lib/tests/testscripts/xml/Connectathon11/Track9-Patch/track9-patch-peer2peer-patient-json.xml +235 -0
  319. data/plan_executor.gemspec +14 -0
  320. data/test/fixtures/diagnostic_bundle.xml +51 -0
  321. data/test/fixtures/lab_results_bundle.xml +49 -0
  322. data/test/fixtures/observation_bundle.json +61 -0
  323. data/test/fixtures/testscript-example.xml +202 -0
  324. data/test/fixtures/testscript-history.xml +143 -0
  325. data/test/fixtures/testscript-readtest.xml +272 -0
  326. data/test/fixtures/testscript-search.xml +282 -0
  327. data/test/fixtures/testscript-update.xml +147 -0
  328. data/test/fixtures/vital_signs_bundle.xml +117 -0
  329. data/test/test_helper.rb +8 -0
  330. data/test/unit/argonaut_sprint6_test.rb +31 -0
  331. data/test/unit/argonaut_sprint7_test.rb +21 -0
  332. data/test/unit/basic_test.rb +27 -0
  333. data/test/unit/fetch_patient_record_test.rb +357 -0
  334. data/test/unit/financial_test.rb +41 -0
  335. data/test/unit/fixtures_test.rb +45 -0
  336. data/test/unit/metadata_test.rb +33 -0
  337. metadata +394 -0
data/lib/tests/testscripts/xml/Connectathon11/Track11-SDC/_reference/C-CDA_R2-1_CCD-ussg.xml ADDED
@@ -0,0 +1,3414 @@
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>
446
+ <telecom use="WP" value="tel:+1(555)555-1004"/>
447
+ <assignedPerson>
448
+ <name>
449
+ <given>Patricia</given>
450
+ <given qualifier="CL">Patty</given>
451
+ <family>Primary</family>
452
+ <suffix qualifier="AC">M.D.</suffix>
453
+ </name>
454
+ </assignedPerson>
455
+ <representedOrganization>
456
+ <id extension="219BX" root="1.2.16.840.1.113883.4.6"/>
457
+ <name>The DoctorsTogether Physician Group</name>
458
+ <telecom use="WP" value="tel: +1(555)555-5000"/>
459
+ <addr>
460
+ <streetAddressLine>1004 Health Drive</streetAddressLine>
461
+ <city>Portland</city>
462
+ <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"/>
479
+ <templateId root="2.16.840.1.113883.10.20.22.2.21"/>
480
+ <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"/>
510
+ <code code="45473-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="advance directive - living will"/>
511
+ <statusCode code="completed"/>
512
+ <author>
513
+ <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
514
+ <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"/>
537
+ <code code="304251008" displayName="Resuscitation" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96">
538
+ <translation code="75320-2" displayName="Advance directive" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
539
+ </code>
540
+ <statusCode code="completed"/>
541
+ <effectiveTime>
542
+ <low value="20110219"/>
543
+ <high nullFlavor="NA"/>
544
+ </effectiveTime>
545
+ <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"/>
570
+ <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>
598
+ </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>