forked from jddamore/HL7-Task-Force-Examples
-
Notifications
You must be signed in to change notification settings - Fork 0
/
PROCEDURE_Examples_in_empty_CCD.xml
583 lines (583 loc) · 25.2 KB
/
PROCEDURE_Examples_in_empty_CCD.xml
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
<?xml version="1.0"?>
<?xml-stylesheet type="text/xsl" href="CDA.xsl"?>
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3" xmlns:cda="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc">
<!-- This CCD was validated with no warnings/errors with NIST Validator for Ambulatory VDT on December 18, 2013. Note immunizations and procedures would need to be added for "Transition of Care" validation-->
<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"/>
<!-- C-CDA -->
<templateId root="2.16.840.1.113883.10.20.22.1.2"/>
<!-- CCD -->
<id root="2.16.840.1.113883.3.3208.101.1" extension="20130607100315-CCDA-CCD"/>
<code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="34133-9" displayName="Summarization of Episode Note"/>
<title>This is a CCD skeleton with some sample medication results created for HL7 Example Task Force - Based on C-CDA Skeleton developed by Lisa Nelson</title>
<effectiveTime value="20131031110101+0500"/>
<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
<languageCode code="en-US"/>
<recordTarget>
<patientRole>
<id root="2.16.840.1.113883.3.3208.101.2" extension="20130607100800-Patient1"/>
<addr use="HP">
<streetAddressLine>1111 StreetName St.</streetAddressLine>
<city>Silver Spring</city>
<state>MD</state>
<postalCode>20901</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(301)111-1111" use="HP"/>
<patient>
<name use="L">
<given>Patient</given>
<family>One</family>
</name>
<administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" displayName="Male" codeSystemName="AdministrativeGender"/>
<birthTime value="19300911"/>
<maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2" codeSystemName="MaritalStatus"/>
<raceCode code="2106-3" displayName="White"
codeSystem="2.16.840.1.113883.6.238"
codeSystemName="OMB Standards for Race and Ethnicity"/>
<ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino"
codeSystem="2.16.840.1.113883.6.238"
codeSystemName="OMB Standards for Race and Ethnicity"/>
<languageCommunication>
<languageCode code="eng"/>
<modeCode code="ESP" displayName="Expressed spoken" codeSystem="2.16.840.1.113883.5.60" codeSystemName="LanguageAbilityMode"/>
<proficiencyLevelCode code="E" displayName="Excellent" codeSystem="2.16.840.1.113883.5.61" codeSystemName="LanguageAbilityProficiency"/>
</languageCommunication>
</patient>
</patientRole>
</recordTarget>
<author>
<time value="20130607000000"/>
<assignedAuthor>
<id extension="22222" root="2.16.840.1.113883.4.6"/>
<code code="207QA0505X" codeSystem="2.16.840.1.113883.6.101"
displayName="Adult Medicine" codeSystemName="NUCC"/>
<addr use="HP">
<streetAddressLine>2222 StreetName St.</streetAddressLine>
<city>Silver Spring</city>
<state>MD</state>
<postalCode>20901</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(301)222-2222" use="WP"/>
<assignedPerson>
<name>
<given>Doctor</given>
<family>Second</family>
<suffix>MD</suffix>
</name>
</assignedPerson>
</assignedAuthor>
</author>
<dataEnterer>
<assignedEntity>
<id extension="33333" root="2.16.840.1.113883.4.6"/>
<code code="364SA2200X" displayName="Adult Health" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"/>
<addr use="WP">
<streetAddressLine>3333 StreetName St.</streetAddressLine>
<city>Silver Spring</city>
<state>MD</state>
<postalCode>20901</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(301)333-3333" use="WP"/>
<assignedPerson>
<name>
<given>Nurse</given>
<family>Tertiary</family>
</name>
</assignedPerson>
</assignedEntity>
</dataEnterer>
<custodian>
<assignedCustodian>
<representedCustodianOrganization>
<id extension="44444" root="2.16.840.1.113883.4.6"/>
<name>CDA PRO Fictional Hospital</name>
<telecom value="tel:+1(301)444-4444" use="WP"/>
<addr use="WP">
<streetAddressLine>4444 StreetName St.</streetAddressLine>
<city>Silver Spring</city>
<state>MD</state>
<postalCode>20901</postalCode>
<country>US</country>
</addr>
</representedCustodianOrganization>
</assignedCustodian>
</custodian>
<legalAuthenticator>
<time value="20130607000000"/>
<signatureCode code="S"/>
<assignedEntity>
<id root="2.16.840.1.113883.3.3208.101.3" extension="20130607102400-Authenticator1"/>
<addr use="WP">
<streetAddressLine>5555 StreetName St.</streetAddressLine>
<city>Silver Spring</city>
<state>MD</state>
<postalCode>20901</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(301)555-5555" use="WP"/>
<assignedPerson>
<name>
<given>Physician</given>
<family>Fifthly</family>
<suffix>MD</suffix>
</name>
</assignedPerson>
</assignedEntity>
</legalAuthenticator>
<documentationOf>
<serviceEvent classCode="PCPR">
<effectiveTime>
<low value="19330316"/>
<high value="20130607"/>
</effectiveTime>
<performer typeCode="PRF">
<assignedEntity>
<id extension="66666" root="2.16.840.1.113883.4.6"/>
<code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"
displayName="Cardiovascular Disease"/>
<addr>
<streetAddressLine>6666 StreetName St.</streetAddressLine>
<city>Silver Spring</city>
<state>MD</state>
<postalCode>20901</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(301)666-6666" use="WP"/>
<assignedPerson>
<name>
<given>Heartly</given>
<family>Sixer</family>
<suffix>MD</suffix>
</name>
</assignedPerson>
</assignedEntity>
</performer>
</serviceEvent>
</documentationOf>
<!-- CDA Body -->
<component>
<structuredBody>
<!-- Allergies Section -->
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.6.1"/>
<!-- Allergies (entries required) section -->
<code code="48765-2" codeSystem="2.16.840.1.113883.6.1" displayName="Allergies, adverse reactions, alerts" codeSystemName="LOINC"/>
<title>ALLERGIES</title>
<text>
<content ID="allergy1">No Information About Allergies</content>
</text>
<entry typeCode="DRIV">
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.30"/>
<!-- Allergy Problem Act entry -->
<id root="2.16.840.1.113883.3.3208.101.10" extension="20130607104400-AllergyProblem"/>
<code code="48765-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Allergies, adverse reactions, alerts"/>
<statusCode code="active"/>
<effectiveTime>
<low nullFlavor="NI"/>
<high nullFlavor="NI"/>
</effectiveTime>
<entryRelationship typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN" nullFlavor="NI">
<templateId root="2.16.840.1.113883.10.20.22.4.7"/>
<!-- Allergy - Intolerance Observation -->
<id root="2.16.840.1.113883.3.3208.101.10" extension="20130607105900-AllergyObservation"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<effectiveTime>
<low nullFlavor="NI"/>
<high nullFlavor="NI"/>
</effectiveTime>
<value xsi:type="CD" nullFlavor="NI">
<originalText>
<reference value="#allergy1"/>
</originalText>
</value>
<participant typeCode="CSM">
<!-- Participant added to meet "SHOULD" and avoid validator warning -->
<participantRole classCode="MANU">
<playingEntity classCode="MMAT">
<code nullFlavor="NI">
<originalText>
<reference value="#allergy1"/>
</originalText>
</code>
</playingEntity>
</participantRole>
</participant>
<entryRelationship typeCode="MFST" inversionInd="true">
<observation classCode="OBS" moodCode="EVN" nullFlavor="NI">
<templateId root="2.16.840.1.113883.10.20.22.4.9"/>
<!-- Reaction Observation - added to meet "SHOULD" and avoid validator warning -->
<id root="2.16.840.1.113883.3.3208.101.10" extension="20130607151500-ReactionObservation"/>
<code nullFlavor="NI"/>
<text>
<reference value="#allergy1"/>
</text>
<statusCode code="completed"/>
<effectiveTime>
<low nullFlavor="NI"/>
<high nullFlavor="NI"/>
</effectiveTime>
<value xsi:type="CD" code="183964008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Treatment not indicated"/>
<!-- using this SNOMED code to meet SHALL requirement for code -->
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN" nullFlavor="NI">
<templateId root="2.16.840.1.113883.10.20.22.4.8"/>
<!-- Severity Observation -->
<code code="SEV" xsi:type="CE" nullFlavor="NI"/>
<text>
<reference value="#allergy1"/>
</text>
<statusCode code="completed"/>
<value xsi:type="CD" code="255604002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Mild"/>
<!-- using this SNOMED code to meet SHALL requirement for code -->
</observation>
</entryRelationship>
</observation>
</entryRelationship>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.8"/>
<!-- Severity Observation - added to meet "SHOULD" and avoid validator warning -->
<code code="SEV" xsi:type="CE" nullFlavor="NI"/>
<text>
<reference value="#allergy1"/>
</text>
<statusCode code="completed"/>
<value xsi:type="CD" code="255604002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Mild"/>
<!-- using this SNOMED code to meet SHALL requirement for code -->
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</act>
</entry>
</section>
</component>
<!-- Medication Section -->
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.1.1"/>
<!-- Medication Section (entries required) -->
<code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of Medication Use"/>
<title>MEDICATIONS</title>
<text>
<content ID="meds1">No Information About Medications</content>
</text>
<entry typeCode="DRIV">
<substanceAdministration moodCode="EVN" classCode="SBADM" nullFlavor="NI">
<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
<!-- Medication Activity -->
<id root="2.16.840.1.113883.3.3208.101.10" extension="20130607111500-MedicationActivity"/>
<text>
<reference value="#meds1"/>
</text>
<statusCode code="completed"/>
<effectiveTime xsi:type="IVL_TS">
<low nullFlavor="NI"/>
<high nullFlavor="NI"/>
</effectiveTime>
<effectiveTime xsi:type="PIVL_TS" operator="A" nullFlavor="NI"/>
<!-- Added to meet the "SHOULD" and avoid the warning from the validator -->
<doseQuantity nullFlavor="NI"/>
<!-- Added to meet the "SHOULD" and avoid the warning from the validator -->
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
<!-- Medication Information -->
<manufacturedMaterial>
<code nullFlavor="NI">
<originalText>
<reference value="#meds1"/>
</originalText>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
</substanceAdministration>
</entry>
</section>
</component>
<!-- Problem Section -->
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.5.1"/>
<!-- Problem Section with Coded Entries Required -->
<code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem List"/>
<title>PROBLEMS</title>
<text>
<content ID="problems1">No Information About Problems</content>
</text>
<entry typeCode="DRIV">
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.3"/>
<!-- Problem Concern Act (Condition) -->
<id root="2.16.840.1.113883.3.3208.101.10" extension="20130607113300-ProblemConcern"/>
<code code="CONC" displayName="Concern" codeSystem="2.16.840.1.113883.5.6" codeSystemName="HL7ActClass"/>
<statusCode code="active"/>
<effectiveTime>
<low nullFlavor="NI"/>
<high nullFlavor="NI"/>
</effectiveTime>
<entryRelationship typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN" nullFlavor="NI">
<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
<!-- Problem Observation -->
<id root="2.16.840.1.113883.3.3208.101.10" extension="20130607113430-ProblemObservation"/>
<code nullFlavor="NI"/>
<text>
<reference value="#problems1"/>
</text>
<statusCode code="completed" />
<effectiveTime>
<low nullFlavor="NI"/>
<high nullFlavor="NI"/>
</effectiveTime>
<value xsi:type="CD" nullFlavor="NI" />
</observation>
</entryRelationship>
</act>
</entry>
</section>
</component>
<!-- Procedures Section -->
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.7.1"/>
<code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES"/>
<title>Procedures</title>
<text>
<table>
<thead>
<tr>
<th>Description</th>
<th>Date and Time (Range)</th>
<th>Status</th>
</tr>
</thead>
<tbody>
<tr ID="Procedure1">
<td ID="ProcedureDesc1">Laparoscopic appendectomy</td>
<td>(03 Feb 2014 09:22am- 03 Feb 2014 11:15am</td>
<td>Completed</td>
</tr>
<tr ID="Procedure2">
<td ID="ProcedureDesc2">Electrocardiogram (12-Lead)</td>
<td>29 Mar 2014 09:15am</td>
<td>Completed</td>
</tr>
<tr ID="Procedure3">
<td ID="ProcedureDesc3">Individual Counseling For Medical Nutrition </td>
<td>29 Mar 2014 10:45am</td>
<td>Completed</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<!-- Procedures should be used for care that directly changes the patient's physical state.-->
<procedure moodCode="EVN" classCode="PROC">
<templateId root="2.16.840.1.113883.10.20.22.4.14" />
<id root="64af26d5-88ef-4169-ba16-c6ef16a1824f"/>
<code xsi:type="CE" code="6025007" displayName="Laparoscopic appendectomy" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT">
<originalText>
Laparoscopic appendectomy
<reference value="#ProcedureDesc1" />
</originalText>
<translation xsi:type="CE" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" code="44970" displayName="Laparoscopic Appendectomy" />
<translation xsi:type="CE" codeSystem="2.16.840.1.113883.6.4" codeSystemName="ICD-10-PCS" code="0DTJ4ZZ" displayName="Resection of Appendix, Percutaneous Endoscopic Approach" />
<translation xsi:type="CE" codeSystem="2.16.840.1.113883.6.104" codeSystemName="ICD-9-CM" code="47.01" displayName="Laparoscopic appendectomy" />
</code>
<text>
<reference value="#Procedure1" />
</text>
<statusCode code="completed" />
<!-- Effective times can be either a value or interval. For procedures with start and stop times, an interval would be more appropriate -->
<effectiveTime xsi:type="IVL_TS">
<low value="20140203092205-0700" />
<high value="20140203111514-0700" />
</effectiveTime>
<!-- methodCode indicates how the procedure was performed. It cannot conflict with the code used for procedure-->
<methodCode code="51316009" codeSystem="2.16.840.1.113883.6.96" displayName="Laparoscopic procedure" codeSystemName="SNOMED-CT" />
<!-- targetSiteCode indicates the body site addressed by procedure and must be from value set 2.16.840.1.113883.3.88.12.3221.8.9-->
<targetSiteCode code="181255000" codeSystem="2.16.840.1.113883.6.96" displayName="Entire Appendix" codeSystemName="SNOMED-CT" />
</procedure>
</entry>
<entry typeCode="DRIV">
<!-- Observations should be used for care that result in information about the patient (e.g. a diagnostic test & result) but do not alter physical state-->
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.13"/>
<id root="c03e5445-af1b-4911-a419-e2782f21448c"/>
<code xsi:type="CE" code="268400002" codeSystem="2.16.840.1.113883.6.96" displayName="12 lead ECG" codeSystemName="SNOMED-CT">
<originalText>
Electrocardiogram (12-Lead)<reference value="#ProcedureDesc2"/>
</originalText>
<translation xsi:type="CE" code="93000" codeSystem="2.16.840.1.113883.6.12" displayName="Electrocardiogram, complete" codeSystemName="CPT" />
<translation xsi:type="CE" code="G8704" codeSystem="2.16.840.1.113883.6.13" displayName="12-Lead Electrocardiogram (Ecg) Performed" codeSystemName="HCPCS"/>
<translation xsi:type="CE" code="89.52" codeSystem="2.16.840.1.113883.6.104" displayName="Electrocardiogram" codeSystemName="ICD-9 Procedure"/>
<translation xsi:type="CE" code="4A02X4Z" codeSystem="2.16.840.1.113883.6.4" displayName="Measurement of Cardiac Electrical Activity, External Approach" codeSystemName="ICD-10 Procedure"/>
</code>
<text>
<reference value="#Procedure2" />
</text>
<statusCode code="completed"/>
<effectiveTime value="20140329091522+0500" />
<!-- When choosing an observation, value records relevant findings-->
<value xsi:type="CD" code="251135002" codeSystem="2.16.840.1.113883.6.96" displayName="Borderline normal ECG" codeSystemName="SNOMED-CT" />
<!-- targetSiteCode indicates the body site addressed by observation and must be from value set 2.16.840.1.113883.3.88.12.3221.8.9-->
<targetSiteCode code="302509004" codeSystem="2.16.840.1.113883.6.96" displayName="Entire Heart" codeSystemName="SNOMED-CT" />
</observation>
</entry>
<entry typeCode="DRIV">
<!-- Act should be used for care of the patient that cannot be classified as a procedure or observation (e.g. wound dressing change, counseling) -->
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.12"/>
<id root="9c0f070c-2e9e-4be1-a5b5-ff6d0f68123c"/>
<code xsi:type="CE" code="61310001" codeSystem="2.16.840.1.113883.6.96" displayName="Nutrition education" codeSystemName="SNOMED-CT">
<originalText>
Individual Counseling For Medical Nutrition
<reference value="#ProcedureDesc3"/>
</originalText>
<translation xsi:type="CE" code="97802" codeSystem="2.16.840.1.113883.6.12" displayName="Medical nutrition therapy; initial" codeSystemName="CPT" />
<translation xsi:type="CE" code="S9470" codeSystem="2.16.840.1.113883.6.13" displayName="Nutritional counseling, diet" codeSystemName="HCPCS"/>
<!-- For some activities, ICD-9 and ICD-10 procedure codes may not apply (e.g. nutritional counseling). ICD-9 and ICD-10 diagnosis codes translate and shown below-->
<translation xsi:type="CE" code="V65.3" codeSystem="2.16.840.1.113883.6.103" displayName="Dietary surveillance and counseling" codeSystemName="ICD-9 Diagnosis"/>
<translation xsi:type="CE" code="Z71.3" codeSystem="2.16.840.1.113883.6.90" displayName="Dietary counseling and surveillance" codeSystemName="ICD-10 Diagnosis"/>
</code>
<text>
<reference value="#Procedure3" />
</text>
<statusCode code="completed"/>
<effectiveTime value="20140329104513+0500"/>
</act>
</entry>
</section>
</component>
<!-- Results Section -->
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.3.1"/>
<!-- Results Section with Coded Entries Required-->
<code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Relevant diagnostic tests and/or laboratory data"/>
<title>RESULTS</title>
<text>
<content ID="results1">No Information About Results</content>
</text>
<entry typeCode="DRIV">
<organizer classCode="CLUSTER" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.1"/>
<!-- Result Organizer -->
<id root="2.16.840.1.113883.3.3208.101.10" extension="20130607113300-ResultOrganizer"/>
<code xsi:type="CE" nullFlavor="NI"/>
<statusCode code="completed"/>
<effectiveTime>
<low nullFlavor="NI"/>
<high value="20130607000000-0000"/>
</effectiveTime>
<!-- Up until now. -->
<!-- Brian's sample had a weird date in here. -->
<component>
<observation classCode="OBS" moodCode="EVN" >
<!-- removed this: nullFlavor="NI"-->
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
<!-- Results Observation -->
<id nullFlavor="NI"/>
<code nullFlavor="NI" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
<!-- No code here -->
<text>
<reference value="#results1"/>
</text>
<statusCode code="completed"/>
<effectiveTime>
<low nullFlavor="NI"/>
<high value="20130607000000-0000"/>
</effectiveTime>
<!-- Up until now. -->
<value xsi:type="CD" nullFlavor="NI"/>
<interpretationCode nullFlavor="NI"/>
</observation>
</component>
</organizer>
</entry>
</section>
</component>
<!-- Plan of Care Section -->
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.10"/>
<!-- Plan of Care Section-->
<code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Plan of Care"/>
<title>PLAN OF CARE</title>
<text>No Information About Plan of Care</text>
</section>
</component>
<!-- Social History (with Smoking Status Observation) -->
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.17"/>
<!-- Social History Section -->
<code code="29762-2" codeSystem="2.16.840.1.113883.6.1" displayName="Social History"/>
<title>SOCIAL HISTORY</title>
<text>
<content ID="socialhist1">No Information About Social History</content>
</text>
<entry>
<observation classCode="OBS" moodCode="EVN" nullFlavor="NI">
<templateId root="2.16.840.1.113883.10.20.22.4.78"/>
<!-- Smoking Status Observation -->
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<effectiveTime>
<low nullFlavor="NI"/>
<high nullFlavor="NI"/>
</effectiveTime>
<value xsi:type="CD" code="266927001" displayName="Unknown if ever smoked" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
</observation>
</entry>
</section>
</component>
<!-- Vital Signs Section (entries required) -->
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.4.1"/>
<!-- Vital Signs (entries required) -->
<code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital Signs"/>
<title>VITAL SIGNS</title>
<text>
<content ID="vitalsigns1">No Information About Vital Signs</content>
</text>
<entry typeCode="DRIV">
<organizer classCode="CLUSTER" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.26" />
<!-- Vital Signs Organizer -->
<id root="2.16.840.1.113883.3.3208.101.10" extension="20130607125100-VitalSignsOrganizer"/>
<code code="46680005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Vital signs"/>
<statusCode code="completed"/>
<effectiveTime nullFlavor="NI"/>
<component>
<observation classCode="OBS" moodCode="EVN" nullFlavor="NI">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<!-- Vital Signs Observation -->
<id root="2.16.840.1.113883.3.3208.101.10" extension="20130607125100-VitalSignsObservation"/>
<code nullFlavor="NI"/>
<text>
<reference value="#vitalsigns1"/>
</text>
<statusCode code="completed"/>
<effectiveTime nullFlavor="NI"/>
<value xsi:type="PQ" nullFlavor="NI"/>
</observation>
</component>
</organizer>
</entry>
</section>
</component>
</structuredBody>
</component>
</ClinicalDocument>