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<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type='text/xsl' href='/Greenway-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="7c4d0c7819714db6a4737ca1d35faa7a" /><code code="34133-9" displayName="Summarization of episode note" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /><title>MU2 Referral Summary</title><effectiveTime value="20130319092853-0400" /><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 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code="completed" /><value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Active" /></observation></entryRelationship></observation></entryRelationship></act></entry><entry><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.30" /><id root="2.16.840.1.113883.3.441.1.50.300011.51.26604.57" extension="1312" /><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="86480d0297454cd889206de460dbc208" /><code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" /><statusCode code="completed" /><effectiveTime><low nullFlavor="UNK" /></effectiveTime><value xsi:type="CD" code="419199007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Allergy to substance (disorder)" /><participant typeCode="CSM"><time nullFlavor="UNK" /><participantRole classCode="MANU"><addr nullFlavor="UNK" /><telecom use="" nullFlavor="UNK" /><playingEntity classCode="MMAT" determinerCode="INSTANCE"><code code="1001473" displayName="Ecpirin" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"><originalText><reference value="#ref_c6e54337be0d4491baf17263b2318c09_allergy_name_3" /></originalText><translation code="1076" displayName="aspirin" codeSystem="2.16.840.1.113883.6.64" codeSystemName="FDBDRUG" /></code><name>aspirin</name></playingEntity></participantRole></participant><entryRelationship typeCode="MFST" inversionInd="true"><observation classCode="OBS" moodCode="EVN" negationInd="false"><templateId root="2.16.840.1.113883.10.20.22.4.9" /><id root="2.16.840.1.113883.3.441" extension="b46032cac2554067be024a0dd2bdbfc2" /><code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" /><text>shortness of breath<reference value="#ref_c6e54337be0d4491baf17263b2318c09_allergy_reaction_3" /></text><statusCode code="completed" /><effectiveTime nullFlavor="UNK"><low nullFlavor="UNK" /><high nullFlavor="UNK" /></effectiveTime><value xsi:type="CD" nullFlavor="OTH" /></observation></entryRelationship><entryRelationship typeCode="SUBJ" inversionInd="true"><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.1.40" /><templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2" /><code code="48767-8" displayName="Annotation Comment" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /><text><reference value="#ref_c6e54337be0d4491baf17263b2318c09_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="2.16.840.1.113883.3.441.1.50.300011.51.26604.72" extension="0a6e5328003c44f7" /><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_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedActivity_1">Pulmonary Function Testing</td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedComments_1"></td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedDate_1"></td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedTime_1"></td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedGoal_1"></td></tr><tr><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedActivity_2">test</td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedComments_2"></td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedDate_2">4/2/2013</td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedTime_2">4:00 PM</td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedGoal_2"></td></tr><tr><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedActivity_3">r</td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedComments_3"></td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedDate_3"></td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedTime_3"></td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedGoal_3"></td></tr><tr><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedActivity_4">Smoking Cessation Plan</td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedComments_4"></td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedDate_4">3/30/2012</td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedTime_4">12:00 AM</td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedGoal_4">Resources and instructions provided during visit</td></tr><tr><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedActivity_5">Smoking Cessation: Goal</td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedComments_5"></td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedDate_5">3/30/2012</td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedTime_5">12:00 AM</td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedGoal_5">Quit smoking</td></tr><tr><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedActivity_6">Weight Loss Plan</td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedComments_6"></td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedDate_6">3/30/2012</td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedTime_6">12:00 AM</td><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedGoal_6">Resources and instructions provided during visit.</td></tr><tr><td ID="ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedActivity_7">Weight Loss: Goal</td><td 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code="new" /><effectiveTime value="20120330" /><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="2.16.840.1.113883.3.441.1.50.300011.51.26604.72" extension="61405" /><code code="71020" displayName="Chest X-Ray, PA and Lateral Views; Body site: lower respiratory tract structure" codeSystem="CPT" codeSystemName="Current Procedural Terminology" /><text>Chest X-Ray, PA and Lateral Views; Body site: lower respiratory tract structure<reference value="#ref_a518832a9a52407ba376a52c42d33c9b_planOfTreatment__plannedActivity_8" /></text><statusCode code="new" /><effectiveTime value="20130124" /><approachSiteCode nullFlavor="NA" /><targetSiteCode nullFlavor="NA" /></procedure></entry></section></component><component><section classCode="DOCSECT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.2.1.1" /><id root="2.16.840.1.113883.3.441.1.50.300011.51.26604.58" extension="6ca9befa14594818" /><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_a82c9d0410a24190ba0651b30bfacacc_medication_name_1">Viagra Oral Tablet 50 mg</td><td ID="ref_a82c9d0410a24190ba0651b30bfacacc_medication_startDate_1">3/13/2013</td><td ID="ref_a82c9d0410a24190ba0651b30bfacacc_medication_expirationDate_1">4/12/2013</td><td ID="ref_a82c9d0410a24190ba0651b30bfacacc_medication_sig_1">take 2 tablets (100 mg) by oral route once daily as needed approximately 1 hour before sexual activity for 30 days</td><td ID="ref_a82c9d0410a24190ba0651b30bfacacc_medication_comments_1"></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_a82c9d0410a24190ba0651b30bfacacc_medication_name_2">azithromycin Oral Tablet 500 mg</td><td ID="ref_a82c9d0410a24190ba0651b30bfacacc_medication_startDate_2">1/24/2013</td><td ID="ref_a82c9d0410a24190ba0651b30bfacacc_medication_expirationDate_2">2/23/2013</td><td ID="ref_a82c9d0410a24190ba0651b30bfacacc_medication_sig_2">take 1 tablet by oral route daily for 30 days then 250 mg tablet once daily for the next 4 days</td><td ID="ref_a82c9d0410a24190ba0651b30bfacacc_medication_comments_2"></td></tr><tr><td ID="ref_a82c9d0410a24190ba0651b30bfacacc_medication_name_3">albuterol sulfate Inhalation HFA Aerosol Inhaler 90 mcg/actuation</td><td ID="ref_a82c9d0410a24190ba0651b30bfacacc_medication_startDate_3">1/1/2013</td><td ID="ref_a82c9d0410a24190ba0651b30bfacacc_medication_expirationDate_3">1/31/2013</td><td ID="ref_a82c9d0410a24190ba0651b30bfacacc_medication_sig_3">inhale 2 puffs by inhalation route every 6 hours as needed for 30 days</td><td ID="ref_a82c9d0410a24190ba0651b30bfacacc_medication_comments_3"></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="2.16.840.1.113883.3.441.1.50.300011.51.26604.58" extension="2055" /><text>take 1 tablet by oral route daily for 30 days then 250 mg tablet once daily for the next 4 days<reference value="#ref_a82c9d0410a24190ba0651b30bfacacc_medication_sig_1" /></text><statusCode code="completed" /><effectiveTime xsi:type="IVL_TS"><low value="20130124000000" /><high value="20130223000000" /></effectiveTime><routeCode nullFlavor="NA"><originalText><reference value="Oral" /></originalText></routeCode><doseQuantity value="1" unit="tablet" /><consumable typeCode="CSM"><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.23" /><manufacturedMaterial classCode="MMAT"><code code="445655" displayName="azithromycin Oral Tablet 500 mg"><originalText><reference value="#ref_a82c9d0410a24190ba0651b30bfacacc_medication_name_1" /></originalText><translation code="248656" displayName="Azithromycin 500 MG Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" /></code><name>azithromycin</name><lotNumberText nullFlavor="UNK" /></manufacturedMaterial></manufacturedProduct></consumable><entryRelationship typeCode="REFR" inversionInd="true"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.1.47" /><code code="33999-4" displayName="Status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /><statusCode code="completed" /><value xsi:type="CE" code="421139008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED" displayName="No Longer Active"><originalText>Expired - </originalText></value></observation></entryRelationship><entryRelationship typeCode="SUBJ" inversionInd="true"><act classCode="ACT" moodCode="INT"><templateId root="2.16.840.1.113883.10.20.1.49" /><templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.3" /><code code="PINSTRUCT" codeSystem="1.3.6.1.4.1.19376.1.5.3.2" codeSystemName="IHEActCode" /><text><reference value="#ref_a82c9d0410a24190ba0651b30bfacacc_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="2.16.840.1.113883.3.441.1.50.300011.51.26604.58" extension="2056" /><text>inhale 2 puffs by inhalation route every 6 hours as needed for 30 days<reference value="#ref_a82c9d0410a24190ba0651b30bfacacc_medication_sig_2" /></text><statusCode code="completed" /><effectiveTime xsi:type="IVL_TS"><low value="20130101000000" /><high value="20130131000000" /></effectiveTime><routeCode nullFlavor="NA"><originalText><reference value="Inhalation" /></originalText></routeCode><doseQuantity value="2" /><consumable typeCode="CSM"><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.23" /><manufacturedMaterial classCode="MMAT"><code code="279394" displayName="albuterol sulfate Inhalation HFA Aerosol Inhaler 90 mcg/actuation"><originalText><reference value="#ref_a82c9d0410a24190ba0651b30bfacacc_medication_name_2" /></originalText><translation code="745679" displayName="200 ACTUAT Albuterol 0.09 MG/ACTUAT Metered Dose Inhaler" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" /></code><name>albuterol sulfate</name><lotNumberText nullFlavor="UNK" /></manufacturedMaterial></manufacturedProduct></consumable><entryRelationship typeCode="REFR" inversionInd="true"><observation classCode="OBS" moodCode="EVN"><templateId 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root="2.16.840.1.113883.3.441.1.50.300011.51.26604.58" extension="2085" /><text>take 2 tablets (100 mg) by oral route once daily as needed approximately 1 hour before sexual activity for 30 days<reference value="#ref_a82c9d0410a24190ba0651b30bfacacc_medication_sig_3" /></text><statusCode code="completed" /><effectiveTime xsi:type="IVL_TS"><low value="20130313000000" /><high value="20130412000000" /></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="186458" displayName="Viagra Oral Tablet 50 mg"><originalText><reference value="#ref_a82c9d0410a24190ba0651b30bfacacc_medication_name_3" /></originalText><translation code="312950" displayName="sildenafil 50 MG Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" /></code><name>Viagra</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_a82c9d0410a24190ba0651b30bfacacc_medication_comments_3" /></text><statusCode code="completed" /></act></entryRelationship></substanceAdministration></entry></section></component><component><section classCode="DOCSECT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.2.2.1" /><id root="2.16.840.1.113883.3.441.1.50.300011.51.26604.60" extension="d309631884994979" /><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_574ca34160f54473afeda35f99ad2362_immunization_name_1">Influenza Adult</td><td ID="ref_574ca34160f54473afeda35f99ad2362_immunization_adminDate_1">3/30/2012</td><td ID="ref_574ca34160f54473afeda35f99ad2362_immunization_man_1">Abbott Laboratories</td><td ID="ref_574ca34160f54473afeda35f99ad2362_immunization_manCode_1">AB</td><td ID="ref_574ca34160f54473afeda35f99ad2362_immunization_trade_1">Fluzone</td><td ID="ref_574ca34160f54473afeda35f99ad2362_immunization_lot_1">ADV-345</td><td ID="ref_574ca34160f54473afeda35f99ad2362_immunization_route_1">Intramuscular</td><td ID="ref_574ca34160f54473afeda35f99ad2362_immunization_injSite_1">Left Deltoid</td><td ID="ref_574ca34160f54473afeda35f99ad2362_immunization_visGivDate_1">12/27/2012</td><td ID="ref_574ca34160f54473afeda35f99ad2362_immunization_visPubDate_1">3/3/2010</td><td ID="ref_574ca34160f54473afeda35f99ad2362_immunization_cvx_1">88</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="2.16.840.1.113883.3.441.1.50.300011.51.26604.60" extension="1159" /><code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode" /><text><reference value="#ref_574ca34160f54473afeda35f99ad2362_immunization_name_1" /></text><statusCode code="completed" /><effectiveTime value="20120330000000" /><routeCode nullFlavor="NA" /><approachSiteCode nullFlavor="NA" /><doseQuantity value=".5" /><consumable typeCode="CSM"><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.54" /><manufacturedMaterial classCode="MMAT"><code code="88" displayName="influenza, NOS" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX"><originalText><reference value="#ref_574ca34160f54473afeda35f99ad2362_immunization_name_1" /></originalText></code><name nullFlavor="UNK" /><lotNumberText>ADV-345</lotNumberText></manufacturedMaterial></manufacturedProduct></consumable><performer><assignedEntity><id root="2.16.840.1.113883.3.441" extension="41e28a1c762041c198fa797e7392ed92" /><addr><streetAddressLine>1234 test</streetAddressLine><streetAddressLine nullFlavor="UNK" 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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_d910f32f622b4615970569407d739ca6_problem_name_1">Asthma</td><td ID="ref_d910f32f622b4615970569407d739ca6_problem_status_1">Active</td><td ID="ref_d910f32f622b4615970569407d739ca6_problem_onset_1">09/25/2011</td></tr><tr><td ID="ref_d910f32f622b4615970569407d739ca6_problem_name_2">Essential Hypertension</td><td ID="ref_d910f32f622b4615970569407d739ca6_problem_status_2">Active</td><td ID="ref_d910f32f622b4615970569407d739ca6_problem_onset_2">03/30/2012</td></tr><tr><td ID="ref_d910f32f622b4615970569407d739ca6_problem_name_3">Pharyngitis, Acute</td><td ID="ref_d910f32f622b4615970569407d739ca6_problem_status_3">Resolved</td><td ID="ref_d910f32f622b4615970569407d739ca6_problem_onset_3">10/28/2011</td></tr><tr><td ID="ref_d910f32f622b4615970569407d739ca6_problem_name_4">Pneumonia</td><td 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