bluebutton/_site/bower_components/sample_ccdas/Greenway Samples/26840_ExportSummary_CCDA.xml

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

<?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="c8888da9f87a41a9955609d61e86efcb" />
  <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="26840" />
      <addr>
        <streetAddressLine>123 Test Ave</streetAddressLine>
        <streetAddressLine nullFlavor="UNK" />
        <city>Norcross</city>
        <state>GA</state>
        <postalCode>30091</postalCode>
        <country>US</country>
      </addr>
      <telecom use="HP" nullFlavor="UNK" />
      <patient classCode="PSN" determinerCode="INSTANCE">
        <name>
          <given>Three</given>
          <family>ClinicalSummary</family>
        </name>
        <administrativeGenderCode code="F" displayName="Female" codeSystem="2.16.840.1.113883.5.1" codeSystemName="Administrative Gender Code" />
        <birthTime value="19480409" />
        <maritalStatusCode code="D" displayName="Divorced" 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="2135-2" displayName="Hispanic or Latino" codeSystem="2.16.840.1.113883.6.238" codeSystemName="OMB Standards for Race and Ethnicity" />
        <languageCommunication>
          <languageCode code="isl" />
        </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="3b9dea36a4fd45d1908d1386b22f7ad6" />
      <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="Proctologist" codeSystemName="GMTDynamic" />
          <assignedPerson classCode="PSN" determinerCode="INSTANCE">
            <name>
              <given>James</given>
              <family>Ingram, M.D.</family>
            </name>
          </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="Pain Management" codeSystemName="GMTDynamic" />
          <assignedPerson classCode="PSN" determinerCode="INSTANCE">
            <name>
              <given>Henry</given>
              <family>Seven, M.D.</family>
            </name>
          </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="Gastroenterologist" codeSystemName="GMTDynamic" />
          <assignedPerson classCode="PSN" determinerCode="INSTANCE">
            <name>
              <given>Penny</given>
              <family>Puffer, 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="c1828e727c80463a" />
          <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">
            <table border="1">
              <thead>
                <tr>
                  <th>Reason for Referral</th>
                  <th>Plan Date</th>
                  <th>Provider</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td ID="ref_6d5a0702fac946f192bf9e7bdc138b2a_referral_1_reason">For colonscopy and hemorrhoidectomy</td>
                  <td ID="ref_6d5a0702fac946f192bf9e7bdc138b2a_referral_1_planDate">1/29/2013</td>
                  <td ID="ref_6d5a0702fac946f192bf9e7bdc138b2a_referral_1_provider"> Penny Puffer, 1047 Healthcare Drive, , Portland, OR, 97005, 555-555-1049</td>
                </tr>
              </tbody>
            </table>
          </text>
        </section>
      </component>
      <component>
        <section classCode="DOCSECT" moodCode="EVN">
          <templateId root="2.16.840.1.113883.10.20.22.2.6.1" />
          <id root="2.16.840.1.113883.3.441.1.50.300011.51.26840.57" extension="03bd06407156491e" />
          <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_87caea4407194c6d9c4aac620cec65cd_allergy_name_1">penicillin G benzathine</td>
                  <td ID="ref_87caea4407194c6d9c4aac620cec65cd_allergy_reaction_1">rash</td>
                  <td ID="ref_87caea4407194c6d9c4aac620cec65cd_allergy_comment_1">severe reation</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="2.16.840.1.113883.3.441.1.50.300011.51.26840.57" extension="1299" />
              <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="33b45c396e4d4c56aa0ffe2086866a0d" />
                  <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_87caea4407194c6d9c4aac620cec65cd_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="e0de7e20571041d18f00d012bc430964" />
                      <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
                      <text>rash<reference value="#ref_87caea4407194c6d9c4aac620cec65cd_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_87caea4407194c6d9c4aac620cec65cd_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="2.16.840.1.113883.3.441.1.50.300011.51.26840.72" extension="26dc548ca01e49e9" />
          <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_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_1">For colonscopy and hemorrhoidectomy</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedComments_1">
                  </td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedDate_1">1/29/2013</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedTime_1">4:00 PM</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedGoal_1">
                  </td>
                </tr>
                <tr>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_2">Smoking Cessation Plan</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedComments_2">
                  </td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedDate_2">1/22/2013</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedTime_2">8:58 AM</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedGoal_2">Resources and instructions provided during visit</td>
                </tr>
                <tr>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_3">Smoking Cessation: Goal</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedComments_3">
                  </td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedDate_3">1/22/2013</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedTime_3">8:58 AM</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedGoal_3">Quit smoking</td>
                </tr>
                <tr>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_4">Weight Loss Plan</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedComments_4">
                  </td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedDate_4">1/22/2013</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedTime_4">8:58 AM</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedGoal_4">Resources and instructions provided during visit.</td>
                </tr>
                <tr>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_5">Weight Loss: Goal</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedComments_5">
                  </td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedDate_5">1/22/2013</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedTime_5">8:58 AM</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedGoal_5">BMI &lt; 25</td>
                </tr>
                <tr>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_6">Blood Pressure Management Plan</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedComments_6">
                  </td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedDate_6">1/22/2013</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedTime_6">8:58 AM</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedGoal_6">Advised patient to avoid supplemental salt.</td>
                </tr>
                <tr>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_7">Blood Pressure Management: Goal</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedComments_7">
                  </td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedDate_7">1/22/2013</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedTime_7">8:58 AM</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedGoal_7">No longer hypertensive</td>
                </tr>
                <tr>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_8">Arthritis panel</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedComments_8">
                  </td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedDate_8">1/22/2013</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedTime_8">12:00 AM</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedGoal_8">
                  </td>
                </tr>
                <tr>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_9">Urinalysis (Dipstick, with microscopy)</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedComments_9">
                  </td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedDate_9">1/22/2013</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedTime_9">12:00 AM</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedGoal_9">
                  </td>
                </tr>
                <tr>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_10">Lipid panel</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedComments_10">
                  </td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedDate_10">3/20/2013</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedTime_10">12:00 AM</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedGoal_10">
                  </td>
                </tr>
                <tr>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_11">Lipid panel</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedComments_11">
                  </td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedDate_11">3/20/2013</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedTime_11">12:00 AM</td>
                  <td ID="ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedGoal_11">
                  </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="2.16.840.1.113883.3.441.1.50.300011.51.26840.72" extension="1158" />
              <code nullFlavor="NA" />
              <text>For colonscopy and hemorrhoidectomy<reference value="#ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_1" /></text>
              <statusCode code="new" />
              <effectiveTime value="20130129" />
              <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="2.16.840.1.113883.3.441.1.50.300011.51.26840.72" extension="2801" />
              <code nullFlavor="NA" />
              <text>Smoking Cessation Plan<reference value="#ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_2" /></text>
              <statusCode code="new" />
              <effectiveTime value="20130122" />
              <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="2.16.840.1.113883.3.441.1.50.300011.51.26840.72" extension="2802" />
              <code nullFlavor="NA" />
              <text>Smoking Cessation: Goal<reference value="#ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_3" /></text>
              <statusCode code="new" />
              <effectiveTime value="20130122" />
              <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="2.16.840.1.113883.3.441.1.50.300011.51.26840.72" extension="2803" />
              <code nullFlavor="NA" />
              <text>Weight Loss Plan<reference value="#ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_4" /></text>
              <statusCode code="new" />
              <effectiveTime value="20130122" />
              <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="2.16.840.1.113883.3.441.1.50.300011.51.26840.72" extension="2804" />
              <code nullFlavor="NA" />
              <text>Weight Loss: Goal<reference value="#ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_5" /></text>
              <statusCode code="new" />
              <effectiveTime value="20130122" />
              <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="2.16.840.1.113883.3.441.1.50.300011.51.26840.72" extension="2805" />
              <code nullFlavor="NA" />
              <text>Blood Pressure Management Plan<reference value="#ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_6" /></text>
              <statusCode code="new" />
              <effectiveTime value="20130122" />
              <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="2.16.840.1.113883.3.441.1.50.300011.51.26840.72" extension="2806" />
              <code nullFlavor="NA" />
              <text>Blood Pressure Management: Goal<reference value="#ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_7" /></text>
              <statusCode code="new" />
              <effectiveTime value="20130122" />
              <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="2.16.840.1.113883.3.441.1.50.300011.51.26840.72" extension="61368" />
              <code code="80072" displayName="Arthritis panel" codeSystem="CPT" codeSystemName="Current Procedural Terminology" />
              <text>Arthritis panel<reference value="#ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_8" /></text>
              <statusCode code="new" />
              <effectiveTime value="20130122" />
              <approachSiteCode nullFlavor="NA" />
              <targetSiteCode nullFlavor="NA" />
            </procedure>
          </entry>
          <entry>
            <procedure classCode="PROC" moodCode="INT" negationInd="false">
              <templateId root="2.16.840.1.113883.10.20.22.4.41" />
              <id root="2.16.840.1.113883.3.441.1.50.300011.51.26840.72" extension="61369" />
              <code code="81001" displayName="Urinalysis (Dipstick, with microscopy)" codeSystem="CPT" codeSystemName="Current Procedural Terminology" />
              <text>Urinalysis (Dipstick, with microscopy)<reference value="#ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_9" /></text>
              <statusCode code="new" />
              <effectiveTime value="20130122" />
              <approachSiteCode nullFlavor="NA" />
              <targetSiteCode nullFlavor="NA" />
            </procedure>
          </entry>
          <entry>
            <procedure classCode="PROC" moodCode="INT" negationInd="false">
              <templateId root="2.16.840.1.113883.10.20.22.4.41" />
              <id root="2.16.840.1.113883.3.441.1.50.300011.51.26840.72" extension="61434" />
              <code code="80061" displayName="Lipid panel" codeSystem="CPT" codeSystemName="Current Procedural Terminology" />
              <text>Lipid panel<reference value="#ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_10" /></text>
              <statusCode code="new" />
              <effectiveTime value="20130320" />
              <approachSiteCode nullFlavor="NA" />
              <targetSiteCode nullFlavor="NA" />
            </procedure>
          </entry>
          <entry>
            <procedure classCode="PROC" moodCode="INT" negationInd="false">
              <templateId root="2.16.840.1.113883.10.20.22.4.41" />
              <id root="2.16.840.1.113883.3.441.1.50.300011.51.26840.72" extension="61435" />
              <code code="80061" displayName="Lipid panel" codeSystem="CPT" codeSystemName="Current Procedural Terminology" />
              <text>Lipid panel<reference value="#ref_42319f0fbd704c0da0f0c157545a2797_planOfTreatment__plannedActivity_11" /></text>
              <statusCode code="new" />
              <effectiveTime value="20130320" />
              <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="2.16.840.1.113883.3.441.1.50.300011.51.26840.58" extension="ca3797acf4af42e4" />
          <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">Active</th>
                </tr>
                <tr>
                  <th>Name</th>
                  <th>Start Date</th>
                  <th>Estimated Completion Date</th>
                  <th>SIG</th>
                  <th>Comments</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_name_1">Dilaudid Oral Tablet 2 mg</td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_startDate_1">
                  </td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_expirationDate_1">
                  </td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_sig_1">take 1 tablet (2 mg) by oral route every 6 hours as needed</td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_comments_1">
                  </td>
                </tr>
                <tr>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_name_2">Demerol Injection Solution 50 mg/mL</td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_startDate_2">
                  </td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_expirationDate_2">
                  </td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_sig_2">inject 1 milliliter now in offce</td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_comments_2">
                  </td>
                </tr>
              </tbody>
            </table>
            <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_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_name_3">Anusol-HC Rectal Suppository 25 mg</td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_startDate_3">1/22/2013</td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_expirationDate_3">1/29/2013</td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_sig_3">insert 1 suppository (25 mg) by rectal route 3 times per day for 7 days</td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_comments_3">
                  </td>
                </tr>
                <tr>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_name_4">Lortab Oral Tablet 10-500 mg</td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_startDate_4">1/22/2013</td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_expirationDate_4">2/1/2013</td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_sig_4">take 1 tablet by oral route every 4-6 hours as needed for pain for 10 days</td>
                  <td ID="ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_comments_4">
                  </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="2.16.840.1.113883.3.441.1.50.300011.51.26840.58" extension="2005" />
              <text>take 1 tablet (2 mg) by oral route every 6 hours as needed<reference value="#ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_sig_1" /></text>
              <statusCode code="completed" />
              <effectiveTime xsi:type="IVL_TS">
                <low nullFlavor="UNK" />
                <high nullFlavor="UNK" />
              </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="162540" displayName="Dilaudid Oral Tablet 2 mg">
                      <originalText>
                        <reference value="#ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_name_1" />
                      </originalText>
                      <translation code="897696" displayName="Hydromorphone Hydrochloride 2 MG Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" />
                    </code>
                    <name>Dilaudid</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="55561003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED" displayName="Active" />
                </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_9f1b86e32c2b4c878040e0bfdaae1b3f_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="2.16.840.1.113883.3.441.1.50.300011.51.26840.58" extension="2006" />
              <text>inject 1 milliliter now in offce<reference value="#ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_sig_2" /></text>
              <statusCode code="completed" />
              <effectiveTime xsi:type="IVL_TS">
                <low nullFlavor="UNK" />
                <high nullFlavor="UNK" />
              </effectiveTime>
              <routeCode nullFlavor="NA">
                <originalText>
                  <reference value="Injection" />
                </originalText>
              </routeCode>
              <doseQuantity value="1" unit="milliliter" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.23" />
                  <manufacturedMaterial classCode="MMAT">
                    <code code="172838" displayName="Demerol Injection Solution 50 mg/mL">
                      <originalText>
                        <reference value="#ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_name_2" />
                      </originalText>
                      <translation code="861463" displayName="Meperidine Hydrochloride 50 MG/ML Injectable Solution" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" />
                    </code>
                    <name>Demerol</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="55561003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED" displayName="Active" />
                </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_9f1b86e32c2b4c878040e0bfdaae1b3f_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="2.16.840.1.113883.3.441.1.50.300011.51.26840.58" extension="2007" />
              <text>insert 1 suppository (25 mg) by rectal route 3 times per day for 7 days<reference value="#ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_sig_3" /></text>
              <statusCode code="completed" />
              <effectiveTime xsi:type="IVL_TS">
                <low value="20130122000000" />
                <high value="20130129000000" />
              </effectiveTime>
              <routeCode nullFlavor="NA">
                <originalText>
                  <reference value="Rectal" />
                </originalText>
              </routeCode>
              <doseQuantity value="1" unit="suppository" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.23" />
                  <manufacturedMaterial classCode="MMAT">
                    <code code="278350" displayName="Anusol-HC Rectal Suppository 25 mg">
                      <originalText>
                        <reference value="#ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_name_3" />
                      </originalText>
                      <translation code="310896" displayName="Hydrocortisone 25 MG Rectal Suppository" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" />
                    </code>
                    <name>Anusol-HC</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_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_comments_3" />
                  </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="2.16.840.1.113883.3.441.1.50.300011.51.26840.58" extension="2008" />
              <text>take 1 tablet by oral route every 4-6 hours as needed for pain for 10 days<reference value="#ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_sig_4" /></text>
              <statusCode code="completed" />
              <effectiveTime xsi:type="IVL_TS">
                <low value="20130122000000" />
                <high value="20130201000000" />
              </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="226449" displayName="Lortab Oral Tablet 10-500 mg">
                      <originalText>
                        <reference value="#ref_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_name_4" />
                      </originalText>
                      <translation code="857107" displayName="Acetaminophen 500 MG / Hydrocodone Bitartrate 10 MG Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" />
                    </code>
                    <name>Lortab</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_9f1b86e32c2b4c878040e0bfdaae1b3f_medication_comments_4" />
                  </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="2.16.840.1.113883.3.441.1.50.300011.51.26840.60" extension="975ad93d043a4669" />
          <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_8c022192d765412daa0ee81570fa33d4_immunization_name_1">Influenza Adult</td>
                  <td ID="ref_8c022192d765412daa0ee81570fa33d4_immunization_adminDate_1">1/22/2013</td>
                  <td ID="ref_8c022192d765412daa0ee81570fa33d4_immunization_man_1">Abbott Laboratories</td>
                  <td ID="ref_8c022192d765412daa0ee81570fa33d4_immunization_manCode_1">AB</td>
                  <td ID="ref_8c022192d765412daa0ee81570fa33d4_immunization_trade_1">Flulaval</td>