bluebutton/_site/bower_components/sample_ccdas/Allscripts Samples/Professional EHR/Encounter Based C-CDA CCD - 08-06-2012 [Jones, Isabella - 170314E2].xml

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<?xml-stylesheet type='text/xsl' href='http://www.ihe.allscriptscloud.com/CED/2.2/STYLES/CED.XSL'?><ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><realmCode code="US" /><typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3" /><templateId extension="IMPL_CDAR2_LEVEL1" root="2.16.840.1.113883.10" /><templateId root="2.16.840.1.113883.10.20.22.1.1" /><templateId root="2.16.840.1.113883.10.20.22.1.2" /><id extension="20130718161754" root="1.3.6.1.4.1.22812.4.111.0.1" /><code code="34133-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="SUMMARIZATION OF EPISODE NOTE" /><title>Visit Summary</title><effectiveTime value="20130718161754-0400" /><confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" /><languageCode code="en-US" /><recordTarget><patientRole><id extension="170314e2" root="1.3.6.1.4.1.22812.4.111.0" /><addr use="H"><streetAddressLine>1234 DGI Blvd</streetAddressLine><city>Raleigh</city><state>NC</state><postalCode>27615</postalCode><country>US</country></addr><telecom value="tel:+1-(919)888-9658" /><patient><name><family>Jones</family><given>Isabella</given></name><administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" /><birthTime value="19470501" /><raceCode codeSystem="2.16.840.1.113883.6.238" code="2106-3" displayName="White" /><ethnicGroupCode codeSystem="2.16.840.1.113883.6.238" code="2186-5" displayName="Not Hispanic or Latino" /><languageCommunication><templateId root="2.16.840.1.113883.3.88.11.32.2" /><templateId root="2.16.840.1.113883.3.88.11.83.2" /><templateId root="1.3.6.1.4.1.19376.1.5.3.1.2.1" /><languageCode code="eng" /><preferenceInd value="false" /></languageCommunication></patient><providerOrganization><id extension="0" root="1.3.6.1.4.1.22812.4.111.0" /><name>Clinic One</name><telecom value="tel:+1-(202)555-1212" /><addr><streetAddressLine>90001 1ST AVE STE 100</streetAddressLine><city>Washington</city><state>DC</state><postalCode>20000</postalCode><country>US</country></addr></providerOrganization></patientRole></recordTarget><author><time value="20130718161754-0400" /><assignedAuthor><id root="2.16.840.1.113883.4.6" extension="1569874562" /><id extension="10077" root="1.3.6.1.4.1.22812.4.111.0" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedAuthor></author><author><time value="20130718161754-0400" /><assignedAuthor><id extension="0" root="1.3.6.1.4.1.22812.4.111.0.3.3" /><addr><streetAddressLine>90001 1ST AVE STE 100</streetAddressLine><city>Washington</city><state>DC</state><postalCode>20000</postalCode><country>US</country></addr><telecom value="tel:+1-(202)555-1212" /><assignedAuthoringDevice><manufacturerModelName>Professional EHR 13.0.0.534</manufacturerModelName><softwareName>Professional EHR 13.0.0.534; Transform 4.1.1.25</softwareName></assignedAuthoringDevice><representedOrganization><id extension="0" root="1.3.6.1.4.1.22812.4.111.0" /><name>Clinic One</name><telecom value="tel:+1-(202)555-1212" /><addr><streetAddressLine>90001 1ST AVE STE 100</streetAddressLine><city>Washington</city><state>DC</state><postalCode>20000</postalCode><country>US</country></addr></representedOrganization></assignedAuthor></author><custodian><assignedCustodian><representedCustodianOrganization><id extension="0" root="1.3.6.1.4.1.22812.4.111.0" /><name>Clinic One</name><telecom value="tel:+1-(202)555-1212" /><addr><streetAddressLine>90001 1ST AVE STE 100</streetAddressLine><city>Washington</city><state>DC</state><postalCode>20000</postalCode><country>US</country></addr></representedCustodianOrganization></assignedCustodian></custodian><informationRecipient><intendedRecipient><id extension="0" root="1.3.6.1.4.1.22812.4.111.0.3.1" /><addr><streetAddressLine>90001 1ST AVE STE 100</streetAddressLine><city>Washington</city><state>DC</state><postalCode>20000</postalCode><country>US</country></addr><telecom value="tel:+1-(202)555-1212" /><receivedOrganization><name>Clinic One</name><telecom value="tel:+1-(202)555-1212" /><addr><streetAddressLine>90001 1ST AVE STE 100</streetAddressLine><city>Washington</city><state>DC</state><postalCode>20000</postalCode><country>US</country></addr></receivedOrganization></intendedRecipient></informationRecipient><legalAuthenticator><time value="20130718161754-0400" /><signatureCode code="S" /><assignedEntity><id extension="1569874562" root="2.16.840.1.113883.4.6" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedEntity></legalAuthenticator><authenticator><time value="20130718161754-0400" /><signatureCode code="S" /><assignedEntity><id extension="1569874562" root="2.16.840.1.113883.4.6" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedEntity></authenticator><documentationOf><serviceEvent classCode="PCPR"><id extension="10043698" root="1.3.6.1.4.1.22812.4.111.0.3.8" /><code codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" code="99204" /><effectiveTime><low value="20120806150353" /><high value="20130718161754-0400" /></effectiveTime><performer typeCode="PRF"><templateId root="1.3.6.1.4.1.19376.1.5.3.1.2.3" /><templateId root="2.16.840.1.113883.3.88.11.32.4" /><functionCode codeSystem="2.16.840.1.113883.12.443" code="CP" displayName="Consulting Provider" /><time><low /><high /></time><assignedEntity><id extension="10084" root="1.3.6.1.4.1.22812.4.111.0" /><code codeSystem="2.16.840.1.113883.6.101" codeSystemName="ProviderCodes" code="260000000X" displayName="Ambulatory Health Care Facilities" /><addr><streetAddressLine>1047 Healthcare Drive</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1049" /><assignedPerson><name><family>Puffer</family><given>Penny</given></name></assignedPerson></assignedEntity></performer><performer typeCode="PRF"><templateId root="1.3.6.1.4.1.19376.1.5.3.1.2.3" /><templateId root="2.16.840.1.113883.3.88.11.32.4" /><templateId root="2.16.840.1.113883.3.88.11.83.4" /><time><low /><high /></time><assignedEntity><id extension="1569874562" root="2.16.840.1.113883.4.6" /><code codeSystem="2.16.840.1.113883.6.101" codeSystemName="ProviderCodes" code="260000000X" displayName="Ambulatory Health Care Facilities" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedEntity></performer></serviceEvent></documentationOf><componentOf><encompassingEncounter><id extension="10043698" root="1.3.6.1.4.1.22812.4.111.0.3.4" /><effectiveTime><low value="20120806150353" /><high value="20130718161754-0400" /></effectiveTime></encompassingEncounter></componentOf><component><structuredBody><templateId extension="IMPL_CDAR2_LEVEL1" root="2.16.840.1.113883.10" /><component><section><templateId root="2.16.840.1.113883.10.20.22.2.12" /><code code="29299-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Reason for Visit" /><title>Reason for Visit</title><text><content ID="ID0EAAEABA">Fever and chills - The fever and chills have been occurring for 2 days. There has been associated cough (green sputum).</content></text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.10" /><code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Plan of Care" /><title>Plan of Care</title><text><list><caption>Instructions</caption><item><content styleCode="Bold"><content ID="ID0ECADBABA">No Known Planned Instructions</content></content></item></list><list><caption>Planned Observations</caption><item><table><thead><tr><th>Name</th><th>Dates</th><th>Details</th></tr></thead><tbody><tr><td styleCode="xmain"><content styleCode="xdiv"><content styleCode="Bold"><content ID="ID0EEABCBABA">HGB (85018)</content></content></content><content styleCode="xdiv"><content styleCode="xlabel">Reason: </content><content><content ID="ID0EBAAAABCBABA">Community acquired pneumonia</content></content></content></td><td styleCode="xdates"><content styleCode="xdiv"><content styleCode="xlabel">On </content><content styleCode="Bold">13-Aug-2012</content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xdiv"><content styleCode="xlabel">4:21 PM</content></content></td><td styleCode="xdetails"><content styleCode="xdiv"><content styleCode="xlabel">Request</content></content></td></tr><tr><td styleCode="xmain"><content styleCode="xdiv"><content styleCode="Bold"><content ID="ID0EEAACBABA">CULTURE, SPUTUM (87070)</content></content></content><content styleCode="xdiv"><content styleCode="xlabel">Reason: </content><content><content ID="ID0EBAAAAACBABA">Community acquired pneumonia</content></content></content></td><td styleCode="xdates"><content styleCode="xdiv"><content styleCode="xlabel">On </content><content styleCode="Bold">6-Aug-2012</content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xdiv"><content styleCode="xlabel">3:46 PM</content></content></td><td styleCode="xdetails"><content styleCode="xdiv"><content styleCode="xlabel">Request</content></content></td></tr></tbody></table></item></list><list><caption>Planned Encounters</caption><item><table><tbody><tr><td styleCode="xmain"><content styleCode="xdiv"><content styleCode="Bold" ID="ID0EEACBBABA"></content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xdiv"><content styleCode="xlabel">Clinic One</content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xasIgnore"><br /></content><content styleCode="xproviderName"><content styleCode="xproviderLastName"> Seven</content>, Henry </content></td><td styleCode="xdates"><content styleCode="xdiv"><content styleCode="xlabel">On </content><content styleCode="Bold">8-Aug-2013</content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xdiv"><content styleCode="xlabel">9:00 AM</content></content></td></tr></tbody></table></item><item><table><tbody><tr><td styleCode="xmain"><content styleCode="xdiv"><content styleCode="Bold" ID="ID0EEABBBABA"></content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xdiv"><content styleCode="xlabel">Clinic One</content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xasIgnore"><br /></content><content styleCode="xproviderName"><content styleCode="xproviderLastName"> Seven</content>, Henry </content></td><td styleCode="xdates"><content styleCode="xdiv"><content styleCode="xlabel">On </content><content styleCode="Bold">7-Aug-2013</content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xdiv"><content styleCode="xlabel">9:00 AM</content></content></td></tr></tbody></table></item><item><table><tbody><tr><td styleCode="xmain"><content styleCode="xdiv"><content styleCode="Bold" ID="ID0EEAABBABA"></content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xdiv"><content styleCode="xlabel">Clinic One</content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xasIgnore"><br /></content><content styleCode="xproviderName"><content styleCode="xproviderLastName"> Seven</content>, Henry </content></td><td styleCode="xdates"><content styleCode="xdiv"><content styleCode="xlabel">On </content><content styleCode="Bold">6-Aug-2013</content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xdiv"><content styleCode="xlabel">9:00 AM</content></content></td></tr></tbody></table></item></list><list><caption>Planned Procedures</caption><item><table><thead><tr><th>Name</th><th>Dates</th><th>Details</th></tr></thead><tbody><tr><td styleCode="xmain"><content styleCode="xdiv"><content styleCode="Bold"><content ID="ID0EDABABABA">DIAGNOSTIC COLONOSCOPY (45378)</content></content></content><content styleCode="xdiv"><content styleCode="xlabel">By: </content><content styleCode="xproviderName"><content styleCode="xproviderLastName"> Seven</content>, Henry </content></content></td><td styleCode="xdates"><content styleCode="xlabel">On </content><content styleCode="Bold">22-Sep-2012</content></td><td styleCode="xdetails"><content styleCode="xdiv"><content styleCode="xlabel">Intent</content></content></td></tr><tr><td styleCode="xmain"><content styleCode="xdiv"><content styleCode="Bold"><content ID="ID0EDAAABABA">CHEST XRAY, PA &amp; LATERAL (71020)</content></content></content><content styleCode="xdiv"><content styleCode="xlabel">By: </content><content styleCode="xproviderName"><content styleCode="xproviderLastName"> Seven</content>, Henry </content></content></td><td styleCode="xdates"><content styleCode="xlabel">On </content><content styleCode="Bold">13-Aug-2012</content></td><td styleCode="xdetails"><content styleCode="xdiv"><content styleCode="xlabel">Intent</content></content></td></tr></tbody></table></item></list></text><entry><encounter classCode="ENC" moodCode="ARQ"><templateId root="2.16.840.1.113883.10.20.22.4.40" /><id extension="2730" root="1.3.6.1.4.1.22812.4.111.0.3.4" /><entryRelationship typeCode="REFR"><encounter classCode="ENC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.49" /><id extension="2730" root="1.3.6.1.4.1.22812.4.111.0.3.4" /><code codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActEncounterCode"><originalText><reference value="#ID0EEACBBABA" /></originalText></code><text><reference value="#ID0EEACBBABA" /></text><effectiveTime><low value="20130808090000-0400" /><high nullFlavor="UNK" /></effectiveTime><performer typeCode="PRF"><assignedEntity><id extension="1569874562" root="2.16.840.1.113883.4.6" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedEntity></performer><participant typeCode="LOC"><participantRole classCode="SDLOC"><templateId root="2.16.840.1.113883.10.20.22.4.32" /><code code="1212-0" codeSystem="2.16.840.1.113883.6.259" displayName="Any Age Mixed Acuity Unit" /><telecom nullFlavor="UNK" /><playingEntity classCode="PLC"><name>Clinic One</name></playingEntity></participantRole></participant></encounter></entryRelationship></encounter></entry><entry><encounter classCode="ENC" moodCode="ARQ"><templateId root="2.16.840.1.113883.10.20.22.4.40" /><id extension="2710" root="1.3.6.1.4.1.22812.4.111.0.3.4" /><entryRelationship typeCode="REFR"><encounter classCode="ENC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.49" /><id extension="2710" root="1.3.6.1.4.1.22812.4.111.0.3.4" /><code codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActEncounterCode"><originalText><reference value="#ID0EEABBBABA" /></originalText></code><text><reference value="#ID0EEABBBABA" /></text><effectiveTime><low value="20130807090000-0400" /><high nullFlavor="UNK" /></effectiveTime><performer typeCode="PRF"><assignedEntity><id extension="1569874562" root="2.16.840.1.113883.4.6" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedEntity></performer><participant typeCode="LOC"><participantRole classCode="SDLOC"><templateId root="2.16.840.1.113883.10.20.22.4.32" /><code code="1212-0" codeSystem="2.16.840.1.113883.6.259" displayName="Any Age Mixed Acuity Unit" /><telecom nullFlavor="UNK" /><playingEntity classCode="PLC"><name>Clinic One</name></playingEntity></participantRole></participant></encounter></entryRelationship></encounter></entry><entry><encounter classCode="ENC" moodCode="ARQ"><templateId root="2.16.840.1.113883.10.20.22.4.40" /><id extension="2724" root="1.3.6.1.4.1.22812.4.111.0.3.4" /><entryRelationship typeCode="REFR"><encounter classCode="ENC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.49" /><id extension="2724" root="1.3.6.1.4.1.22812.4.111.0.3.4" /><code codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActEncounterCode"><originalText><reference value="#ID0EEAABBABA" /></originalText></code><text><reference value="#ID0EEAABBABA" /></text><effectiveTime><low value="20130806090000-0400" /><high nullFlavor="UNK" /></effectiveTime><performer typeCode="PRF"><assignedEntity><id extension="1569874562" root="2.16.840.1.113883.4.6" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedEntity></performer><participant typeCode="LOC"><participantRole classCode="SDLOC"><templateId root="2.16.840.1.113883.10.20.22.4.32" /><code code="1212-0" codeSystem="2.16.840.1.113883.6.259" displayName="Any Age Mixed Acuity Unit" /><telecom nullFlavor="UNK" /><playingEntity classCode="PLC"><name>Clinic One</name></playingEntity></participantRole></participant></encounter></entryRelationship></encounter></entry><entry><observation classCode="OBS" moodCode="RQO"><templateId root="2.16.840.1.113883.10.20.22.4.44" /><id extension="10031434" root="1.3.6.1.4.1.22812.4.111.0.4.13.2" /><code codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" code="85018" displayName="HGB (85018)" /><text><reference value="#ID0EEABCBABA" /></text><statusCode code="new" /><effectiveTime><center value="20120813162118-0400" /></effectiveTime><performer typeCode="PRF"><assignedEntity><id extension="1569874562" root="2.16.840.1.113883.4.6" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedEntity></performer><entryRelationship typeCode="RSON"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.19" /><id extension="10241359" root="1.3.6.1.4.1.22812.4.111.0.4.1.3" /><code codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="55607006" /><text><reference value="#ID0EBAAAABCBABA" /></text><statusCode code="completed" /><effectiveTime><low nullFlavor="UNK" /></effectiveTime><value xsi:type="CD" code="385093006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Community acquired pneumonia"><originalText><reference value="#ID0EBAAAABCBABA" /></originalText><translation xsi:type="CD" code="486" codeSystem="2.16.840.1.113883.6.103" codeSystemName="ICD-9" displayName="Community acquired pneumonia" /><translation xsi:type="CD" code="J18.9" codeSystem="2.16.840.1.113883.6.90" codeSystemName="ICD-10" displayName="Community acquired pneumonia" /><translation xsi:type="CD" code="500208" codeSystem="2.16.840.1.113883.3.247.1.1" codeSystemName="IMO ProblemIT" displayName="Community acquired pneumonia" /></value></observation></entryRelationship></observation></entry><entry><observation classCode="OBS" moodCode="RQO"><templateId root="2.16.840.1.113883.10.20.22.4.44" /><id extension="10031425" root="1.3.6.1.4.1.22812.4.111.0.4.13.2" /><code codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" code="87070" displayName="CULTURE, SPUTUM (87070)" /><text><reference value="#ID0EEAACBABA" /></text><statusCode code="new" /><effectiveTime><center value="20120806154659-0400" /></effectiveTime><performer typeCode="PRF"><assignedEntity><id extension="1569874562" root="2.16.840.1.113883.4.6" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedEntity></performer><entryRelationship typeCode="RSON"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.19" /><id extension="10241359" root="1.3.6.1.4.1.22812.4.111.0.4.1.3" /><code codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="55607006" /><text><reference value="#ID0EBAAAAACBABA" /></text><statusCode code="completed" /><effectiveTime><low nullFlavor="UNK" /></effectiveTime><value xsi:type="CD" code="385093006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Community acquired pneumonia"><originalText><reference value="#ID0EBAAAAACBABA" /></originalText><translation xsi:type="CD" code="486" codeSystem="2.16.840.1.113883.6.103" codeSystemName="ICD-9" displayName="Community acquired pneumonia" /><translation xsi:type="CD" code="J18.9" codeSystem="2.16.840.1.113883.6.90" codeSystemName="ICD-10" displayName="Community acquired pneumonia" /><translation xsi:type="CD" code="500208" codeSystem="2.16.840.1.113883.3.247.1.1" codeSystemName="IMO ProblemIT" displayName="Community acquired pneumonia" /></value></observation></entryRelationship></observation></entry><entry><procedure classCode="PROC" moodCode="INT"><templateId root="2.16.840.1.113883.10.20.22.4.41" /><id extension="10171843" root="1.3.6.1.4.1.22812.4.111.0.4.7" /><entryRelationship typeCode="REFR"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" /><id extension="10171843" root="1.3.6.1.4.1.22812.4.111.0.4.7" /><code code="45378" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" displayName="DIAGNOSTIC COLONOSCOPY (45378)"><originalText><reference value="#ID0EDABABABA" /></originalText></code><statusCode code="active" /><effectiveTime><low value="20120922" /></effectiveTime><performer typeCode="PRF"><assignedEntity><id extension="1569874562" root="2.16.840.1.113883.4.6" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedEntity></performer><author><time value="20120806152503-0400" /><assignedAuthor><id extension="1569874562" root="2.16.840.1.113883.4.6" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedAuthor></author></procedure></entryRelationship></procedure></entry><entry><procedure classCode="PROC" moodCode="INT"><templateId root="2.16.840.1.113883.10.20.22.4.41" /><id extension="10171842" root="1.3.6.1.4.1.22812.4.111.0.4.7" /><entryRelationship typeCode="REFR"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" /><id extension="10171842" root="1.3.6.1.4.1.22812.4.111.0.4.7" /><code code="71020" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" displayName="CHEST XRAY, PA &amp; LATERAL (71020)"><originalText><reference value="#ID0EDAAABABA" /></originalText></code><statusCode code="active" /><effectiveTime><low value="20120813" /></effectiveTime><performer typeCode="PRF"><assignedEntity><id extension="1569874562" root="2.16.840.1.113883.4.6" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedEntity></performer><author><time value="20120806152503-0400" /><assignedAuthor><id extension="1569874562" root="2.16.840.1.113883.4.6" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedAuthor></author></procedure></entryRelationship></procedure></entry><entry><act classCode="ACT" moodCode="INT" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.20" /><code codeSystem="2.16.840.1.113883.11.20.9.34" codeSystemName="patientEducationType" code="427519008" displayName="Caregiver" /><text><reference value="#ID0ECADBABA" /></text><statusCode code="completed" /></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.45" /><code code="69730-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Instructions" /><title>Instructions</title><text><list><item><content ID="ID0EDEDABA">Community acquired ... : Breathing Exercises: breathing exercises</content></item><item><content ID="ID0EDDDABA">Community acquired ... : Pneumococcal Pneumonia Shot *: immunization</content></item><item><content ID="ID0EDCDABA">Community acquired ... : Pneumonia *: coughing</content></item><item><content ID="ID0EDBDABA">Community acquired ... : DISCONTINUED - HGB (HEMOGLOBIN) (85018)</content></item><item><content ID="ID0EDADABA">Community acquired ... : Return to clinic if symptoms worsen</content></item></list></text><entry><act classCode="ACT" moodCode="INT"><templateId root="2.16.840.1.113883.10.20.22.4.20" /><code codeSystem="2.16.840.1.113883.11.20.9.34" codeSystemName="patientEducationType" code="311401005" displayName="PatientEducation" /><text><reference value="#ID0EDEDABA" /></text><statusCode code="completed" /></act></entry><entry><act classCode="ACT" moodCode="INT"><templateId root="2.16.840.1.113883.10.20.22.4.20" /><code codeSystem="2.16.840.1.113883.11.20.9.34" codeSystemName="patientEducationType" code="311401005" displayName="PatientEducation" /><text><reference value="#ID0EDDDABA" /></text><statusCode code="completed" /></act></entry><entry><act classCode="ACT" moodCode="INT"><templateId root="2.16.840.1.113883.10.20.22.4.20" /><code codeSystem="2.16.840.1.113883.11.20.9.34" codeSystemName="patientEducationType" code="311401005" displayName="PatientEducation" /><text><reference value="#ID0EDCDABA" /></text><statusCode code="completed" /></act></entry><entry><act classCode="ACT" moodCode="INT"><templateId root="2.16.840.1.113883.10.20.22.4.20" /><code codeSystem="2.16.840.1.113883.11.20.9.34" codeSystemName="patientEducationType" code="311401005" displayName="PatientEducation" /><text><reference value="#ID0EDBDABA" /></text><statusCode code="completed" /></act></entry><entry><act classCode="ACT" moodCode="INT"><templateId root="2.16.840.1.113883.10.20.22.4.20" /><code codeSystem="2.16.840.1.113883.11.20.9.34" codeSystemName="patientEducationType" code="423564006" displayName="ProviderInstructions" /><text><reference value="#ID0EDADABA" /></text><statusCode code="completed" /></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.4" /><code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital Signs" /><title>Vital Signs</title><text><table><thead><tr><th>Date</th><th>Test</th><th>Result</th><th>Details</th></tr></thead><tbody><tr ID="ID0EAJABA"><td styleCode="xdateTime" /><td styleCode="xtest" /><td styleCode="xresults" /><td styleCode="xdetails" /></tr><tr ID="ID0EIAJABA"><td styleCode="xdateTime" rowspan="7"><content styleCode="xdiv">6-Aug-2012 3:15 PM</content><content styleCode="xasIgnore"><br /></content></td><td styleCode="xtest"><content styleCode="Bold">BP Systolic</content></td><td styleCode="xresults"><content styleCode="Bold">135</content> mm[Hg]</td><td styleCode="xdetails"><content styleCode="xdiv"><content styleCode="xcommentlabel"> Comments: </content><content ID="ID0EEIAJABA">Patient Position: Sitting; Cuff Location: Left Arm; Cuff Size: Standard</content></content><content styleCode="xasIgnore"><br /></content></td></tr><tr ID="ID0EHAJABA"><td styleCode="xtest"><content styleCode="Bold">BP Diastolic</content></td><td styleCode="xresults"><content styleCode="Bold">92</content> mm[Hg]</td><td styleCode="xdetails"><content styleCode="xdiv"><content styleCode="xcommentlabel"> Comments: </content><content ID="ID0EEHAJABA">Patient Position: Sitting; Cuff Location: Left Arm; Cuff Size: Standard</content></content><content styleCode="xasIgnore"><br /></content></td></tr><tr ID="ID0EGAJABA"><td styleCode="xtest"><content styleCode="Bold">Weight</content></td><td styleCode="xresults"><content styleCode="Bold">88</content> kg</td><td styleCode="xdetails" /></tr><tr ID="ID0EFAJABA"><td styleCode="xtest"><content styleCode="Bold">Height</content></td><td styleCode="xresults"><content styleCode="Bold">177</content> cm</td><td styleCode="xdetails" /></tr><tr ID="ID0EEAJABA"><td styleCode="xtest"><content styleCode="Bold">Body Mass Index Calculated</content></td><td styleCode="xresults"><content styleCode="Bold">28.09</content> kg/m2</td><td styleCode="xdetails" /></tr><tr ID="ID0EDAJABA"><td styleCode="xtest"><content styleCode="Bold">Body Surface Area Calculated</content></td><td styleCode="xresults"><content styleCode="Bold">2.05</content></td><td styleCode="xdetails" /></tr></tbody></table></text><entry><organizer classCode="CLUSTER" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.26" /><id extension="1006299" root="1.3.6.1.4.1.22812.4.111.0.4.6" /><code code="46680005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Vital signs" /><statusCode code="completed" /><effectiveTime value="20120806151544-0400" /><performer typeCode="PRF"><assignedEntity><id extension="1569874562" root="2.16.840.1.113883.4.6" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedEntity></performer><author><time value="20120806151544-0400" /><assignedAuthor><id extension="1569874562" root="2.16.840.1.113883.4.6" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.27" /><id extension="10062995" root="1.3.6.1.4.1.22812.4.111.0.4.6" /><code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="8480-6" displayName="BP Systolic" /><text><reference value="#ID0EIAJABA" /></text><statusCode code="completed" /><effectiveTime value="20120806151544-0400" /><value xsi:type="PQ" value="135" unit="mm[Hg]" /><entryRelationship typeCode="SUBJ" inversionInd="true"><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.64" /><code code="48767-8" displayName="Annotation Comment" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /><text><reference value="#ID0EEIAJABA" /></text><statusCode code="completed" /></act></entryRelationship></observation></component><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.27" /><id extension="10062996" root="1.3.6.1.4.1.22812.4.111.0.4.6" /><code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="8462-4" displayName="BP Diastolic" /><text><reference value="#ID0EHAJABA" /></text><statusCode code="completed" /><effectiveTime value="20120806151544-0400" /><value xsi:type="PQ" value="92" unit="mm[Hg]" /><entryRelationship typeCode="SUBJ" inversionInd="true"><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.64" /><code code="48767-8" displayName="Annotation Comment" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /><text><reference value="#ID0EEHAJABA" /></text><statusCode code="completed" /></act></entryRelationship></observation></component><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.27" /><id extension="100629911" root="1.3.6.1.4.1.22812.4.111.0.4.6" /><code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="3141-9" displayName="Weight" /><text><reference value="#ID0EGAJABA" /></text><statusCode code="completed" /><effectiveTime value="20120806151544-0400" /><value xsi:type="PQ" value="88" unit="kg" /></observation></component><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.27" /><id extension="10062998" root="1.3.6.1.4.1.22812.4.111.0.4.6" /><code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="8302-2" displayName="Height" /><text><reference value="#ID0EFAJABA" /></text><statusCode code="completed" /><effectiveTime value="20120806151544-0400" /><value xsi:type="PQ" value="177" unit="cm" /></observation></component><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.27" /><id extension="100629913" root="1.3.6.1.4.1.22812.4.111.0.4.6" /><code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="39156-5" displayName="Body Mass Index Calculated" /><text><reference value="#ID0EEAJABA" /></text><statusCode code="completed" /><effectiveTime value="20120806151544-0400" /><value xsi:type="PQ" value="28.09" unit="kg/m2" /></observation></component><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.27" /><id extension="100629914" root="1.3.6.1.4.1.22812.4.111.0.4.6" /><code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="3140-1" displayName="Body Surface Area Calculated" /><text><reference value="#ID0EDAJABA" /></text><statusCode code="completed" /><effectiveTime value="20120806151544-0400" /><value xsi:type="PQ" value="2.05" unit="1" /></observation></component><component><encounter classCode="ENC" moodCode="EVN"><id extension="10043698" root="1.3.6.1.4.1.22812.4.111.0.3.4" /></encounter></component></organizer></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.1.1" /><code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of medication use" /><title>Medications</title><text><table><thead><tr><th>Name</th><th>Dates</th><th>Details</th></tr></thead><tbody><tr ID="ID0ECLABA"><td styleCode="xmain"><content styleCode="xdiv"><content styleCode="Bold" ID="ID0EHCLABA">CLARITHROMYCIN, 500MG (Oral Tablet)</content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xdiv"><content styleCode="xsecondary"><content ID="ID0EOCLABA"> 1 (one) Tablet two times daily for 7 days</content></content></content><content styleCode="xasIgnore"><br /></content><list styleCode="xlistForTable"><item styleCode="xlistForTable"><table styleCode="xtableWithinTable"><tbody styleCode="xtableWithinTable"><tr><td><content styleCode="xlabel"> Quantity: </content><content ID="ID0EECLABA"><content styleCode="xlabel">14</content></content></td><td><content styleCode="xlabel"> Refills: </content><content ID="ID0EFCLABA"><content styleCode="xlabel">0</content></content></td></tr></tbody></table></item></list><content styleCode="xasIgnore"><br /></content><content styleCode="xdiv"><content styleCode="xsecondary" /></content></td><td styleCode="xdates"><content styleCode="xdiv"><content styleCode="xlabel"> Ordered <content styleCode="xasIgnore">:</content></content><content styleCode="Bold">6-Aug-2012</content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xproviderName"><content styleCode="xproviderLastName"> Seven</content>, Henry </content></td><td styleCode="xdetails"><list styleCode="xlistForTable"><item styleCode="xlistForTable"><table styleCode="xtableWithinTable"><tbody styleCode="xtableWithinTable"><tr><td><content styleCode="xlabel"> Started </content>6-Aug-2012</td></tr></tbody></table></item></list><content styleCode="xstatus"><content styleCode="xlabel" /><content styleCode="xvalue">Active</content></content></td></tr><tr ID="ID0EBLABA"><td styleCode="xmain"><content styleCode="xdiv"><content styleCode="Bold" ID="ID0EHBLABA">METOPROLOL TARTRATE, 25MG (Oral Tablet)</content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xdiv"><content styleCode="xsecondary"><content ID="ID0EOBLABA"> 1 (one) Tablet daily for 30 days</content></content></content><content styleCode="xasIgnore"><br /></content><list styleCode="xlistForTable"><item styleCode="xlistForTable"><table styleCode="xtableWithinTable"><tbody styleCode="xtableWithinTable"><tr><td><content styleCode="xlabel"> Quantity: </content><content ID="ID0EEBLABA"><content styleCode="xlabel">30</content></content></td><td><content styleCode="xlabel"> Refills: </content><content ID="ID0EFBLABA"><content styleCode="xlabel">0</content></content></td></tr></tbody></table></item></list><content styleCode="xasIgnore"><br /></content><content styleCode="xdiv"><content styleCode="xsecondary" /></content></td><td styleCode="xdates"><content styleCode="xdiv"><content styleCode="xlabel"> Ordered <content styleCode="xasIgnore">:</content></content><content styleCode="Bold">6-Aug-2012</content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xproviderName"><content styleCode="xproviderLastName"> Seven</content>, Henry </content></td><td styleCode="xdetails"><list styleCode="xlistForTable"><item styleCode="xlistForTable"><table styleCode="xtableWithinTable"><tbody styleCode="xtableWithinTable"><tr><td><content styleCode="xlabel"> Started </content>6-Aug-2012</td></tr></tbody></table></item></list><content styleCode="xstatus"><content styleCode="xlabel" /><content styleCode="xvalue">Active</content></content></td></tr><tr ID="ID0EALABA"><td styleCode="xmain"><content styleCode="xdiv"><content styleCode="Bold" ID="ID0EHALABA">PROVENTIL HFA, 108 (90 Base)MCG/ACT (Inhalation Aerosol Solution)</content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xdiv"><content styleCode="xsecondary"><content ID="ID0ENALABA"> 2 (two) Puff every six hours, as needed for wheezing for 30 days</content></content></content><content styleCode="xasIgnore"><br /></content><list styleCode="xlistForTable"><item styleCode="xlistForTable"><table styleCode="xtableWithinTable"><tbody styleCode="xtableWithinTable"><tr><td><content styleCode="xlabel"> Quantity: </content><content ID="ID0EEALABA"><content styleCode="xlabel">1</content></content></td><td><content styleCode="xlabel"> Refills: </content><content ID="ID0EFALABA"><content styleCode="xlabel">0</content></content></td></tr></tbody></table></item></list><content styleCode="xasIgnore"><br /></content><content styleCode="xdiv"><content styleCode="xsecondary" /></content></td><td styleCode="xdates"><content styleCode="xdiv"><content styleCode="xlabel"> Ordered <content styleCode="xasIgnore">:</content></content><content styleCode="Bold">6-Aug-2012</content></content><content styleCode="xasIgnore"><br /></content><content styleCode="xproviderName"><content styleCode="xproviderLastName"> Seven</content>, Henry </content></td><td styleCode="xdetails"><list styleCode="xlistForTable"><item styleCode="xlistForTable"><table styleCode="xtableWithinTable"><tbody styleCode="xtableWithinTable"><tr><td><content styleCode="xlabel"> Started </content>6-Aug-2012</td></tr></tbody></table></item></list><content styleCode="xstatus"><content styleCode="xlabel" /><content styleCode="xvalue">Active</content></content><content styleCode="xdiv"><content styleCode="xcommentlabel"> Comments: </content><content ID="ID0ECPALABA">Medication taken as needed. </content></content><content styleCode="xasIgnore"><br /></content></td></tr></tbody></table></text><entry><substanceAdministration classCode="SBADM" moodCode="INT"><templateId root="2.16.840.1.113883.10.20.22.4.16" /><id extension="10127030" root="1.3.6.1.4.1.22812.4.111.0.4.9" /><text><reference value="#ID0ECLABA" /></text><statusCode code="completed" /><effectiveTime xsi:type="IVL_TS"><low value="20120806" /><high nullFlavor="UNK" /></effectiveTime><effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A"><period value="12" unit="h" /></effectiveTime><routeCode codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" code="C38288" displayName="ORAL" /><doseQuantity value="1" unit="Tablet" /><consumable typeCode="CSM"><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.23" /><manufacturedMaterial><code code="197517" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" displayName="CLARITHROMYCIN, 500MG (Oral Tablet)"><originalText><reference value="#ID0EHCLABA" /></originalText><translation code="026298" codeSystem="2.16.840.1.113883.6.253" codeSystemName="Medispan Drug Descriptor ID" /><translation code="03500010000320" codeSystem="2.16.840.1.113883.6.68" codeSystemName="Medispan GPI" /></code><name>Clarithromycin</name></manufacturedMaterial></manufacturedProduct></consumable><author><time value="20120806152719-0400" /><assignedAuthor><id extension="1569874562" root="2.16.840.1.113883.4.6" /><addr><streetAddressLine>1002 Healthcare Dr.</streetAddressLine><city>Portland</city><state>OR</state><postalCode>97005</postalCode><country>US</country></addr><telecom value="tel:+1-(555)555-1002" /><assignedPerson><name><family>Seven</family><given>Henry</given></name></assignedPerson></assignedAuthor></author><entryRelationship typeCode="REFR"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.1.57" /><templateId root="2.16.840.1.113883.10.20.1.47" /><code code="33999-4" displayName="Status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /><statusCode code="completed" /><value xsi:type="CE" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="55561003" displayName="Active" /></observation></entryRelationship><entryRelationship typeCode="REFR"><supply classCode="SPLY" moodCode="INT"><templateId root="2.16.840.1.113883.10.20.22.4.17" /><id nullFlavor="UNK" /><statusCode code="completed" /><repeatNumber value="1" /><quantity value="14" unit="1" /><product><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.23" /><manufacturedMaterial><code code="197517" 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