-
Notifications
You must be signed in to change notification settings - Fork 104
/
CCD.xml
1055 lines (1053 loc) · 47 KB
/
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
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704
705
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
763
764
765
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
787
788
789
790
791
792
793
794
795
796
797
798
799
800
801
802
803
804
805
806
807
808
809
810
811
812
813
814
815
816
817
818
819
820
821
822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
855
856
857
858
859
860
861
862
863
864
865
866
867
868
869
870
871
872
873
874
875
876
877
878
879
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894
895
896
897
898
899
900
901
902
903
904
905
906
907
908
909
910
911
912
913
914
915
916
917
918
919
920
921
922
923
924
925
926
927
928
929
930
931
932
933
934
935
936
937
938
939
940
941
942
943
944
945
946
947
948
949
950
951
952
953
954
955
956
957
958
959
960
961
962
963
964
965
966
967
968
969
970
971
972
973
974
975
976
977
978
979
980
981
982
983
984
985
986
987
988
989
990
991
992
993
994
995
996
997
998
999
1000
<?xml version="1.0" encoding="UTF-8"?>
<?xml-stylesheet type="text/xsl" href="CDA.xsl"?>
<!--
Title: Continuity of Care Document (CCD)
Filename: C-CDA_R2_CCD_2.xml
Created by: Lantana Consulting Group, LLC
$LastChangedDate: 2014-11-12 23:25:09 -0500 (Wed, 12 Nov 2014) $
********************************************************
Disclaimer: This sample file contains representative data elements to represent a Continuity of Care Document (CCD).
The file depicts a fictional character's health data. Any resemblance to a real person is coincidental.
To illustrate as many data elements as possible, the clinical scenario may not be plausible.
The data in this sample file is not intended to represent real patients, people or clinical events.
This sample is designed to be used in conjunction with the C-CDA Clinical Notes Implementation Guide.
********************************************************
-->
<!-- This CCD_2 illustrates how to represent "no known", "no information", and "pending" in some sections.
In addition it provides several other sectional data (e.g. Vital Signs) different than other sample CCD -->
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:sdtc="urn:hl7-org:sdtc">
<!-- ** CDA Header ** -->
<realmCode code="US"/>
<typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
<!-- CCD document template within C-CDA 2.0-->
<templateId root="2.16.840.1.113883.10.20.22.1.2" extension="2014-06-09"/>
<!-- Globally unique identifier for the document. Can only be [1..1] -->
<id extension="EHRVersion2.0" root="be84a8e4-a22e-4210-a4a6-b3c48273e84c"/>
<code code="34133-9" displayName="Summary of episode note" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
<!-- Title of this document -->
<title>Summary of Patient Chart</title>
<!-- This is the time of document generation -->
<effectiveTime value="20141015103026-0500"/>
<confidentialityCode code="N" displayName="normal" codeSystem="2.16.840.1.113883.5.25" codeSystemName="Confidentiality"/>
<!-- This is the document language code which uses internet standard RFC 4646. This often differs from patient language within recordTarget -->
<languageCode code="en-US"/>
<setId extension="sTT988" root="2.16.840.1.113883.19.5.99999.19"/>
<!-- Version of this document -->
<versionNumber value="1"/>
<recordTarget>
<patientRole>
<!-- The id would likely be the patient's medical record number. This root identifies Partners Healthcare as an example -->
<id extension="98765432" root="1.3.6.1.4.1.16517.1"/>
<!-- Additional ids can capture other MRNs or identifiers, such as social security number shown below -->
<id extension="12345679" root="2.16.840.1.113883.4.1"/>
<!-- HP is "primary home" from valueSet 2.16.840.1.113883.1.11.10637 -->
<addr use="HP">
<!-- You can have multiple [1..4] streetAddressLine elements. Single shown below -->
<streetAddressLine>4567 Residence Rd</streetAddressLine>
<city>Beaverton</city>
<!-- 5 or 9 digit zip codes from valueSet 2.16.840.1.113883.3.88.12.80.2-->
<!-- PostalCode is required if the country is US. If country is not specified, it's assumed to be US. If country
is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies -->
<postalCode>97867</postalCode>
<!-- State is required if the country is US. If country is not specified, it's assumed to be US.
If country is something other than US, the state MAY be present but MAY be bound to different vocabularies -->
<!-- OR is "Oregon" from valueSet 2.16.840.1.113883.3.88.12.80.1 -->
<state>OR</state>
<!-- US is "United States" from valueSet 2.16.840.1.113883.3.88.12.80.63 -->
<country>US</country>
</addr>
<!-- MC is "mobile contact" from HL7 AddressUse 2.16.840.1.113883.5.1119 -->
<telecom value="tel:+1(444)444-4444" use="MC"/>
<!-- Multiple telecoms are possible -->
<telecom value="mailto:Isbella.Jones.CCD@gmail.com"/>
<patient>
<name use="L">
<given>Isabella</given>
<family qualifier="SP">Jones</family>
</name>
<administrativeGenderCode code="F" displayName="Female" codeSystem="2.16.840.1.113883.5.1" codeSystemName="AdministrativeGender"/>
<!-- Date of birth need only be precise to the day -->
<birthTime value="19501219"/>
<maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2" codeSystemName="MaritalStatusCode"/>
<religiousAffiliationCode code="1013" displayName="Christian (non-Catholic, non-specific)" codeSystem="2.16.840.1.113883.5.1076" codeSystemName="HL7 Religious Affiliation"/>
<!-- CDC Race and Ethnicity code set contains the five minimum race and ethnicity categories defined by OMB Standards -->
<raceCode code="2106-3" displayName="White" codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race & Ethnicity - CDC"/>
<!-- The raceCode extension is only used if raceCode is valued -->
<sdtc:raceCode code="2114-7" displayName="Italian" codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race & Ethnicity - CDC"/>
<ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino" codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race & Ethnicity - CDC"/>
<guardian>
<code code="POWATT" displayName="Power of Attorney" codeSystem="2.16.840.1.113883.1.11.19830" codeSystemName="ResponsibleParty"/>
<addr use="HP">
<streetAddressLine>4567 Residence Rd</streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97867</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(444)444-4444" use="MC"/>
<guardianPerson>
<name>
<given>Boris</given>
<given qualifier="CL">Bo</given>
<family>Jones</family>
</name>
</guardianPerson>
</guardian>
<birthplace>
<place>
<addr>
<streetAddressLine>4444 Home Street</streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97867</postalCode>
<country>US</country>
</addr>
</place>
</birthplace>
<languageCommunication>
<languageCode code="ita"/>
<!-- "ita" is ISO 639-2 alpha-3 code for "Italian" -->
<modeCode code="ESP" displayName="Expressed spoken" codeSystem="2.16.840.1.113883.5.60" codeSystemName="LanguageAbilityMode"/>
<proficiencyLevelCode code="G" displayName="Good" codeSystem="2.16.840.1.113883.5.61" codeSystemName="LanguageAbilityProficiency"/>
<!-- Patient's preferred language -->
<preferenceInd value="true"/>
</languageCommunication>
<languageCommunication>
<languageCode code="eng"/>
<!-- "eng" is ISO 639-2 alpha-3 code for "English" -->
<modeCode code="ESP" displayName="Expressed spoken" codeSystem="2.16.840.1.113883.5.60" codeSystemName="LanguageAbilityMode"/>
<proficiencyLevelCode code="P" displayName="Poor" codeSystem="2.16.840.1.113883.5.61" codeSystemName="LanguageAbilityProficiency"/>
<!-- Patient's preferred language -->
<preferenceInd value="false"/>
</languageCommunication>
</patient>
<providerOrganization>
<id extension="219BX" root="1.1.1.1.1.1.1.1.2"/>
<name>The Doctors Together Physician Group</name>
<telecom use="WP" value="tel: +1(555)555-5000"/>
<addr>
<streetAddressLine>1007 Health Drive</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
</providerOrganization>
</patientRole>
</recordTarget>
<!-- The author represents the person who provides the content in the document -->
<author>
<time value="20141015103026-0500"/>
<assignedAuthor>
<id extension="5555555555" root="2.16.840.1.113883.4.6"/>
<code code="207QA0505X" displayName="Allopathic & Osteopathic Physicians; Family Medicine, Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
<addr>
<streetAddressLine>1004 Healthcare Drive </streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
<telecom use="WP" value="tel:+1(555)555-1004"/>
<assignedPerson>
<name>
<given>Patricia</given>
<given qualifier="CL">Patty</given>
<family>Primary</family>
<suffix qualifier="AC">M.D.</suffix>
</name>
</assignedPerson>
</assignedAuthor>
</author>
<!-- While not required, a second author may be appropriate to represent EHR software used-->
<author>
<time value="20141015103026-0500"/>
<assignedAuthor>
<id nullFlavor="NI"/>
<addr>
<streetAddressLine>1004 Healthcare Drive </streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
<telecom use="WP" value="tel:+1(555)555-1004"/>
<assignedAuthoringDevice>
<manufacturerModelName>Generic EHR Clinical System 2.0.0.0.0.0</manufacturerModelName>
<softwareName>Generic EHR C-CDA Factory 2.0.0.0.0.0 - C-CDA Transform 2.0.0.0.0</softwareName>
</assignedAuthoringDevice>
<representedOrganization>
<id extension="3" root="1.3.6.1.4.1.22812.3.99930.3"/>
<name>The Doctors Together Physician Group</name>
<telecom value="tel:+1(555)555-1004"/>
<addr>
<streetAddressLine>1004 Healthcare Drive </streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<!-- The dataEnterer transferred the content created by the author into the document -->
<dataEnterer>
<assignedEntity>
<id extension="333777777" root="2.16.840.1.113883.4.6"/>
<addr>
<streetAddressLine>1007 Healthcare Drive</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
<telecom use="WP" value="tel:+1(555)555-1050"/>
<assignedPerson>
<name>
<given>Ellen</given>
<family>Enter</family>
</name>
</assignedPerson>
</assignedEntity>
</dataEnterer>
<!-- The informant represents any sources of information for document content -->
<informant>
<assignedEntity>
<id extension="333444444" root="1.1.1.1.1.1.1.4"/>
<addr>
<streetAddressLine>1017 Health Drive</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
<telecom use="WP" value="tel:+1(555)555-1017"/>
<assignedPerson>
<name>
<given>William</given>
<given qualifier="CL">Bill</given>
<family>Beaker</family>
</name>
</assignedPerson>
<representedOrganization>
<name>Good Health Laboratory</name>
</representedOrganization>
</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>Boris</given>
<given qualifier="CL">Bo</given>
<family>Jones</family>
</name>
</relatedPerson>
</relatedEntity>
</informant>
<!-- The custodian represents the organization charged with maintaining the original source document -->
<custodian>
<assignedCustodian>
<representedCustodianOrganization>
<id extension="321CX" root="1.1.1.1.1.1.1.1.3"/>
<name>Good Health HIE</name>
<telecom use="WP" value="tel:+1(555)555-1009"/>
<addr use="WP">
<streetAddressLine>1009 Healthcare Drive </streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
</representedCustodianOrganization>
</assignedCustodian>
</custodian>
<!-- The informationRecipient represents the intended recipient of the document -->
<informationRecipient>
<intendedRecipient>
<informationRecipient>
<name>
<given>Sara</given>
<family>Specialize</family>
<suffix qualifier="AC">M.D.</suffix>
</name>
</informationRecipient>
<receivedOrganization>
<name>The DoctorsApart Physician Group</name>
</receivedOrganization>
</intendedRecipient>
</informationRecipient>
<!-- The legalAuthenticator represents the individual who is responsible for the document -->
<legalAuthenticator>
<time value="20141015103026-0500"/>
<signatureCode code="S"/>
<assignedEntity>
<id extension="5555555555" root="2.16.840.1.113883.4.6"/>
<code code="207QA0505X" displayName="Allopathic & Osteopathic Physicians; Family Medicine, Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
<addr>
<streetAddressLine>1004 Healthcare Drive </streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
<telecom use="WP" value="tel:+1(555)555-1004"/>
<assignedPerson>
<name>
<given>Patricia</given>
<given qualifier="CL">Patty</given>
<family>Primary</family>
<suffix qualifier="AC">M.D.</suffix>
</name>
</assignedPerson>
</assignedEntity>
</legalAuthenticator>
<!-- The authenticator represents the individual attesting to the accuracy of information in the document-->
<authenticator>
<time value="20141015103026-0500"/>
<signatureCode code="S"/>
<assignedEntity>
<id extension="5555555555" root="2.16.840.1.113883.4.6"/>
<code code="207QA0505X" displayName="Allopathic & Osteopathic Physicians; Family Medicine, Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
<addr>
<streetAddressLine>1004 Healthcare Drive </streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
<telecom use="WP" value="tel:+1(555)555-1004"/>
<assignedPerson>
<name>
<given>Patricia</given>
<given qualifier="CL">Patty</given>
<family>Primary</family>
<suffix qualifier="AC">M.D.</suffix>
</name>
</assignedPerson>
</assignedEntity>
</authenticator>
<!-- The participant represents supporting entities -->
<participant typeCode="IND">
<!-- typeCode "IND" represents an individual -->
<associatedEntity classCode="NOK">
<!-- classCode "NOK" represents the patient's next of kin-->
<addr use="HP">
<streetAddressLine>2222 Home Street</streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97867</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)555-2008" use="MC"/>
<associatedPerson>
<name>
<given>Boris</given>
<given qualifier="CL">Bo</given>
<family>Jones</family>
</name>
</associatedPerson>
</associatedEntity>
</participant>
<!-- Entities playing multiple roles are recorded in multiple participants -->
<participant typeCode="IND">
<associatedEntity classCode="ECON">
<!-- classCode "ECON" represents an emergency contact -->
<addr use="HP">
<streetAddressLine>2222 Home Street</streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97867</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)555-2008" use="MC"/>
<associatedPerson>
<name>
<given>Boris</given>
<given qualifier="CL">Bo</given>
<family>Jones</family>
</name>
</associatedPerson>
</associatedEntity>
</participant>
<documentationOf>
<serviceEvent classCode="PCPR">
<!-- The effectiveTime reflects the provision of care summarized in the document.
In this scenario, the provision of care summarized is date when patient first seen -->
<effectiveTime>
<low value="20141001"/>
<!-- The low value represents when the summarized provision of care began.
In this scenario, the patient's first visit -->
<high value="20141015103026-0500"/>
<!-- The high value represents when the summarized provision of care being ended.
In this scenario, when chart summary was created -->
</effectiveTime>
<performer typeCode="PRF">
<functionCode code="PCP" displayName="primary care physician" codeSystem="2.16.840.1.113883.5.88" codeSystemName="Participation Function">
<originalText>Primary Care Provider</originalText>
</functionCode>
<assignedEntity>
<id extension="5555555555" root="2.16.840.1.113883.4.6"/>
<code code="207QA0505X" displayName="Allopathic & Osteopathic Physicians; Family Medicine, Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
<addr>
<streetAddressLine>1004 Healthcare Drive </streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
<telecom use="WP" value="tel:+1(555)555-1004"/>
<assignedPerson>
<name>
<given>Patricia</given>
<given qualifier="CL">Patty</given>
<family>Primary</family>
<suffix qualifier="AC">M.D.</suffix>
</name>
</assignedPerson>
<representedOrganization>
<id extension="219BX" root="1.1.1.1.1.1.1.1.2"/>
<name>The DoctorsTogether Physician Group</name>
<telecom use="WP" value="tel: +1(555)555-5000"/>
<addr>
<streetAddressLine>1004 Health Drive</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
</representedOrganization>
</assignedEntity>
</performer>
</serviceEvent>
</documentationOf>
<!-- ******************************************************** CDA Body ******************************************************** -->
<component>
<structuredBody>
<!-- ***************** ALLERGIES *************** -->
<component>
<section>
<!-- *** Allergies and Intolerances section with entries required *** -->
<!-- This section represents the statement of "no known allergies" -->
<!-- If you want to represent a more generalized 'no information', see null section pattern (e.g. this CCD medications and problems)-->
<!-- If you only wanted to represent 'no known drug allergies', the observation/value@code and participant should be changed accordingly -->
<templateId root="2.16.840.1.113883.10.20.22.2.6.1" extension="2014-06-09"/>
<code code="48765-2" codeSystem="2.16.840.1.113883.6.1"/>
<title>ALLERGIES AND ADVERSE REACTIONS</title>
<text>
<paragraph>No known allergies</paragraph>
</text>
<entry typeCode="DRIV">
<!-- Allergy Concern Act -->
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.30" extension="2014-06-09"/>
<id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
<!-- SDWG supports 48765-2 or CONC in the code element -->
<code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
<!--currently tracked concerns are active concerns-->
<statusCode code="active"/>
<effectiveTime>
<!-- This equates to the time the concern was authored in the patient's chart. This may frequently be an EHR timestamp-->
<low value="20141003103026-0500"/>
</effectiveTime>
<entryRelationship typeCode="SUBJ">
<!-- No Known Allergies -->
<!-- The negationInd = true negates the observation/value -->
<!-- The use of negationInd corresponds with the newer Observation.valueNegationInd -->
<observation classCode="OBS" moodCode="EVN" negationInd="true">
<!-- allergy - intolerance observation template -->
<templateId root="2.16.840.1.113883.10.20.22.4.7" extension="2014-06-09"/>
<id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<!-- N/A - In this case, no biological onset is documented for the absence of allergies -->
<effectiveTime>
<low nullFlavor="NA"/>
</effectiveTime>
<!-- This code was selected to negate any allergy. For no known drug allergies, code 416098002 would be more appropriate -->
<value xsi:type="CD" code="419199007" displayName="Allergy to substance (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<author>
<time value="20141003103026-0500"/>
<assignedAuthor>
<id extension="99999999" root="2.16.840.1.113883.4.6"/>
<code code="200000000X" codeSystem="2.16.840.1.113883.6.101" displayName="Allopathic & Osteopathic Physicians"/>
<telecom use="WP" value="tel:555-555-1002"/>
<assignedPerson>
<name>
<given>Henry</given>
<family>Seven</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
<!-- ISSUE participant is required for allergy intolerance even when negated -->
<participant typeCode="CSM">
<participantRole classCode="MANU">
<playingEntity classCode="MMAT">
<!-- ISSUE This conflicts with guidance from CDA example task force -->
<!-- Code 410942007 would be appropriate for no known drug allergy -->
<code code="105590001" displayName="Substance" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
</playingEntity>
</participantRole>
</participant>
</observation>
</entryRelationship>
</act>
</entry>
</section>
</component>
<!-- **************** MEDICATIONS ***************************** -->
<component>
<!-- nullFlavor of NI indicates No Information.-->
<!-- Note this pattern may not validate with schematron but has been SDWG approved -->
<section nullFlavor="NI">
<!-- *** Medications section with entries required *** -->
<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>
<paragraph>No information</paragraph>
</text>
</section>
</component>
<!-- ***************** PROBLEM LIST *********************** -->
<component>
<!-- nullFlavor of NI indicates No Information.-->
<!-- Note this pattern may not validate with schematron but has been SDWG approved -->
<section nullFlavor="NI">
<!-- conforms to Problems section with entries required -->
<templateId root="2.16.840.1.113883.10.20.22.2.5.1" extension="2014-06-09"/>
<code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PROBLEM LIST"/>
<title>PROBLEMS</title>
<text>No Information</text>
</section>
</component>
<!-- ************** PROCEDURES ***************** -->
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/>
<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" extension="2014-06-09"/>
<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="20141002103026-0500"/>
<high value="20141002124245-0500"/>
</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"/>
<performer>
<assignedEntity>
<id root="2.16.840.1.113883.19.5.9999.456" extension="2981823"/>
<addr>
<streetAddressLine>1001 Village Avenue</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
<telecom use="WP" value="+1(555)555-5000"/>
<representedOrganization classCode="ORG">
<id root="2.16.840.1.113883.19.5.9999.1393"/>
<name>Community Health and Hospitals</name>
<telecom use="WP" value="+1(555)555-5000"/>
<addr>
<streetAddressLine>1001 Village Avenue</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
</representedOrganization>
</assignedEntity>
</performer>
</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" extension="2014-06-09"/>
<id root="c03e5445-af1b-4911-a419-e2782f21448c"/>
<code xsi:type="CE" code="268400002" codeSystem="2.16.840.1.113883.6.96" displayName="12 lead electrocardiogram" 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="20141001103026-0500"/>
<!-- 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 electrocardiogram" 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"/>
<performer>
<assignedEntity>
<id root="2.16.840.1.113883.19.5.9999.456" extension="2981823"/>
<addr>
<streetAddressLine>1001 Village Avenue</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
<telecom use="WP" value="+1(555)555-5000"/>
<representedOrganization classCode="ORG">
<id root="2.16.840.1.113883.19.5.9999.1393"/>
<name>Community Health and Hospitals</name>
<telecom use="WP" value="+1(555)555-5000"/>
<addr>
<streetAddressLine>1001 Village Avenue</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
</representedOrganization>
</assignedEntity>
</performer>
</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" extension="2014-06-09"/>
<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 assessment and intervention, individual, face-to-face with the patient, each 15 minutes" 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="20141001143221-0500"/>
<performer>
<assignedEntity>
<id root="2.16.840.1.113883.19.5.9999.456" extension="2981823"/>
<addr>
<streetAddressLine>1001 Village Avenue</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
<telecom use="WP" value="+1(555)555-5000"/>
<representedOrganization classCode="ORG">
<id root="2.16.840.1.113883.19.5.9999.1393"/>
<name>Community Health and Hospitals</name>
<telecom use="WP" value="+1(555)555-5000"/>
<addr>
<streetAddressLine>1001 Village Avenue</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
</representedOrganization>
</assignedEntity>
</performer>
</act>
</entry>
</section>
</component>
<!-- ******************** RESULTS ************************ -->
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.3.1" extension="2014-06-09"/>
<code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="RESULTS"/>
<title>RESULTS</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Name</th>
<th>Actual Result</th>
<th>Date</th>
</tr>
</thead>
<tbody>
<tr>
<td>CBC with Ordered Manual Differential panel - Blood</td>
<td/>
<td>8/6/2012</td>
</tr>
<tr>
<td>
<content ID="result5">Leukocytes [#/volume] in Blood by Manual count [LOINC: 804-5]</content>
</td>
<!-- Representation of the pending test in the narrative section -->
<td>Pending</td>
<td>8/6/2012 11:45am</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<organizer classCode="BATTERY" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2014-06-09"/>
<id root="7d5a02b0-67a4-11db-bd13-0800200c9a66"/>
<code xsi:type="CE" code="57782-5" displayName="CBC with Ordered Manual Differential panel - Blood" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
<!-- Status is active since all components are not complete -->
<statusCode code="active"/>
<!-- This is one component of several that would typically in in CBC. Single result to illustrate pending information -->
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2014-06-09"/>
<id root="68762391-bfa5-4dfa-9f6f-d37109a97d19"/>
<code xsi:type="CE" code="804-5" displayName="Leukocytes [#/volume] in Blood by Manual count" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
<text>
<reference value="#result5"/>
</text>
<!-- Status of this test is active -->
<statusCode code="active"/>
<effectiveTime value="20141015103026-0500"/>
<!-- This should represent what the EHR or other system received from the lab -->
<!-- The more common scenario is the result is not present (i.e. you wouldn't include anything)-->
<!-- The task force created this example becasue it came up during certification testing-->
<!-- We do not believe this is a common scenario -->
<value xsi:type="PQ" nullFlavor="NA"/>
<!-- intepretationCode and referenceRange are omitted since pending result. You could also show as null -->
</observation>
</component>
</organizer>
</entry>
</section>
</component>
<!-- ******************* SOCIAL HISTORY ********************* -->
<component>
<section>
<!-- ** Social history section ** -->
<templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2014-06-09"/>
<code code="29762-2" codeSystem="2.16.840.1.113883.6.1" displayName="Social History"/>
<title>SOCIAL HISTORY</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Social History Observation</th>
<th>Description</th>
<th>Dates Observed</th>
</tr>
</thead>
<tbody>
<tr>
<td>Current Smoking Status</td>
<td>
<content ID="soc1"/>Unknown if ever smoked</td>
<td>September 10, 2012 11:45am</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<observation classCode="OBS" moodCode="EVN">
<!-- ** Current smoking status observation ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.78" extension="2014-06-09"/>
<id extension="123456789" root="2.16.840.1.113883.19"/>
<code code="72166-2" codeSystem="2.16.840.1.113883.6.1" displayName="Tobacco smoking status NHIS"/>
<statusCode code="completed"/>
<!-- This template represents a “snapshot in time” observation, simply reflecting what the patient’s
current smoking status is at the time of the observation. As a result, the effectiveTime is
constrained to just a time stamp, and will approximately correspond with the author/time. -->
<effectiveTime value="20141001103026-0500"/>
<!-- The value represents the patient's smoking status currently observed. -->
<value xsi:type="CD" code="266927001" displayName="Tobacco smoking consumption unknown" codeSystem="2.16.840.1.113883.6.96"/>
<author typeCode="AUT">
<time value="20141001103026-0500"/>
<assignedAuthor>
<id extension="5555555555" root="1.1.1.1.1.1.1.2"/>
</assignedAuthor>
</author>
</observation>
</entry>
</section>
</component>
<!-- ************* VITAL SIGNS *************** -->
<component>
<section>
<!-- ** Vital Signs section with entries required ** -->
<!-- Only select vital signs are shown below but a more complete list of common vital signs may include: -->
<!-- Height, Weight, Body Mass Index, Systolic Blood Pressure, Diastloic Blood Pressure, Heart Rate (Pulse)
Respiratory Rate, Pulse Oximetry (spO2), Temperature, Body Surface Area, Head Circumference-->
<templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2014-06-09"/>
<code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital signs"/>
<title>Vital Signs (Last Filed)</title>
<text>
<table>
<thead>
<tr>
<th>Date</th>
<th>Blood Pressure</th>
<th>Pulse</th>
<th>Temperature</th>
<th>Respiratory Rate</th>
<th>Height</th>
<th>Weight</th>
<th>BMI</th>
<th>SpO2</th>
</tr>
</thead>
<tbody>
<tr>
<td>05/20/2014 7:36pm</td>
<!-- You can consolidate Systolic and Diastolic in human view if desired but should retain separate references-->
<td>
<content ID="SystolicBP_1">120</content>/<content ID="DiastolicBP_1">80</content>mm[Hg] </td>
<td ID="Pulse_1">80 /min</td>
<td ID="Temp_1">37.2 C</td>
<td ID="RespRate_1">18 /min</td>
<td ID="Height_1">170.2 cm</td>
<td ID="Weight_1">108.8 kg</td>
<td ID="BMI_1">37.58 kg/m2</td>
<td ID="SPO2_1">98%</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<!-- When a set of vital signs are recorded together, include them in single clustered organizer-->
<organizer classCode="CLUSTER" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.26" extension="2014-06-09"/>
<id root="e6c800c4-4a71-41bf-80e2-e741dd1168e9"/>
<code code="74728-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="VITAL SIGNS"/>
<statusCode code="completed"/>
<effectiveTime value="20141001103026-0500"/>
<!-- Each vital sign should be its own component. Note that systolic and diastolic BP must be separate components-->
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="fdbd831b-5919-4f06-9467-76b07022f8e8"/>
<code code="8480-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Systolic blood pressure"/>
<text>
<!-- This reference identifies content in human readable formatted text-->
<reference value="#SystolicBP_1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20141001103026-0500"/>
<!-- Example of Value with UCUM unit. Note that metric units used in this example-->
<value xsi:type="PQ" value="120" unit="mm[Hg]"/>
<!-- Additional information of interpretation and/or reference range may be included but are optional-->
<author typeCode="AUT">
<time value="20141001103026-0500"/>
<assignedAuthor>
<id extension="5555555555" root="1.1.1.1.1.1.1.2"/>
</assignedAuthor>
</author>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="553f3f45-9046-4659-b3e7-5de904003550"/>
<code code="8462-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Diastolic blood pressure"/>
<text>
<reference value="#DiastolicBP_1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20141001103026-0500"/>
<value xsi:type="PQ" value="80" unit="mm[Hg]"/>
<author typeCode="AUT">
<time value="20141001103026-0500"/>
<assignedAuthor>
<id extension="5555555555" root="1.1.1.1.1.1.1.2"/>
</assignedAuthor>
</author>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="77bfe276-a1dd-4372-9072-e603905acc07"/>
<code code="8867-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Heart rate"/>
<text>
<reference value="#Pulse_1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20141001103026-0500"/>
<value xsi:type="PQ" value="80" unit="/min"/>
<author typeCode="AUT">
<time value="20141001103026-0500"/>
<assignedAuthor>
<id extension="5555555555" root="1.1.1.1.1.1.1.2"/>
</assignedAuthor>
</author>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="24faa204-db62-4610-864f-cb50b650d0fa"/>
<code code="8310-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Body temperature"/>
<text>
<reference value="#Temp_1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20141001103026-0500"/>
<value xsi:type="PQ" value="37.2" unit="Cel"/>
<author typeCode="AUT">
<time value="20141001103026-0500"/>
<assignedAuthor>
<id extension="5555555555" root="1.1.1.1.1.1.1.2"/>
</assignedAuthor>
</author>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="79f25395-8ec6-488b-8c05-becc97f79995"/>
<code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Respiratory rate"/>
<text>
<reference value="#RespRate_1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20141001103026-0500"/>
<value xsi:type="PQ" value="18" unit="/min"/>
<author typeCode="AUT">
<time value="20141001103026-0500"/>
<assignedAuthor>
<id extension="5555555555" root="1.1.1.1.1.1.1.2"/>
</assignedAuthor>
</author>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="6d3fa9f8-6049-41bd-b0c3-b0196bb6bd37"/>
<code code="8302-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Body height"/>
<text>
<reference value="#Height_1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20141001103026-0500"/>
<value xsi:type="PQ" value="170.2" unit="cm"/>
<author typeCode="AUT">
<time value="20141001103026-0500"/>
<assignedAuthor>
<id extension="5555555555" root="1.1.1.1.1.1.1.2"/>
</assignedAuthor>
</author>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="2594e631-2189-4e72-9dd1-d6769ee2a7be"/>
<code code="3141-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="WEIGHT"/>
<text>
<reference value="#Weight_1"/>
</text>
<statusCode code="completed"/>