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

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<?xml version="1.0" encoding="UTF-8"?> <?xml-stylesheet type='text/xsl' href='http://researchservice.greenwaymedical.com/stylesheets/ccd.xsl'?> <ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:voc="urn:hl7-org:v3/voc" xmlns="urn:hl7-org:v3"> <realmCode code="US" /> <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040" /> <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 root="2.16.840.1.113883.3.441" extension="eb890b4e409c4aeaaa1aa0312d5c52dc" /> <code code="34133-9" displayName="Summarization of episode note" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <title>MU2 Export Summary</title> <effectiveTime value="20130701103448-0400" /> <confidentialityCode code="N" displayName="Normal" codeSystem="2.16.840.1.113883.5.25" codeSystemName="Confidentiality" /> <languageCode code="en-US" /> <setId root="2.16.840.1.113883.3.441" extension="1" /> <versionNumber value="1" /> <recordTarget typeCode="RCT" contextControlCode="OP"> <patientRole classCode="PAT"> <id root="2.16.840.1.113883.3.441.1.50.300011.51" extension="26776" /> <addr> <streetAddressLine>1234 Test </streetAddressLine> <streetAddressLine nullFlavor="UNK" /> <city>Covington</city> <state>GA</state> <postalCode>300147</postalCode> <country>US</country> </addr> <telecom use="HP" nullFlavor="UNK" /> <patient classCode="PSN" determinerCode="INSTANCE"> <name> <given>Data</given> <given>6</given> <family>Export6</family> </name> <administrativeGenderCode code="F" displayName="Female" codeSystem="2.16.840.1.113883.5.1" codeSystemName="Administrative Gender Code" /> <birthTime value="20001020" /> <maritalStatusCode code="S" displayName="Never Married" codeSystem="2.16.840.1.113883.5.2" codeSystemName="HL7v3 Marital Status Value Set" /> <raceCode code="2106-3" displayName="White" codeSystem="2.16.840.1.113883.6.238" codeSystemName="CDC Race Code Value Set" /> <ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino" codeSystem="2.16.840.1.113883.6.238" codeSystemName="OMB Standards for Race and Ethnicity" /> <languageCommunication> <languageCode code="eng" /> </languageCommunication> </patient> <providerOrganization classCode="ORG" determinerCode="INSTANCE"> <id root="2.16.840.1.113883.3.441.1.50" extension="300011" /> <name>Get Well Clinic</name> <telecom use="WP" value="555-555-1004" /> <addr> <streetAddressLine>1004 Healthcare Dr. practice</streetAddressLine> <streetAddressLine nullFlavor="UNK" /> <city>Portland</city> <state>OR</state> <postalCode>97005</postalCode> <country>United States</country> </addr> </providerOrganization> </patientRole> </recordTarget> <author typeCode="AUT" contextControlCode="OP"> <time nullFlavor="UNK" /> <assignedAuthor classCode="ASSIGNED"> <id root="2.16.840.1.113883.4.6" extension="961669bcc2854be59b905319bd9d8a9f" /> <addr> <streetAddressLine>1004 Healthcare Dr. practice</streetAddressLine> <streetAddressLine nullFlavor="UNK" /> <city>Portland</city> <state>OR</state> <postalCode>97005</postalCode> <country>United States</country> </addr> <telecom use="WP" value="555-555-1004" /> <assignedPerson classCode="PSN" determinerCode="INSTANCE"> <name nullFlavor="UNK" /> </assignedPerson> <representedOrganization> <id root="2.16.840.1.113883.3.441.1.50" extension="300011" /> <name>Get Well Clinic</name> <telecom use="WP" value="555-555-1004" /> <addr> <streetAddressLine>1004 Healthcare Dr. practice</streetAddressLine> <streetAddressLine nullFlavor="UNK" /> <city>Portland</city> <state>OR</state> <postalCode>97005</postalCode> <country>United States</country> </addr> </representedOrganization> </assignedAuthor> </author> <informant> <assignedEntity> <id nullFlavor="NA" /> <addr> <streetAddressLine>1004 Healthcare Dr. practice</streetAddressLine> <streetAddressLine nullFlavor="UNK" /> <city>Portland</city> <state>OR</state> <postalCode>97005</postalCode> <country>United States</country> </addr> <telecom use="WP" value="555-555-1004" /> <assignedPerson classCode="PSN" determinerCode="INSTANCE"> <name nullFlavor="UNK" /> </assignedPerson> <representedOrganization> <id root="2.16.840.1.113883.3.441.1.50" extension="300011" /> <name>Get Well Clinic</name> <telecom use="WP" value="555-555-1004" /> <addr> <streetAddressLine>1004 Healthcare Dr. practice</streetAddressLine> <streetAddressLine nullFlavor="UNK" /> <city>Portland</city> <state>OR</state> <postalCode>97005</postalCode> <country>United States</country> </addr> </representedOrganization> </assignedEntity> </informant> <custodian typeCode="CST"> <assignedCustodian classCode="ASSIGNED"> <representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE"> <id root="2.16.840.1.113883.3.441.1.50" extension="300011" /> <name>Get Well Clinic</name> <telecom use="WP" value="555-555-1004" /> <addr> <streetAddressLine>1004 Healthcare Dr. practice</streetAddressLine> <streetAddressLine nullFlavor="UNK" /> <city>Portland</city> <state>OR</state> <postalCode>97005</postalCode> <country>United States</country> </addr> </representedCustodianOrganization> </assignedCustodian> </custodian> <documentationOf typeCode="DOC"> <serviceEvent classCode="PCPR" moodCode="EVN"> <effectiveTime nullFlavor="UNK"> <low nullFlavor="UNK" /> <high nullFlavor="UNK" /> </effectiveTime> <performer typeCode="PRF"> <templateId root="2.16.840.1.113883.3.88.11.83.4" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.2.3" /> <functionCode code="PP" displayName="Primary CareProvider" codeSystem="2.16.840.1.113883.12.443" codeSystemName="Provider Role" /> <time nullFlavor="UNK"> <low nullFlavor="UNK" /> <high nullFlavor="UNK" /> </time> <assignedEntity> <id root="2.16.840.1.113883.4.6" extension="UNK" /> <addr nullFlavor="UNK" /> <telecom use="WP" nullFlavor="UNK" /> <assignedPerson classCode="PSN" determinerCode="INSTANCE"> <name nullFlavor="UNK" /> </assignedPerson> </assignedEntity> </performer> <performer typeCode="PRF"> <templateId root="2.16.840.1.113883.3.88.11.83.4" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.2.3" /> <assignedEntity> <id root="2.16.840.1.113883.4.6" extension="UNK" /> <code code="-1" displayName="PCP" codeSystemName="GMTDynamic" /> <assignedPerson classCode="PSN" determinerCode="INSTANCE"> <name> <given>Karen</given> <family>Kidder, M.D.</family> </name> </assignedPerson> </assignedEntity> </performer> </serviceEvent> </documentationOf> <component> <structuredBody classCode="DOCBODY" moodCode="EVN"> <templateId root="2.16.840.1.113883.10" extension="MPL_CDAR2_LEVEL1-2REF_US_I2_2005SEP" /> <component> <section classCode="DOCSECT" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.1" /> <id root="2.16.840.1.113883.3.441" extension="0a2d7b0fe4594cd5" /> <code code="42349-1" displayName="REASON FOR REFERRAL" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <title>Reason for Referral</title> <text mediaType="text/x-hl7-text+xml">Not available.</text> </section> </component> <component> <section classCode="DOCSECT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.2.6.1" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.57" extension="6058860db3444fe8" /> <code code="48765-2" displayName="Allergies, adverse reactions, alerts" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <title>Allergies and Adverse Reactions</title> <text mediaType="text/x-hl7-text+xml"> <table border="1"> <thead> <tr> <th>Name</th> <th>Reaction</th> <th>Notes</th> </tr> </thead> <tbody> <tr> <td ID="ref_30a92b4df1bb40e4ab79528d83e47f9d_allergy_name_1">penicillin G benzathine</td> <td ID="ref_30a92b4df1bb40e4ab79528d83e47f9d_allergy_reaction_1">hives</td> <td ID="ref_30a92b4df1bb40e4ab79528d83e47f9d_allergy_comment_1"> </td> </tr> </tbody> </table> </text> <entry> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.30" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.57" extension="1274" /> <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="6879f8a832a348e7b7a83e3603d03104" /> <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="215674" displayName="Bicillin L-A" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"> <originalText> <reference value="#ref_30a92b4df1bb40e4ab79528d83e47f9d_allergy_name_1" /> </originalText> <translation code="3727" displayName="penicillin G benzathine" codeSystem="2.16.840.1.113883.6.64" codeSystemName="FDBDRUG" /> </code> <name>penicillin G benzathine</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="63a0a9287b6f49649890cb1589a8af77" /> <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" /> <text>hives<reference value="#ref_30a92b4df1bb40e4ab79528d83e47f9d_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_30a92b4df1bb40e4ab79528d83e47f9d_allergy_comment_1" /> </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" extension="8884f51648ef4692" /> <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">Not available.</text> </section> </component> <component> <section classCode="DOCSECT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.2.1.1" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.58" extension="be734283d6f64cb3" /> <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_5d4f88c424bb4824bd6347fb9f85445c_medication_name_1">Proventil HFA Inhalation HFA Aerosol Inhaler 90 mcg/actuation</td> <td ID="ref_5d4f88c424bb4824bd6347fb9f85445c_medication_startDate_1">1/21/2013</td> <td ID="ref_5d4f88c424bb4824bd6347fb9f85445c_medication_expirationDate_1">2/20/2013</td> <td ID="ref_5d4f88c424bb4824bd6347fb9f85445c_medication_sig_1">inhale 2 puffs by inhalation route 4 times a day for 30 days prn wheezing</td> <td ID="ref_5d4f88c424bb4824bd6347fb9f85445c_medication_comments_1"> </td> </tr> <tr> <td ID="ref_5d4f88c424bb4824bd6347fb9f85445c_medication_name_2">Tamiflu Oral Capsule 30 mg</td> <td ID="ref_5d4f88c424bb4824bd6347fb9f85445c_medication_startDate_2">1/21/2013</td> <td ID="ref_5d4f88c424bb4824bd6347fb9f85445c_medication_expirationDate_2">1/31/2013</td> <td ID="ref_5d4f88c424bb4824bd6347fb9f85445c_medication_sig_2">take 1 capsule by oral route 2 times a day for 10 days until gone</td> <td ID="ref_5d4f88c424bb4824bd6347fb9f85445c_medication_comments_2"> </td> </tr> </tbody> </table> </text> <entry> <substanceAdministration classCode="SBADM" moodCode="INT" negationInd="false"> <templateId root="2.16.840.1.113883.10.20.22.4.16" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.58" extension="1956" /> <text>inhale 2 puffs by inhalation route 4 times a day for 30 days prn wheezing<reference value="#ref_5d4f88c424bb4824bd6347fb9f85445c_medication_sig_1" /></text> <statusCode code="completed" /> <effectiveTime xsi:type="IVL_TS"> <low value="20130121000000" /> <high value="20130220000000" /> </effectiveTime> <routeCode nullFlavor="NA"> <originalText> <reference value="Inhalation" /> </originalText> </routeCode> <doseQuantity value="2" unit="Inhaler" /> <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_5d4f88c424bb4824bd6347fb9f85445c_medication_name_1" /> </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_5d4f88c424bb4824bd6347fb9f85445c_medication_comments_1" /> </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="2.16.840.1.113883.3.441.1.50.300011.51.26776.58" extension="1957" /> <text>take 1 capsule by oral route 2 times a day for 10 days until gone<reference value="#ref_5d4f88c424bb4824bd6347fb9f85445c_medication_sig_2" /></text> <statusCode code="completed" /> <effectiveTime xsi:type="IVL_TS"> <low value="20130121000000" /> <high value="20130131000000" /> </effectiveTime> <routeCode nullFlavor="NA"> <originalText> <reference value="Oral" /> </originalText> </routeCode> <doseQuantity value="1" unit="capsule" /> <consumable typeCode="CSM"> <manufacturedProduct classCode="MANU"> <templateId root="2.16.840.1.113883.10.20.22.4.23" /> <manufacturedMaterial classCode="MMAT"> <code code="553103" displayName="Tamiflu Oral Capsule 30 mg"> <originalText> <reference value="#ref_5d4f88c424bb4824bd6347fb9f85445c_medication_name_2" /> </originalText> <translation code="728109" displayName="Oseltamivir 30 MG Oral Capsule" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" /> </code> <name>Tamiflu</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_5d4f88c424bb4824bd6347fb9f85445c_medication_comments_2" /> </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="2.16.840.1.113883.3.441.1.50.300011.51.26776.60" extension="8de5e464b2504999" /> <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_1bdb5d81cc1249c68fa2d7bdbe60b75f_immunization_name_1">MMR</td> <td ID="ref_1bdb5d81cc1249c68fa2d7bdbe60b75f_immunization_adminDate_1">3/12/2011</td> <td ID="ref_1bdb5d81cc1249c68fa2d7bdbe60b75f_immunization_man_1">Acambis, Inc</td> <td ID="ref_1bdb5d81cc1249c68fa2d7bdbe60b75f_immunization_manCode_1">ACA</td> <td ID="ref_1bdb5d81cc1249c68fa2d7bdbe60b75f_immunization_trade_1">MMR II</td> <td ID="ref_1bdb5d81cc1249c68fa2d7bdbe60b75f_immunization_lot_1">ABN 9876</td> <td ID="ref_1bdb5d81cc1249c68fa2d7bdbe60b75f_immunization_route_1">Intramuscular</td> <td ID="ref_1bdb5d81cc1249c68fa2d7bdbe60b75f_immunization_injSite_1">Left Vastus Lateralis</td> <td ID="ref_1bdb5d81cc1249c68fa2d7bdbe60b75f_immunization_visGivDate_1">1/21/2013</td> <td ID="ref_1bdb5d81cc1249c68fa2d7bdbe60b75f_immunization_visPubDate_1">3/3/2009</td> <td ID="ref_1bdb5d81cc1249c68fa2d7bdbe60b75f_immunization_cvx_1">03</td> </tr> </tbody> </table> </text> <entry> <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false"> <templateId root="2.16.840.1.113883.10.20.22.4.52" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.60" extension="1214" /> <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode" /> <text> <reference value="#ref_1bdb5d81cc1249c68fa2d7bdbe60b75f_immunization_name_1" /> </text> <statusCode code="completed" /> <effectiveTime value="20110312000000" /> <routeCode nullFlavor="NA" /> <approachSiteCode nullFlavor="NA" /> <doseQuantity value="0.5" /> <consumable typeCode="CSM"> <manufacturedProduct classCode="MANU"> <templateId root="2.16.840.1.113883.10.20.22.4.54" /> <manufacturedMaterial classCode="MMAT"> <code code="03" displayName="MMR" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX"> <originalText> <reference value="#ref_1bdb5d81cc1249c68fa2d7bdbe60b75f_immunization_name_1" /> </originalText> </code> <name nullFlavor="UNK" /> <lotNumberText>ABN 9876</lotNumberText> </manufacturedMaterial> </manufacturedProduct> </consumable> <performer> <assignedEntity> <id root="2.16.840.1.113883.3.441" extension="b2711d72b6aa46e88cfd8fb3a3553f04" /> <addr> <streetAddressLine>1234 test</streetAddressLine> <streetAddressLine nullFlavor="UNK" /> <city>Norcross</city> <state>GA</state> <postalCode>30091</postalCode> <country>United States</country> </addr> <telecom value="770-888-3333" /> <assignedPerson> <name> <given>Mike</given> <family>Hardy</family> </name> </assignedPerson> <representedOrganization> <id root="2.16.840.1.113883.3.441" extension="7a289b1075e942a4aa7e4da5639cc638" /> <name nullFlavor="UNK" /> <telecom use="WP" value="770-888-3333" /> <addr> <streetAddressLine>1234 test</streetAddressLine> <streetAddressLine nullFlavor="UNK" /> <city>Norcross</city> <state>GA</state> <postalCode>30091</postalCode> <country>United States</country> </addr> </representedOrganization> </assignedEntity> </performer> </substanceAdministration> </entry> </section> </component> <component> <section classCode="DOCSECT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.2.5.1" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.61" extension="0058705c6e784e5e" /> <code code="11450-4" displayName="Problem list" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <title>Problem List</title> <text mediaType="text/x-hl7-text+xml"> <table border="1"> <thead> <tr> <th>Description</th> <th>Status</th> <th>Onset</th> </tr> </thead> <tbody> <tr> <td ID="ref_bddf1808a9d04775aba87b3fb6486b33_problem_name_1">Asthma</td> <td ID="ref_bddf1808a9d04775aba87b3fb6486b33_problem_status_1">Active</td> <td ID="ref_bddf1808a9d04775aba87b3fb6486b33_problem_onset_1">03/12/2011</td> </tr> <tr> <td ID="ref_bddf1808a9d04775aba87b3fb6486b33_problem_name_2">Flu like illness</td> <td ID="ref_bddf1808a9d04775aba87b3fb6486b33_problem_status_2">Active</td> <td ID="ref_bddf1808a9d04775aba87b3fb6486b33_problem_onset_2"> </td> </tr> </tbody> </table> </text> <entry> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.3" /> <id root="2.16.840.1.113883.3.441" extension="1e0a3169de5641198f283fae62810564" /> <code code="CONC" codeSystem="2.16.840.1.113883.5.6" /> <statusCode code="active" /> <effectiveTime nullFlavor="UNK"> <low value="20110312000000" /> <high nullFlavor="UNK" /> </effectiveTime> <entryRelationship typeCode="SUBJ" inversionInd="false"> <observation classCode="OBS" moodCode="EVN" negationInd="false"> <templateId root="2.16.840.1.113883.10.20.22.4.4" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.61" extension="1406" /> <code nullFlavor="NA" /> <text>Asthma<reference value="#ref_bddf1808a9d04775aba87b3fb6486b33_problem_name_1" /></text> <statusCode code="completed" /> <effectiveTime nullFlavor="UNK"> <low value="20110312000000" /> <high nullFlavor="UNK" /> </effectiveTime> <value xsi:type="CD" nullFlavor="UNK"> <translation code="195967001" displayName="Asthma" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"> <originalText> <reference value="#ref_bddf1808a9d04775aba87b3fb6486b33_problem_name_1" /> </originalText> </translation> </value> <entryRelationship typeCode="REFR" inversionInd="false"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.6" /> <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="SNOMED CT" /> <text>Active<reference value="#ref_bddf1808a9d04775aba87b3fb6486b33_problem_status_1" /></text> <statusCode code="completed" /> <value xsi:type="CD" 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="2.16.840.1.113883.10.20.22.4.3" /> <id root="2.16.840.1.113883.3.441" extension="106705e6dff64e8c93d9d2065dfd742e" /> <code code="CONC" codeSystem="2.16.840.1.113883.5.6" /> <statusCode code="active" /> <effectiveTime nullFlavor="UNK"> <low nullFlavor="UNK" /> <high nullFlavor="UNK" /> </effectiveTime> <entryRelationship typeCode="SUBJ" inversionInd="false"> <observation classCode="OBS" moodCode="EVN" negationInd="false"> <templateId root="2.16.840.1.113883.10.20.22.4.4" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.61" extension="1408" /> <code nullFlavor="NA" /> <text>Flu like illness<reference value="#ref_bddf1808a9d04775aba87b3fb6486b33_problem_name_2" /></text> <statusCode code="completed" /> <effectiveTime nullFlavor="UNK"> <low nullFlavor="UNK" /> <high nullFlavor="UNK" /> </effectiveTime> <value xsi:type="CD" nullFlavor="UNK"> <translation code="34014006" displayName="Flu like illness" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"> <originalText> <reference value="#ref_bddf1808a9d04775aba87b3fb6486b33_problem_name_2" /> </originalText> </translation> </value> <entryRelationship typeCode="REFR" inversionInd="false"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.6" /> <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="SNOMED CT" /> <text>Active<reference value="#ref_bddf1808a9d04775aba87b3fb6486b33_problem_status_2" /></text> <statusCode code="completed" /> <value xsi:type="CD" 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="2.16.840.1.113883.10.20.22.2.4.1" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.55" extension="64f4e42e8f7d4c70" /> <code code="8716-3" displayName="Vital signs" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <title>Vital Signs</title> <text mediaType="text/x-hl7-text+xml"> <table border="1"> <thead> <tr> <th>Date</th> <th>Time</th> <th>BP-Sys(mm[Hg]</th> <th>BP-Dia(mm[Hg])</th> <th>HR(bpm)</th> <th>RR(rpm)</th> <th>Temp</th> <th>WT</th> <th>HT</th> <th>BMI</th> <th>BSA</th> <th>BMI Percentile</th> <th>O2 Sat(%)</th> </tr> </thead> <tbody> <tr> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_date_1">4/15/2010</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_time_1">9:38:00 AM</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bpSystolic_1">90 mmHg</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bpDiastolic_1">60 mmHg</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_hr_1"> </td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_rr_1"> </td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_temp_1"> </td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_wt_1">125 lbs</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_ht_1">60 in</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bmi_1">24.4121 kg/m²</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bsa_1">1.5493 m²</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bmiPercentile_1">97.4 %</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_o2_1"> </td> </tr> <tr> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_date_2">3/12/2011</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_time_2">9:45:00 AM</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bpSystolic_2">89 mmHg</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bpDiastolic_2">62 mmHg</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_hr_2"> </td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_rr_2"> </td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_temp_2"> </td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_wt_2">145 lbs</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_ht_2">62 in</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bmi_2">26.5206 kg/m²</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bsa_2">1.6962 m²</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bmiPercentile_2">97.9 %</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_o2_2"> </td> </tr> <tr> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_date_3">1/21/2013</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_time_3">10:12:00 AM</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bpSystolic_3">130 mmHg</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bpDiastolic_3">86 mmHg</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_hr_3"> </td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_rr_3"> </td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_temp_3"> </td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_wt_3">162 lbs</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_ht_3">64 in</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bmi_3">27.807 kg/m²</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bsa_3">1.8216 m²</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bmiPercentile_3">97.2 %</td> <td ID="ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_o2_3"> </td> </tr> </tbody> </table> </text> <entry> <organizer classCode="CLUSTER" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.26" /> <id root="2.16.840.1.113883.3.441" extension="6fafe2cf3700432985a2b6664698b0ea" /> <code code="46680005" displayName="Vital signs" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" /> <statusCode code="completed" /> <effectiveTime value="20100415093800" /> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.27" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.55" extension="2742" /> <code code="8462-4" displayName="BP Diastolic" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text>Blood Pressure - Diastolic<reference value="#ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bpDiastolic_1" /></text> <statusCode code="completed" /> <effectiveTime value="20100415093800" /> <value xsi:type="PQ" value="60" unit="mm[Hg]" /> <interpretationCode nullFlavor="NA" /> </observation> </component> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.27" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.55" extension="2743" /> <code code="8480-6" displayName="BP Systolic" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text>Blood Pressure - Systolic<reference value="#ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bpSystolic_1" /></text> <statusCode code="completed" /> <effectiveTime value="20100415093800" /> <value xsi:type="PQ" value="90" unit="mm[Hg]" /> <interpretationCode nullFlavor="NA" /> </observation> </component> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.27" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.55" extension="2744" /> <code code="41909-3" displayName="Body Mass Index" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text>Body Mass Index<reference value="#ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bmi_1" /></text> <statusCode code="completed" /> <effectiveTime value="20100415093800" /> <value xsi:type="PQ" value="24.4121" unit="kg/m²" /> <interpretationCode nullFlavor="NA" /> </observation> </component> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.27" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.55" extension="2746" /> <code code="8302-2" displayName="Body Height (Measured)" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text>Height<reference value="#ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_ht_1" /></text> <statusCode code="completed" /> <effectiveTime value="20100415093800" /> <value xsi:type="PQ" value="60" unit="[in_us]" /> <interpretationCode nullFlavor="NA" /> </observation> </component> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.27" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.55" extension="2747" /> <code code="3141-9" displayName="Body Weight (Measured)" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text>Weight<reference value="#ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_wt_1" /></text> <statusCode code="completed" /> <effectiveTime value="20100415093800" /> <value xsi:type="PQ" value="125" unit="[lb_av]" /> <interpretationCode nullFlavor="NA" /> </observation> </component> </organizer> </entry> <entry> <organizer classCode="CLUSTER" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.26" /> <id root="2.16.840.1.113883.3.441" extension="5a1e61033f3843598fe4c538467238b8" /> <code code="46680005" displayName="Vital signs" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" /> <statusCode code="completed" /> <effectiveTime value="20110312094500" /> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.27" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.55" extension="2749" /> <code code="8462-4" displayName="BP Diastolic" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text>Blood Pressure - Diastolic<reference value="#ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bpDiastolic_2" /></text> <statusCode code="completed" /> <effectiveTime value="20110312094500" /> <value xsi:type="PQ" value="62" unit="mm[Hg]" /> <interpretationCode nullFlavor="NA" /> </observation> </component> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.27" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.55" extension="2750" /> <code code="8480-6" displayName="BP Systolic" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text>Blood Pressure - Systolic<reference value="#ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bpSystolic_2" /></text> <statusCode code="completed" /> <effectiveTime value="20110312094500" /> <value xsi:type="PQ" value="89" unit="mm[Hg]" /> <interpretationCode nullFlavor="NA" /> </observation> </component> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.27" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.55" extension="2751" /> <code code="41909-3" displayName="Body Mass Index" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text>Body Mass Index<reference value="#ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_bmi_2" /></text> <statusCode code="completed" /> <effectiveTime value="20110312094500" /> <value xsi:type="PQ" value="26.5206" unit="kg/m²" /> <interpretationCode nullFlavor="NA" /> </observation> </component> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.27" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.55" extension="2753" /> <code code="8302-2" displayName="Body Height (Measured)" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text>Height<reference value="#ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_ht_2" /></text> <statusCode code="completed" /> <effectiveTime value="20110312094500" /> <value xsi:type="PQ" value="62" unit="[in_us]" /> <interpretationCode nullFlavor="NA" /> </observation> </component> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.27" /> <id root="2.16.840.1.113883.3.441.1.50.300011.51.26776.55" extension="2754" /> <code code="3141-9" displayName="Body Weight (Measured)" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text>Weight<reference value="#ref_128f87bd1c2f47ada71429a3fff2e639_vitalSigns_wt_2" /></text> <statusCode code="completed" /> <effectiveTime value="20110312094500" /> <value xsi:type="PQ" value="145" unit="[lb_av]" /> <interpretationCode nullFlavor="NA" /> </observation> </component> </organizer> </entry> <entry>