bluebutton/_site/bower_components/sample_ccdas/Greenway Samples/26933_ExportSummary_CCDA.xml

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

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                  <entryRelationship typeCode="MFST" inversionInd="true">
                    <observation classCode="OBS" moodCode="EVN" negationInd="false">
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                      <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
                      <text>
                        <reference value="#ref_7e1e01065b0740c2b9a9bb7b958b148e_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">
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                      <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_7e1e01065b0740c2b9a9bb7b958b148e_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="2.16.840.1.113883.3.441.1.50.300011.51.26933.72" extension="c836e7d77eac4577" />
          <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_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedActivity_1">pulmonology consult</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedComments_1">
                  </td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedDate_1">8/13/2012</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedTime_1">4:00 PM</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedGoal_1">
                  </td>
                </tr>
                <tr>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedActivity_2">Smoking Cessation Plan</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedComments_2">
                  </td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedDate_2">8/6/2012</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedTime_2">2:02 PM</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedGoal_2">Resources and instructions provided during visit</td>
                </tr>
                <tr>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedActivity_3">Smoking Cessation: Goal</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedComments_3">
                  </td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedDate_3">8/6/2012</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedTime_3">2:02 PM</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedGoal_3">Quit smoking</td>
                </tr>
                <tr>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedActivity_4">Chest X-Ray, PA and Lateral Views</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedComments_4">
                  </td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedDate_4">8/6/2012</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedTime_4">12:00 AM</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedGoal_4">
                  </td>
                </tr>
                <tr>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedActivity_5">X ray of sternoclavicular joints, 3 views</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedComments_5">
                  </td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedDate_5">8/13/2012</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedTime_5">12:00 AM</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedGoal_5">
                  </td>
                </tr>
                <tr>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedActivity_6">Hemoglobin</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedComments_6">
                  </td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedDate_6">8/13/2012</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedTime_6">12:00 AM</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedGoal_6">
                  </td>
                </tr>
                <tr>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedActivity_7">Sputum, obtaining specimen, aerosol induced technique (separate procedure)</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedComments_7">
                  </td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedDate_7">8/6/2012</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedTime_7">12:00 AM</td>
                  <td ID="ref_e0ebfef7c66e40eab647b6080332e12e_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="2.16.840.1.113883.3.441.1.50.300011.51.26933.72" extension="1162" />
              <code nullFlavor="NA" />
              <text>pulmonology consult<reference value="#ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedActivity_1" /></text>
              <statusCode code="new" />
              <effectiveTime value="20120813" />
              <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="2.16.840.1.113883.3.441.1.50.300011.51.26933.72" extension="2940" />
              <code nullFlavor="NA" />
              <text>Smoking Cessation Plan<reference value="#ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedActivity_2" /></text>
              <statusCode code="new" />
              <effectiveTime value="20120806" />
              <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="2.16.840.1.113883.3.441.1.50.300011.51.26933.72" extension="2941" />
              <code nullFlavor="NA" />
              <text>Smoking Cessation: Goal<reference value="#ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedActivity_3" /></text>
              <statusCode code="new" />
              <effectiveTime value="20120806" />
              <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="2.16.840.1.113883.3.441.1.50.300011.51.26933.72" extension="61407" />
              <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_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedActivity_4" /></text>
              <statusCode code="new" />
              <effectiveTime value="20120806" />
              <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="2.16.840.1.113883.3.441.1.50.300011.51.26933.72" extension="61408" />
              <code code="71130" displayName="X ray of sternoclavicular joints, 3 views" codeSystem="CPT" codeSystemName="Current Procedural Terminology" />
              <text>X ray of sternoclavicular joints, 3 views<reference value="#ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedActivity_5" /></text>
              <statusCode code="new" />
              <effectiveTime value="20120813" />
              <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="2.16.840.1.113883.3.441.1.50.300011.51.26933.72" extension="61409" />
              <code code="85018" displayName="Hemoglobin" codeSystem="CPT" codeSystemName="Current Procedural Terminology" />
              <text>Hemoglobin<reference value="#ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedActivity_6" /></text>
              <statusCode code="new" />
              <effectiveTime value="20120813" />
              <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="2.16.840.1.113883.3.441.1.50.300011.51.26933.72" extension="61411" />
              <code code="89220" displayName="Sputum, obtaining specimen, aerosol induced technique (separate procedure)" codeSystem="CPT" codeSystemName="Current Procedural Terminology" />
              <text>Sputum, obtaining specimen, aerosol induced technique (separate procedure)<reference value="#ref_e0ebfef7c66e40eab647b6080332e12e_planOfTreatment__plannedActivity_7" /></text>
              <statusCode code="new" />
              <effectiveTime value="20120806" />
              <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="2.16.840.1.113883.3.441.1.50.300011.51.26933.58" extension="20855b8b13694df0" />
          <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_2cdd6766f10d4addbcad64d3eea2694e_medication_name_1">clarithromycin Oral Tablet 500 mg</td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_startDate_1">
                  </td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_expirationDate_1">
                  </td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_sig_1">take 1 tablet (500 mg) by oral route every 12 hours for 14 days</td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_comments_1">
                  </td>
                </tr>
                <tr>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_name_2">metoprolol tartrate Oral Tablet 25 mg</td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_startDate_2">
                  </td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_expirationDate_2">
                  </td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_sig_2">take 2 tablets (50 mg) by oral route once daily for 30 days</td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_comments_2">
                  </td>
                </tr>
                <tr>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_name_3">Proventil HFA Inhalation HFA Aerosol Inhaler 90 mcg/actuation</td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_startDate_3">8/6/2012</td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_expirationDate_3">
                  </td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_sig_3">inhale 2 puffs once</td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_comments_3">
                  </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_2cdd6766f10d4addbcad64d3eea2694e_medication_name_4">albuterol sulfate Inhalation HFA Aerosol Inhaler 90 mcg/actuation</td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_startDate_4">5/30/2013</td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_expirationDate_4">6/29/2013</td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_medication_sig_4">inhale 1 puff by inhalation route every 6 hours as needed for 30 days</td>
                  <td ID="ref_2cdd6766f10d4addbcad64d3eea2694e_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="2.16.840.1.113883.3.441.1.50.300011.51.26933.58" extension="2060" />
              <text>take 1 tablet (500 mg) by oral route every 12 hours for 14 days<reference value="#ref_2cdd6766f10d4addbcad64d3eea2694e_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">
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                  <manufacturedMaterial classCode="MMAT">
                    <code code="177323" displayName="clarithromycin Oral Tablet 500 mg">
                      <originalText>
                        <reference value="#ref_2cdd6766f10d4addbcad64d3eea2694e_medication_name_1" />
                      </originalText>
                      <translation code="197517" displayName="Clarithromycin 500 MG Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" />
                    </code>
                    <name>clarithromycin</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_2cdd6766f10d4addbcad64d3eea2694e_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="2.16.840.1.113883.3.441.1.50.300011.51.26933.58" extension="2061" />
              <text>take 2 tablets (50 mg) by oral route once daily for 30 days<reference value="#ref_2cdd6766f10d4addbcad64d3eea2694e_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="Oral" />
                </originalText>
              </routeCode>
              <doseQuantity value="2" 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_2cdd6766f10d4addbcad64d3eea2694e_medication_name_2" />
                      </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="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_2cdd6766f10d4addbcad64d3eea2694e_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="2.16.840.1.113883.3.441.1.50.300011.51.26933.58" extension="2063" />
              <text>inhale 2 puffs once<reference value="#ref_2cdd6766f10d4addbcad64d3eea2694e_medication_sig_3" /></text>
              <statusCode code="completed" />
              <effectiveTime xsi:type="IVL_TS">
                <low value="20120806000000" />
                <high nullFlavor="UNK" />
              </effectiveTime>
              <routeCode nullFlavor="NA">
                <originalText>
                  <reference value="Inhalation" />
                </originalText>
              </routeCode>
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