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JeremyBatesApi.xml
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JeremyBatesApi.xml
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<!-- This XML document was retrieved from a public repository of certified EHR samples for Meaningful Use
That repository states "The public will be able to view-download the submitted files from this repository."
The original files have been edited to make them human-readable and easier to download. Please refer to source repository for original versions
The copy date of original repository was February 1, 2018. Here is original repository: https://github.com/siteadmin/2015-C-CDA-Certification-Samples
All of these samples were supposed be C-CDA 2.1 clinical documents. The following disclaimer applies to ALL INFORMATION contained herein:
THIS INFORMATION IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY,
WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF OR IN CONNECTION WITH THE INFORMATION OR THE USE OR OTHER DEALINGS IN THE INFORMATION.
Beyond that, I hope they are useful and "hooray" for government transparency! John D'Amore, Diameter Health, Inc. -->
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xmlns="urn:hl7-org:v3"
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<title>Clinical Summary</title>
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<given>Jeremy</given>
<given>V</given>
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<suffix>Jr</suffix>
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<given>Albert</given>
<family>Davis</family>
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<assignedPerson>
<name>
<prefix>Dr</prefix>
<given>Albert</given>
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<assignedPerson>
<name>
<prefix>Dr</prefix>
<given>Albert</given>
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<telecom use="WP" value="tel:(555)555-1002" />
<assignedPerson>
<name>
<given>Tracy</given>
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<title>Allergies</title>
<text>No Known Allergies</text>
<entry typeCode="DRIV">
<act classCode="ACT" moodCode="EVN">
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<title>Assessment and Plan</title>
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<table>
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<th>Assessment and Plan</th>
</tr>
</thead>
<tbody>
<tr ID="APPOC28242606P">
<td>Date of Encounter: 2015-07-22 Plan: The patient was found to be healthy and advised to follow his current routine of exercise, work, sleep and quality of life. Schedule a visit for next year.
<br />
<br />
<br />
<br />
<br />
<br />
</td>
</tr>
</tbody>
</table>
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<th>Encounter Diagnosis</th>
<th>Location</th>
<th>Date</th>
</tr>
</thead>
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<td>Caregiver annual health check</td>
<td>Neighborhood Physicians Practice</td>
<td>2015-07-22</td>
</tr>
<tr ID="Encounter28242606">
<td>Not specified</td>
<td>Neighborhood Physicians Practice</td>
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</tr>
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<streetAddressLine>2472 Rocky Place </streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>United States of America</country>
</addr>
<telecom use="WP" value="tel:(555)555-1002" />
<assignedPerson>
<name>
<prefix>Dr</prefix>
<given>Albert</given>
<family>Davis</family>
</name>
</assignedPerson>
</assignedEntity>
</performer>
<participant typeCode="LOC">
<participantRole classCode="SDLOC">
<templateId root="2.16.840.1.113883.10.20.22.4.32" />
<templateId root="2.16.840.1.113883.10.20.22.4.32" extension="2015-08-01" />
<code nullFlavor="NI" />
<addr use="WP">
<streetAddressLine>Neighborhood Physicians Practice</streetAddressLine>
<streetAddressLine>2472 Rocky Place </streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>United States of America</country>
</addr>
<telecom use="WP" value="tel:(555)555-1002" />
</participantRole>
</participant>
<entryRelationship typeCode="REFR">
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.80" />
<templateId root="2.16.840.1.113883.10.20.22.4.80" extension="2015-08-01" />
<code xsi:type="CE" code="29308-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Encounter Diagnosis" />
<entryRelationship typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN" negationInd="false">
<templateId root="2.16.840.1.113883.10.20.22.4.4" />
<templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01" />
<id root="2.16.840.1.113883.3.3388.1.1.1.1281788.3.9294412.2.1" extension="19656119" />
<code code="282291009" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Diagnosis">
<translation code="29308-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Diagnosis" />
</code>
<statusCode code="completed" />
<effectiveTime xsi:type="IVL_TS">
<low value="20150722000000" />
</effectiveTime>
<value xsi:type="CD" code="699134002" displayName="Caregiver annual health check" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT">
<translation xsi:type="CD" code="Z00.00" displayName="Encounter for general adult medical examination without abnormal findings" codeSystem="2.16.840.1.113883.6.90" codeSystemName="ICD10CM" />
</value>
</observation>
</entryRelationship>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.31" />
<code xsi:type="CE" code="445518008" codeSystem="2.16.840.1.113883.6.96" displayName="Age At Onset" />
<statusCode code="completed" />
<value xsi:type="PQ" value="34" unit="a" />
</observation>
</entryRelationship>
</act>
</entryRelationship>
</encounter>
</entry>
<entry typeCode="DRIV">
<encounter classCode="ENC" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.49" />
<templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2015-08-01" />
<id root="2.16.840.1.113883.3.3388.1.1.1.1281788.3.9294412.1.3.2" extension="28242606" />
<code xsi:type="CE" code="185349003" displayName="Encounter for "check-up" (procedure)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT">
<originalText>
<reference value="#Encounter28242606" />
</originalText>
</code>
<effectiveTime xsi:type="IVL_TS">
<low value="20150722000000" />
<high value="20150722000000" />
</effectiveTime>
<performer typeCode="PRF">
<assignedEntity classCode="ASSIGNED">
<id root="2.16.840.1.113883.3.3388.1.1.1.1281788.1.1.3" extension="1432320" />
<addr use="WP">
<streetAddressLine>Neighborhood Physicians Practice</streetAddressLine>
<streetAddressLine>2473 Rocky Place </streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>United States of America</country>
</addr>
<telecom use="WP" value="tel:(555)555-1002" />
<assignedPerson>
<name>
<prefix>Dr</prefix>
<given>Albert</given>
<family>Davis</family>
</name>
</assignedPerson>
</assignedEntity>
</performer>
<participant typeCode="LOC">
<participantRole classCode="SDLOC">
<templateId root="2.16.840.1.113883.10.20.22.4.32" />
<templateId root="2.16.840.1.113883.10.20.22.4.32" extension="2015-08-01" />
<code nullFlavor="NI" />
<addr use="WP">
<streetAddressLine>Neighborhood Physicians Practice</streetAddressLine>
<streetAddressLine>2473 Rocky Place </streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>United States of America</country>
</addr>
<telecom use="WP" value="tel:(555)555-1002" />
</participantRole>
</participant>
</encounter>
</entry>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.14" />
<templateId root="2.16.840.1.113883.10.20.22.2.14" extension="2014-06-09" />
<code code="47420-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Functional Status" />
<title>Functional Status</title>
<text>No information</text>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.56" extension="2015-08-01" />
<code code="10190-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Mental status" />
<title>Mental status</title>
<text>No information</text>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.2.1" />
<templateId root="2.16.840.1.113883.10.20.22.2.2.1" extension="2015-08-01" />
<code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of Immunizations" />
<title>Immunizations</title>
<text>No immunization history</text>
<entry>
<substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="true">
<templateId root="2.16.840.1.113883.10.20.22.4.52" />
<templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01" />
<id nullFlavor="NA" />
<text>
<reference value="#immun1" />
</text>
<statusCode code="active" />
<effectiveTime nullFlavor="NA" />
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.54" />
<templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09" />
<manufacturedMaterial>
<code nullFlavor="OTH">
<translation code="71181003" displayName="vaccine" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
</substanceAdministration>
</entry>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.1.1" />
<templateId root="2.16.840.1.113883.10.20.22.2.1.1" extension="2014-06-09" />
<code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of Medication Use" />
<title>Medications</title>
<text>No Known Medications</text>
<entry typeCode="DRIV">
<substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="true">
<templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09" />
<templateId root="2.16.840.1.113883.10.20.22.4.16" />
<id root="2.16.840.1.113883.3.3388.1.1.1.1281788.3.9294412.1.4.1" extension="0" />
<text>
<reference value="#Med1" />
</text>
<statusCode code="active" />
<effectiveTime nullFlavor="NA" />
<doseQuantity nullFlavor="NA" />
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.23" />
<templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09" />
<id root="2.16.840.1.113883.3.3388.1.1.1.1281788.3.9294412.1.4.1" extension="0" />
<manufacturedMaterial>
<code nullFlavor="OTH" codeSystem="2.16.840.1.113883.6.88">
<translation code="410942007" displayName="drug or medication" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
</substanceAdministration>
</entry>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.5.1" />
<templateId root="2.16.840.1.113883.10.20.22.2.5.1" extension="2015-08-01" />
<code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem List" />
<title>Problem List</title>
<text>
<table width="95%" border="1">
<thead>
<tr>
<th>Problem Description</th>
<th>Problem StartDate</th>
<th>Status</th>
</tr>
</thead>
<tbody>
<tr ID="problem19656119">
<td>Caregiver annual health check</td>
<td>2015-07-22</td>
<td>active</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.3" />
<templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01" />
<id root="2.16.840.1.113883.3.3388.1.1.1.1281788.3" extension="9294412" />
<code xsi:type="CE" code="CONC" codeSystem="2.16.840.1.113883.5.6" displayName="Concern" />
<statusCode code="active" />
<effectiveTime xsi:type="IVL_TS">
<low value="20150722000000" />
<high nullFlavor="NI" />
</effectiveTime>
<entryRelationship typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN" negationInd="false">
<templateId root="2.16.840.1.113883.10.20.22.4.4" />
<templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01" />
<id root="2.16.840.1.113883.3.3388.1.1.1.1281788.3.9294412.2.1" extension="19656119" />
<code code="282291009" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Diagnosis">
<translation code="29308-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Diagnosis" />
</code>
<text>
<reference value="#problem19656119" />
</text>
<statusCode code="completed" />
<effectiveTime xsi:type="IVL_TS">
<low value="20150722000000" />
<high nullFlavor="NI" />
</effectiveTime>
<value xsi:type="CD" code="699134002" displayName="Caregiver annual health check" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT">
<translation xsi:type="CD" code="Z00.00" displayName="Encounter for general adult medical examination without abnormal findings" codeSystem="2.16.840.1.113883.6.90" codeSystemName="ICD10CM" />
</value>
<performer typeCode="PRF">
<assignedEntity classCode="ASSIGNED">
<id root="2.16.840.1.113883.3.3388.1.1.1.1281788.1.1.3" extension="1432320" />
<addr use="WP">
<streetAddressLine>Neighborhood Physicians Practice</streetAddressLine>
<streetAddressLine>2472 Rocky Place </streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>United States of America</country>
</addr>
<telecom use="WP" value="tel:(555)555-1002" />
<assignedPerson>
<name>
<prefix>Dr</prefix>
<given>Albert</given>
<family>Davis</family>
</name>
</assignedPerson>
</assignedEntity>
</performer>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.31" />
<code xsi:type="CE" code="445518008" codeSystem="2.16.840.1.113883.6.96" displayName="Age At Onset" />
<statusCode code="completed" />
<value xsi:type="PQ" value="34" unit="a" />
</observation>
</entryRelationship>
<entryRelationship typeCode="REFR">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.6" />
<id root="2.16.840.1.113883.3.3388.1.1.1.1281788.3.9294412.2.1" extension="19656119" />
<code xsi:type="CE" code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Status" />
<text>
<reference value="#problem19656119" />
</text>
<statusCode code="completed" />
<effectiveTime xsi:type="IVL_TS">
<low value="20150722000000" />
<high nullFlavor="NI" />
</effectiveTime>
<value xsi:type="CD" code="55561003" displayName="Active" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" />
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</act>
</entry>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.23" extension="2014-06-09" />
<code code="46264-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Medical Equipment" />
<title>Medical Equipment</title>
<text>No Known Implantable Devices</text>
<entry>
<procedure classCode="PROC" moodCode="EVN" negationInd="true">
<templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09" />
<id nullFlavor="NA" />
<code code="71388002" codeSystem="2.16.840.1.113883.6.96" displayName="Procedure" />
<statusCode code="completed" />
<effectiveTime nullFlavor="NA" />
<participant typeCode="DEV">
<participantRole classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.37" />
<id nullFlavor="NA" root="2.16.840.1.113883.3.3719" assigningAuthorityName="FDA" />
<playingDevice>
<code code="40388003" codeSystem="2.16.840.1.113883.6.96" displayName="Implant" />
</playingDevice>
<scopingEntity>
<id root="2.16.840.1.113883.3.3719" />
</scopingEntity>
</participantRole>
</participant>
</procedure>
</entry>
</section>
</component>
<component>
<section nullFlavor="NI">
<templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09" />
<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="Procedures" />
<title>Procedures</title>
<text>
<table width="95%" border="1">
<thead>
<tr>
<th>Procedure</th>
<th>Date</th>
</tr>
</thead>
<tbody>
<tr>
<td>No Procedures Indicated</td>
<td>Not Applicable</td>
</tr>
</tbody>
</table>
</text>
</section>
</component>
<component>
<section>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.1" />
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.1" extension="2014-06-09" />
<code code="42349-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Reason for Referral" />
<title>Reason for Referral</title>
<text>
<paragraph ID="ReasonForReferral_246330">
To: Gina Davis
Content: We are referring Jeremy Bates to you for evaluation and treatment </paragraph>
<paragraph ID="ReasonForReferral_246331">
To: Gina Davis
Content: We are referring Jeremy Bates to you for evaluation and treatment </paragraph>
<paragraph ID="ReasonForReferral_246332">
To: Gina Davis
Content: We are referring Jeremy Bates to you for evaluation and treatment </paragraph>
<paragraph ID="ReasonForReferral_246333">Referral to general practitioner (procedure)
To: Diane Whitney
Content: We are referring Jeremy Bates to you for evaluation and treatment </paragraph>
</text>
</section>
</component>
<component>
<section nullFlavor="NI">
<templateId root="2.16.840.1.113883.10.20.22.2.3.1" extension="2015-08-01" />
<templateId root="2.16.840.1.113883.10.20.22.2.3.1" />
<code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="RESULTS" />
<title>Results</title>
<text>No Lab Tests. No Lab results.</text>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.17" />
<templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01" />
<code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Social History" />
<title>Social History</title>
<text>
<table width="95%" border="1">
<thead>
<tr>
<th>Social History</th>
<th>Effective Date</th>
</tr>
</thead>
<tbody>
<tr ID="SmokingStatus_1">
<td>Current every day smoker</td>
<td>2015-07-22</td>
</tr>
<tr>
<td ID="BirthSex">Birth Sex: M</td>
<td>1980-08-01</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.78" />
<templateId root="2.16.840.1.113883.10.20.22.4.78" extension="2014-06-09" />
<id root="2.16.840.1.113883.3.3388.1.1.1.1281788.3.9294412.1.14" extension="105574" />
<code code="72166-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Tobacco smoking status NHIS" />
<text>
<reference value="#SmokingStatus_1" />
</text>
<statusCode code="completed" />
<effectiveTime value="20170907145545" />
<value xsi:type="CD" code="449868002" displayName="Current every day smoker" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" />
</observation>
</entry>
<entry typeCode="DRIV">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.200" extension="2016-06-01" />
<id nullFlavor="NI" />
<code code="76689-9" codeSystem="2.16.840.1.113883.6.1" displayName="Sex Assigned At Birth" />
<text>
<reference value="#BirthSex" />
</text>
<statusCode code="completed" />
<value xsi:type="CD" codeSystem="2.16.840.1.113883.5.1" codeSystemName="AdministrativeGender" code="M" displayName="Male" />
</observation>
</entry>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.4.1" />
<templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01" />
<code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital Signs" />
<title>Vital Signs</title>
<text>
<table>
<thead>
<tr>
<th>Vital Name</th>
<th>Measurement Date</th>
<th>Value</th>
</tr>
</thead>
<tbody>
<tr ID="vital_1">
<td>Systolic BP</td>
<td>2015-07-22</td>
<td>145 mm[Hg]</td>
</tr>
<tr ID="vital_2">
<td>Diastolic BP</td>
<td>2015-07-22</td>
<td>88 mm[Hg]</td>
</tr>
<tr ID="vital_3">
<td>Height</td>
<td>2015-07-22</td>
<td>177 cm</td>
</tr>
<tr ID="vital_4">
<td>Weight</td>
<td>2015-07-22</td>
<td>88 kg</td>
</tr>
<tr ID="vital_5">
<td>BMI (Body Mass Index)</td>
<td>2015-07-22</td>
<td>28.09 kg/m2</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<organizer classCode="CLUSTER" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.26" />
<templateId root="2.16.840.1.113883.10.20.22.4.26" extension="2015-08-01" />
<id root="2.16.840.1.113883.3.3388.1.1.1.1281788.3.9294412.1.3.2" />
<code code="46680005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Vital signs">
<translation code="74728-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel" />
</code>
<statusCode code="completed" />
<effectiveTime xsi:type="IVL_TS">
<low value="20150722000000" />
<high value="20150722142700" />
</effectiveTime>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" />
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
<id root="2.16.840.1.113883.3.3388.1.1.1.1281788.3.9294412.1.11" extension="08d4e9a4-b2ed-6da5-ae0a-349c6caa197f" />
<code xsi:type="CE" code="8480-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Systolic BP" />
<text>
<reference value="#vital_1" />
</text>
<statusCode code="completed" />
<effectiveTime value="20150722142700" />
<value xsi:type="PQ" value="145" unit="mm[Hg]" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" />
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
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<code xsi:type="CE" code="8462-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Diastolic BP" />
<text>
<reference value="#vital_2" />
</text>
<statusCode code="completed" />
<effectiveTime value="20150722142700" />
<value xsi:type="PQ" value="88" unit="mm[Hg]" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" />
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
<id root="2.16.840.1.113883.3.3388.1.1.1.1281788.3.9294412.1.11" extension="08d4e9a4-b2eb-0b48-ae59-ef0ceebe4c13" />
<code xsi:type="CE" code="8302-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Height" />
<text>
<reference value="#vital_3" />
</text>
<statusCode code="completed" />
<effectiveTime value="20150722142700" />
<value xsi:type="PQ" value="177" unit="cm" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" />
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
<id root="2.16.840.1.113883.3.3388.1.1.1.1281788.3.9294412.1.11" extension="08d4e9a4-b2eb-0b4a-9ac8-4bb9affd483d" />
<code xsi:type="CE" code="29463-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Weight" />
<text>
<reference value="#vital_4" />
</text>
<statusCode code="completed" />
<effectiveTime value="20150722142700" />
<value xsi:type="PQ" value="88" unit="kg" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" />
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
<id root="2.16.840.1.113883.3.3388.1.1.1.1281788.3.9294412.1.11" extension="28242606-39156-5" />
<code xsi:type="CE" code="39156-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BMI (Body Mass Index)" />
<text>
<reference value="#vital_5" />
</text>
<statusCode code="completed" />
<effectiveTime value="20150722000000" />
<value xsi:type="PQ" value="28.09" unit="kg/m2" />
</observation>
</component>
</organizer>
</entry>
</section>
</component>
<component>
<section nullFlavor="NI">
<templateId root="2.16.840.1.113883.10.20.22.2.60" />
<code code="61146-7" displayName="Goals" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
<title>Goals</title>
<text>
<paragraph>No goals are recorded</paragraph>
</text>
</section>
</component>
<component>
<section nullFlavor="NI">
<templateId root="2.16.840.1.113883.10.20.22.2.58" />
<templateId root="2.16.840.1.113883.10.20.22.2.58" extension="2015-08-01" />
<code code="75310-3" displayName="Health Concerns Document" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
<title>Health Concerns</title>
<text>No Known Health Concerns</text>
</section>
</component>
</structuredBody>
</component>
</ClinicalDocument>