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BlueButton.js helps developers navigate complex health data with ease.

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<templateId root="2.16.840.1.113883.10.20.22.4.9" /> <id root="2.16.840.1.113883.3.441" extension="01d88ab270da48fd854c56fa96d413f3" /> <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" /> <text>Hives<reference value="#ref_ff1d6b9def7b47d598024672c632cb9e_allergy_reaction_1" /></text> <statusCode code="completed" /> <effectiveTime nullFlavor="UNK"> <low nullFlavor="UNK" /> <high nullFlavor="UNK" /> </effectiveTime> <value xsi:type="CD" nullFlavor="OTH" /> </observation> </entryRelationship> <entryRelationship typeCode="SUBJ" inversionInd="true"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.40" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2" /> <code code="48767-8" displayName="Annotation Comment" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text> <reference value="#ref_ff1d6b9def7b47d598024672c632cb9e_allergy_comment_1" /> </text> <statusCode code="completed" /> </act> </entryRelationship> <entryRelationship 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<entryRelationship typeCode="REFR" inversionInd="true"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.28" /> <code code="33999-4" displayName="Status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <statusCode code="completed" /> <value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Active" /> </observation> </entryRelationship> </observation> </entryRelationship> </act> </entry> <entry> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.30" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26562.57" extension="1309" /> <code code="48765-2" displayName="Allergies, adverse reactions, alerts" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <statusCode code="active" /> <effectiveTime> <low nullFlavor="UNK" /> </effectiveTime> <entryRelationship typeCode="SUBJ" inversionInd="true"> <observation classCode="OBS" moodCode="EVN" negationInd="false"> <templateId root="2.16.840.1.113883.10.20.22.4.7" /> <id root="2.16.840.1.113883.3.441" extension="fcf74626a1b343cfb887d2afeebe0f3f" /> <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" /> <statusCode code="completed" /> <effectiveTime> <low nullFlavor="UNK" /> </effectiveTime> <value xsi:type="CD" code="419199007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Allergy to substance (disorder)" /> <participant typeCode="CSM"> <time nullFlavor="UNK" /> <participantRole classCode="MANU"> <addr nullFlavor="UNK" /> <telecom use="" nullFlavor="UNK" /> <playingEntity classCode="MMAT" determinerCode="INSTANCE"> <code code="1001473" displayName="Ecpirin" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"> <originalText> <reference value="#ref_ff1d6b9def7b47d598024672c632cb9e_allergy_name_3" /> </originalText> <translation code="1076" displayName="aspirin" codeSystem="2.16.840.1.113883.6.64" codeSystemName="FDBDRUG" /> </code> <name>aspirin</name> </playingEntity> </participantRole> </participant> <entryRelationship typeCode="MFST" inversionInd="true"> <observation classCode="OBS" moodCode="EVN" negationInd="false"> <templateId root="2.16.840.1.113883.10.20.22.4.9" /> <id root="2.16.840.1.113883.3.441" extension="7fb347f76b5e4b7aaa06f65c746fe7e2" /> <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" /> <text>Anaphaylaxis<reference value="#ref_ff1d6b9def7b47d598024672c632cb9e_allergy_reaction_3" /></text> <statusCode code="completed" /> <effectiveTime nullFlavor="UNK"> <low nullFlavor="UNK" /> <high nullFlavor="UNK" /> </effectiveTime> <value xsi:type="CD" nullFlavor="OTH" /> </observation> </entryRelationship> <entryRelationship typeCode="SUBJ" inversionInd="true"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.40" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2" /> <code code="48767-8" displayName="Annotation Comment" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text> <reference value="#ref_ff1d6b9def7b47d598024672c632cb9e_allergy_comment_3" /> </text> <statusCode code="completed" /> </act> </entryRelationship> <entryRelationship typeCode="REFR" inversionInd="true"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.28" /> <code code="33999-4" displayName="Status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <statusCode code="completed" /> <value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Active" /> </observation> </entryRelationship> </observation> </entryRelationship> </act> </entry> </section> </component> <component> <section classCode="DOCSECT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.2.10" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26562.72" extension="3fd2c0e260e34e26" /> <code code="18776-5" displayName="Treatment Plan" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <title>Plan of Treatment</title> <text mediaType="text/x-hl7-text+xml"> <table border="1"> <thead> <tr> <th>Planned Activity</th> <th>Comments</th> <th>Planned Date</th> <th>Planned Time</th> <th>Plan/Goal</th> </tr> </thead> <tbody> <tr> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedActivity_1">Pulmonary Functional test</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedComments_1"> </td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedDate_1"> </td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedTime_1"> </td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedGoal_1"> </td> </tr> <tr> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedActivity_2">Smoking Cessation Plan</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedComments_2"> </td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedDate_2">9/25/2012</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedTime_2">12:00 AM</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedGoal_2">Resources and instructions provided during visit</td> </tr> <tr> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedActivity_3">Smoking Cessation: Goal</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedComments_3"> </td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedDate_3">9/25/2012</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedTime_3">12:00 AM</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedGoal_3">Quit smoking</td> </tr> <tr> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedActivity_4">Weight Loss Plan</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedComments_4"> </td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedDate_4">9/25/2012</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedTime_4">12:00 AM</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedGoal_4">Resources and instructions provided during visit.</td> </tr> <tr> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedActivity_5">Weight Loss: Goal</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedComments_5"> </td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedDate_5">9/25/2012</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedTime_5">12:00 AM</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedGoal_5">BMI &lt; 25</td> </tr> <tr> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedActivity_6">Preventative Health Plan</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedComments_6"> </td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedDate_6">9/25/2012</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedTime_6">12:00 AM</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedGoal_6">Annual pap smear, mammogram, annual breast exam.</td> </tr> <tr> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedActivity_7">Chest X-Ray, PA and Lateral Views</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedComments_7"> </td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedDate_7">1/24/2013</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedTime_7">12:00 AM</td> <td ID="ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedGoal_7"> </td> </tr> </tbody> </table> </text> <entry> <observation classCode="OBS" moodCode="RQO"> <templateId root="2.16.840.1.113883.10.20.22.4.44" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26562.72" extension="1159" /> <code nullFlavor="NA" /> <text>Pulmonary Functional test<reference value="#ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedActivity_1" /></text> <statusCode code="new" /> <effectiveTime nullFlavor="UNK" /> <interpretationCode nullFlavor="NA" /> </observation> </entry> <entry> <observation classCode="OBS" moodCode="RQO"> <templateId root="2.16.840.1.113883.10.20.22.4.44" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26562.72" extension="2228" /> <code nullFlavor="NA" /> <text>Smoking Cessation Plan<reference value="#ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedActivity_2" /></text> <statusCode code="new" /> <effectiveTime value="20120925" /> <interpretationCode nullFlavor="NA" /> </observation> </entry> <entry> <observation classCode="OBS" moodCode="RQO"> <templateId root="2.16.840.1.113883.10.20.22.4.44" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26562.72" extension="2229" /> <code nullFlavor="NA" /> <text>Smoking Cessation: Goal<reference value="#ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedActivity_3" /></text> <statusCode code="new" /> <effectiveTime value="20120925" /> <interpretationCode nullFlavor="NA" /> </observation> </entry> <entry> <observation classCode="OBS" moodCode="RQO"> <templateId root="2.16.840.1.113883.10.20.22.4.44" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26562.72" extension="2230" /> <code nullFlavor="NA" /> <text>Weight Loss Plan<reference value="#ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedActivity_4" /></text> <statusCode code="new" /> <effectiveTime value="20120925" /> <interpretationCode nullFlavor="NA" /> </observation> </entry> <entry> <observation classCode="OBS" moodCode="RQO"> <templateId root="2.16.840.1.113883.10.20.22.4.44" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26562.72" extension="2231" /> <code nullFlavor="NA" /> <text>Weight Loss: Goal<reference value="#ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedActivity_5" /></text> <statusCode code="new" /> <effectiveTime value="20120925" /> <interpretationCode nullFlavor="NA" /> </observation> </entry> <entry> <observation classCode="OBS" moodCode="RQO"> <templateId root="2.16.840.1.113883.10.20.22.4.44" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26562.72" extension="2232" /> <code nullFlavor="NA" /> <text>Preventative Health Plan<reference value="#ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedActivity_6" /></text> <statusCode code="new" /> <effectiveTime value="20120925" /> <interpretationCode nullFlavor="NA" /> </observation> </entry> <entry> <procedure classCode="PROC" moodCode="INT" negationInd="false"> <templateId root="2.16.840.1.113883.10.20.22.4.41" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26562.72" extension="61404" /> <code code="71020" displayName="Chest X-Ray, PA and Lateral Views" codeSystem="CPT" codeSystemName="Current Procedural Terminology" /> <text>Chest X-Ray, PA and Lateral Views<reference value="#ref_f2fc7d5bea374a4a9606c9c7470ee3d6_planOfTreatment__plannedActivity_7" /></text> <statusCode code="new" /> <effectiveTime value="20130124" /> <approachSiteCode nullFlavor="NA" /> <targetSiteCode nullFlavor="NA" /> </procedure> </entry> </section> </component> <component> <section classCode="DOCSECT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.2.1.1" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26562.58" extension="499ce68120bb456d" /> <code code="10160-0" displayName="History of medication use" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <title>Medications</title> <text mediaType="text/x-hl7-text+xml"> <table border="1"> <thead> <tr> <th colspan="5">Expired</th> </tr> <tr> <th>Name</th> <th>Start Date</th> <th>Expiration Date</th> <th>SIG</th> <th>Comments</th> </tr> </thead> <tbody> <tr> <td ID="ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_name_1">metoprolol tartrate Oral Tablet 25 mg</td> <td ID="ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_startDate_1">1/1/2013</td> <td ID="ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_expirationDate_1">1/31/2013</td> <td ID="ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_sig_1">take 1 tablet (25 mg) by oral route once daily for 30 days</td> <td ID="ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_comments_1"> </td> </tr> <tr> <td ID="ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_name_2">Proventil HFA Inhalation HFA Aerosol Inhaler 90 mcg/actuation</td> <td ID="ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_startDate_2">1/1/2013</td> <td ID="ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_expirationDate_2">1/31/2013</td> <td ID="ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_sig_2">inhale 2 puffs by inhalation route every 4 hours as needed for 30 days</td> <td ID="ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_comments_2"> </td> </tr> <tr> <td ID="ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_name_3">azithromycin Oral Tablet 500 mg</td> <td ID="ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_startDate_3">1/24/2013</td> <td ID="ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_expirationDate_3">2/23/2013</td> <td ID="ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_sig_3">take 1 tablet by oral route daily for 30 days , then 250 mg once daily for the next 4 days</td> <td ID="ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_comments_3"> </td> </tr> </tbody> </table> </text> <entry> <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false"> <templateId root="2.16.840.1.113883.10.20.22.4.16" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26562.58" extension="2052" /> <text>take 1 tablet (25 mg) by oral route once daily for 30 days<reference value="#ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_sig_1" /></text> <statusCode code="completed" /> <effectiveTime xsi:type="IVL_TS"> <low value="20130101000000" /> <high value="20130131000000" /> </effectiveTime> <routeCode nullFlavor="NA"> <originalText> <reference value="Oral" /> </originalText> </routeCode> <doseQuantity value="1" unit="tablet" /> <consumable typeCode="CSM"> <manufacturedProduct classCode="MANU"> <templateId root="2.16.840.1.113883.10.20.22.4.23" /> <manufacturedMaterial classCode="MMAT"> <code code="453953" displayName="metoprolol tartrate Oral Tablet 25 mg"> <originalText> <reference value="#ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_name_1" /> </originalText> <translation code="866924" displayName="Metoprolol Tartrate 25 MG Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" /> </code> <name>metoprolol tartrate</name> <lotNumberText nullFlavor="UNK" /> </manufacturedMaterial> </manufacturedProduct> </consumable> <entryRelationship typeCode="REFR" inversionInd="true"> <observation classCode="OBS" moodCode="EVN"> <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" code="421139008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED" displayName="No Longer Active"> <originalText>Expired - </originalText> </value> </observation> </entryRelationship> <entryRelationship typeCode="SUBJ" inversionInd="true"> <act classCode="ACT" moodCode="INT"> <templateId root="2.16.840.1.113883.10.20.1.49" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.3" /> <code code="PINSTRUCT" codeSystem="1.3.6.1.4.1.19376.1.5.3.2" codeSystemName="IHEActCode" /> <text> <reference value="#ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_comments_1" /> </text> <statusCode code="completed" /> </act> </entryRelationship> </substanceAdministration> </entry> <entry> <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false"> <templateId root="2.16.840.1.113883.10.20.22.4.16" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26562.58" extension="2053" /> <text>inhale 2 puffs by inhalation route every 4 hours as needed for 30 days<reference value="#ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_sig_2" /></text> <statusCode code="completed" /> <effectiveTime xsi:type="IVL_TS"> <low value="20130101000000" /> <high value="20130131000000" /> </effectiveTime> <routeCode nullFlavor="NA"> <originalText> <reference value="Inhalation" /> </originalText> </routeCode> <doseQuantity value="2" /> <consumable typeCode="CSM"> <manufacturedProduct classCode="MANU"> <templateId root="2.16.840.1.113883.10.20.22.4.23" /> <manufacturedMaterial classCode="MMAT"> <code code="267456" displayName="Proventil HFA Inhalation HFA Aerosol Inhaler 90 mcg/actuation"> <originalText> <reference value="#ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_name_2" /> </originalText> <translation code="745679" displayName="200 ACTUAT Albuterol 0.09 MG/ACTUAT Metered Dose Inhaler" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" /> </code> <name>Proventil HFA</name> <lotNumberText nullFlavor="UNK" /> </manufacturedMaterial> </manufacturedProduct> </consumable> <entryRelationship typeCode="REFR" inversionInd="true"> <observation classCode="OBS" moodCode="EVN"> <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" code="421139008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED" displayName="No Longer Active"> <originalText>Expired - </originalText> </value> </observation> </entryRelationship> <entryRelationship typeCode="SUBJ" inversionInd="true"> <act classCode="ACT" moodCode="INT"> <templateId root="2.16.840.1.113883.10.20.1.49" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.3" /> <code code="PINSTRUCT" codeSystem="1.3.6.1.4.1.19376.1.5.3.2" codeSystemName="IHEActCode" /> <text> <reference value="#ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_comments_2" /> </text> <statusCode code="completed" /> </act> </entryRelationship> </substanceAdministration> </entry> <entry> <substanceAdministration classCode="SBADM" moodCode="INT" negationInd="false"> <templateId root="2.16.840.1.113883.10.20.22.4.16" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26562.58" extension="2054" /> <text>take 1 tablet by oral route daily for 30 days , then 250 mg once daily for the next 4 days<reference value="#ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_sig_3" /></text> <statusCode code="completed" /> <effectiveTime xsi:type="IVL_TS"> <low value="20130124000000" /> <high value="20130223000000" /> </effectiveTime> <routeCode nullFlavor="NA"> <originalText> <reference value="Oral" /> </originalText> </routeCode> <doseQuantity value="1" unit="tablet" /> <consumable typeCode="CSM"> <manufacturedProduct classCode="MANU"> <templateId root="2.16.840.1.113883.10.20.22.4.23" /> <manufacturedMaterial classCode="MMAT"> <code code="445655" displayName="azithromycin Oral Tablet 500 mg"> <originalText> <reference value="#ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_name_3" /> </originalText> <translation code="248656" displayName="Azithromycin 500 MG Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" /> </code> <name>azithromycin</name> <lotNumberText nullFlavor="UNK" /> </manufacturedMaterial> </manufacturedProduct> </consumable> <entryRelationship typeCode="REFR" inversionInd="true"> <observation classCode="OBS" moodCode="EVN"> <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" code="421139008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED" displayName="No Longer Active"> <originalText>Expired - </originalText> </value> </observation> </entryRelationship> <entryRelationship typeCode="SUBJ" inversionInd="true"> <act classCode="ACT" moodCode="INT"> <templateId root="2.16.840.1.113883.10.20.1.49" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.3" /> <code code="PINSTRUCT" codeSystem="1.3.6.1.4.1.19376.1.5.3.2" codeSystemName="IHEActCode" /> <text> <reference value="#ref_7f647260697e4ecc95aa7f8a68ad9aa9_medication_comments_3" /> </text> <statusCode code="completed" /> </act> </entryRelationship> </substanceAdministration> </entry> </section> </component> <component> <section classCode="DOCSECT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.2.2.1" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26562.60" extension="866f95b8d64548eb" /> <code code="11369-6" displayName="History of immunizations" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <title>History Of Immunizations</title> <text mediaType="text/x-hl7-text+xml"> <table border="1"> <thead> <tr> <th>Name</th> <th>Date Admin</th> <th>Mfg Name</th> <th>Mfg Code</th> <th>Trade Name</th> <th>Lot#</th> <th>Route</th> <th>Inj</th> <th>Vis Given</th> <th>Vis Pub</th> <th>CVX</th> </tr> </thead> <tbody> <tr> <td ID="ref_fc69808329824630a972e27fd4ce985e_immunization_name_1">Influenza Adult</td> <td ID="ref_fc69808329824630a972e27fd4ce985e_immunization_adminDate_1">9/25/2012</td> <td ID="ref_fc69808329824630a972e27fd4ce985e_immunization_man_1">Abbott Laboratories</td> <td ID="ref_fc69808329824630a972e27fd4ce985e_immunization_manCode_1">AB</td> <td ID="ref_fc69808329824630a972e27fd4ce985e_immunization_trade_1">Fluzone</td> <td ID="ref_fc69808329824630a972e27fd4ce985e_immunization_lot_1">v45353534</td> <td ID="ref_fc69808329824630a972e27fd4ce985e_immunization_route_1">Intramuscular</td> <td ID="ref_fc69808329824630a972e27fd4ce985e_immunization_injSite_1">Left Arm</td> <td ID="ref_fc69808329824630a972e27fd4ce985e_immunization_visGivDate_1">1/14/2013</td>