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

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<?xml version="1.0"?> <?xml-stylesheet type="text/xsl" href="CDA.xsl"?> <!-- Title: US_Realm_Header_Template Original Filename: US_Realm_Header_Template.xml Version: 1.0 Revision History: 01/31/2011 bam created 07/29/2011 RWM modified --> <ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 http://xreg2.nist.gov:8080/hitspValidation/schema/cdar2c32/infrastructure/cda/C32_CDA.xsd" xmlns="urn:hl7-org:v3" xmlns:mif="urn:hl7-org:v3/mif"> <!-- ******************************************************** CDA Header ******************************************************** --> <realmCode code="US"/> <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/> <!-- US General Header Template --> <templateId root="2.16.840.1.113883.10.20.22.1.1"/> <!-- *** Note: The next templateId, code and title will differ depending on what type of document is being sent. *** --> <!-- conforms to the document specific requirements --> <templateId root="2.16.840.1.113883.10.20.22.1.8"/> <id extension="999021" root="2.16.840.1.113883.19"/> <code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="18842-5" displayName="Discharge summarization note"/> <title>Good Health Discharge Summary</title> <effectiveTime value="20050329171504+0500"/> <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/> <languageCode code="en-US"/> <setId extension="111199021" root="2.16.840.1.113883.19"/> <versionNumber value="1"/> <recordTarget> <patientRole> <id extension="12345" root="2.16.840.1.113883.19"/> <!-- Fake ID using HL7 example OID. --> <id extension="111-00-1234" root="2.16.840.1.113883.4.1"/> <!-- Fake Social Security Number using the actual SSN OID. --> <addr use="HP"> <!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 --> <streetAddressLine>17 Daws Rd.</streetAddressLine> <city>Blue Bell</city> <state>MA</state> <postalCode>02368</postalCode> <country>US</country> <!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 --> </addr> <telecom value="tel:(781)555-1212" use="HP"/> <!-- HP is "primary home" from HL7 AddressUse 2.16.840.1.113883.5.1119 --> <patient> <name use="L"> <!-- L is "Legal" from HL7 EntityNameUse 2.16.840.1.113883.5.45 --> <prefix>Mr.</prefix> <given>Adam</given> <given qualifier="CL">Frankie</given> <!-- CL is "Call me" from HL7 EntityNamePartQualifier 2.16.840.1.113883.5.43 --> <family>Everyman</family> </name> <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" displayName="Male"/> <birthTime value="19541125"/> <maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2" codeSystemName="MaritalStatusCode"/> <religiousAffiliationCode code="1013" displayName="Christian (non-Catholic, non-specific)" codeSystemName="HL7 Religious Affiliation " codeSystem="2.16.840.1.113883.1.11.19185"/> <raceCode code="2106-3" displayName="White" codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race &amp; Ethnicity - CDC"/> <ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino" codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race &amp; Ethnicity - CDC"/> <guardian> <code code="GRFTH" displayName="Grandfather" codeSystem="2.16.840.1.113883.5.111" codeSystemName="HL7 Role code"/> <addr use="HP"> <!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 --> <streetAddressLine>17 Daws Rd.</streetAddressLine> <city>Blue Bell</city> <state>MA</state> <postalCode>02368</postalCode> <country>US</country> <!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 --> </addr> <telecom value="tel:(781)555-1212" use="HP"/> <guardianPerson> <name> <given>Ralph</given> <family>Relative</family> </name> </guardianPerson> </guardian> <birthplace> <place> <addr> <state>MA</state> <postalCode>02368</postalCode> <country>USA</country> </addr> </place> </birthplace> <languageCommunication> <languageCode code="fr-CN"/> <modeCode code="RWR" displayName="Recieve Written" codeSystem="2.16.840.1.113883.5.60" codeSystemName="LanguageAbilityMode"/> <preferenceInd value="true"/> </languageCommunication> </patient> <providerOrganization> <id root="2.16.840.1.113883.19"/> <name>Good Health Clinic</name> <telecom use="WP" value="tel:(781)555-1212"/> <addr> <streetAddressLine>21 North Ave</streetAddressLine> <city>Burlington</city> <state>MA</state> <postalCode>02368</postalCode> <country>USA</country> </addr> </providerOrganization> </patientRole> </recordTarget> <author> <time value="20050329224411+0500"/> <assignedAuthor> <id extension="KP00017" root="2.16.840.1.113883.19.5"/> <addr> <streetAddressLine>21 North Ave.</streetAddressLine> <city>Burlington</city> <state>MA</state> <postalCode>02368</postalCode> <country>USA</country> </addr> <telecom use="WP" value="tel:(555)555-1003"/> <assignedPerson> <name> <given>Henry</given> <family>Seven</family> </name> </assignedPerson> </assignedAuthor> </author> <dataEnterer> <assignedEntity> <id root="2.16.840.1.113883.19.5" extension="43252"/> <addr> <streetAddressLine>21 North Ave.</streetAddressLine> <city>Burlington</city> <state>MA</state> <postalCode>02368</postalCode> <country>USA</country> </addr> <telecom use="WP" value="tel:(555)555-1003"/> <assignedPerson> <name> <given>Henry</given> <family>Seven</family> </name> </assignedPerson> </assignedEntity> </dataEnterer> <informant> <assignedEntity> <id extension="KP00017" root="2.16.840.1.113883.19.5"/> <addr> <streetAddressLine>21 North Ave.</streetAddressLine> <city>Burlington</city> <state>MA</state> <postalCode>02368</postalCode> <country>USA</country> </addr> <telecom value="tel:(555)555-1003"/> <assignedPerson> <name> <given>Henry</given> <family>Seven</family> </name> </assignedPerson> </assignedEntity> </informant> <informant> <relatedEntity classCode="PRS"> <!-- classCode PRS represents a person with personal relationship with the patient. --> <code code="SPS" displayName="SPOUSE" codeSystem="2.16.840.1.113883.1.11.19563" codeSystemName="Personal Relationship Role Type Value Set"/> <relatedPerson> <name> <given>Rose</given> <family>Everyman</family> </name> </relatedPerson> </relatedEntity> </informant> <custodian> <assignedCustodian> <representedCustodianOrganization> <id root="2.16.840.1.113883.19.5"/> <name>Good Health Clinic</name> <telecom value="tel:(555)555-1212" use="WP"/> <addr use="WP"> <streetAddressLine>17 Daws Rd.</streetAddressLine> <city>Blue Bell</city> <state>MA</state> <postalCode>02368</postalCode> <country>USA</country> </addr> </representedCustodianOrganization> </assignedCustodian> </custodian> <informationRecipient> <intendedRecipient> <informationRecipient> <name> <given>Henry</given> <family>Seven</family> </name> </informationRecipient> <receivedOrganization> <name>Good Health Clinic</name> </receivedOrganization> </intendedRecipient> </informationRecipient> <legalAuthenticator> <time value="20050329224411+0500"/> <signatureCode code="S"/> <assignedEntity> <id extension="KP00017" root="2.16.840.1.113883.19"/> <addr> <streetAddressLine>21 North Ave.</streetAddressLine> <city>Burlington</city> <state>MA</state> <postalCode>02368</postalCode> <country>USA</country> </addr> <telecom use="WP" value="tel:(555)555-1003"/> <assignedPerson> <name> <given>Henry</given> <family>Seven</family> </name> </assignedPerson> </assignedEntity> </legalAuthenticator> <authenticator> <time value="20050329224411+0500"/> <signatureCode code="S"/> <assignedEntity> <id extension="KP00017" root="2.16.840.1.113883.19"/> <addr> <streetAddressLine>21 North Ave.</streetAddressLine> <city>Burlington</city> <state>MA</state> <postalCode>02368</postalCode> <country>USA</country> </addr> <telecom use="WP" value="tel:(555)555-1003"/> <assignedPerson> <name> <given>Henry</given> <family>Seven</family> </name> </assignedPerson> </assignedEntity> </authenticator> <participant typeCode="IND"> <associatedEntity classCode="NOK"> <code code="MTH" codeSystem="2.16.840.1.113883.5.111"/> <addr> <streetAddressLine>17 Daws Rd.</streetAddressLine> <city>Blue Bell</city> <state>MA</state> <postalCode>02368</postalCode> <country>USA</country> </addr> <telecom value="tel:(999)555-1212" use="WP"/> <associatedPerson> <name> <prefix>Mrs.</prefix> <given>Abigail</given> <family>Ruth</family> </name> </associatedPerson> </associatedEntity> </participant> <componentOf> <encompassingEncounter> <id extension="9937012" root="2.16.840.1.113883.19"/> <code codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" code="99213" displayName="Evaluation and Management"/> <effectiveTime> <low value="20050329"/> <high value="20050329"/> </effectiveTime> <dischargeDispositionCode code="01" codeSystem="2.16.840.1.113883.12.112" displayName="Routine Discharge" codeSystemName="HL7 Discharge Disposition"/> <location> <healthCareFacility> <id root="2.16.540.1.113883.19.2"/> </healthCareFacility> </location> </encompassingEncounter> </componentOf> <!-- *********************************** *********************************** --> <!-- ******************************************************** CDA Body ******************************************************** --> <component> <structuredBody> <!-- ******************************************************** Allergies, Adverse Reactions, Alerts ******************************************************** --> <component> <section> <templateId root="2.16.840.1.113883.10.20.22.2.6.1"/> <!-- Alerts section template --> <code code="48765-2" codeSystem="2.16.840.1.113883.6.1"/> <title>Allergies, Adverse Reactions, Alerts</title> <text> <table border="1" width="100%"> <thead> <tr> <th>Substance</th> <th>Reaction</th> <th>Status</th> </tr> </thead> <tbody> <tr> <td>Penicillin</td> <td> <content ID="reaction1">Hives</content> </td> <td>Active</td> </tr> <tr> <td>Aspirin</td> <td> <content ID="reaction2">Wheezing</content> </td> <td>Active</td> </tr> <tr> <td>Codeine</td> <td> <content ID="reaction3">Nausea</content> </td> <td>Active</td> </tr> </tbody> </table> </text> <entry typeCode="DRIV"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.30"/> <!-- ** Allergy problem act ** --> <id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/> <code code="48765-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Allergies, adverse reactions, alerts"/> <statusCode code="active"/> <effectiveTime value="20090909"> <low value="20090902"/> <high value="20100103"/> </effectiveTime> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <!-- allergy observation template --> <templateId root="2.16.840.1.113883.10.20.22.4.7"/> <id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/> <code code="416098002" displayName="drug allergy" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> <statusCode code="completed"/> <effectiveTime> <low value="20110215"/> </effectiveTime> <value xsi:type="CD" code="282100009" displayName="Adverse reaction to substance" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"> <originalText> <reference value="#reaction1"/> </originalText> </value> <participant typeCode="CSM"> <participantRole classCode="MANU"> <playingEntity classCode="MMAT"> <code code="314422" displayName="ALLERGENIC EXTRACT, PENICILLIN" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"> <originalText> <reference value="#reaction1"/> </originalText> </code> <name>Penicillin</name> </playingEntity> </participantRole> </participant> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.28"/> <!-- Alert status observation template --> <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Status"/> <statusCode code="completed"/> <value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active"/> </observation> </entryRelationship> <entryRelationship typeCode="MFST"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.9"/> <!-- Reaction observation template --> <id root="4adc1020-7b14-11db-9fe1-0800200c9a64"/> <code nullFlavor="NA"/> <text> <reference value="#reaction1"/> </text> <statusCode code="completed"/> <effectiveTime> <low value="20090711"/> </effectiveTime> <value xsi:type="CD" code="247472004" codeSystem="2.16.840.1.113883.6.96" displayName="Hives"/> </observation> </entryRelationship> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.8"/> <!-- ** Severity observation template ** --> <code code="SEV" displayName="Severity Observation" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/> <text> <reference value="#severity1"/> </text> <statusCode code="completed"/> <value xsi:type="CD" code="371924009" displayName="Moderate to severe" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> </observation> </entryRelationship> </observation> </entryRelationship> </act> </entry> <entry typeCode="DRIV"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.30"/> <!-- ** Allergy problem act ** --> <id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/> <code code="48765-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Allergies, adverse reactions, alerts"/> <statusCode code="active"/> <effectiveTime value="20090909"> <low value="20090902"/> <high value="20100103"/> </effectiveTime> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <!-- allergy observation template --> <templateId root="2.16.840.1.113883.10.20.22.4.7"/> <id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/> <code code="416098002" displayName="drug allergy" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> <statusCode code="completed"/> <effectiveTime> <low value="20110215"/> </effectiveTime> <value xsi:type="CD" code="282100009" displayName="Adverse reaction to substance" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"> <originalText> <reference value="#reaction2"/> </originalText> </value> <participant typeCode="CSM"> <participantRole classCode="MANU"> <playingEntity classCode="MMAT"> <code code="1191" displayName="ASPIRIN" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"> <originalText> <reference value="#reaction2"/> </originalText> </code> <name>Aspirin</name> </playingEntity> </participantRole> </participant> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.28"/> <!-- Alert status observation template --> <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Status"/> <statusCode code="completed"/> <value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active"/> </observation> </entryRelationship> <entryRelationship typeCode="MFST"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.9"/> <!-- Reaction observation template --> <id root="4adc1020-7b14-11db-9fe1-0800200c9a64"/> <code nullFlavor="NA"/> <text> <reference value="#reaction2"/> </text> <statusCode code="completed"/> <effectiveTime> <low value="20090711"/> </effectiveTime> <value xsi:type="CD" code="56018004" codeSystem="2.16.840.1.113883.6.96" displayName="Wheezing"/> </observation> </entryRelationship> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.8"/> <!-- ** Severity observation template ** --> <code code="SEV" displayName="Severity Observation" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/> <text> <reference value="#severity2"/> </text> <statusCode code="completed"/> <value xsi:type="CD" code="371924009" displayName="Moderate to severe" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> </observation> </entryRelationship> </observation> </entryRelationship> </act> </entry> <entry typeCode="DRIV"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.30"/> <!-- ** Allergy problem act ** --> <id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/> <code code="48765-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Allergies, adverse reactions, alerts"/> <statusCode code="active"/> <effectiveTime value="20090909"> <low value="20090902"/> <high value="20100103"/> </effectiveTime> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <!-- allergy observation template --> <templateId root="2.16.840.1.113883.10.20.22.4.7"/> <id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/> <code code="416098002" displayName="drug allergy" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> <statusCode code="completed"/> <effectiveTime> <low value="20110215"/> </effectiveTime> <value xsi:type="CD" code="282100009" displayName="Adverse reaction to substance" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"> <originalText> <reference value="#reaction2"/> </originalText> </value> <participant typeCode="CSM"> <participantRole classCode="MANU"> <playingEntity classCode="MMAT"> <code code="2670" displayName="Codeine" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"> <originalText> <reference value="#reaction3"/> </originalText> </code> <name>Aspirin</name> </playingEntity> </participantRole> </participant> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.28"/> <!-- Alert status observation template --> <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Status"/> <statusCode code="completed"/> <value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active"/> </observation> </entryRelationship> <entryRelationship typeCode="MFST"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.9"/> <!-- Reaction observation template --> <id root="4adc1020-7b14-11db-9fe1-0800200c9a64"/> <code nullFlavor="NA"/> <text> <reference value="#reaction3"/> </text> <statusCode code="completed"/> <effectiveTime> <low value="20090711"/> </effectiveTime> <value xsi:type="CD" code="73879007" codeSystem="2.16.840.1.113883.6.96" displayName="Nausea"/> </observation> </entryRelationship> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.8"/> <!-- ** Severity observation template ** --> <code code="SEV" displayName="Severity Observation" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/> <text> <reference value="#severity3"/> </text> <statusCode code="completed"/> <value xsi:type="CD" code="371924009" displayName="Moderate to severe" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> </observation> </entryRelationship> </observation> </entryRelationship> </act> </entry> </section> </component> <!-- ************************************ CHIEF COMPLAINT / REASON FOR VISIT ************************************ --> <component> <section> <templateId root="2.16.840.1.113883.10.20.22.2.13"/> <code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="46239-0" displayName="REASON FOR VISIT + CHIEF COMPLAINT"/> <title>Reason for Visit/Chief Complaint</title> <text> <paragraph>Dark stools.</paragraph> </text> </section> </component> <!-- ******************************************************** DISCHARGE DIET ******************************************************** --> <component> <section> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.33"/> <code code="42344-2" displayName="DISCHARGE DIET" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Discharge Diet</title> <text>No solid food for 2 days. Follow the B.R.A.T. diet for 2 days after that. Regular diet may be resumed 4 days after discharge.</text> </section> </component> <!-- ******************************************************** FAMILY HISTORY ******************************************************** --> <component> <section> <templateId root="2.16.840.1.113883.10.20.22.2.15"/> <!-- ******** Family history section template ******** --> <code code="10157-6" codeSystem="2.16.840.1.113883.6.1"/> <title>Family history</title> <text> <paragraph>Father (deceased)</paragraph> <table border="1" width="100%"> <thead> <tr> <th>Diagnosis</th> <th>Age At Onset</th> </tr> </thead> <tbody> <tr> <td>Myocardial Infarction (cause of death)</td> <td>57</td> </tr> <tr> <td>Diabetes</td> <td>40</td> </tr> </tbody> </table> </text> <entry typeCode="DRIV"> <organizer moodCode="EVN" classCode="CLUSTER"> <templateId root="2.16.840.1.113883.10.20.22.4.45"/> <!-- ******** Family history organizer template ******** --> <statusCode code="completed"/> <subject> <relatedSubject classCode="PRS"> <code code="FTH" displayName="Father" codeSystemName="HL7 FamilyMember" codeSystem="2.16.840.1.113883.5.111"> <translation code="9947008" displayName="Biological father" codeSystemName="SNOMED" codeSystem="2.16.840.1.113883.6.96"/> </code> <subject> <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" displayName="Male"/> <birthTime value="1912"/> </subject> </relatedSubject> </subject> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.46"/> <!-- Family History Observation template --> <id root="d42ebf70-5c89-11db-b0de-0800200c9a66"/> <code code="55561003" displayName="Active" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/> <statusCode code="completed"/> <effectiveTime nullFlavor="UNK"/> <value xsi:type="CD" code="22298006" codeSystem="2.16.840.1.113883.6.96" displayName="Myocardial infarction"/> <entryRelationship typeCode="CAUS"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.47"/> <!-- ******** Family history death observation template ******** --> <id root="6898fae0-5c8a-11db-b0de-0800200c9a66"/> <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/> <statusCode code="completed"/> <value xsi:type="CD" code="419099009" codeSystem="2.16.840.1.113883.6.96" displayName="Dead"/> </observation> </entryRelationship> <entryRelationship typeCode="SUBJ" inversionInd="true"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.31"/> <!-- ******** Age observation template ******** --> <code code="397659008" codeSystem="2.16.840.1.113883.6.96" displayName="Age"/> <statusCode code="completed"/> <value xsi:type="PQ" value="57" unit="a"/> </observation> </entryRelationship> </observation> </component> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.46"/> <!-- ******** Family history observation template ******** --> <id root="5bfe3ec0-5c8b-11db-b0de-0800200c9a66"/> <code code="7087005" displayName="Intermittent" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/> <statusCode code="completed"/> <effectiveTime value="1994"/> <value xsi:type="CD" code="46635009" codeSystem="2.16.840.1.113883.6.96" displayName="Diabetes mellitus type 1"/> <entryRelationship typeCode="SUBJ" inversionInd="true"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.31"/> <!-- ******** Age observation template ******** --> <code code="397659008" codeSystem="2.16.840.1.113883.6.96" displayName="Age"/> <statusCode code="completed"/> <value xsi:type="PQ" value="40" unit="a"/> </observation> </entryRelationship> </observation> </component> </organizer> </entry> </section> </component> <!-- ******************************************************** FUNCTIONAL STATUS ******************************************************** --> <component> <section> <templateId root="2.16.840.1.113883.10.20.22.2.14"/> <!-- ******** Functional status section template ******** --> <code code="47420-5" codeSystem="2.16.840.1.113883.6.1"/> <title>Functional Status</title> <text> <table border="1" width="100%"> <thead> <tr> <th>Functional Condition</th> <th>Effective Dates</th> <th>Condition Status</th> </tr> </thead> <tbody> <tr> <td>Dependence on cane</td> <td>1999</td> <td>Active</td> </tr> <tr> <td>Memory impairment</td> <td>1998</td> <td>Active</td> </tr> </tbody> </table> </text> <entry typeCode="DRIV"> <observation classCode="OBS" moodCode="EVN"> <!-- Problem observation template --> <templateId root="2.16.840.1.113883.10.20.22.4.4"/> <id root="ab1791b0-5c71-11db-b0de-0800200c9a66"/> <code code="409586006" codeSystem="2.16.840.1.113883.6.96" displayName="Complaint"/> <statusCode code="completed"/> <effectiveTime> <low value="199803"/> </effectiveTime> <value xsi:type="CD" code="105504002" codeSystem="2.16.840.1.113883.6.96" displayName="Dependence on Cane"/> <entryRelationship typeCode="REFR"> <observation classCode="OBS" moodCode="EVN"> <!-- Problem status observation template --> <templateId root="2.16.840.1.113883.10.20.22.4.6"/> <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Status"/> <statusCode code="completed"/> <value xsi:type="CD" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNOMED CT"/> </observation> </entryRelationship> <entryRelationship typeCode="SUBJ" inversionInd="true"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.31"/> <!-- Age observation template --> <code code="397659008" codeSystem="2.16.840.1.113883.6.96" displayName="Age"/> <statusCode code="completed"/> <value xsi:type="PQ" value="57" unit="a"/> </observation> </entryRelationship> <entryRelationship typeCode="REFR"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.5"/> <!-- Health status observation template --> <code code="11323-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health status"/> <statusCode code="completed"/> <value xsi:type="CE" code="413322009" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Resolved"/> </observation> </entryRelationship> </observation> </entry> <entry typeCode="DRIV"> <observation classCode="OBS" moodCode="EVN"> <!-- Problem observation template --> <templateId root="2.16.840.1.113883.10.20.22.4.4"/> <id root="ab1791b0-5c71-11db-b0de-0800200c9a66"/> <code code="409586006" codeSystem="2.16.840.1.113883.6.96" displayName="Complaint"/> <statusCode code="completed"/> <effectiveTime> <low value="199910"/> </effectiveTime> <value xsi:type="CD" code="386807006" codeSystem="2.16.840.1.113883.6.96" displayName="Memory Impairment"/> <entryRelationship typeCode="REFR"> <observation classCode="OBS" moodCode="EVN"> <!-- Problem status observation template --> <templateId root="2.16.840.1.113883.10.20.22.4.6"/> <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Status"/> <statusCode code="completed"/> <value xsi:type="CD" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNOMED CT"/> </observation> </entryRelationship> <entryRelationship typeCode="SUBJ" inversionInd="true"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.31"/> <!-- Age observation template --> <code code="397659008" codeSystem="2.16.840.1.113883.6.96" displayName="Age"/> <statusCode code="completed"/> <value xsi:type="PQ" value="57" unit="a"/> </observation> </entryRelationship> <entryRelationship typeCode="REFR"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.5"/> <!-- Health status observation template --> <code code="11323-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health status"/> <statusCode code="completed"/> <value xsi:type="CE" code="413322009" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Resolved"/> </observation> </entryRelationship> </observation> </entry> <entry typeCode="DRIV"> <observation classCode="OBS" moodCode="EVN"> <!-- Result observation template --> <templateId root="2.16.840.1.113883.10.20.22.4.2"/> <id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/> <code code="30313-1" displayName="HGB" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"> <originalText> <reference value="#result1"/> </originalText> </code> <statusCode code="completed"/> <effectiveTime value="200003231430"/> <value xsi:type="PQ" value="13.2" unit="g/dl"/> <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/> <methodCode/> <targetSiteCode/> <author> <time/> <assignedAuthor> <id/> </assignedAuthor> </author> <referenceRange> <observationRange> <text>M 13-18 g/dl; F 12-16 g/dl</text> </observationRange> </referenceRange> </observation> </entry> </section> </component> <!-- ************************************ HISTORY OF PAST ILLNESS ************************************ --> <component> <section> <templateId root="2.16.840.1.113883.10.20.22.2.20"/> <code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="11348-0" displayName="HISTORY OF PAST ILLNESS"/> <title>Past Medical History</title> <text> <paragraph>See History of Present Illness.</paragraph> </text> </section> </component> <!-- ******************************************************** HISTORY OF PRESENT ILLNESS ******************************************************** --> <component> <section> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.4"/> <code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="10164-2" displayName="HISTORY OF PRESENT ILLNESS"/> <title>History of Present Illness</title> <text> <paragraph>This patient was only recently discharged for a recurrent GI bleed as described below.</paragraph> <paragraph>He presented to the ER today c/o a dark stool yesterday but a normal brown stool today. On exam he was hypotensive in the 80?s resolved after .... .... .... </paragraph> <paragraph>Lab at discharge: Glucose 112, BUN 16, creatinine 1.1, electrolytes normal. H. pylori antibody pending. Admission hematocrit 16%, discharge hematocrit 29%. WBC 7300, platelet count 256,000. Urinalysis normal. Urine culture: No growth. INR 1.1, PTT 40.</paragraph> <paragraph>He was transfused with 6 units of packed red blood cells with .... .... ....</paragraph> <paragraph>GI evaluation 12 September: Colonoscopy showed single red clot in .... .... ....</paragraph> </text> </section> </component> <!-- ************************************ HOSPITAL ADMISSION DIAGNOSIS ************************************ --> <component> <section> <templateId root="2.16.840.1.113883.10.20.22.2.43"/> <code code="46241-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Hospital Admission Diagnosis"/> <title>Hospital Admission Diagnosis</title> <text>Appendicitis</text> <entry> <act classCode="ACT" moodCode="EVN"> <!-- Admission Diagnosis template --> <templateId root="2.16.840.1.113883.10.20.22.4.34"/> <id root="5a784260-6856-4f38-9638-80c751aff2fb"/> <code code="46241-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Hospital Admission Diagnosis"/> <statusCode code="active"/> <effectiveTime> <low value="20090303"/> </effectiveTime> <entryRelationship typeCode="SUBJ" inversionInd="false"> <observation classCode="OBS" moodCode="EVN"> <!-- Problem observation template --> <templateId root="2.16.840.1.113883.10.20.22.4.4"/> <id root="ab1791b0-5c71-11db-b0de-0800200c9a66"/> <code code="409586006" codeSystem="2.16.840.1.113883.6.96" displayName="Complaint"/> <statusCode code="completed"/> <effectiveTime> <low value="20020302"/> </effectiveTime> <value xsi:type="CD" code="74400008" codeSystem="2.16.840.1.113883.6.96" displayName="Appendicitis"/> <entryRelationship typeCode="REFR"> <observation classCode="OBS" moodCode="EVN"> <!-- Problem status observation template --> <templateId root="2.16.840.1.113883.10.20.22.4.6"/> <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Status"/> <statusCode code="completed"/> <value xsi:type="CD" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNOMED CT"/> </observation> </entryRelationship> </observation> </entryRelationship> </act> </entry> </section> </component> <!-- ******************************************************** Hospital Course ******************************************************** --> <component> <section> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.5"/> <code code="8648-8" displayName="HOSPITAL COURSE" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Hospital Course</title> <text> Following a colonoscopy, the patient was admitted and started on Lovenox and nitroglycerin paste. The patient had serial cardiac enzymes and was ruled out for myocardial infarction. The patient underwent a dual isotope stress test. There was no evidence of reversible ischemia on the Cardiolite scan. The patient has been ambulated. The patient had a Holter monitor placed but the report is not available at this time. The patient has remained hemodynamically stable. Will discharge.</text> </section> </component> <!-- ******************************************************** Hospital Discharge Diagnosis ******************************************************** --> <component> <section> <templateId root="2.16.840.1.113883.10.20.22.2.24"/> <id extension="9937012" root="2.16.840.1.113883.19"/> <code code="11535-2" displayName="Hospital Discharge Diagnosis" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Hospital Discharge Diagnosis</title> <text>Diverticula of intestine</text> <entry> <act classCode="ACT" moodCode="EVN"> <!-- Discharge Diagnosis Entry --> <templateId root="2.16.840.1.113883.10.20.22.4.33"/> <id root="5a784260-6856-4f38-9638-80c751aff2fb"/> <code code="11535-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HOSPITAL DISCHARGE DIAGNOSIS"/> <statusCode code="active"/> <effectiveTime> <low value="20090303"/> </effectiveTime> <entryRelationship typeCode="SUBJ" inversionInd="false"> <observation classCode="OBS" moodCode="EVN"> <!-- Problem observation template --> <templateId root="2.16.840.1.113883.10.20.22.4.4"/> <id root="ab1791b0-5c71-11db-b0de-0800200c9a66"/> <code code="409586006" codeSystem="2.16.840.1.113883.6.96" displayName="Complaint"/> <statusCode code="completed"/> <effectiveTime> <low value="20020302"/> </effectiveTime> <value xsi:type="CD" code="74400008" codeSystem="2.16.840.1.113883.6.96" displayName="Appendicitis"/> <entryRelationship typeCode="REFR"> <observation classCode="OBS" moodCode="EVN"> <!-- Problem status observation template --> <templateId root="2.16.840.1.113883.10.20.22.4.6"/> <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Status"/> <statusCode code="completed"/> <value xsi:type="CD" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNOMED CT"/> </observation> </entryRelationship> </observation> </entryRelationship> </act> </entry> </section> </component> <!-- ******************************************************** Hospital Discharge Medications ******************************************************** --> <component> <section> <templateId root="2.16.840.1.113883.10.20.22.2.11"/> <!-- Hospital Discharge Summary templateId --> <code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="10183-2" displayName=" HOSPITAL DISCHARGE MEDICATIONS "/> <title>Hospital Discharge Medications</title> <text> <table border="1" width="100%"> <thead> <tr> <th>Medication</th> <th>Directions</th> <th>Start Date</th> <th>Status</th> <th>Indications</th> <th>Fill Instructions</th> </tr> </thead> <tbody> <tr> <td>Proventil 0.09 MG/ACTUAT inhalant solution</td> <td>2 puffs QID PRN wheezing</td> <td>2011-03-01</td> <td>Active</td> <td>Bronchitis (32398004 SNOMED CT)</td> <td>Generic Substitition Allowed</td> </tr> </tbody> </table> </text> <entry typeCode="DRIV"> <act classCode="ACT" moodCode="EVN"> <!-- Discharge Medication Entry --> <templateId root="2.16.840.1.113883.10.20.22.4.35"/> <id root="5a784260-6856-4f38-9638-80c751aff2fb"/> <code code="10183-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Discharge medication"/> <statusCode code="active"/> <effectiveTime> <low value="20903003"/> </effectiveTime> <entryRelationship typeCode="SUBJ"> <substanceAdministration classCode="SBADM" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.16"/> <!-- ** MEDICATION ACTIVITY --> <id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/> <text> <reference value="#Med1"/> 0.09 MG/ACTUAT inhalant solution, 2 puffs QID PRN wheezing </text> <statusCode code="completed"/> <effectiveTime xsi:type="IVL_TS"> <low value="20110301"/> <high value="20120301"/> </effectiveTime> <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A"> <period value="6" unit="h"/> </effectiveTime> <routeCode code="C38216" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" displayName="RESPIRATORY (INHALATION)"/> <doseQuantity value="1"/> <rateQuantity value="90" unit="ml/min"/> <maxDoseQuantity nullFlavor="UNK"> <numerator nullFlavor="UNK"/> <denominator nullFlavor="UNK"/> </maxDoseQuantity> <administrationUnitCode code="C42944" displayName="INHALANT" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus"/> <consumable> <manufacturedProduct> <templateId root="2.16.840.1.113883.10.20.22.4.23"/> <id/> <manufacturedMaterial> <code code="329498" codeSystem="2.16.840.1.113883.6.88" displayName="Albuterol 0.09 MG/ACTUAT inhalant solution"> <translation code="573621" displayName="Proventil 0.09 MG/ACTUAT inhalant solution" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"/> </code> </manufacturedMaterial> <manufacturerOrganization/> </manufacturedProduct> </consumable> <performer> <assignedEntity> <id nullFlavor="NI"/> <addr nullFlavor="UNK"/> <telecom nullFlavor="UNK"/> <representedOrganization> <id root="2.16.840.1.113883.19.5"/> <name>Good Health Clinic</name> <telecom nullFlavor="UNK"/> <addr nullFlavor="UNK"/> </representedOrganization> </assignedEntity> </performer> <participant typeCode="CSM"> <participantRole classCode="MANU"> <templateId root="2.16.840.1.113883.10.20.22.4.24"/> <code code="412307009" displayName="drug vehicle" codeSystem="2.16.840.1.113883.6.96"/> <playingEntity classCode="MMAT"> <code code="5955009" displayName="Diethylene Glycol" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> <name>Diethylene Glycol</name> </playingEntity> </participantRole> </participant> <entryRelationship typeCode="RSON"> <observation classCode="COND" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.19"/> <id root="db734647-fc99-424c-a864-7e3cda82e703" extension="45665"/> <code code="404684003" displayName="Finding" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> <statusCode code="completed"/> <value xsi:type="CE" code="32398004" displayName="Bronchitis" codeSystem="2.16.840.1.113883.6.96"/> </observation> </entryRelationship> <entryRelationship typeCode="REFR"> <supply classCode="SPLY" moodCode="INT"> <templateId root="2.16.840.1.113883.10.20.22.4.17"/> <id nullFlavor="NI"/> <statusCode code="completed"/> <effectiveTime xsi:type="IVL_TS"> <low value="20020101"/> <high nullFlavor="UNK"/> </effectiveTime> <repeatNumber value="1"/> <quantity value="75"/> <author> <time nullFlavor="UNK"/> <assignedAuthor> <id/> <addr nullFlavor="UNK"/> <telecom nullFlavor="UNK"/> <assignedPerson> <name> <prefix>Dr.</prefix> <given>Robert</given> <family>Michaels</family> </name> </assignedPerson> </assignedAuthor> </author> <entryRelationship typeCode="SUBJ" inversionInd="true"> <act classCode="ACT" moodCode="INT"> <templateId root="2.16.840.1.113883.10.20.22.4.20"/> <!-- ** Instructions Template ** --> <code code="409073007" codeSystem="2.16.840.1.113883.6.96" displayName="instruction"/> <text>label in spanish</text> <statusCode code="completed"/> </act> </entryRelationship> </supply> </entryRelationship> <entryRelationship typeCode="REFR"> <supply classCode="SPLY" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.18"/> <!-- ** Medication Dispense Template ** --> <id root="1.2.3.4.56789.1" extension="cb734647-fc99-424c-a864-7e3cda82e704"/> <statusCode code="completed"/> <effectiveTime value="20020101"/> <repeatNumber value="1"/> <quantity value="75"/> <performer> <time nullFlavor="UNK"/> <assignedEntity> <id/> <addr> <streetAddressLine>17 Daws Rd.</streetAddressLine> <city>Blue Bell</city> <state>MA</state> <postalCode>02368</postalCode>