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2 | <Documents xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="document.xsd">
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3 | <Document>
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4 | <!-- <documentId>1</documentId> -->
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5 | <documentUniqueId>111111111</documentUniqueId>
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6 | <documentTitle>BHIE Document 1</documentTitle>
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7 | <authorPerson>Bob Dillan</authorPerson>
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8 | <authorInstitution>Dillan Institute</authorInstitution>
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9 | <authorRole>Reveiwer</authorRole>
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10 | <authorSpecialty>authorSpecialty_value</authorSpecialty>
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11 | <availablityStatus>availablityStatus_value</availablityStatus>
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17 | <confidentialityCodeDisplayName>confidentialityCodeDisplayName_value</confidentialityCodeDisplayName>
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18 | <creationTime>20080120050505-0700</creationTime>
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19 | <formatCode>formatCode_value</formatCode>
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20 | <formatCodeScheme>formatCodeScheme_value</formatCodeScheme>
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22 | <patientId>6543</patientId>
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23 | <serviceStartTime>20080501</serviceStartTime>
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24 | <serviceStopTime>20080515</serviceStopTime>
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25 | <status>urn:oasis:names:tc:ebxml-regrep:StatusType:Approved</status>
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26 | <comments>Document 1 comments</comments>
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27 | <hash>hash_value</hash>
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52 | <rawData><![CDATA[<ClinicalDocument xsi:schemaLocation="urn:hl7-org:v3 http://xreg2.nist.gov:8080/hitspValidation/schema/cdar2c32/infrastructure/cda/C32_CDA.xsd" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3">
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58 | <code code="34133-9" displayName="Summarization of patient data" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
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59 | <title>Katy Bradford</title>
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60 | <effectiveTime value="20080424103703-0500"/>
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62 | <languageCode code="en-US"/>
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63 | <recordTarget>
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64 | <patientRole>
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65 | <id extension="000-00-0001"/>
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66 | <addr>
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67 | <streetAddressLine>437 TURNER LANE</streetAddressLine>
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68 | <city>LEESBURG</city>
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69 | <state>VA</state>
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70 | <postalCode>20176</postalCode>
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71 | <country>US</country>
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72 | </addr>
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73 | <telecom value="tel:703-555-0000" use="HP"/>
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74 | <telecom value="tel:703-555-0001" use="WP"/>
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75 | <telecom value="tel:703-555-0002" use="MC"/>
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76 | <telecom value="mailto:katy.bradford@here.com"/>
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77 | <telecom value="http://www.here.com/katy"/>
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78 | <patient>
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79 | <name>
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80 | <prefix>MRS.</prefix>
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81 | <given qualifier="CL">KATY</given>
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82 | <family qualifier="BR">BRADFORD</family>
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83 | </name>
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84 | <administrativeGenderCode code="F" displayName="Female" codeSystemName="HL7 AdministrativeGenderCodes" codeSystem="2.16.840.1.113883.5.1">
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85 | <originalText>AdministrativeGender codes are: M (Male), F (Female) or UN (Undifferentiated).</originalText>
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86 | </administrativeGenderCode>
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87 | <birthTime value="19740730"/>
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88 | <maritalStatusCode code="M" displayName="Married" codeSystemName="MaritalStatusCode" codeSystem="2.16.840.1.113883.5.2"/>
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89 | <religiousAffiliationCode code="1005" displayName="Anglican" codeSystemName="Religious Affiliation" codeSystem="2.16.840.1.113883.5.1076"/>
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90 | <raceCode code="2111-3" displayName="French" codeSystemName="CDC Race and Ethnicity" codeSystem="2.16.840.1.113883.6.238"/>
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91 | <ethnicGroupCode code="2142-8" displayName="Belearic Islander" codeSystemName="CDC Race and Ethnicity" codeSystem="2.16.840.1.113883.6.238"/>
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93 | <templateId root="2.16.840.1.113883.3.88.11.32.2"/>
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97 | </languageCommunication>
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99 | <templateId root="2.16.840.1.113883.3.88.11.32.2"/>
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101 | <modeCode code="EWR" displayName="Expressed Written" codeSystemName="LanguageAbilityMode" codeSystem="2.16.840.1.113883.5.60"/>
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102 | <preferenceInd value="true"/>
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103 | </languageCommunication>
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104 | </patient>
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105 | </patientRole>
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106 | </recordTarget>
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107 | <author>
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108 | <time value="20080401"/>
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110 | <id root="8798704325"/>
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111 | <assignedPerson>
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112 | <name>
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113 | <prefix>MR</prefix>
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114 | <given qualifier="CL">BOB</given>
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115 | <family qualifier="BR">DEVRIESE</family>
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116 | <prefix>ESQ</prefix>
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117 | </name>
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120 | <id root="2.16.840.1.113883.19.5"/>
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121 | <name>AJAX INSURANCE</name>
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124 | </author>
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138 | <associatedEntity classCode="AGNT">
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139 | <code code="FRND" displayName="Unrelated Friend" codeSystemName="RoleCode" codeSystem="2.16.840.1.113883.5.111"/>
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140 | <addr>
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141 | <streetAddressLine>439 TURNER LANE</streetAddressLine>
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142 | <city>LEESBURG</city>
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143 | <state>VA</state>
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144 | <postalCode>20176</postalCode>
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145 | <country>US</country>
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146 | </addr>
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147 | <telecom value="tel:703-555-0003" use="HP"/>
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148 | <telecom value="tel:703-555-0004" use="WP"/>
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149 | <telecom value="tel:703-555-0005" use="MC"/>
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150 | <telecom value="tel:703-555-0006" use="HV"/>
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151 | <telecom value="mailto:terry.shaw@here.com"/>
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152 | <telecom value="http://www.here.com/terry"/>
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153 | <associatedPerson>
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154 | <name>
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155 | <prefix>MS.</prefix>
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156 | <given qualifier="CL">TERRY</given>
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157 | <family qualifier="BR">SHAW</family>
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158 | <suffix>PHD</suffix>
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159 | </name>
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160 | </associatedPerson>
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161 | </associatedEntity>
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162 | </participant>
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163 | <documentationOf>
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164 | <serviceEvent classCode="PCPR">
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165 | <effectiveTime>
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166 | <low value="0"/>
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167 | <high value="2010"/>
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168 | </effectiveTime>
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169 | <performer typeCode="PRF">
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170 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.4"/>
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171 | <functionCode code="PP" displayName="Primary Care Provider" codeSystemName="Provider Role" codeSystem="2.16.840.1.113883.12.443">
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172 | <originalText>PCP</originalText>
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173 | </functionCode>
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174 | <time>
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175 | <low value="20080409"/>
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176 | <high value="20080430"/>
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177 | </time>
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181 | <addr>
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182 | <streetAddressLine>10300 MAIN ST.</streetAddressLine>
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183 | <streetAddressLine>SUITE 100</streetAddressLine>
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184 | <city>ASHBURN</city>
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185 | <state>VA</state>
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186 | <postalCode>20176</postalCode>
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187 | <country>AF</country>
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188 | </addr>
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189 | <telecom value="tel:703-555-0007" use="HP"/>
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190 | <telecom value="tel:703-555-0008" use="WP"/>
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191 | <telecom value="tel:703-555-0009" use="MC"/>
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192 | <telecom value="tel:703-555-0010" use="HV"/>
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193 | <telecom value="mailto:jw@doctors.com"/>
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194 | <telecom value="http://www.doctors.com/jw"/>
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195 | <assignedPerson>
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196 | <name>
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197 | <prefix>DR.</prefix>
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198 | <given qualifier="CL">JANE</given>
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199 | <family qualifier="BR">WATSON</family>
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200 | <suffix>MD</suffix>
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201 | </name>
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202 | </assignedPerson>
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204 | <id assigningAuthorityName="Doctors Inc." root="2.16.840.1.113883.3.72.5"/>
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205 | <name>Doctors Inc.</name>
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206 | </representedOrganization>
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207 | <patient xmlns="urn:hl7-org:sdtc">
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208 | <id extension="MedicalRecordNumber" root="x164353Y1343" xmlns="urn:hl7-org:sdtc"/>
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209 | </patient>
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211 | </performer>
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212 | </serviceEvent>
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213 | </documentationOf>
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215 | <structuredBody>
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216 | <component>
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217 | <section>
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218 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.11"/>
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219 | <code code="11450-4" displayName="Problems" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
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220 | <title>Conditions or Problems</title>
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221 | <text>
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222 | <table border="1" width="100%">
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223 | <thead>
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224 | <tr>
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225 | <th>Problem Name</th>
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226 | <th>Problem Type</th>
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227 | <th>Problem Date</th>
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228 | </tr>
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229 | </thead>
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230 | <tbody>
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231 | <tr>
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232 | <td>
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233 | <content ID="problem-1021520383">Sprained ankle</content>
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234 | </td>
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235 | <td>Diagnosis</td>
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236 | <td>20080401</td>
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237 | </tr>
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238 | <tr>
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239 | <td>
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240 | <content ID="problem-1021520384">Migraines</content>
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241 | </td>
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242 | <td>Problem</td>
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243 | <td>20080421</td>
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244 | </tr>
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245 | </tbody>
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246 | </table>
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247 | </text>
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248 | <entry>
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249 | <act classCode="ACT" moodCode="EVN">
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251 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.7"/>
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252 | <id/>
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253 | <code nullFlavor="NA"/>
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254 | <effectiveTime>
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255 | <low value="20080401"/>
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256 | <high value="20080430"/>
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257 | </effectiveTime>
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258 | <entryRelationship typeCode="SUBJ">
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259 | <observation classCode="OBS" moodCode="EVN">
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260 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.28"/>
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261 | <code code="282291009" displayName="Diagnosis" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
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262 | <text>
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263 | <reference value="#problem-1021520383"/>
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264 | </text>
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265 | <statusCode code="completed"/>
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266 | </observation>
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267 | </entryRelationship>
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268 | </act>
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269 | </entry>
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270 | <entry>
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271 | <act classCode="ACT" moodCode="EVN">
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273 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.7"/>
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274 | <id/>
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275 | <code nullFlavor="NA"/>
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276 | <effectiveTime>
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277 | <low value="20080421"/>
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278 | <high value="20080425"/>
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279 | </effectiveTime>
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280 | <entryRelationship typeCode="SUBJ">
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281 | <observation classCode="OBS" moodCode="EVN">
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282 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.28"/>
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283 | <code code="55607006" displayName="Problem" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
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284 | <text>
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285 | <reference value="#problem-1021520384"/>
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286 | </text>
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288 | </observation>
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291 | </entry>
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292 | </section>
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293 | </component>
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294 | <component>
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295 | <section>
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297 | <code code="48765-2" codeSystem="2.16.840.1.113883.6.1"/>
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298 | <title>Allergies, Adverse Reactions, Alerts</title>
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299 | <text>
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300 | <table border="1" width="100%">
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301 | <thead>
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302 | <tr>
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303 | <th>Substance</th>
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304 | <th>Event Type</th>
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305 | <th>Severity</th>
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306 | </tr>
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307 | </thead>
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308 | <tbody>
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309 | <tr>
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310 | <td>Trucare</td>
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311 | <td>Drug Allergy</td>
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312 | <td>
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313 | <content ID="severity-823358778">Mild</content>
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314 | </td>
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315 | </tr>
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316 | <tr>
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317 | <td>peanuts</td>
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318 | <td>Food Allergy</td>
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319 | <td>
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320 | <content ID="severity-823358779">Severe</content>
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321 | </td>
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322 | </tr>
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323 | </tbody>
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324 | </table>
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325 | </text>
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326 | <entry>
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336 | <statusCode code="completed"/>
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337 | <effectiveTime>
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339 | <high value="20080430"/>
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341 | <participant typeCode="CSM">
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342 | <participantRole classCode="MANU">
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343 | <playingEntity classCode="MMAT">
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344 | <code code="00504-554-4433" displayName="Trucare" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88"/>
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345 | <name>Trucare</name>
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346 | </playingEntity>
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347 | </participantRole>
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348 | </participant>
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349 | </observation>
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350 | </entryRelationship>
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351 | </act>
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352 | </entry>
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353 | <entry>
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354 | <act classCode="ACT" moodCode="EVN">
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360 | <observation classCode="OBS" moodCode="EVN">
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361 | <templateId root="2.16.840.1.113883.10.20.1.18"/>
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362 | <code code="414285001" displayName="Food Allergy" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
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363 | <statusCode code="completed"/>
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364 | <effectiveTime>
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365 | <low value="20080414"/>
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366 | <high value="20080430"/>
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367 | </effectiveTime>
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368 | <participant typeCode="CSM">
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369 | <participantRole classCode="MANU">
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370 | <playingEntity classCode="MMAT">
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371 | <code code="75443544" displayName="peanuts" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88"/>
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372 | <name>peanuts</name>
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373 | </playingEntity>
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374 | </participantRole>
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375 | </participant>
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376 | </observation>
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377 | </entryRelationship>
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378 | </act>
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379 | </entry>
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380 | </section>
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382 | <component>
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383 | <section>
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384 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.9"/>
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385 | <code code="48768-6" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
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386 | <title>Insurance Providers</title>
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387 | <text>
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388 | <table border="1" width="100%">
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389 | <thead>
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390 | <tr>
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391 | <th>Insurance Provider Name</th>
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392 | <th>Insurance Provider Type</th>
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393 | <th>Insurance Provider Group Number</th>
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394 | </tr>
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395 | </thead>
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396 | <tbody>
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397 | <tr>
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398 | <td>AJAX INSURANCE</td>
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---|
399 | <td>AJAX INSURANCE</td>
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---|
400 | <td>G1854093</td>
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401 | </tr>
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402 | </tbody>
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403 | </table>
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404 | </text>
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405 | <entry>
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406 | <act classCode="ACT" moodCode="DEF">
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410 | <statusCode code="completed"/>
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417 | <statusCode code="completed"/>
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422 | <id root="2.16.840.1.113883.19.5"/>
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423 | <name>AJAX INSURANCE</name>
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425 | </assignedEntity>
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427 | <participant typeCode="HLD">
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428 | <participantRole classCode="IND">
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429 | <id extension="7095365879" root="AssignAuthorityGUID"/>
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430 | <addr>
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431 | </addr>
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432 | <playingEntity>
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433 | <name>
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434 | </name>
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435 | <sdtc:birthTime value="19630408"/>
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436 | </playingEntity>
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437 | </participantRole>
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438 | </participant>
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439 | </act>
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440 | </entryRelationship>
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441 | </act>
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442 | </entry>
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443 | </section>
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444 | </component>
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445 | <component>
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446 | <section>
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448 | <code code="10160-0" displayName="History of medication use" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
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449 | <title>Medications</title>
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450 | <text>
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451 | <table border="1" width="100%">
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452 | <thead>
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453 | <tr>
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454 | <th>Product Display Name</th>
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455 | <th>Free Text Brand Name</th>
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---|
456 | <th>Ordered Value</th>
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---|
457 | <th>Ordered Unit</th>
|
---|
458 | <th>Expiration Time</th>
|
---|
459 | </tr>
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---|
460 | </thead>
|
---|
461 | <tbody>
|
---|
462 | <tr>
|
---|
463 | <td>
|
---|
464 | <content ID="medication-809983199">Hyaline</content>
|
---|
465 | </td>
|
---|
466 | <td>Hyalinia</td>
|
---|
467 | <td>30.0</td>
|
---|
468 | <td>TAB</td>
|
---|
469 | <td>20080430</td>
|
---|
470 | </tr>
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---|
471 | </tbody>
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472 | </table>
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---|
473 | </text>
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474 | <entry>
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475 | <substanceAdministration classCode="SBADM" moodCode="EVN">
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476 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.24"/>
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477 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.8"/>
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478 | <id/>
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479 | <consumable>
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480 | <manufacturedProduct classCode="MANU">
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481 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.53"/>
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482 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.9"/>
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483 | <manufacturedMaterial classCode="MMAT" determinerCode="KIND">
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484 | <code code="87643566" displayName="Hyaline" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88">
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485 | <originalText>Hyaline</originalText>
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486 | </code>
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487 | <name>Hyalinia</name>
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488 | </manufacturedMaterial>
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489 | </manufacturedProduct>
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490 | </consumable>
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491 | <entryRelationship typeCode="SUBJ">
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492 | <observation classCode="OBS" moodCode="EVN">
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493 | <templateId root="2.16.840.1.113883.3.88.11.32.10"/>
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494 | <code code="73639000" displayName="Prescription Drug" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
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495 | <statusCode code="completed"/>
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496 | </observation>
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497 | </entryRelationship>
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498 | <entryRelationship typeCode="REFR">
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499 | <observation classCode="OBS" moodCode="EVN">
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500 | <code code="33999-4" displayName="Status" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
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501 | <statusCode code="Dispensed"/>
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502 | <value code="55561003" displayName="Active" xsi:type="CE" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
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503 | </observation>
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504 | </entryRelationship>
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505 | <entryRelationship typeCode="REFR">
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506 | <supply classCode="SPLY" moodCode="INT">
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507 | <templateId root="2.16.840.1.113883.3.88.1.11.32.11"/>
|
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508 | <id extension="SCRIP#" root="TAB"/>
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---|
509 | <effectiveTime value="20080430"/>
|
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510 | <quantity value="30.0"/>
|
---|
511 | </supply>
|
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512 | </entryRelationship>
|
---|
513 | </substanceAdministration>
|
---|
514 | </entry>
|
---|
515 | </section>
|
---|
516 | </component>
|
---|
517 | <component>
|
---|
518 | <section>
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519 | <templateId root="2.16.840.1.113883.10.20.1.1"/>
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520 | <code code="42348-3" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
521 | <title>Advance Directive</title>
|
---|
522 | <text>
|
---|
523 | <content ID="advance-directive-989570598">Blood transfusion OK</content>
|
---|
524 | </text>
|
---|
525 | <entry>
|
---|
526 | <observation classCode="OBS" moodCode="EVN">
|
---|
527 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.17"/>
|
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528 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.13"/>
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---|
529 | <id/>
|
---|
530 | <code code="116859006" displayName="Transfusion of Blood" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96">
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---|
531 | <originalText>
|
---|
532 | <reference value="advance-directive-989570598"/>
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---|
533 | </originalText>
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534 | </code>
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535 | <statusCode code="completed"/>
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---|
536 | <effectiveTime>
|
---|
537 | <low value="20080401"/>
|
---|
538 | <high value="20080430"/>
|
---|
539 | </effectiveTime>
|
---|
540 | <participant typeCode="CST">
|
---|
541 | <participantRole classCode="AGNT">
|
---|
542 | <addr>
|
---|
543 | <streetAddressLine>9435 BELL ROAD</streetAddressLine>
|
---|
544 | <streetAddressLine>2ND FLOOR</streetAddressLine>
|
---|
545 | <city>LEESBURG</city>
|
---|
546 | <state>VA</state>
|
---|
547 | <postalCode>20155</postalCode>
|
---|
548 | <country>US</country>
|
---|
549 | </addr>
|
---|
550 | <telecom value="tel:703-555-0011" use="HP"/>
|
---|
551 | <telecom value="tel:703-555-0012" use="WP"/>
|
---|
552 | <telecom value="tel:703-555-0013" use="MC"/>
|
---|
553 | <telecom value="tel:703-555-0014" use="HV"/>
|
---|
554 | <telecom value="mailto:smith@doctors.com"/>
|
---|
555 | <telecom value="http://www.here.com/smith"/>
|
---|
556 | <playingEntity>
|
---|
557 | <name>
|
---|
558 | <prefix>MR</prefix>
|
---|
559 | <given qualifier="CL">FRED</given>
|
---|
560 | <family qualifier="BR">SMITH</family>
|
---|
561 | <suffix>ESQ</suffix>
|
---|
562 | </name>
|
---|
563 | </playingEntity>
|
---|
564 | </participantRole>
|
---|
565 | </participant>
|
---|
566 | <entryRelationship typeCode="REFR">
|
---|
567 | <observation classCode="OBS" moodCode="EVN">
|
---|
568 | <templateId root="2.16.840.1.113883.10.20.1.37"/>
|
---|
569 | <code code="33999-4" displayName="Status" codeSystem="2.16.840.1.113883.6.1"/>
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---|
570 | <statusCode code="completed"/>
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571 | <value code="15240007" displayName="Current and verified" xsi:type="CE" codeSystem="2.16.840.1.113883.6.96"/>
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---|
572 | </observation>
|
---|
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---|
574 | </observation>
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---|
575 | </entry>
|
---|
576 | </section>
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---|
577 | </component>
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---|
578 | </structuredBody>
|
---|
579 | </component>
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---|
580 | </ClinicalDocument>]]></rawData>
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---|
581 | <eventCode>
|
---|
582 | <!-- <codeId>1</codeId> -->
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---|
583 | <code>code_value</code>
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584 | <codeSchema>codeSchema_value</codeSchema>
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585 | <codeDisplayName>codeDisplayName_value</codeDisplayName>
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586 | </eventCode>
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587 | </Document>
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588 | <Document>
|
---|
589 | <!-- <documentId>2</documentId> -->
|
---|
590 | <documentUniqueId>222222222</documentUniqueId>
|
---|
591 | <documentTitle>BHIE Document 2</documentTitle>
|
---|
592 | <authorPerson>Bob Dillan</authorPerson>
|
---|
593 | <authorInstitution>Dillan Institute</authorInstitution>
|
---|
594 | <authorRole>Reveiwer</authorRole>
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595 | <authorSpecialty>authorSpecialty_value</authorSpecialty>
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599 | <classCodeDisplayName>classCodeDisplayName_value</classCodeDisplayName>
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600 | <confidentialityCode>confidentialityCode_value</confidentialityCode>
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602 | <confidentialityCodeDisplayName>confidentialityCodeDisplayName_value</confidentialityCodeDisplayName>
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603 | <creationTime>20080220</creationTime>
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604 | <formatCode>formatCode_value</formatCode>
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605 | <formatCodeScheme>formatCodeScheme_value</formatCodeScheme>
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606 | <formatCodeDisplayName>formatCodeDisplayName_value</formatCodeDisplayName>
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607 | <patientId>6543</patientId>
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608 | <serviceStartTime>20080601</serviceStartTime>
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---|
609 | <serviceStopTime>20080615</serviceStopTime>
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610 | <status>urn:oasis:names:tc:ebxml-regrep:StatusType:Approved</status>
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611 | <comments>Document 2 comments</comments>
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612 | <hash>hash_value</hash>
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618 | <languageCode>languageCode_value</languageCode>
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619 | <legalAuthenticator>legalAuthenticator_value</legalAuthenticator>
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635 | <typeCodeDisplayName>typeCodeDisplayName_value</typeCodeDisplayName>
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636 | <documentUri>documentUri_value</documentUri>
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637 | <rawData><![CDATA[<ClinicalDocument xsi:schemaLocation="urn:hl7-org:v3 http://xreg2.nist.gov:8080/hitspValidation/schema/cdar2c32/infrastructure/cda/C32_CDA.xsd" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3">
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642 | <id extension="Laika C32 Test" assigningAuthorityName="Laika: An Open Source EHR Testing Framework projectlaika.org" root="2.16.840.1.113883.3.72"/>
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643 | <code code="34133-9" displayName="Summarization of patient data" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
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644 | <title>Katy Bradford</title>
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645 | <effectiveTime value="20080424103703-0500"/>
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646 | <confidentialityCode/>
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647 | <languageCode code="en-US"/>
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648 | <recordTarget>
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649 | <patientRole>
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650 | <id extension="000-00-0002"/>
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651 | <addr>
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652 | <streetAddressLine>437 TURNER LANE</streetAddressLine>
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653 | <city>LEESBURG</city>
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654 | <state>VA</state>
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655 | <postalCode>20176</postalCode>
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656 | <country>US</country>
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657 | </addr>
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658 | <telecom value="tel:703-555-0000" use="HP"/>
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659 | <telecom value="tel:703-555-0001" use="WP"/>
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660 | <telecom value="tel:703-555-0002" use="MC"/>
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661 | <telecom value="mailto:katy.bradford@here.com"/>
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662 | <telecom value="http://www.here.com/katy"/>
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663 | <patient>
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664 | <name>
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665 | <prefix>MRS.</prefix>
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666 | <given qualifier="CL">KATY</given>
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669 | <administrativeGenderCode code="F" displayName="Female" codeSystemName="HL7 AdministrativeGenderCodes" codeSystem="2.16.840.1.113883.5.1">
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670 | <originalText>AdministrativeGender codes are: M (Male), F (Female) or UN (Undifferentiated).</originalText>
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671 | </administrativeGenderCode>
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672 | <birthTime value="19740730"/>
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673 | <maritalStatusCode code="M" displayName="Married" codeSystemName="MaritalStatusCode" codeSystem="2.16.840.1.113883.5.2"/>
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674 | <religiousAffiliationCode code="1005" displayName="Anglican" codeSystemName="Religious Affiliation" codeSystem="2.16.840.1.113883.5.1076"/>
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675 | <raceCode code="2111-3" displayName="French" codeSystemName="CDC Race and Ethnicity" codeSystem="2.16.840.1.113883.6.238"/>
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676 | <ethnicGroupCode code="2142-8" displayName="Belearic Islander" codeSystemName="CDC Race and Ethnicity" codeSystem="2.16.840.1.113883.6.238"/>
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677 | <languageCommunication>
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678 | <templateId root="2.16.840.1.113883.3.88.11.32.2"/>
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679 | <languageCode code="as-AZ"/>
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680 | <modeCode code="RSGN" displayName="Received Signed" codeSystemName="LanguageAbilityMode" codeSystem="2.16.840.1.113883.5.60"/>
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681 | <preferenceInd value="true"/>
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682 | </languageCommunication>
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683 | <languageCommunication>
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684 | <templateId root="2.16.840.1.113883.3.88.11.32.2"/>
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685 | <languageCode code="cs-AU"/>
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686 | <modeCode code="EWR" displayName="Expressed Written" codeSystemName="LanguageAbilityMode" codeSystem="2.16.840.1.113883.5.60"/>
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687 | <preferenceInd value="true"/>
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688 | </languageCommunication>
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689 | </patient>
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690 | </patientRole>
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691 | </recordTarget>
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692 | <author>
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693 | <time value="20080401"/>
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694 | <assignedAuthor>
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695 | <id root="8798704325"/>
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696 | <assignedPerson>
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697 | <name>
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698 | <prefix>MR</prefix>
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699 | <given qualifier="CL">BOB</given>
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---|
700 | <family qualifier="BR">DEVRIESE</family>
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701 | <prefix>ESQ</prefix>
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702 | </name>
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703 | </assignedPerson>
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704 | <representedOrganization>
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705 | <id root="2.16.840.1.113883.19.5"/>
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706 | <name>AJAX INSURANCE</name>
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707 | </representedOrganization>
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708 | </assignedAuthor>
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709 | </author>
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710 | <custodian>
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711 | <assignedCustodian>
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712 | <representedCustodianOrganization>
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713 | <id/>
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714 | </representedCustodianOrganization>
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715 | </assignedCustodian>
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716 | </custodian>
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717 | <participant typeCode="IND">
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718 | <templateId root="2.16.840.1.113883.3.88.11.32.3"/>
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719 | <time>
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720 | <low value="20080401"/>
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721 | <high value="20080430"/>
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722 | </time>
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723 | <associatedEntity classCode="AGNT">
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724 | <code code="FRND" displayName="Unrelated Friend" codeSystemName="RoleCode" codeSystem="2.16.840.1.113883.5.111"/>
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725 | <addr>
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726 | <streetAddressLine>439 TURNER LANE</streetAddressLine>
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---|
727 | <city>LEESBURG</city>
|
---|
728 | <state>VA</state>
|
---|
729 | <postalCode>20176</postalCode>
|
---|
730 | <country>US</country>
|
---|
731 | </addr>
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732 | <telecom value="tel:703-555-0003" use="HP"/>
|
---|
733 | <telecom value="tel:703-555-0004" use="WP"/>
|
---|
734 | <telecom value="tel:703-555-0005" use="MC"/>
|
---|
735 | <telecom value="tel:703-555-0006" use="HV"/>
|
---|
736 | <telecom value="mailto:terry.shaw@here.com"/>
|
---|
737 | <telecom value="http://www.here.com/terry"/>
|
---|
738 | <associatedPerson>
|
---|
739 | <name>
|
---|
740 | <prefix>MS.</prefix>
|
---|
741 | <given qualifier="CL">TERRY</given>
|
---|
742 | <family qualifier="BR">SHAW</family>
|
---|
743 | <suffix>PHD</suffix>
|
---|
744 | </name>
|
---|
745 | </associatedPerson>
|
---|
746 | </associatedEntity>
|
---|
747 | </participant>
|
---|
748 | <documentationOf>
|
---|
749 | <serviceEvent classCode="PCPR">
|
---|
750 | <effectiveTime>
|
---|
751 | <low value="0"/>
|
---|
752 | <high value="2010"/>
|
---|
753 | </effectiveTime>
|
---|
754 | <performer typeCode="PRF">
|
---|
755 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.4"/>
|
---|
756 | <functionCode code="PP" displayName="Primary Care Provider" codeSystemName="Provider Role" codeSystem="2.16.840.1.113883.12.443">
|
---|
757 | <originalText>PCP</originalText>
|
---|
758 | </functionCode>
|
---|
759 | <time>
|
---|
760 | <low value="20080409"/>
|
---|
761 | <high value="20080430"/>
|
---|
762 | </time>
|
---|
763 | <assignedEntity>
|
---|
764 | <id/>
|
---|
765 | <code code="300000000X" displayName="Managed Care Organizations" codeSystemName="ProviderCodes" codeSystem="2.16.840.1.113883.6.101"/>
|
---|
766 | <addr>
|
---|
767 | <streetAddressLine>10300 MAIN ST.</streetAddressLine>
|
---|
768 | <streetAddressLine>SUITE 100</streetAddressLine>
|
---|
769 | <city>ASHBURN</city>
|
---|
770 | <state>VA</state>
|
---|
771 | <postalCode>20176</postalCode>
|
---|
772 | <country>AF</country>
|
---|
773 | </addr>
|
---|
774 | <telecom value="tel:703-555-0007" use="HP"/>
|
---|
775 | <telecom value="tel:703-555-0008" use="WP"/>
|
---|
776 | <telecom value="tel:703-555-0009" use="MC"/>
|
---|
777 | <telecom value="tel:703-555-0010" use="HV"/>
|
---|
778 | <telecom value="mailto:jw@doctors.com"/>
|
---|
779 | <telecom value="http://www.doctors.com/jw"/>
|
---|
780 | <assignedPerson>
|
---|
781 | <name>
|
---|
782 | <prefix>DR.</prefix>
|
---|
783 | <given qualifier="CL">JANE</given>
|
---|
784 | <family qualifier="BR">WATSON</family>
|
---|
785 | <suffix>MD</suffix>
|
---|
786 | </name>
|
---|
787 | </assignedPerson>
|
---|
788 | <representedOrganization>
|
---|
789 | <id assigningAuthorityName="Doctors Inc." root="2.16.840.1.113883.3.72.5"/>
|
---|
790 | <name>Doctors Inc.</name>
|
---|
791 | </representedOrganization>
|
---|
792 | <patient xmlns="urn:hl7-org:sdtc">
|
---|
793 | <id extension="MedicalRecordNumber" root="x164353Y1343" xmlns="urn:hl7-org:sdtc"/>
|
---|
794 | </patient>
|
---|
795 | </assignedEntity>
|
---|
796 | </performer>
|
---|
797 | </serviceEvent>
|
---|
798 | </documentationOf>
|
---|
799 | <component>
|
---|
800 | <structuredBody>
|
---|
801 | <component>
|
---|
802 | <section>
|
---|
803 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.11"/>
|
---|
804 | <code code="11450-4" displayName="Problems" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
805 | <title>Conditions or Problems</title>
|
---|
806 | <text>
|
---|
807 | <table border="1" width="100%">
|
---|
808 | <thead>
|
---|
809 | <tr>
|
---|
810 | <th>Problem Name</th>
|
---|
811 | <th>Problem Type</th>
|
---|
812 | <th>Problem Date</th>
|
---|
813 | </tr>
|
---|
814 | </thead>
|
---|
815 | <tbody>
|
---|
816 | <tr>
|
---|
817 | <td>
|
---|
818 | <content ID="problem-1021520383">Sprained ankle</content>
|
---|
819 | </td>
|
---|
820 | <td>Diagnosis</td>
|
---|
821 | <td>20080401</td>
|
---|
822 | </tr>
|
---|
823 | <tr>
|
---|
824 | <td>
|
---|
825 | <content ID="problem-1021520384">Migraines</content>
|
---|
826 | </td>
|
---|
827 | <td>Problem</td>
|
---|
828 | <td>20080421</td>
|
---|
829 | </tr>
|
---|
830 | </tbody>
|
---|
831 | </table>
|
---|
832 | </text>
|
---|
833 | <entry>
|
---|
834 | <act classCode="ACT" moodCode="EVN">
|
---|
835 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.27"/>
|
---|
836 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.7"/>
|
---|
837 | <id/>
|
---|
838 | <code nullFlavor="NA"/>
|
---|
839 | <effectiveTime>
|
---|
840 | <low value="20080401"/>
|
---|
841 | <high value="20080430"/>
|
---|
842 | </effectiveTime>
|
---|
843 | <entryRelationship typeCode="SUBJ">
|
---|
844 | <observation classCode="OBS" moodCode="EVN">
|
---|
845 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.28"/>
|
---|
846 | <code code="282291009" displayName="Diagnosis" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
847 | <text>
|
---|
848 | <reference value="#problem-1021520383"/>
|
---|
849 | </text>
|
---|
850 | <statusCode code="completed"/>
|
---|
851 | </observation>
|
---|
852 | </entryRelationship>
|
---|
853 | </act>
|
---|
854 | </entry>
|
---|
855 | <entry>
|
---|
856 | <act classCode="ACT" moodCode="EVN">
|
---|
857 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.27"/>
|
---|
858 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.7"/>
|
---|
859 | <id/>
|
---|
860 | <code nullFlavor="NA"/>
|
---|
861 | <effectiveTime>
|
---|
862 | <low value="20080421"/>
|
---|
863 | <high value="20080425"/>
|
---|
864 | </effectiveTime>
|
---|
865 | <entryRelationship typeCode="SUBJ">
|
---|
866 | <observation classCode="OBS" moodCode="EVN">
|
---|
867 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.28"/>
|
---|
868 | <code code="55607006" displayName="Problem" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
869 | <text>
|
---|
870 | <reference value="#problem-1021520384"/>
|
---|
871 | </text>
|
---|
872 | <statusCode code="completed"/>
|
---|
873 | </observation>
|
---|
874 | </entryRelationship>
|
---|
875 | </act>
|
---|
876 | </entry>
|
---|
877 | </section>
|
---|
878 | </component>
|
---|
879 | <component>
|
---|
880 | <section>
|
---|
881 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.2"/>
|
---|
882 | <code code="48765-2" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
883 | <title>Allergies, Adverse Reactions, Alerts</title>
|
---|
884 | <text>
|
---|
885 | <table border="1" width="100%">
|
---|
886 | <thead>
|
---|
887 | <tr>
|
---|
888 | <th>Substance</th>
|
---|
889 | <th>Event Type</th>
|
---|
890 | <th>Severity</th>
|
---|
891 | </tr>
|
---|
892 | </thead>
|
---|
893 | <tbody>
|
---|
894 | <tr>
|
---|
895 | <td>Trucare</td>
|
---|
896 | <td>Drug Allergy</td>
|
---|
897 | <td>
|
---|
898 | <content ID="severity-823358778">Mild</content>
|
---|
899 | </td>
|
---|
900 | </tr>
|
---|
901 | <tr>
|
---|
902 | <td>peanuts</td>
|
---|
903 | <td>Food Allergy</td>
|
---|
904 | <td>
|
---|
905 | <content ID="severity-823358779">Severe</content>
|
---|
906 | </td>
|
---|
907 | </tr>
|
---|
908 | </tbody>
|
---|
909 | </table>
|
---|
910 | </text>
|
---|
911 | <entry>
|
---|
912 | <act classCode="ACT" moodCode="EVN">
|
---|
913 | <templateId root="2.16.840.1.113883.10.20.1.27"/>
|
---|
914 | <templateId root="2.16.840.1.113883.3.88.11.32.6"/>
|
---|
915 | <id root="2C748172-7CC2-4902-8AF0-23A105C4401B"/>
|
---|
916 | <code nullFlavor="NA"/>
|
---|
917 | <entryRelationship typeCode="SUBJ">
|
---|
918 | <observation classCode="OBS" moodCode="EVN">
|
---|
919 | <templateId root="2.16.840.1.113883.10.20.1.18"/>
|
---|
920 | <code code="416098002" displayName="Drug Allergy" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
921 | <statusCode code="completed"/>
|
---|
922 | <effectiveTime>
|
---|
923 | <low value="20080401"/>
|
---|
924 | <high value="20080430"/>
|
---|
925 | </effectiveTime>
|
---|
926 | <participant typeCode="CSM">
|
---|
927 | <participantRole classCode="MANU">
|
---|
928 | <playingEntity classCode="MMAT">
|
---|
929 | <code code="00504-554-4433" displayName="Trucare" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88"/>
|
---|
930 | <name>Trucare</name>
|
---|
931 | </playingEntity>
|
---|
932 | </participantRole>
|
---|
933 | </participant>
|
---|
934 | </observation>
|
---|
935 | </entryRelationship>
|
---|
936 | </act>
|
---|
937 | </entry>
|
---|
938 | <entry>
|
---|
939 | <act classCode="ACT" moodCode="EVN">
|
---|
940 | <templateId root="2.16.840.1.113883.10.20.1.27"/>
|
---|
941 | <templateId root="2.16.840.1.113883.3.88.11.32.6"/>
|
---|
942 | <id root="2C748172-7CC2-4902-8AF0-23A105C4401B"/>
|
---|
943 | <code nullFlavor="NA"/>
|
---|
944 | <entryRelationship typeCode="SUBJ">
|
---|
945 | <observation classCode="OBS" moodCode="EVN">
|
---|
946 | <templateId root="2.16.840.1.113883.10.20.1.18"/>
|
---|
947 | <code code="414285001" displayName="Food Allergy" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
948 | <statusCode code="completed"/>
|
---|
949 | <effectiveTime>
|
---|
950 | <low value="20080414"/>
|
---|
951 | <high value="20080430"/>
|
---|
952 | </effectiveTime>
|
---|
953 | <participant typeCode="CSM">
|
---|
954 | <participantRole classCode="MANU">
|
---|
955 | <playingEntity classCode="MMAT">
|
---|
956 | <code code="75443544" displayName="peanuts" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88"/>
|
---|
957 | <name>peanuts</name>
|
---|
958 | </playingEntity>
|
---|
959 | </participantRole>
|
---|
960 | </participant>
|
---|
961 | </observation>
|
---|
962 | </entryRelationship>
|
---|
963 | </act>
|
---|
964 | </entry>
|
---|
965 | </section>
|
---|
966 | </component>
|
---|
967 | <component>
|
---|
968 | <section>
|
---|
969 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.9"/>
|
---|
970 | <code code="48768-6" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
971 | <title>Insurance Providers</title>
|
---|
972 | <text>
|
---|
973 | <table border="1" width="100%">
|
---|
974 | <thead>
|
---|
975 | <tr>
|
---|
976 | <th>Insurance Provider Name</th>
|
---|
977 | <th>Insurance Provider Type</th>
|
---|
978 | <th>Insurance Provider Group Number</th>
|
---|
979 | </tr>
|
---|
980 | </thead>
|
---|
981 | <tbody>
|
---|
982 | <tr>
|
---|
983 | <td>AJAX INSURANCE</td>
|
---|
984 | <td>AJAX INSURANCE</td>
|
---|
985 | <td>G1854093</td>
|
---|
986 | </tr>
|
---|
987 | </tbody>
|
---|
988 | </table>
|
---|
989 | </text>
|
---|
990 | <entry>
|
---|
991 | <act classCode="ACT" moodCode="DEF">
|
---|
992 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.20"/>
|
---|
993 | <id extension="GroupOrContract#" root="G1854093"/>
|
---|
994 | <code code="48768-6" displayName="Payment Sources" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
995 | <statusCode code="completed"/>
|
---|
996 | <entryRelationship typeCode="COMP">
|
---|
997 | <act classCode="ACT" moodCode="EVN">
|
---|
998 | <templateId root="2.16.840.1.113883.10.20.1.26"/>
|
---|
999 | <templateId root="2.16.840.1.113883.3.88.11.32.5"/>
|
---|
1000 | <id extension="GroupOrContract#" root="G1854093"/>
|
---|
1001 | <code code="GP" displayName="Group Policy" codeSystemName="X12N-1336" codeSystem="2.16.840.1.113883.6.255.1336"/>
|
---|
1002 | <statusCode code="completed"/>
|
---|
1003 | <performer typeCode="PRF">
|
---|
1004 | <assignedEntity classCode="ASSIGNED">
|
---|
1005 | <id root="2.16.840.1.113883.3.88.3.1"/>
|
---|
1006 | <representedOrganization classCode="ORG">
|
---|
1007 | <id root="2.16.840.1.113883.19.5"/>
|
---|
1008 | <name>AJAX INSURANCE</name>
|
---|
1009 | </representedOrganization>
|
---|
1010 | </assignedEntity>
|
---|
1011 | </performer>
|
---|
1012 | <participant typeCode="HLD">
|
---|
1013 | <participantRole classCode="IND">
|
---|
1014 | <id extension="7095365879" root="AssignAuthorityGUID"/>
|
---|
1015 | <addr>
|
---|
1016 | </addr>
|
---|
1017 | <playingEntity>
|
---|
1018 | <name>
|
---|
1019 | </name>
|
---|
1020 | <sdtc:birthTime value="19630408"/>
|
---|
1021 | </playingEntity>
|
---|
1022 | </participantRole>
|
---|
1023 | </participant>
|
---|
1024 | </act>
|
---|
1025 | </entryRelationship>
|
---|
1026 | </act>
|
---|
1027 | </entry>
|
---|
1028 | </section>
|
---|
1029 | </component>
|
---|
1030 | <component>
|
---|
1031 | <section>
|
---|
1032 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.8"/>
|
---|
1033 | <code code="10160-0" displayName="History of medication use" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
1034 | <title>Medications</title>
|
---|
1035 | <text>
|
---|
1036 | <table border="1" width="100%">
|
---|
1037 | <thead>
|
---|
1038 | <tr>
|
---|
1039 | <th>Product Display Name</th>
|
---|
1040 | <th>Free Text Brand Name</th>
|
---|
1041 | <th>Ordered Value</th>
|
---|
1042 | <th>Ordered Unit</th>
|
---|
1043 | <th>Expiration Time</th>
|
---|
1044 | </tr>
|
---|
1045 | </thead>
|
---|
1046 | <tbody>
|
---|
1047 | <tr>
|
---|
1048 | <td>
|
---|
1049 | <content ID="medication-809983199">Hyaline</content>
|
---|
1050 | </td>
|
---|
1051 | <td>Hyalinia</td>
|
---|
1052 | <td>30.0</td>
|
---|
1053 | <td>TAB</td>
|
---|
1054 | <td>20080430</td>
|
---|
1055 | </tr>
|
---|
1056 | </tbody>
|
---|
1057 | </table>
|
---|
1058 | </text>
|
---|
1059 | <entry>
|
---|
1060 | <substanceAdministration classCode="SBADM" moodCode="EVN">
|
---|
1061 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.24"/>
|
---|
1062 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.8"/>
|
---|
1063 | <id/>
|
---|
1064 | <consumable>
|
---|
1065 | <manufacturedProduct classCode="MANU">
|
---|
1066 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.53"/>
|
---|
1067 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.9"/>
|
---|
1068 | <manufacturedMaterial classCode="MMAT" determinerCode="KIND">
|
---|
1069 | <code code="87643566" displayName="Hyaline" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88">
|
---|
1070 | <originalText>Hyaline</originalText>
|
---|
1071 | </code>
|
---|
1072 | <name>Hyalinia</name>
|
---|
1073 | </manufacturedMaterial>
|
---|
1074 | </manufacturedProduct>
|
---|
1075 | </consumable>
|
---|
1076 | <entryRelationship typeCode="SUBJ">
|
---|
1077 | <observation classCode="OBS" moodCode="EVN">
|
---|
1078 | <templateId root="2.16.840.1.113883.3.88.11.32.10"/>
|
---|
1079 | <code code="73639000" displayName="Prescription Drug" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
1080 | <statusCode code="completed"/>
|
---|
1081 | </observation>
|
---|
1082 | </entryRelationship>
|
---|
1083 | <entryRelationship typeCode="REFR">
|
---|
1084 | <observation classCode="OBS" moodCode="EVN">
|
---|
1085 | <code code="33999-4" displayName="Status" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
1086 | <statusCode code="Dispensed"/>
|
---|
1087 | <value code="55561003" displayName="Active" xsi:type="CE" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
1088 | </observation>
|
---|
1089 | </entryRelationship>
|
---|
1090 | <entryRelationship typeCode="REFR">
|
---|
1091 | <supply classCode="SPLY" moodCode="INT">
|
---|
1092 | <templateId root="2.16.840.1.113883.3.88.1.11.32.11"/>
|
---|
1093 | <id extension="SCRIP#" root="TAB"/>
|
---|
1094 | <effectiveTime value="20080430"/>
|
---|
1095 | <quantity value="30.0"/>
|
---|
1096 | </supply>
|
---|
1097 | </entryRelationship>
|
---|
1098 | </substanceAdministration>
|
---|
1099 | </entry>
|
---|
1100 | </section>
|
---|
1101 | </component>
|
---|
1102 | <component>
|
---|
1103 | <section>
|
---|
1104 | <templateId root="2.16.840.1.113883.10.20.1.1"/>
|
---|
1105 | <code code="42348-3" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
1106 | <title>Advance Directive</title>
|
---|
1107 | <text>
|
---|
1108 | <content ID="advance-directive-989570598">Blood transfusion OK</content>
|
---|
1109 | </text>
|
---|
1110 | <entry>
|
---|
1111 | <observation classCode="OBS" moodCode="EVN">
|
---|
1112 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.17"/>
|
---|
1113 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.13"/>
|
---|
1114 | <id/>
|
---|
1115 | <code code="116859006" displayName="Transfusion of Blood" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96">
|
---|
1116 | <originalText>
|
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1117 | <reference value="advance-directive-989570598"/>
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1118 | </originalText>
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|
---|
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1123 | <high value="20080430"/>
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1124 | </effectiveTime>
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1125 | <participant typeCode="CST">
|
---|
1126 | <participantRole classCode="AGNT">
|
---|
1127 | <addr>
|
---|
1128 | <streetAddressLine>9435 BELL ROAD</streetAddressLine>
|
---|
1129 | <streetAddressLine>2ND FLOOR</streetAddressLine>
|
---|
1130 | <city>LEESBURG</city>
|
---|
1131 | <state>VA</state>
|
---|
1132 | <postalCode>20155</postalCode>
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---|
1133 | <country>US</country>
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---|
1134 | </addr>
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---|
1135 | <telecom value="tel:703-555-0011" use="HP"/>
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---|
1136 | <telecom value="tel:703-555-0012" use="WP"/>
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---|
1137 | <telecom value="tel:703-555-0013" use="MC"/>
|
---|
1138 | <telecom value="tel:703-555-0014" use="HV"/>
|
---|
1139 | <telecom value="mailto:smith@doctors.com"/>
|
---|
1140 | <telecom value="http://www.here.com/smith"/>
|
---|
1141 | <playingEntity>
|
---|
1142 | <name>
|
---|
1143 | <prefix>MR</prefix>
|
---|
1144 | <given qualifier="CL">FRED</given>
|
---|
1145 | <family qualifier="BR">SMITH</family>
|
---|
1146 | <suffix>ESQ</suffix>
|
---|
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---|
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---|
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---|
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1157 | </observation>
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---|
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|
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|
---|
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|
---|
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|
---|
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|
---|
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|
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1222 | <rawData><![CDATA[<ClinicalDocument xsi:schemaLocation="urn:hl7-org:v3 http://xreg2.nist.gov:8080/hitspValidation/schema/cdar2c32/infrastructure/cda/C32_CDA.xsd" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3">
|
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|
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|
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1229 | <title>Katy Bradford</title>
|
---|
1230 | <effectiveTime value="20080424103703-0500"/>
|
---|
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1234 | <patientRole>
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---|
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---|
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---|
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|
---|
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|
---|
1243 | <telecom value="tel:703-555-0000" use="HP"/>
|
---|
1244 | <telecom value="tel:703-555-0001" use="WP"/>
|
---|
1245 | <telecom value="tel:703-555-0002" use="MC"/>
|
---|
1246 | <telecom value="mailto:katy.bradford@here.com"/>
|
---|
1247 | <telecom value="http://www.here.com/katy"/>
|
---|
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|
---|
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|
---|
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---|
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|
---|
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---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
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|
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|
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|
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|
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---|
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|
---|
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|
---|
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---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
1284 | <given qualifier="CL">BOB</given>
|
---|
1285 | <family qualifier="BR">DEVRIESE</family>
|
---|
1286 | <prefix>ESQ</prefix>
|
---|
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|
---|
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|
---|
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|
---|
1290 | <id root="2.16.840.1.113883.19.5"/>
|
---|
1291 | <name>AJAX INSURANCE</name>
|
---|
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---|
1293 | </assignedAuthor>
|
---|
1294 | </author>
|
---|
1295 | <custodian>
|
---|
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|
---|
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|
---|
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|
---|
1299 | </representedCustodianOrganization>
|
---|
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|
---|
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|
---|
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|
---|
1303 | <templateId root="2.16.840.1.113883.3.88.11.32.3"/>
|
---|
1304 | <time>
|
---|
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|
---|
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|
---|
1307 | </time>
|
---|
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|
---|
1309 | <code code="FRND" displayName="Unrelated Friend" codeSystemName="RoleCode" codeSystem="2.16.840.1.113883.5.111"/>
|
---|
1310 | <addr>
|
---|
1311 | <streetAddressLine>439 TURNER LANE</streetAddressLine>
|
---|
1312 | <city>LEESBURG</city>
|
---|
1313 | <state>VA</state>
|
---|
1314 | <postalCode>20176</postalCode>
|
---|
1315 | <country>US</country>
|
---|
1316 | </addr>
|
---|
1317 | <telecom value="tel:703-555-0003" use="HP"/>
|
---|
1318 | <telecom value="tel:703-555-0004" use="WP"/>
|
---|
1319 | <telecom value="tel:703-555-0005" use="MC"/>
|
---|
1320 | <telecom value="tel:703-555-0006" use="HV"/>
|
---|
1321 | <telecom value="mailto:terry.shaw@here.com"/>
|
---|
1322 | <telecom value="http://www.here.com/terry"/>
|
---|
1323 | <associatedPerson>
|
---|
1324 | <name>
|
---|
1325 | <prefix>MS.</prefix>
|
---|
1326 | <given qualifier="CL">TERRY</given>
|
---|
1327 | <family qualifier="BR">SHAW</family>
|
---|
1328 | <suffix>PHD</suffix>
|
---|
1329 | </name>
|
---|
1330 | </associatedPerson>
|
---|
1331 | </associatedEntity>
|
---|
1332 | </participant>
|
---|
1333 | <documentationOf>
|
---|
1334 | <serviceEvent classCode="PCPR">
|
---|
1335 | <effectiveTime>
|
---|
1336 | <low value="0"/>
|
---|
1337 | <high value="2010"/>
|
---|
1338 | </effectiveTime>
|
---|
1339 | <performer typeCode="PRF">
|
---|
1340 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.4"/>
|
---|
1341 | <functionCode code="PP" displayName="Primary Care Provider" codeSystemName="Provider Role" codeSystem="2.16.840.1.113883.12.443">
|
---|
1342 | <originalText>PCP</originalText>
|
---|
1343 | </functionCode>
|
---|
1344 | <time>
|
---|
1345 | <low value="20080409"/>
|
---|
1346 | <high value="20080430"/>
|
---|
1347 | </time>
|
---|
1348 | <assignedEntity>
|
---|
1349 | <id/>
|
---|
1350 | <code code="300000000X" displayName="Managed Care Organizations" codeSystemName="ProviderCodes" codeSystem="2.16.840.1.113883.6.101"/>
|
---|
1351 | <addr>
|
---|
1352 | <streetAddressLine>10300 MAIN ST.</streetAddressLine>
|
---|
1353 | <streetAddressLine>SUITE 100</streetAddressLine>
|
---|
1354 | <city>ASHBURN</city>
|
---|
1355 | <state>VA</state>
|
---|
1356 | <postalCode>20176</postalCode>
|
---|
1357 | <country>AF</country>
|
---|
1358 | </addr>
|
---|
1359 | <telecom value="tel:703-555-0007" use="HP"/>
|
---|
1360 | <telecom value="tel:703-555-0008" use="WP"/>
|
---|
1361 | <telecom value="tel:703-555-0009" use="MC"/>
|
---|
1362 | <telecom value="tel:703-555-0010" use="HV"/>
|
---|
1363 | <telecom value="mailto:jw@doctors.com"/>
|
---|
1364 | <telecom value="http://www.doctors.com/jw"/>
|
---|
1365 | <assignedPerson>
|
---|
1366 | <name>
|
---|
1367 | <prefix>DR.</prefix>
|
---|
1368 | <given qualifier="CL">JANE</given>
|
---|
1369 | <family qualifier="BR">WATSON</family>
|
---|
1370 | <suffix>MD</suffix>
|
---|
1371 | </name>
|
---|
1372 | </assignedPerson>
|
---|
1373 | <representedOrganization>
|
---|
1374 | <id assigningAuthorityName="Doctors Inc." root="2.16.840.1.113883.3.72.5"/>
|
---|
1375 | <name>Doctors Inc.</name>
|
---|
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|
---|
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|
---|
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|
---|
1379 | </patient>
|
---|
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|
---|
1381 | </performer>
|
---|
1382 | </serviceEvent>
|
---|
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|
---|
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|
---|
1385 | <structuredBody>
|
---|
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|
---|
1387 | <section>
|
---|
1388 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.11"/>
|
---|
1389 | <code code="11450-4" displayName="Problems" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
1390 | <title>Conditions or Problems</title>
|
---|
1391 | <text>
|
---|
1392 | <table border="1" width="100%">
|
---|
1393 | <thead>
|
---|
1394 | <tr>
|
---|
1395 | <th>Problem Name</th>
|
---|
1396 | <th>Problem Type</th>
|
---|
1397 | <th>Problem Date</th>
|
---|
1398 | </tr>
|
---|
1399 | </thead>
|
---|
1400 | <tbody>
|
---|
1401 | <tr>
|
---|
1402 | <td>
|
---|
1403 | <content ID="problem-1021520383">Sprained ankle</content>
|
---|
1404 | </td>
|
---|
1405 | <td>Diagnosis</td>
|
---|
1406 | <td>20080401</td>
|
---|
1407 | </tr>
|
---|
1408 | <tr>
|
---|
1409 | <td>
|
---|
1410 | <content ID="problem-1021520384">Migraines</content>
|
---|
1411 | </td>
|
---|
1412 | <td>Problem</td>
|
---|
1413 | <td>20080421</td>
|
---|
1414 | </tr>
|
---|
1415 | </tbody>
|
---|
1416 | </table>
|
---|
1417 | </text>
|
---|
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|
---|
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|
---|
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|
---|
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|
---|
1422 | <id/>
|
---|
1423 | <code nullFlavor="NA"/>
|
---|
1424 | <effectiveTime>
|
---|
1425 | <low value="20080401"/>
|
---|
1426 | <high value="20080430"/>
|
---|
1427 | </effectiveTime>
|
---|
1428 | <entryRelationship typeCode="SUBJ">
|
---|
1429 | <observation classCode="OBS" moodCode="EVN">
|
---|
1430 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.28"/>
|
---|
1431 | <code code="282291009" displayName="Diagnosis" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
1432 | <text>
|
---|
1433 | <reference value="#problem-1021520383"/>
|
---|
1434 | </text>
|
---|
1435 | <statusCode code="completed"/>
|
---|
1436 | </observation>
|
---|
1437 | </entryRelationship>
|
---|
1438 | </act>
|
---|
1439 | </entry>
|
---|
1440 | <entry>
|
---|
1441 | <act classCode="ACT" moodCode="EVN">
|
---|
1442 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.27"/>
|
---|
1443 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.7"/>
|
---|
1444 | <id/>
|
---|
1445 | <code nullFlavor="NA"/>
|
---|
1446 | <effectiveTime>
|
---|
1447 | <low value="20080421"/>
|
---|
1448 | <high value="20080425"/>
|
---|
1449 | </effectiveTime>
|
---|
1450 | <entryRelationship typeCode="SUBJ">
|
---|
1451 | <observation classCode="OBS" moodCode="EVN">
|
---|
1452 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.28"/>
|
---|
1453 | <code code="55607006" displayName="Problem" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
1454 | <text>
|
---|
1455 | <reference value="#problem-1021520384"/>
|
---|
1456 | </text>
|
---|
1457 | <statusCode code="completed"/>
|
---|
1458 | </observation>
|
---|
1459 | </entryRelationship>
|
---|
1460 | </act>
|
---|
1461 | </entry>
|
---|
1462 | </section>
|
---|
1463 | </component>
|
---|
1464 | <component>
|
---|
1465 | <section>
|
---|
1466 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.2"/>
|
---|
1467 | <code code="48765-2" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
1468 | <title>Allergies, Adverse Reactions, Alerts</title>
|
---|
1469 | <text>
|
---|
1470 | <table border="1" width="100%">
|
---|
1471 | <thead>
|
---|
1472 | <tr>
|
---|
1473 | <th>Substance</th>
|
---|
1474 | <th>Event Type</th>
|
---|
1475 | <th>Severity</th>
|
---|
1476 | </tr>
|
---|
1477 | </thead>
|
---|
1478 | <tbody>
|
---|
1479 | <tr>
|
---|
1480 | <td>Trucare</td>
|
---|
1481 | <td>Drug Allergy</td>
|
---|
1482 | <td>
|
---|
1483 | <content ID="severity-823358778">Mild</content>
|
---|
1484 | </td>
|
---|
1485 | </tr>
|
---|
1486 | <tr>
|
---|
1487 | <td>peanuts</td>
|
---|
1488 | <td>Food Allergy</td>
|
---|
1489 | <td>
|
---|
1490 | <content ID="severity-823358779">Severe</content>
|
---|
1491 | </td>
|
---|
1492 | </tr>
|
---|
1493 | </tbody>
|
---|
1494 | </table>
|
---|
1495 | </text>
|
---|
1496 | <entry>
|
---|
1497 | <act classCode="ACT" moodCode="EVN">
|
---|
1498 | <templateId root="2.16.840.1.113883.10.20.1.27"/>
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---|
1499 | <templateId root="2.16.840.1.113883.3.88.11.32.6"/>
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|
---|
1501 | <code nullFlavor="NA"/>
|
---|
1502 | <entryRelationship typeCode="SUBJ">
|
---|
1503 | <observation classCode="OBS" moodCode="EVN">
|
---|
1504 | <templateId root="2.16.840.1.113883.10.20.1.18"/>
|
---|
1505 | <code code="416098002" displayName="Drug Allergy" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
1506 | <statusCode code="completed"/>
|
---|
1507 | <effectiveTime>
|
---|
1508 | <low value="20080401"/>
|
---|
1509 | <high value="20080430"/>
|
---|
1510 | </effectiveTime>
|
---|
1511 | <participant typeCode="CSM">
|
---|
1512 | <participantRole classCode="MANU">
|
---|
1513 | <playingEntity classCode="MMAT">
|
---|
1514 | <code code="00504-554-4433" displayName="Trucare" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88"/>
|
---|
1515 | <name>Trucare</name>
|
---|
1516 | </playingEntity>
|
---|
1517 | </participantRole>
|
---|
1518 | </participant>
|
---|
1519 | </observation>
|
---|
1520 | </entryRelationship>
|
---|
1521 | </act>
|
---|
1522 | </entry>
|
---|
1523 | <entry>
|
---|
1524 | <act classCode="ACT" moodCode="EVN">
|
---|
1525 | <templateId root="2.16.840.1.113883.10.20.1.27"/>
|
---|
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|
---|
1528 | <code nullFlavor="NA"/>
|
---|
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|
---|
1530 | <observation classCode="OBS" moodCode="EVN">
|
---|
1531 | <templateId root="2.16.840.1.113883.10.20.1.18"/>
|
---|
1532 | <code code="414285001" displayName="Food Allergy" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
1533 | <statusCode code="completed"/>
|
---|
1534 | <effectiveTime>
|
---|
1535 | <low value="20080414"/>
|
---|
1536 | <high value="20080430"/>
|
---|
1537 | </effectiveTime>
|
---|
1538 | <participant typeCode="CSM">
|
---|
1539 | <participantRole classCode="MANU">
|
---|
1540 | <playingEntity classCode="MMAT">
|
---|
1541 | <code code="75443544" displayName="peanuts" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88"/>
|
---|
1542 | <name>peanuts</name>
|
---|
1543 | </playingEntity>
|
---|
1544 | </participantRole>
|
---|
1545 | </participant>
|
---|
1546 | </observation>
|
---|
1547 | </entryRelationship>
|
---|
1548 | </act>
|
---|
1549 | </entry>
|
---|
1550 | </section>
|
---|
1551 | </component>
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---|
1552 | <component>
|
---|
1553 | <section>
|
---|
1554 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.9"/>
|
---|
1555 | <code code="48768-6" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
1556 | <title>Insurance Providers</title>
|
---|
1557 | <text>
|
---|
1558 | <table border="1" width="100%">
|
---|
1559 | <thead>
|
---|
1560 | <tr>
|
---|
1561 | <th>Insurance Provider Name</th>
|
---|
1562 | <th>Insurance Provider Type</th>
|
---|
1563 | <th>Insurance Provider Group Number</th>
|
---|
1564 | </tr>
|
---|
1565 | </thead>
|
---|
1566 | <tbody>
|
---|
1567 | <tr>
|
---|
1568 | <td>AJAX INSURANCE</td>
|
---|
1569 | <td>AJAX INSURANCE</td>
|
---|
1570 | <td>G1854093</td>
|
---|
1571 | </tr>
|
---|
1572 | </tbody>
|
---|
1573 | </table>
|
---|
1574 | </text>
|
---|
1575 | <entry>
|
---|
1576 | <act classCode="ACT" moodCode="DEF">
|
---|
1577 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.20"/>
|
---|
1578 | <id extension="GroupOrContract#" root="G1854093"/>
|
---|
1579 | <code code="48768-6" displayName="Payment Sources" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
1580 | <statusCode code="completed"/>
|
---|
1581 | <entryRelationship typeCode="COMP">
|
---|
1582 | <act classCode="ACT" moodCode="EVN">
|
---|
1583 | <templateId root="2.16.840.1.113883.10.20.1.26"/>
|
---|
1584 | <templateId root="2.16.840.1.113883.3.88.11.32.5"/>
|
---|
1585 | <id extension="GroupOrContract#" root="G1854093"/>
|
---|
1586 | <code code="GP" displayName="Group Policy" codeSystemName="X12N-1336" codeSystem="2.16.840.1.113883.6.255.1336"/>
|
---|
1587 | <statusCode code="completed"/>
|
---|
1588 | <performer typeCode="PRF">
|
---|
1589 | <assignedEntity classCode="ASSIGNED">
|
---|
1590 | <id root="2.16.840.1.113883.3.88.3.1"/>
|
---|
1591 | <representedOrganization classCode="ORG">
|
---|
1592 | <id root="2.16.840.1.113883.19.5"/>
|
---|
1593 | <name>AJAX INSURANCE</name>
|
---|
1594 | </representedOrganization>
|
---|
1595 | </assignedEntity>
|
---|
1596 | </performer>
|
---|
1597 | <participant typeCode="HLD">
|
---|
1598 | <participantRole classCode="IND">
|
---|
1599 | <id extension="7095365879" root="AssignAuthorityGUID"/>
|
---|
1600 | <addr>
|
---|
1601 | </addr>
|
---|
1602 | <playingEntity>
|
---|
1603 | <name>
|
---|
1604 | </name>
|
---|
1605 | <sdtc:birthTime value="19630408"/>
|
---|
1606 | </playingEntity>
|
---|
1607 | </participantRole>
|
---|
1608 | </participant>
|
---|
1609 | </act>
|
---|
1610 | </entryRelationship>
|
---|
1611 | </act>
|
---|
1612 | </entry>
|
---|
1613 | </section>
|
---|
1614 | </component>
|
---|
1615 | <component>
|
---|
1616 | <section>
|
---|
1617 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.8"/>
|
---|
1618 | <code code="10160-0" displayName="History of medication use" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
1619 | <title>Medications</title>
|
---|
1620 | <text>
|
---|
1621 | <table border="1" width="100%">
|
---|
1622 | <thead>
|
---|
1623 | <tr>
|
---|
1624 | <th>Product Display Name</th>
|
---|
1625 | <th>Free Text Brand Name</th>
|
---|
1626 | <th>Ordered Value</th>
|
---|
1627 | <th>Ordered Unit</th>
|
---|
1628 | <th>Expiration Time</th>
|
---|
1629 | </tr>
|
---|
1630 | </thead>
|
---|
1631 | <tbody>
|
---|
1632 | <tr>
|
---|
1633 | <td>
|
---|
1634 | <content ID="medication-809983199">Hyaline</content>
|
---|
1635 | </td>
|
---|
1636 | <td>Hyalinia</td>
|
---|
1637 | <td>30.0</td>
|
---|
1638 | <td>TAB</td>
|
---|
1639 | <td>20080430</td>
|
---|
1640 | </tr>
|
---|
1641 | </tbody>
|
---|
1642 | </table>
|
---|
1643 | </text>
|
---|
1644 | <entry>
|
---|
1645 | <substanceAdministration classCode="SBADM" moodCode="EVN">
|
---|
1646 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.24"/>
|
---|
1647 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.8"/>
|
---|
1648 | <id/>
|
---|
1649 | <consumable>
|
---|
1650 | <manufacturedProduct classCode="MANU">
|
---|
1651 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.53"/>
|
---|
1652 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.9"/>
|
---|
1653 | <manufacturedMaterial classCode="MMAT" determinerCode="KIND">
|
---|
1654 | <code code="87643566" displayName="Hyaline" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88">
|
---|
1655 | <originalText>Hyaline</originalText>
|
---|
1656 | </code>
|
---|
1657 | <name>Hyalinia</name>
|
---|
1658 | </manufacturedMaterial>
|
---|
1659 | </manufacturedProduct>
|
---|
1660 | </consumable>
|
---|
1661 | <entryRelationship typeCode="SUBJ">
|
---|
1662 | <observation classCode="OBS" moodCode="EVN">
|
---|
1663 | <templateId root="2.16.840.1.113883.3.88.11.32.10"/>
|
---|
1664 | <code code="73639000" displayName="Prescription Drug" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
1665 | <statusCode code="completed"/>
|
---|
1666 | </observation>
|
---|
1667 | </entryRelationship>
|
---|
1668 | <entryRelationship typeCode="REFR">
|
---|
1669 | <observation classCode="OBS" moodCode="EVN">
|
---|
1670 | <code code="33999-4" displayName="Status" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
1671 | <statusCode code="Dispensed"/>
|
---|
1672 | <value code="55561003" displayName="Active" xsi:type="CE" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
1673 | </observation>
|
---|
1674 | </entryRelationship>
|
---|
1675 | <entryRelationship typeCode="REFR">
|
---|
1676 | <supply classCode="SPLY" moodCode="INT">
|
---|
1677 | <templateId root="2.16.840.1.113883.3.88.1.11.32.11"/>
|
---|
1678 | <id extension="SCRIP#" root="TAB"/>
|
---|
1679 | <effectiveTime value="20080430"/>
|
---|
1680 | <quantity value="30.0"/>
|
---|
1681 | </supply>
|
---|
1682 | </entryRelationship>
|
---|
1683 | </substanceAdministration>
|
---|
1684 | </entry>
|
---|
1685 | </section>
|
---|
1686 | </component>
|
---|
1687 | <component>
|
---|
1688 | <section>
|
---|
1689 | <templateId root="2.16.840.1.113883.10.20.1.1"/>
|
---|
1690 | <code code="42348-3" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
1691 | <title>Advance Directive</title>
|
---|
1692 | <text>
|
---|
1693 | <content ID="advance-directive-989570598">Blood transfusion OK</content>
|
---|
1694 | </text>
|
---|
1695 | <entry>
|
---|
1696 | <observation classCode="OBS" moodCode="EVN">
|
---|
1697 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.17"/>
|
---|
1698 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.13"/>
|
---|
1699 | <id/>
|
---|
1700 | <code code="116859006" displayName="Transfusion of Blood" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96">
|
---|
1701 | <originalText>
|
---|
1702 | <reference value="advance-directive-989570598"/>
|
---|
1703 | </originalText>
|
---|
1704 | </code>
|
---|
1705 | <statusCode code="completed"/>
|
---|
1706 | <effectiveTime>
|
---|
1707 | <low value="20080401"/>
|
---|
1708 | <high value="20080430"/>
|
---|
1709 | </effectiveTime>
|
---|
1710 | <participant typeCode="CST">
|
---|
1711 | <participantRole classCode="AGNT">
|
---|
1712 | <addr>
|
---|
1713 | <streetAddressLine>9435 BELL ROAD</streetAddressLine>
|
---|
1714 | <streetAddressLine>2ND FLOOR</streetAddressLine>
|
---|
1715 | <city>LEESBURG</city>
|
---|
1716 | <state>VA</state>
|
---|
1717 | <postalCode>20155</postalCode>
|
---|
1718 | <country>US</country>
|
---|
1719 | </addr>
|
---|
1720 | <telecom value="tel:703-555-0011" use="HP"/>
|
---|
1721 | <telecom value="tel:703-555-0012" use="WP"/>
|
---|
1722 | <telecom value="tel:703-555-0013" use="MC"/>
|
---|
1723 | <telecom value="tel:703-555-0014" use="HV"/>
|
---|
1724 | <telecom value="mailto:smith@doctors.com"/>
|
---|
1725 | <telecom value="http://www.here.com/smith"/>
|
---|
1726 | <playingEntity>
|
---|
1727 | <name>
|
---|
1728 | <prefix>MR</prefix>
|
---|
1729 | <given qualifier="CL">FRED</given>
|
---|
1730 | <family qualifier="BR">SMITH</family>
|
---|
1731 | <suffix>ESQ</suffix>
|
---|
1732 | </name>
|
---|
1733 | </playingEntity>
|
---|
1734 | </participantRole>
|
---|
1735 | </participant>
|
---|
1736 | <entryRelationship typeCode="REFR">
|
---|
1737 | <observation classCode="OBS" moodCode="EVN">
|
---|
1738 | <templateId root="2.16.840.1.113883.10.20.1.37"/>
|
---|
1739 | <code code="33999-4" displayName="Status" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
1740 | <statusCode code="completed"/>
|
---|
1741 | <value code="15240007" displayName="Current and verified" xsi:type="CE" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
1742 | </observation>
|
---|
1743 | </entryRelationship>
|
---|
1744 | </observation>
|
---|
1745 | </entry>
|
---|
1746 | </section>
|
---|
1747 | </component>
|
---|
1748 | </structuredBody>
|
---|
1749 | </component>
|
---|
1750 | </ClinicalDocument>]]></rawData>
|
---|
1751 | <eventCode>
|
---|
1752 | <!-- <codeId>1</codeId> -->
|
---|
1753 | <code>code_value</code>
|
---|
1754 | <codeSchema>codeSchema_value</codeSchema>
|
---|
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|
---|
1756 | </eventCode>
|
---|
1757 | </Document>
|
---|
1758 | <Document>
|
---|
1759 | <!-- <documentId>4</documentId> -->
|
---|
1760 | <documentUniqueId>444444444</documentUniqueId>
|
---|
1761 | <documentTitle>BHIE Document 4</documentTitle>
|
---|
1762 | <authorPerson>Bob Dillan</authorPerson>
|
---|
1763 | <authorInstitution>Dillan Institute</authorInstitution>
|
---|
1764 | <authorRole>Reveiwer</authorRole>
|
---|
1765 | <authorSpecialty>authorSpecialty_value</authorSpecialty>
|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
1772 | <confidentialityCodeDisplayName>confidentialityCodeDisplayName_value</confidentialityCodeDisplayName>
|
---|
1773 | <creationTime>2008042005</creationTime>
|
---|
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|
---|
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|
---|
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|
---|
1777 | <patientId>6543</patientId>
|
---|
1778 | <serviceStartTime>2008080101</serviceStartTime>
|
---|
1779 | <serviceStopTime>2008081502</serviceStopTime>
|
---|
1780 | <status>urn:oasis:names:tc:ebxml-regrep:StatusType:Approved</status>
|
---|
1781 | <comments>Document 4 comments</comments>
|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
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|
---|
1798 | <pid3>pid3_value</pid3>
|
---|
1799 | <pid5>pid5_value</pid5>
|
---|
1800 | <pid8>pid8_value</pid8>
|
---|
1801 | <pid7>pid7_value</pid7>
|
---|
1802 | <pid11>pid11_value</pid11>
|
---|
1803 | <typeCode>typeCode_value</typeCode>
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---|
1804 | <typeCodeScheme>typeCodeScheme_value</typeCodeScheme>
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---|
1805 | <typeCodeDisplayName>typeCodeDisplayName_value</typeCodeDisplayName>
|
---|
1806 | <documentUri>documentUri_value</documentUri>
|
---|
1807 | <rawData><![CDATA[<ClinicalDocument xsi:schemaLocation="urn:hl7-org:v3 http://xreg2.nist.gov:8080/hitspValidation/schema/cdar2c32/infrastructure/cda/C32_CDA.xsd" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3">
|
---|
1808 | <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
|
---|
1809 | <templateId assigningAuthorityName="CDA/R2" root="2.16.840.1.113883.3.27.1776"/>
|
---|
1810 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1"/>
|
---|
1811 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.1"/>
|
---|
1812 | <id extension="Laika C32 Test" assigningAuthorityName="Laika: An Open Source EHR Testing Framework projectlaika.org" root="2.16.840.1.113883.3.72"/>
|
---|
1813 | <code code="34133-9" displayName="Summarization of patient data" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
1814 | <title>Katy Bradford</title>
|
---|
1815 | <effectiveTime value="20080424103703-0500"/>
|
---|
1816 | <confidentialityCode/>
|
---|
1817 | <languageCode code="en-US"/>
|
---|
1818 | <recordTarget>
|
---|
1819 | <patientRole>
|
---|
1820 | <id extension="000-00-0004"/>
|
---|
1821 | <addr>
|
---|
1822 | <streetAddressLine>437 TURNER LANE</streetAddressLine>
|
---|
1823 | <city>LEESBURG</city>
|
---|
1824 | <state>VA</state>
|
---|
1825 | <postalCode>20176</postalCode>
|
---|
1826 | <country>US</country>
|
---|
1827 | </addr>
|
---|
1828 | <telecom value="tel:703-555-0000" use="HP"/>
|
---|
1829 | <telecom value="tel:703-555-0001" use="WP"/>
|
---|
1830 | <telecom value="tel:703-555-0002" use="MC"/>
|
---|
1831 | <telecom value="mailto:katy.bradford@here.com"/>
|
---|
1832 | <telecom value="http://www.here.com/katy"/>
|
---|
1833 | <patient>
|
---|
1834 | <name>
|
---|
1835 | <prefix>MRS.</prefix>
|
---|
1836 | <given qualifier="CL">KATY</given>
|
---|
1837 | <family qualifier="BR">BRADFORD</family>
|
---|
1838 | </name>
|
---|
1839 | <administrativeGenderCode code="F" displayName="Female" codeSystemName="HL7 AdministrativeGenderCodes" codeSystem="2.16.840.1.113883.5.1">
|
---|
1840 | <originalText>AdministrativeGender codes are: M (Male), F (Female) or UN (Undifferentiated).</originalText>
|
---|
1841 | </administrativeGenderCode>
|
---|
1842 | <birthTime value="19740730"/>
|
---|
1843 | <maritalStatusCode code="M" displayName="Married" codeSystemName="MaritalStatusCode" codeSystem="2.16.840.1.113883.5.2"/>
|
---|
1844 | <religiousAffiliationCode code="1005" displayName="Anglican" codeSystemName="Religious Affiliation" codeSystem="2.16.840.1.113883.5.1076"/>
|
---|
1845 | <raceCode code="2111-3" displayName="French" codeSystemName="CDC Race and Ethnicity" codeSystem="2.16.840.1.113883.6.238"/>
|
---|
1846 | <ethnicGroupCode code="2142-8" displayName="Belearic Islander" codeSystemName="CDC Race and Ethnicity" codeSystem="2.16.840.1.113883.6.238"/>
|
---|
1847 | <languageCommunication>
|
---|
1848 | <templateId root="2.16.840.1.113883.3.88.11.32.2"/>
|
---|
1849 | <languageCode code="as-AZ"/>
|
---|
1850 | <modeCode code="RSGN" displayName="Received Signed" codeSystemName="LanguageAbilityMode" codeSystem="2.16.840.1.113883.5.60"/>
|
---|
1851 | <preferenceInd value="true"/>
|
---|
1852 | </languageCommunication>
|
---|
1853 | <languageCommunication>
|
---|
1854 | <templateId root="2.16.840.1.113883.3.88.11.32.2"/>
|
---|
1855 | <languageCode code="cs-AU"/>
|
---|
1856 | <modeCode code="EWR" displayName="Expressed Written" codeSystemName="LanguageAbilityMode" codeSystem="2.16.840.1.113883.5.60"/>
|
---|
1857 | <preferenceInd value="true"/>
|
---|
1858 | </languageCommunication>
|
---|
1859 | </patient>
|
---|
1860 | </patientRole>
|
---|
1861 | </recordTarget>
|
---|
1862 | <author>
|
---|
1863 | <time value="20080401"/>
|
---|
1864 | <assignedAuthor>
|
---|
1865 | <id root="8798704325"/>
|
---|
1866 | <assignedPerson>
|
---|
1867 | <name>
|
---|
1868 | <prefix>MR</prefix>
|
---|
1869 | <given qualifier="CL">BOB</given>
|
---|
1870 | <family qualifier="BR">DEVRIESE</family>
|
---|
1871 | <prefix>ESQ</prefix>
|
---|
1872 | </name>
|
---|
1873 | </assignedPerson>
|
---|
1874 | <representedOrganization>
|
---|
1875 | <id root="2.16.840.1.113883.19.5"/>
|
---|
1876 | <name>AJAX INSURANCE</name>
|
---|
1877 | </representedOrganization>
|
---|
1878 | </assignedAuthor>
|
---|
1879 | </author>
|
---|
1880 | <custodian>
|
---|
1881 | <assignedCustodian>
|
---|
1882 | <representedCustodianOrganization>
|
---|
1883 | <id/>
|
---|
1884 | </representedCustodianOrganization>
|
---|
1885 | </assignedCustodian>
|
---|
1886 | </custodian>
|
---|
1887 | <participant typeCode="IND">
|
---|
1888 | <templateId root="2.16.840.1.113883.3.88.11.32.3"/>
|
---|
1889 | <time>
|
---|
1890 | <low value="20080401"/>
|
---|
1891 | <high value="20080430"/>
|
---|
1892 | </time>
|
---|
1893 | <associatedEntity classCode="AGNT">
|
---|
1894 | <code code="FRND" displayName="Unrelated Friend" codeSystemName="RoleCode" codeSystem="2.16.840.1.113883.5.111"/>
|
---|
1895 | <addr>
|
---|
1896 | <streetAddressLine>439 TURNER LANE</streetAddressLine>
|
---|
1897 | <city>LEESBURG</city>
|
---|
1898 | <state>VA</state>
|
---|
1899 | <postalCode>20176</postalCode>
|
---|
1900 | <country>US</country>
|
---|
1901 | </addr>
|
---|
1902 | <telecom value="tel:703-555-0003" use="HP"/>
|
---|
1903 | <telecom value="tel:703-555-0004" use="WP"/>
|
---|
1904 | <telecom value="tel:703-555-0005" use="MC"/>
|
---|
1905 | <telecom value="tel:703-555-0006" use="HV"/>
|
---|
1906 | <telecom value="mailto:terry.shaw@here.com"/>
|
---|
1907 | <telecom value="http://www.here.com/terry"/>
|
---|
1908 | <associatedPerson>
|
---|
1909 | <name>
|
---|
1910 | <prefix>MS.</prefix>
|
---|
1911 | <given qualifier="CL">TERRY</given>
|
---|
1912 | <family qualifier="BR">SHAW</family>
|
---|
1913 | <suffix>PHD</suffix>
|
---|
1914 | </name>
|
---|
1915 | </associatedPerson>
|
---|
1916 | </associatedEntity>
|
---|
1917 | </participant>
|
---|
1918 | <documentationOf>
|
---|
1919 | <serviceEvent classCode="PCPR">
|
---|
1920 | <effectiveTime>
|
---|
1921 | <low value="0"/>
|
---|
1922 | <high value="2010"/>
|
---|
1923 | </effectiveTime>
|
---|
1924 | <performer typeCode="PRF">
|
---|
1925 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.4"/>
|
---|
1926 | <functionCode code="PP" displayName="Primary Care Provider" codeSystemName="Provider Role" codeSystem="2.16.840.1.113883.12.443">
|
---|
1927 | <originalText>PCP</originalText>
|
---|
1928 | </functionCode>
|
---|
1929 | <time>
|
---|
1930 | <low value="20080409"/>
|
---|
1931 | <high value="20080430"/>
|
---|
1932 | </time>
|
---|
1933 | <assignedEntity>
|
---|
1934 | <id/>
|
---|
1935 | <code code="300000000X" displayName="Managed Care Organizations" codeSystemName="ProviderCodes" codeSystem="2.16.840.1.113883.6.101"/>
|
---|
1936 | <addr>
|
---|
1937 | <streetAddressLine>10300 MAIN ST.</streetAddressLine>
|
---|
1938 | <streetAddressLine>SUITE 100</streetAddressLine>
|
---|
1939 | <city>ASHBURN</city>
|
---|
1940 | <state>VA</state>
|
---|
1941 | <postalCode>20176</postalCode>
|
---|
1942 | <country>AF</country>
|
---|
1943 | </addr>
|
---|
1944 | <telecom value="tel:703-555-0007" use="HP"/>
|
---|
1945 | <telecom value="tel:703-555-0008" use="WP"/>
|
---|
1946 | <telecom value="tel:703-555-0009" use="MC"/>
|
---|
1947 | <telecom value="tel:703-555-0010" use="HV"/>
|
---|
1948 | <telecom value="mailto:jw@doctors.com"/>
|
---|
1949 | <telecom value="http://www.doctors.com/jw"/>
|
---|
1950 | <assignedPerson>
|
---|
1951 | <name>
|
---|
1952 | <prefix>DR.</prefix>
|
---|
1953 | <given qualifier="CL">JANE</given>
|
---|
1954 | <family qualifier="BR">WATSON</family>
|
---|
1955 | <suffix>MD</suffix>
|
---|
1956 | </name>
|
---|
1957 | </assignedPerson>
|
---|
1958 | <representedOrganization>
|
---|
1959 | <id assigningAuthorityName="Doctors Inc." root="2.16.840.1.113883.3.72.5"/>
|
---|
1960 | <name>Doctors Inc.</name>
|
---|
1961 | </representedOrganization>
|
---|
1962 | <patient xmlns="urn:hl7-org:sdtc">
|
---|
1963 | <id extension="MedicalRecordNumber" root="x164353Y1343" xmlns="urn:hl7-org:sdtc"/>
|
---|
1964 | </patient>
|
---|
1965 | </assignedEntity>
|
---|
1966 | </performer>
|
---|
1967 | </serviceEvent>
|
---|
1968 | </documentationOf>
|
---|
1969 | <component>
|
---|
1970 | <structuredBody>
|
---|
1971 | <component>
|
---|
1972 | <section>
|
---|
1973 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.11"/>
|
---|
1974 | <code code="11450-4" displayName="Problems" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
1975 | <title>Conditions or Problems</title>
|
---|
1976 | <text>
|
---|
1977 | <table border="1" width="100%">
|
---|
1978 | <thead>
|
---|
1979 | <tr>
|
---|
1980 | <th>Problem Name</th>
|
---|
1981 | <th>Problem Type</th>
|
---|
1982 | <th>Problem Date</th>
|
---|
1983 | </tr>
|
---|
1984 | </thead>
|
---|
1985 | <tbody>
|
---|
1986 | <tr>
|
---|
1987 | <td>
|
---|
1988 | <content ID="problem-1021520383">Sprained ankle</content>
|
---|
1989 | </td>
|
---|
1990 | <td>Diagnosis</td>
|
---|
1991 | <td>20080401</td>
|
---|
1992 | </tr>
|
---|
1993 | <tr>
|
---|
1994 | <td>
|
---|
1995 | <content ID="problem-1021520384">Migraines</content>
|
---|
1996 | </td>
|
---|
1997 | <td>Problem</td>
|
---|
1998 | <td>20080421</td>
|
---|
1999 | </tr>
|
---|
2000 | </tbody>
|
---|
2001 | </table>
|
---|
2002 | </text>
|
---|
2003 | <entry>
|
---|
2004 | <act classCode="ACT" moodCode="EVN">
|
---|
2005 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.27"/>
|
---|
2006 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.7"/>
|
---|
2007 | <id/>
|
---|
2008 | <code nullFlavor="NA"/>
|
---|
2009 | <effectiveTime>
|
---|
2010 | <low value="20080401"/>
|
---|
2011 | <high value="20080430"/>
|
---|
2012 | </effectiveTime>
|
---|
2013 | <entryRelationship typeCode="SUBJ">
|
---|
2014 | <observation classCode="OBS" moodCode="EVN">
|
---|
2015 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.28"/>
|
---|
2016 | <code code="282291009" displayName="Diagnosis" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
2017 | <text>
|
---|
2018 | <reference value="#problem-1021520383"/>
|
---|
2019 | </text>
|
---|
2020 | <statusCode code="completed"/>
|
---|
2021 | </observation>
|
---|
2022 | </entryRelationship>
|
---|
2023 | </act>
|
---|
2024 | </entry>
|
---|
2025 | <entry>
|
---|
2026 | <act classCode="ACT" moodCode="EVN">
|
---|
2027 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.27"/>
|
---|
2028 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.7"/>
|
---|
2029 | <id/>
|
---|
2030 | <code nullFlavor="NA"/>
|
---|
2031 | <effectiveTime>
|
---|
2032 | <low value="20080421"/>
|
---|
2033 | <high value="20080425"/>
|
---|
2034 | </effectiveTime>
|
---|
2035 | <entryRelationship typeCode="SUBJ">
|
---|
2036 | <observation classCode="OBS" moodCode="EVN">
|
---|
2037 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.28"/>
|
---|
2038 | <code code="55607006" displayName="Problem" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
2039 | <text>
|
---|
2040 | <reference value="#problem-1021520384"/>
|
---|
2041 | </text>
|
---|
2042 | <statusCode code="completed"/>
|
---|
2043 | </observation>
|
---|
2044 | </entryRelationship>
|
---|
2045 | </act>
|
---|
2046 | </entry>
|
---|
2047 | </section>
|
---|
2048 | </component>
|
---|
2049 | <component>
|
---|
2050 | <section>
|
---|
2051 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.2"/>
|
---|
2052 | <code code="48765-2" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
2053 | <title>Allergies, Adverse Reactions, Alerts</title>
|
---|
2054 | <text>
|
---|
2055 | <table border="1" width="100%">
|
---|
2056 | <thead>
|
---|
2057 | <tr>
|
---|
2058 | <th>Substance</th>
|
---|
2059 | <th>Event Type</th>
|
---|
2060 | <th>Severity</th>
|
---|
2061 | </tr>
|
---|
2062 | </thead>
|
---|
2063 | <tbody>
|
---|
2064 | <tr>
|
---|
2065 | <td>Trucare</td>
|
---|
2066 | <td>Drug Allergy</td>
|
---|
2067 | <td>
|
---|
2068 | <content ID="severity-823358778">Mild</content>
|
---|
2069 | </td>
|
---|
2070 | </tr>
|
---|
2071 | <tr>
|
---|
2072 | <td>peanuts</td>
|
---|
2073 | <td>Food Allergy</td>
|
---|
2074 | <td>
|
---|
2075 | <content ID="severity-823358779">Severe</content>
|
---|
2076 | </td>
|
---|
2077 | </tr>
|
---|
2078 | </tbody>
|
---|
2079 | </table>
|
---|
2080 | </text>
|
---|
2081 | <entry>
|
---|
2082 | <act classCode="ACT" moodCode="EVN">
|
---|
2083 | <templateId root="2.16.840.1.113883.10.20.1.27"/>
|
---|
2084 | <templateId root="2.16.840.1.113883.3.88.11.32.6"/>
|
---|
2085 | <id root="2C748172-7CC2-4902-8AF0-23A105C4401B"/>
|
---|
2086 | <code nullFlavor="NA"/>
|
---|
2087 | <entryRelationship typeCode="SUBJ">
|
---|
2088 | <observation classCode="OBS" moodCode="EVN">
|
---|
2089 | <templateId root="2.16.840.1.113883.10.20.1.18"/>
|
---|
2090 | <code code="416098002" displayName="Drug Allergy" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
2091 | <statusCode code="completed"/>
|
---|
2092 | <effectiveTime>
|
---|
2093 | <low value="20080401"/>
|
---|
2094 | <high value="20080430"/>
|
---|
2095 | </effectiveTime>
|
---|
2096 | <participant typeCode="CSM">
|
---|
2097 | <participantRole classCode="MANU">
|
---|
2098 | <playingEntity classCode="MMAT">
|
---|
2099 | <code code="00504-554-4433" displayName="Trucare" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88"/>
|
---|
2100 | <name>Trucare</name>
|
---|
2101 | </playingEntity>
|
---|
2102 | </participantRole>
|
---|
2103 | </participant>
|
---|
2104 | </observation>
|
---|
2105 | </entryRelationship>
|
---|
2106 | </act>
|
---|
2107 | </entry>
|
---|
2108 | <entry>
|
---|
2109 | <act classCode="ACT" moodCode="EVN">
|
---|
2110 | <templateId root="2.16.840.1.113883.10.20.1.27"/>
|
---|
2111 | <templateId root="2.16.840.1.113883.3.88.11.32.6"/>
|
---|
2112 | <id root="2C748172-7CC2-4902-8AF0-23A105C4401B"/>
|
---|
2113 | <code nullFlavor="NA"/>
|
---|
2114 | <entryRelationship typeCode="SUBJ">
|
---|
2115 | <observation classCode="OBS" moodCode="EVN">
|
---|
2116 | <templateId root="2.16.840.1.113883.10.20.1.18"/>
|
---|
2117 | <code code="414285001" displayName="Food Allergy" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
2118 | <statusCode code="completed"/>
|
---|
2119 | <effectiveTime>
|
---|
2120 | <low value="20080414"/>
|
---|
2121 | <high value="20080430"/>
|
---|
2122 | </effectiveTime>
|
---|
2123 | <participant typeCode="CSM">
|
---|
2124 | <participantRole classCode="MANU">
|
---|
2125 | <playingEntity classCode="MMAT">
|
---|
2126 | <code code="75443544" displayName="peanuts" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88"/>
|
---|
2127 | <name>peanuts</name>
|
---|
2128 | </playingEntity>
|
---|
2129 | </participantRole>
|
---|
2130 | </participant>
|
---|
2131 | </observation>
|
---|
2132 | </entryRelationship>
|
---|
2133 | </act>
|
---|
2134 | </entry>
|
---|
2135 | </section>
|
---|
2136 | </component>
|
---|
2137 | <component>
|
---|
2138 | <section>
|
---|
2139 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.9"/>
|
---|
2140 | <code code="48768-6" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
2141 | <title>Insurance Providers</title>
|
---|
2142 | <text>
|
---|
2143 | <table border="1" width="100%">
|
---|
2144 | <thead>
|
---|
2145 | <tr>
|
---|
2146 | <th>Insurance Provider Name</th>
|
---|
2147 | <th>Insurance Provider Type</th>
|
---|
2148 | <th>Insurance Provider Group Number</th>
|
---|
2149 | </tr>
|
---|
2150 | </thead>
|
---|
2151 | <tbody>
|
---|
2152 | <tr>
|
---|
2153 | <td>AJAX INSURANCE</td>
|
---|
2154 | <td>AJAX INSURANCE</td>
|
---|
2155 | <td>G1854093</td>
|
---|
2156 | </tr>
|
---|
2157 | </tbody>
|
---|
2158 | </table>
|
---|
2159 | </text>
|
---|
2160 | <entry>
|
---|
2161 | <act classCode="ACT" moodCode="DEF">
|
---|
2162 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.20"/>
|
---|
2163 | <id extension="GroupOrContract#" root="G1854093"/>
|
---|
2164 | <code code="48768-6" displayName="Payment Sources" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
2165 | <statusCode code="completed"/>
|
---|
2166 | <entryRelationship typeCode="COMP">
|
---|
2167 | <act classCode="ACT" moodCode="EVN">
|
---|
2168 | <templateId root="2.16.840.1.113883.10.20.1.26"/>
|
---|
2169 | <templateId root="2.16.840.1.113883.3.88.11.32.5"/>
|
---|
2170 | <id extension="GroupOrContract#" root="G1854093"/>
|
---|
2171 | <code code="GP" displayName="Group Policy" codeSystemName="X12N-1336" codeSystem="2.16.840.1.113883.6.255.1336"/>
|
---|
2172 | <statusCode code="completed"/>
|
---|
2173 | <performer typeCode="PRF">
|
---|
2174 | <assignedEntity classCode="ASSIGNED">
|
---|
2175 | <id root="2.16.840.1.113883.3.88.3.1"/>
|
---|
2176 | <representedOrganization classCode="ORG">
|
---|
2177 | <id root="2.16.840.1.113883.19.5"/>
|
---|
2178 | <name>AJAX INSURANCE</name>
|
---|
2179 | </representedOrganization>
|
---|
2180 | </assignedEntity>
|
---|
2181 | </performer>
|
---|
2182 | <participant typeCode="HLD">
|
---|
2183 | <participantRole classCode="IND">
|
---|
2184 | <id extension="7095365879" root="AssignAuthorityGUID"/>
|
---|
2185 | <addr>
|
---|
2186 | </addr>
|
---|
2187 | <playingEntity>
|
---|
2188 | <name>
|
---|
2189 | </name>
|
---|
2190 | <sdtc:birthTime value="19630408"/>
|
---|
2191 | </playingEntity>
|
---|
2192 | </participantRole>
|
---|
2193 | </participant>
|
---|
2194 | </act>
|
---|
2195 | </entryRelationship>
|
---|
2196 | </act>
|
---|
2197 | </entry>
|
---|
2198 | </section>
|
---|
2199 | </component>
|
---|
2200 | <component>
|
---|
2201 | <section>
|
---|
2202 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.8"/>
|
---|
2203 | <code code="10160-0" displayName="History of medication use" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
2204 | <title>Medications</title>
|
---|
2205 | <text>
|
---|
2206 | <table border="1" width="100%">
|
---|
2207 | <thead>
|
---|
2208 | <tr>
|
---|
2209 | <th>Product Display Name</th>
|
---|
2210 | <th>Free Text Brand Name</th>
|
---|
2211 | <th>Ordered Value</th>
|
---|
2212 | <th>Ordered Unit</th>
|
---|
2213 | <th>Expiration Time</th>
|
---|
2214 | </tr>
|
---|
2215 | </thead>
|
---|
2216 | <tbody>
|
---|
2217 | <tr>
|
---|
2218 | <td>
|
---|
2219 | <content ID="medication-809983199">Hyaline</content>
|
---|
2220 | </td>
|
---|
2221 | <td>Hyalinia</td>
|
---|
2222 | <td>30.0</td>
|
---|
2223 | <td>TAB</td>
|
---|
2224 | <td>20080430</td>
|
---|
2225 | </tr>
|
---|
2226 | </tbody>
|
---|
2227 | </table>
|
---|
2228 | </text>
|
---|
2229 | <entry>
|
---|
2230 | <substanceAdministration classCode="SBADM" moodCode="EVN">
|
---|
2231 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.24"/>
|
---|
2232 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.8"/>
|
---|
2233 | <id/>
|
---|
2234 | <consumable>
|
---|
2235 | <manufacturedProduct classCode="MANU">
|
---|
2236 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.53"/>
|
---|
2237 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.9"/>
|
---|
2238 | <manufacturedMaterial classCode="MMAT" determinerCode="KIND">
|
---|
2239 | <code code="87643566" displayName="Hyaline" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88">
|
---|
2240 | <originalText>Hyaline</originalText>
|
---|
2241 | </code>
|
---|
2242 | <name>Hyalinia</name>
|
---|
2243 | </manufacturedMaterial>
|
---|
2244 | </manufacturedProduct>
|
---|
2245 | </consumable>
|
---|
2246 | <entryRelationship typeCode="SUBJ">
|
---|
2247 | <observation classCode="OBS" moodCode="EVN">
|
---|
2248 | <templateId root="2.16.840.1.113883.3.88.11.32.10"/>
|
---|
2249 | <code code="73639000" displayName="Prescription Drug" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
2250 | <statusCode code="completed"/>
|
---|
2251 | </observation>
|
---|
2252 | </entryRelationship>
|
---|
2253 | <entryRelationship typeCode="REFR">
|
---|
2254 | <observation classCode="OBS" moodCode="EVN">
|
---|
2255 | <code code="33999-4" displayName="Status" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
2256 | <statusCode code="Dispensed"/>
|
---|
2257 | <value code="55561003" displayName="Active" xsi:type="CE" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
2258 | </observation>
|
---|
2259 | </entryRelationship>
|
---|
2260 | <entryRelationship typeCode="REFR">
|
---|
2261 | <supply classCode="SPLY" moodCode="INT">
|
---|
2262 | <templateId root="2.16.840.1.113883.3.88.1.11.32.11"/>
|
---|
2263 | <id extension="SCRIP#" root="TAB"/>
|
---|
2264 | <effectiveTime value="20080430"/>
|
---|
2265 | <quantity value="30.0"/>
|
---|
2266 | </supply>
|
---|
2267 | </entryRelationship>
|
---|
2268 | </substanceAdministration>
|
---|
2269 | </entry>
|
---|
2270 | </section>
|
---|
2271 | </component>
|
---|
2272 | <component>
|
---|
2273 | <section>
|
---|
2274 | <templateId root="2.16.840.1.113883.10.20.1.1"/>
|
---|
2275 | <code code="42348-3" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
2276 | <title>Advance Directive</title>
|
---|
2277 | <text>
|
---|
2278 | <content ID="advance-directive-989570598">Blood transfusion OK</content>
|
---|
2279 | </text>
|
---|
2280 | <entry>
|
---|
2281 | <observation classCode="OBS" moodCode="EVN">
|
---|
2282 | <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.17"/>
|
---|
2283 | <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.13"/>
|
---|
2284 | <id/>
|
---|
2285 | <code code="116859006" displayName="Transfusion of Blood" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96">
|
---|
2286 | <originalText>
|
---|
2287 | <reference value="advance-directive-989570598"/>
|
---|
2288 | </originalText>
|
---|
2289 | </code>
|
---|
2290 | <statusCode code="completed"/>
|
---|
2291 | <effectiveTime>
|
---|
2292 | <low value="20080401"/>
|
---|
2293 | <high value="20080430"/>
|
---|
2294 | </effectiveTime>
|
---|
2295 | <participant typeCode="CST">
|
---|
2296 | <participantRole classCode="AGNT">
|
---|
2297 | <addr>
|
---|
2298 | <streetAddressLine>9435 BELL ROAD</streetAddressLine>
|
---|
2299 | <streetAddressLine>2ND FLOOR</streetAddressLine>
|
---|
2300 | <city>LEESBURG</city>
|
---|
2301 | <state>VA</state>
|
---|
2302 | <postalCode>20155</postalCode>
|
---|
2303 | <country>US</country>
|
---|
2304 | </addr>
|
---|
2305 | <telecom value="tel:703-555-0011" use="HP"/>
|
---|
2306 | <telecom value="tel:703-555-0012" use="WP"/>
|
---|
2307 | <telecom value="tel:703-555-0013" use="MC"/>
|
---|
2308 | <telecom value="tel:703-555-0014" use="HV"/>
|
---|
2309 | <telecom value="mailto:smith@doctors.com"/>
|
---|
2310 | <telecom value="http://www.here.com/smith"/>
|
---|
2311 | <playingEntity>
|
---|
2312 | <name>
|
---|
2313 | <prefix>MR</prefix>
|
---|
2314 | <given qualifier="CL">FRED</given>
|
---|
2315 | <family qualifier="BR">SMITH</family>
|
---|
2316 | <suffix>ESQ</suffix>
|
---|
2317 | </name>
|
---|
2318 | </playingEntity>
|
---|
2319 | </participantRole>
|
---|
2320 | </participant>
|
---|
2321 | <entryRelationship typeCode="REFR">
|
---|
2322 | <observation classCode="OBS" moodCode="EVN">
|
---|
2323 | <templateId root="2.16.840.1.113883.10.20.1.37"/>
|
---|
2324 | <code code="33999-4" displayName="Status" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
2325 | <statusCode code="completed"/>
|
---|
2326 | <value code="15240007" displayName="Current and verified" xsi:type="CE" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
2327 | </observation>
|
---|
2328 | </entryRelationship>
|
---|
2329 | </observation>
|
---|
2330 | </entry>
|
---|
2331 | </section>
|
---|
2332 | </component>
|
---|
2333 | </structuredBody>
|
---|
2334 | </component>
|
---|
2335 | </ClinicalDocument>]]></rawData>
|
---|
2336 | <eventCode>
|
---|
2337 | <!-- <codeId>1</codeId> -->
|
---|
2338 | <code>code_value</code>
|
---|
2339 | <codeSchema>codeSchema_value</codeSchema>
|
---|
2340 | <codeDisplayName>codeDisplayName_value</codeDisplayName>
|
---|
2341 | </eventCode>
|
---|
2342 | </Document>
|
---|
2343 | </Documents>
|
---|