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bluebutton

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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='http://interoperability.nextgen.com/Stylesheet/CDA_NG.xsl'?> <ClinicalDocument xmlns:voc="urn:hl7-org:v3/voc" xmlns:sdtc="urn:hl7-org:sdtc" xmlns="urn:hl7-org:v3" xmlns:mif="urn:hl7-org:v3/mif" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"> <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="2.201" extension="2fb1e72f-d208-4394-bc35-1d2b6ada135b"/> <code code="34133-9" displayName="SUMMARIZATION OF EPISODE NOTE" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Continuity of Care Document (C-CDA)</title> <effectiveTime value="20130218031000-0500"/> <confidentialityCode code="N" displayName="Normal Sharing" codeSystem="2.16.840.1.113883.5.25" codeSystemName="HL7 Confidentiality"/> <languageCode code="en-US"/> <recordTarget> <patientRole> <id root="2.100"/> <addr> <streetAddressLine>1122 Mystical Rt 3</streetAddressLine> <city>Beaverton</city> <state>OR</state> <postalCode>97005</postalCode> <country>US</country> </addr> <telecom use="HP" value="tel:+1-5554445555"/> <patient> <name use="L"> <family qualifier="BR">Jones</family> <given qualifier="CL">Isabella</given> </name> <administrativeGenderCode code="F" displayName="Female" codeSystem="2.16.840.1.113883.5.1" codeSystemName="HL7 AdministrativeGender"/> <birthTime value="19470501"/> <raceCode code="2106-3" displayName="White" codeSystem="2.16.840.1.113883.6.238" codeSystemName="CDC Race and Ethnicity"/> <ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino" codeSystem="2.16.840.1.113883.6.238" codeSystemName="CDC Race and Ethnicity"/> <languageCommunication> <templateId root="2.16.840.1.113883.3.88.11.32.2"/> <languageCode code="eng"/> <preferenceInd value="true"/> </languageCommunication> </patient> <providerOrganization> <id root="2.201" extension="0001"/> <id root="2.16.840.1.113883.4.6" extension="1234567893"/> <name>NEXTGEN Medical Practice (Horsham)</name> <telecom use="WP" value="tel:+1-2156577010"/> <addr> <streetAddressLine>795 Horsham Road</streetAddressLine> <city>Horsham</city> <state>PA</state> <postalCode>19044</postalCode> </addr> </providerOrganization> </patientRole> </recordTarget> <author> <time value="20130218031000-0500"/> <assignedAuthor> <id root="2.16.840.1.113883.4.6" extension="1104152198"/> <addr> <streetAddressLine>1002 Healthcare Dr</streetAddressLine> <city>Beaverton</city> <state>OR</state> <postalCode>97005</postalCode> <country nullFlavor="UNK"/> </addr> <telecom value="tel:+1-5555551009" use="WP"/> <telecom use="WP" value="mailto:Dscott@nextgen.com"/> <assignedPerson> <name> <family>Admin</family> <given>NextGen</given> </name> </assignedPerson> <representedOrganization> <id root="2.201" extension="0001"/> <id root="2.16.840.1.113883.4.6" extension="1234567893"/> <name>NEXTGEN Medical Practice (Horsham)</name> <telecom use="WP" value="tel:+1-2156577010"/> <addr> <streetAddressLine>795 Horsham Road</streetAddressLine> <city>Horsham</city> <state>PA</state> <postalCode>19044</postalCode> </addr> </representedOrganization> </assignedAuthor> </author> <informant> <assignedEntity> <id root="2.16.840.1.113883.4.6" extension="1104152198"/> <addr> <streetAddressLine>1002 Healthcare Dr</streetAddressLine> <city>Beaverton</city> <state>OR</state> <postalCode>97005</postalCode> </addr> <telecom use="WP" value="tel:+1-5555551009"/> <telecom use="WP" value="fax:+1-6158686465"/> <assignedPerson> <name> <family>Admin</family> <given>NextGen</given> </name> </assignedPerson> <representedOrganization> <id root="2.201" extension="0001"/> <id root="2.16.840.1.113883.4.6" extension="1234567893"/> <name>NEXTGEN Medical Practice (Horsham)</name> <telecom use="WP" value="tel:+1-2156577010"/> <addr> <streetAddressLine>795 Horsham Road</streetAddressLine> <city>Horsham</city> <state>PA</state> <postalCode>19044</postalCode> </addr> </representedOrganization> </assignedEntity> </informant> <custodian> <assignedCustodian> <representedCustodianOrganization> <id root="2.201" extension="0001"/> <id root="2.16.840.1.113883.4.6" extension="1234567893"/> <name>NEXTGEN Medical Practice (Horsham)</name> <telecom use="WP" value="tel:+1-2156577010"/> <addr> <streetAddressLine>795 Horsham Road</streetAddressLine> <city>Horsham</city> <state>PA</state> <postalCode>19044</postalCode> <country>US</country> </addr> </representedCustodianOrganization> </assignedCustodian> </custodian> <legalAuthenticator> <time value="20130218031000-0500"/> <signatureCode code="S"/> <assignedEntity> <id root="2.16.840.1.113883.4.6" extension="1104152198"/> <addr> <streetAddressLine>1002 Healthcare Dr</streetAddressLine> <city>Beaverton</city> <state>OR</state> <postalCode>97005</postalCode> </addr> <telecom use="WP" value="tel:+1-5555551009"/> <assignedPerson> <name> <given>NextGen</given> <family>Admin</family> </name> </assignedPerson> <representedOrganization> <id root="2.201" extension="0001"/> <id root="2.16.840.1.113883.4.6" extension="1234567893"/> <name>NEXTGEN Medical Practice (Horsham)</name> <telecom use="WP" value="tel:+1-2156577010"/> <addr> <streetAddressLine>795 Horsham Road</streetAddressLine> <city>Horsham</city> <state>PA</state> <postalCode>19044</postalCode> </addr> </representedOrganization> </assignedEntity> </legalAuthenticator> <authenticator> <time value="20130218031000-0500"/> <signatureCode code="S"/> <assignedEntity> <id root="2.16.840.1.113883.4.6" extension="1104152198"/> <addr> <streetAddressLine>1002 Healthcare Dr</streetAddressLine> <city>Beaverton</city> <state>OR</state> <postalCode>97005</postalCode> </addr> <telecom use="WP" value="tel:+1-5555551009"/> <assignedPerson> <name> <given>NextGen</given> <family>Admin</family> </name> </assignedPerson> <representedOrganization> <id root="2.201" extension="0001"/> <id root="2.16.840.1.113883.4.6" extension="1234567893"/> <name>NEXTGEN Medical Practice (Horsham)</name> <telecom use="WP" value="tel:+1-2156577010"/> <addr> <streetAddressLine>795 Horsham Road</streetAddressLine> <city>Horsham</city> <state>PA</state> <postalCode>19044</postalCode> </addr> </representedOrganization> </assignedEntity> </authenticator> <documentationOf typeCode="DOC"> <serviceEvent classCode="PCPR"> <effectiveTime> <low value="20130218031000-05"/> <high value="20130218031000-05"/> </effectiveTime> <performer typeCode="PRF"> <templateId root="2.16.840.1.113883.10.20.6.2.1"/> <functionCode nullFlavor="OTH"/> <time> <low value="201302180310"/> <high value="201302180310"/> </time> <assignedEntity> <id root="2.16.840.1.113883.4.6" extension="1234567893"/> <code code="208D00000X" displayName="Allopathic &amp; Osteopathic Physicians : General Practice" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"/> <addr> <streetAddressLine>1002 Healthcare Dr</streetAddressLine> <city>Beaverton</city> <state>OR</state> <postalCode>97005</postalCode> <country>US</country> </addr> <telecom nullFlavor="UNK"/> <assignedPerson> <name> <given>Henry</given> <family>Seven</family> </name> </assignedPerson> </assignedEntity> </performer> </serviceEvent> </documentationOf> <component> <structuredBody> <component> <section> <templateId root="2.16.840.1.113883.10.20.22.2.6"/> <templateId root="2.16.840.1.113883.10.20.22.2.6.1"/> <id root="2.201" extension="Alerts"/> <code code="48765-2" displayName="ALLERGIES, ADVERSE REACTIONS, ALERTS" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Allergies, Adverse Reactions, Alerts</title> <text> <table border="1" width="100%"> <thead> <tr> <th>Substance</th> <th>Reaction</th> <th>Severity</th> <th>Status</th> </tr> </thead> <tbody> <tr> <td> <content ID="AllergyDescription_0" xmlns="urn:hl7-org:v3">Codeine </content> </td> <td> <content ID="AllergyReaction_0" xmlns="urn:hl7-org:v3">Shortness of Breath</content> </td> <td>Unknown</td> <td> <content ID="AllergyStatus_0" xmlns="urn:hl7-org:v3">Active</content> </td> </tr> <tr> <td> <content ID="AllergyDescription_1" xmlns="urn:hl7-org:v3">aspirin </content> </td> <td> <content ID="AllergyReaction_1" xmlns="urn:hl7-org:v3">Hives</content> </td> <td>Unknown</td> <td> <content ID="AllergyStatus_1" xmlns="urn:hl7-org:v3">Active</content> </td> </tr> <tr> <td> <content ID="AllergyDescription_2" xmlns="urn:hl7-org:v3">PENICILLIN G BENZATHINE</content> </td> <td> <content ID="AllergyReaction_2" xmlns="urn:hl7-org:v3">Hives</content> </td> <td>Unknown</td> <td> <content ID="AllergyStatus_2" xmlns="urn:hl7-org:v3">Active</content> </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"/> <id root="69724b9d-5e77-402f-a5b6-3379dde3e8a9"/> <code code="48765-2" displayName="ALLERGIES, ADVERSE REACTIONS, ALERTS" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <statusCode code="active"/> <effectiveTime> <low value="20120806"/> </effectiveTime> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.7"/> <id root="69724b9d-5e77-402f-a5b6-3379dde3e8a9"/> <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7ActCode"/> <statusCode code="completed"/> <effectiveTime> <low value="20120806"/> </effectiveTime> <value code="416098002" displayName="drug allergy" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" xsi:type="CD"/> <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="#AllergyDescription_0"/> </originalText> <translation code="1550" displayName="Codeine" codeSystem="2.16.840.1.113883.4.65" codeSystemName="FDB Hierarchical Ingredient Code Sequence Number (HIC_SEQN)"/> </code> <name>Codeine </name> </playingEntity> </participantRole> </participant> <entryRelationship typeCode="MFST" inversionInd="true"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.9"/> <id root="69724b9d-5e77-402f-a5b6-3379dde3e8a9"/> <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7ActCode"/> <text> <reference value="#AllergyReaction_0"/> </text> <statusCode code="completed"/> <effectiveTime> <low value="20120806"/> </effectiveTime> <value xsi:type="CD" nullFlavor="UNK"> <originalText> <reference value="#AllergyReaction_0"/> </originalText> </value> </observation> </entryRelationship> <entryRelationship typeCode="SUBJ" 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"/> <text> <reference value="#AllergyStatus_0"/> </text> <statusCode code="completed"/> <value code="55561003" displayName="active" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" xsi:type="CE"/> </observation> </entryRelationship> <entryRelationship typeCode="REFR"> <act classCode="ACT" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.4.1"/> <id extension="a778b36c-2a08-4f41-bc2a-3f29293c4e3c" root="2.201"/> <code nullFlavor="UNK"/> </act> </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"/> <id root="062e50f2-9185-4821-a8eb-af22722d1f8e"/> <code code="48765-2" displayName="ALLERGIES, ADVERSE REACTIONS, ALERTS" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <statusCode code="active"/> <effectiveTime> <low value="20120806"/> </effectiveTime> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.7"/> <id root="062e50f2-9185-4821-a8eb-af22722d1f8e"/> <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7ActCode"/> <statusCode code="completed"/> <effectiveTime> <low value="20120806"/> </effectiveTime> <value code="416098002" displayName="drug allergy" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" xsi:type="CD"/> <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="#AllergyDescription_1"/> </originalText> <translation code="1587" displayName="aspirin" codeSystem="2.16.840.1.113883.4.65" codeSystemName="FDB Hierarchical Ingredient Code Sequence Number (HIC_SEQN)"/> </code> <name>aspirin </name> </playingEntity> </participantRole> </participant> <entryRelationship typeCode="MFST" inversionInd="true"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.9"/> <id root="062e50f2-9185-4821-a8eb-af22722d1f8e"/> <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7ActCode"/> <text> <reference value="#AllergyReaction_1"/> </text> <statusCode code="completed"/> <effectiveTime> <low value="20120806"/> </effectiveTime> <value xsi:type="CD" nullFlavor="UNK"> <originalText> <reference value="#AllergyReaction_1"/> </originalText> </value> </observation> </entryRelationship> <entryRelationship typeCode="SUBJ" 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"/> <text> <reference value="#AllergyStatus_1"/> </text> <statusCode code="completed"/> <value code="55561003" displayName="active" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" xsi:type="CE"/> </observation> </entryRelationship> <entryRelationship typeCode="REFR"> <act classCode="ACT" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.4.1"/> <id extension="a778b36c-2a08-4f41-bc2a-3f29293c4e3c" root="2.201"/> <code nullFlavor="UNK"/> </act> </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"/> <id root="a2176310-7c0d-4f55-bf46-ff59010a380d"/> <code code="48765-2" displayName="ALLERGIES, ADVERSE REACTIONS, ALERTS" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <statusCode code="active"/> <effectiveTime> <low value="20120806"/> </effectiveTime> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.7"/> <id root="a2176310-7c0d-4f55-bf46-ff59010a380d"/> <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7ActCode"/> <statusCode code="completed"/> <effectiveTime> <low value="20120806"/> </effectiveTime> <value code="416098002" displayName="drug allergy" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" xsi:type="CD"/> <participant typeCode="CSM"> <participantRole classCode="MANU"> <playingEntity classCode="MMAT"> <code code="7982" displayName="penicillin G benzathine" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"> <originalText> <reference value="#AllergyDescription_2"/> </originalText> <translation code="2683" displayName="PENICILLIN G BENZATHINE" codeSystem="2.16.840.1.113883.4.65" codeSystemName="FDB Hierarchical Ingredient Code Sequence Number (HIC_SEQN)"/> </code> <name>PENICILLIN G BENZATHINE</name> </playingEntity> </participantRole> </participant> <entryRelationship typeCode="MFST" inversionInd="true"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.9"/> <id root="a2176310-7c0d-4f55-bf46-ff59010a380d"/> <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7ActCode"/> <text> <reference value="#AllergyReaction_2"/> </text> <statusCode code="completed"/> <effectiveTime> <low value="20120806"/> </effectiveTime> <value xsi:type="CD" nullFlavor="UNK"> <originalText> <reference value="#AllergyReaction_2"/> </originalText> </value> </observation> </entryRelationship> <entryRelationship typeCode="SUBJ" 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"/> <text> <reference value="#AllergyStatus_2"/> </text> <statusCode code="completed"/> <value code="55561003" displayName="active" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" xsi:type="CE"/> </observation> </entryRelationship> <entryRelationship typeCode="REFR"> <act classCode="ACT" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.4.1"/> <id extension="a778b36c-2a08-4f41-bc2a-3f29293c4e3c" root="2.201"/> <code nullFlavor="UNK"/> </act> </entryRelationship> </observation> </entryRelationship> </act> </entry> </section> </component> <component> <section> <templateId root="2.16.840.1.113883.10.20.22.2.1.1"/> <id root="2.201" extension="Medications"/> <code code="10160-0" displayName="HISTORY OF MEDICATION USE" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Medications</title> <text> <table border="1" width="100%"> <thead> <tr> <th>Medication</th> <th>Instructions</th> <th>Dosage</th> <th>Effective Dates (start - stop)</th> <th>Status</th> <th>Comments</th> </tr> </thead> <tbody> <tr> <td> <content ID="MedicationName_0" xmlns="urn:hl7-org:v3">metoprolol tartrate 25 mg tablet</content> </td> <td> <content ID="MedicationSig_0" xmlns="urn:hl7-org:v3">take 1 tablet by oral route every day</content> </td> <td> <content ID="MedicationDosage_0" xmlns="urn:hl7-org:v3">25 MG</content> </td> <td>Feb-12-2013 - </td> <td>Active</td> <td> <content ID="MedicationComment_0" xmlns="urn:hl7-org:v3"/> </td> </tr> <tr> <td> <content ID="MedicationName_1" xmlns="urn:hl7-org:v3">clarithromycin 500 mg tablet</content> </td> <td> <content ID="MedicationSig_1" xmlns="urn:hl7-org:v3">take 1 tablet by oral route 2 times daily for 7 days</content> </td> <td> <content ID="MedicationDosage_1" xmlns="urn:hl7-org:v3"/> </td> <td>Aug-06-2012 - </td> <td>Active</td> <td> <content ID="MedicationComment_1" xmlns="urn:hl7-org:v3"/> </td> </tr> <tr> <td> <content ID="MedicationName_2" xmlns="urn:hl7-org:v3">albuterol sulfate HFA 90 mcg/actuation Aerosol Inhaler</content> </td> <td> <content ID="MedicationSig_2" xmlns="urn:hl7-org:v3">inhale 2 puff by inhalation route every 4 - 6 hours as needed as needed for Wheezing</content> </td> <td> <content ID="MedicationDosage_2" xmlns="urn:hl7-org:v3">0</content> </td> <td>Apr-02-2012 - Apr-02-2013</td> <td>Active</td> <td> <content ID="MedicationComment_2" xmlns="urn:hl7-org:v3"/> </td> </tr> <tr> <td> <content ID="MedicationName_3" xmlns="urn:hl7-org:v3">albuterol sulfate HFA 90 mcg/actuation Aerosol Inhaler</content> </td> <td> <content ID="MedicationSig_3" xmlns="urn:hl7-org:v3">inhale 2 puffs once as needed</content> </td> <td> <content ID="MedicationDosage_3" xmlns="urn:hl7-org:v3"/> </td> <td>Aug-06-2012 - Aug-06-2012</td> <td>No Longer Active</td> <td> <content ID="MedicationComment_3" xmlns="urn:hl7-org:v3">Administered in office</content> </td> </tr> </tbody> </table> </text> <entry typeCode="DRIV"> <substanceAdministration classCode="SBADM" moodCode="INT"> <templateId root="2.16.840.1.113883.10.20.22.4.16"/> <id root="d71fb70d-2667-4059-9f13-ed333992e426"/> <text> <reference value="#MedicationSig_0"/> </text> <statusCode code="completed"/> <effectiveTime xsi:type="IVL_TS"> <low value="20130212"/> <high nullFlavor="UNK"/> </effectiveTime> <effectiveTime institutionSpecified="true" operator="A" xsi:type="PIVL_TS"> <period value="24" unit="h"/> </effectiveTime> <doseQuantity value="1.00" unit="tablet"/> <administrationUnitCode nullFlavor="UNK"/> <consumable> <manufacturedProduct classCode="MANU"> <templateId root="2.16.840.1.113883.10.20.22.4.23"/> <manufacturedMaterial> <code code="866924" displayName="Metoprolol Tartrate 25 MG Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"> <originalText> <reference value="#MedicationName_0"/> </originalText> <translation code="00378001801" displayName="METOPROLOL TARTRATE" codeSystem="2.16.840.1.113883.6.69" codeSystemName="NDC"/> </code> <name>METOPROLOL TARTRATE</name> </manufacturedMaterial> </manufacturedProduct> </consumable> <informant> <assignedEntity> <id root="2.16.840.1.113883.4.6" extension="1104152198"/> <addr> <streetAddressLine>1002 Healthcare Dr</streetAddressLine> <city>Beaverton</city> <state>OR</state> <postalCode>97005</postalCode> </addr> <telecom use="WP" value="tel:+1-5555551009"/> <telecom use="PG" value="tel:+1-6158686465"/> <telecom use="WP" value="fax:+1-Getwell"/> <telecom value="mailto:Dscott@nextgen.com"/> <assignedPerson> <name> <family>Getwell</family> <given>James</given> </name> </assignedPerson> <representedOrganization> <id root="2.201" extension="0001"/> <id root="2.16.840.1.113883.4.6" extension="1234567893"/> <name>NEXTGEN Medical Practice (Horsham)</name> <telecom use="WP" value="tel:+1-2156577010"/> <addr> <streetAddressLine>795 Horsham Road</streetAddressLine> <city>Horsham</city> <state>PA</state> <postalCode>19044</postalCode> </addr> </representedOrganization> </assignedEntity> </informant> <entryRelationship typeCode="REFR"> <act classCode="ACT" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.4.1"/> <id extension="a778b36c-2a08-4f41-bc2a-3f29293c4e3c" root="2.201"/> <code nullFlavor="UNK"/> </act> </entryRelationship> </substanceAdministration> </entry> <entry typeCode="DRIV"> <substanceAdministration classCode="SBADM" moodCode="INT"> <templateId 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<streetAddressLine>1002 Healthcare Dr</streetAddressLine> <city>Beaverton</city> <state>OR</state> <postalCode>97005</postalCode> </addr> <telecom use="WP" value="tel:+1-5555551009"/> <telecom use="PG" value="tel:+1-6158686465"/> <telecom use="WP" value="fax:+1-Getwell"/> <telecom value="mailto:Dscott@nextgen.com"/> <assignedPerson> <name> <family>Getwell</family> <given>James</given> </name> </assignedPerson> <representedOrganization> <id root="2.201" extension="0001"/> <id root="2.16.840.1.113883.4.6" extension="1234567893"/> <name>NEXTGEN Medical Practice (Horsham)</name> <telecom use="WP" value="tel:+1-2156577010"/> <addr> <streetAddressLine>795 Horsham Road</streetAddressLine> <city>Horsham</city> <state>PA</state> <postalCode>19044</postalCode> </addr> </representedOrganization> </assignedEntity> </informant> <entryRelationship typeCode="REFR"> <act classCode="ACT" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.4.1"/> <id 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<manufacturedMaterial> <code code="745679" displayName="200 ACTUAT Albuterol 0.09 MG/ACTUAT Metered Dose Inhaler" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"> <originalText> <reference value="#MedicationName_3"/> </originalText> <translation code="54868564600" displayName="ALBUTEROL SULFATE" codeSystem="2.16.840.1.113883.6.69" codeSystemName="NDC"/> </code> <name>ALBUTEROL SULFATE HFA</name> </manufacturedMaterial> </manufacturedProduct> </consumable> <informant> <assignedEntity> <id root="2.16.840.1.113883.4.6" extension="1104152198"/> <addr> <streetAddressLine>1002 Healthcare Dr</streetAddressLine> <city>Beaverton</city> <state>OR</state> <postalCode>97005</postalCode> </addr> <telecom use="WP" value="tel:+1-5555551009"/> <telecom use="PG" value="tel:+1-6158686465"/> <telecom use="WP" value="fax:+1-Getwell"/> <telecom value="mailto:Dscott@nextgen.com"/> <assignedPerson> <name> <family>Getwell</family> <given>James</given> </name> </assignedPerson> <representedOrganization> <id root="2.201" extension="0001"/> <id root="2.16.840.1.113883.4.6" extension="1234567893"/> <name>NEXTGEN Medical Practice (Horsham)</name> <telecom use="WP" value="tel:+1-2156577010"/> <addr> <streetAddressLine>795 Horsham Road</streetAddressLine> <city>Horsham</city> <state>PA</state> <postalCode>19044</postalCode> </addr> </representedOrganization> </assignedEntity> </informant> <entryRelationship typeCode="SUBJ"> <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="#MedicationComment_3"/> </text> <statusCode code="completed"/> </act> </entryRelationship> <entryRelationship typeCode="REFR"> <act classCode="ACT" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.4.1"/> <id extension="a778b36c-2a08-4f41-bc2a-3f29293c4e3c" root="2.201"/> <code nullFlavor="UNK"/> </act> </entryRelationship> </substanceAdministration> </entry> </section> </component> <component> <section> <templateId root="2.16.840.1.113883.10.20.22.2.5.1"/> <id root="2.201" extension="Problems"/> <code code="11450-4" displayName="PROBLEM LIST" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Problems</title> <text> <table border="1" width="100%"> <thead> <tr> <th>Condition</th> <th>Effective Dates (start - stop)</th> <th>Clinical Status</th> </tr> </thead> <tbody> <tr> <td> <content ID="ProblemName_Diagnosis0" xmlns="urn:hl7-org:v3">Community acquired pneumonia</content> </td> <td>Jan-25-2013 - </td> <td> <content ID="ProblemStatus_Diagnosis0" xmlns="urn:hl7-org:v3">Active</content> </td> </tr> <tr> <td> <content ID="ProblemName_Diagnosis1" xmlns="urn:hl7-org:v3">Asthma</content> </td> <td>Jan-25-2013 - </td> <td> <content ID="ProblemStatus_Diagnosis1" xmlns="urn:hl7-org:v3">Controlled</content> </td> </tr> <tr> <td> <content ID="ProblemName_Diagnosis2" xmlns="urn:hl7-org:v3">Hypoxemia</content> </td> <td>Jan-25-2013 - </td> <td> <content ID="ProblemStatus_Diagnosis2" xmlns="urn:hl7-org:v3">Mild</content> </td> </tr> </tbody> </table> </text> <entry typeCode="DRIV"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.3"/> <id nullFlavor="NA"/> <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/> <statusCode code="active"/> <effectiveTime> <low value="20130125"/> </effectiveTime> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.4"/> <id nullFlavor="UNK"/> <code code="282291009" displayName="Diagnosis" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> <text> <reference value="#ProblemName_Diagnosis0"/> </text> <statusCode code="completed"/> <effectiveTime> <low value="20130125"/> </effectiveTime> <value nullFlavor="OTH" xsi:type="CD"> <translation code="486" displayName="Community acquired pneumonia" codeSystem="2.16.840.1.113883.6.103" codeSystemName="ICD-9-CM"/> </value> <entryRelationship typeCode="REFR"> <act classCode="ACT" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.4.1"/> <id extension="a778b36c-2a08-4f41-bc2a-3f29293c4e3c" root="2.201"/> <code nullFlavor="UNK"/> </act> </entryRelationship> </observation> </entryRelationship> </act> </entry> <entry typeCode="DRIV"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.3"/> <id nullFlavor="NA"/> <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/> <statusCode code="active"/> <effectiveTime> <low value="20130125"/> </effectiveTime> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.4"/> <id nullFlavor="UNK"/> <code code="282291009" displayName="Diagnosis" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> <text> <reference value="#ProblemName_Diagnosis1"/> </text> <statusCode code="completed"/> <effectiveTime> <low value="20130125"/> </effectiveTime> <value nullFlavor="OTH" xsi:type="CD"> <translation code="493.90" displayName="Asthma" codeSystem="2.16.840.1.113883.6.103" codeSystemName="ICD-9-CM"/> </value> <entryRelationship typeCode="REFR"> <act classCode="ACT" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.4.1"/> <id extension="a778b36c-2a08-4f41-bc2a-3f29293c4e3c" root="2.201"/> <code nullFlavor="UNK"/> </act> </entryRelationship> </observation> </entryRelationship> </act> </entry> <entry typeCode="DRIV"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.3"/> <id nullFlavor="NA"/> <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/> <statusCode code="active"/> <effectiveTime> <low value="20130125"/> </effectiveTime> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.4"/> <id nullFlavor="UNK"/> <code code="282291009" displayName="Diagnosis" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> <text> <reference value="#ProblemName_Diagnosis2"/> </text> <statusCode code="completed"/> <effectiveTime> <low value="20130125"/> </effectiveTime> <value nullFlavor="OTH" xsi:type="CD"> <translation code="799.02" displayName="Hypoxemia" codeSystem="2.16.840.1.113883.6.103" codeSystemName="ICD-9-CM"/> </value> <entryRelationship typeCode="REFR"> <act classCode="ACT" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.4.1"/> <id extension="a778b36c-2a08-4f41-bc2a-3f29293c4e3c" root="2.201"/> <code nullFlavor="UNK"/> </act> </entryRelationship> </observation> </entryRelationship> </act> </entry> </section> </component> <component> <section> <templateId root="2.16.840.1.113883.10.20.22.2.7.1"/> <id root="2.201" extension="Procedures"/> <code code="47519-4" displayName="HISTORY OF PROCEDURES" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Procedures</title> <text> <table border="1" width="100%"> <thead> <tr> <th>Procedure</th> <th>Date</th> </tr> </thead> <tbody> <tr> <td> <content ID="ProcedureDescription_0" xmlns="urn:hl7-org:v3">Immunization admin, 1 vaccine</content> </td> <td>Jan-25-2013</td> </tr> <tr> <td> <content ID="ProcedureDescription_1" xmlns="urn:hl7-org:v3">Immunization admin, 1 vaccine</content> </td> <td>Jan-25-2013</td> </tr> <tr> <td> <content ID="ProcedureDescription_2" xmlns="urn:hl7-org:v3">Immunization admin, 1 vaccine</content> </td> <td>Jan-25-2013</td> </tr> <tr> <td> <content ID="ProcedureDescription_3" xmlns="urn:hl7-org:v3">Immunization admin, 1 vaccine</content> </td> <td>Jan-25-2013</td> </tr> <tr> <td> <content ID="ProcedureDescription_4" xmlns="urn:hl7-org:v3">CHEST COMPRESSION GEN SYSTEM</content> </td> <td>Aug-06-2012</td> </tr> </tbody> </table> </text> <entry typeCode="DRIV"> <procedure classCode="PROC" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.14"/> <id root="2.201" extension="8e4b2fcb-13e8-4ce6-8737-61c3c9c328ec"/> <code nullFlavor="OTH"> <originalText> <reference value="#ProcedureDescription_0"/> </originalText> <translation code="90732" displayName="Immunization admin, 1 vaccine" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT4" xsi:type="CE"/> </code> <statusCode code="completed"/> <effectiveTime> <low value="20130125"/> <high value="20130125"/> </effectiveTime> <entryRelationship typeCode="COMP" inversionInd="true"> <encounter classCode="ENC" moodCode="EVN"> <id extension="a778b36c-2a08-4f41-bc2a-3f29293c4e3c" root="2.201"/> <code nullFlavor="UNK"/> </encounter> </entryRelationship> </procedure> </entry> <entry typeCode="DRIV"> <procedure classCode="PROC" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.14"/> <id root="2.201" extension="771cb6f6-4a87-47aa-9133-6e0d7a118a1e"/> <code nullFlavor="OTH"> <originalText> <reference value="#ProcedureDescription_1"/> </originalText> <translation code="90724" displayName="Immunization admin, 1 vaccine" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT4" xsi:type="CE"/> </code> <statusCode code="completed"/> <effectiveTime> <low value="20130125"/> <high value="20130125"/> </effectiveTime> <entryRelationship typeCode="COMP" inversionInd="true"> <encounter classCode="ENC" moodCode="EVN"> <id extension="a778b36c-2a08-4f41-bc2a-3f29293c4e3c" root="2.201"/> <code nullFlavor="UNK"/> </encounter> </entryRelationship> </procedure> </entry> <entry typeCode="DRIV"> <procedure classCode="PROC" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.14"/> <id root="2.201" extension="00878d81-7e30-4f90-86fd-71009a878dec"/> <code nullFlavor="OTH"> <originalText> <reference value="#ProcedureDescription_2"/> </originalText> <translation code="90718" displayName="Immunization admin, 1 vaccine" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT4" xsi:type="CE"/> </code> <statusCode code="completed"/> <effectiveTime> <low value="20130125"/> <high value="20130125"/> </effectiveTime> <entryRelationship typeCode="COMP" inversionInd="true"> <encounter classCode="ENC" moodCode="EVN"> <id extension="a778b36c-2a08-4f41-bc2a-3f29293c4e3c" root="2.201"/> <code nullFlavor="UNK"/> </encounter> </entryRelationship> </procedure> </entry> <entry typeCode="DRIV"> <procedure classCode="PROC" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.14"/> <id root="2.201" extension="cc7d378e-35fc-46f9-8007-da0300174bb7"/> <code nullFlavor="OTH"> <originalText> <reference value="#ProcedureDescription_3"/> </originalText> <translation code="90724" displayName="Immunization admin, 1 vaccine" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT4" xsi:type="CE"/> </code> <statusCode code="completed"/> <effectiveTime> <low value="20130125"/> <high value="20130125"/> </effectiveTime> <entryRelationship typeCode="COMP" inversionInd="true"> <encounter classCode="ENC" moodCode="EVN"> <id extension="a778b36c-2a08-4f41-bc2a-3f29293c4e3c" root="2.201"/> <code nullFlavor="UNK"/> </encounter> </entryRelationship> </procedure> </entry> <entry typeCode="DRIV"> <procedure classCode="PROC" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.14"/> <id root="2.201" extension="65704c23-2eae-4f35-989d-db02e68edbb8"/> <code nullFlavor="OTH"> <originalText> <reference value="#ProcedureDescription_4"/> </originalText> <translation code="E0483" displayName="CHEST COMPRESSION GEN SYSTEM" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT4" xsi:type="CE"/> </code> <statusCode code="completed"/> <effectiveTime> <low value="20120806"/> <high value="20120806"/> </effectiveTime> <entryRelationship typeCode="COMP" inversionInd="true"> <encounter classCode="ENC" moodCode="EVN"> <id extension="a778b36c-2a08-4f41-bc2a-3f29293c4e3c" root="2.201"/> <code nullFlavor="UNK"/> </encounter> </entryRelationship> </procedure> </entry> </section> </component> <component> <section> 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