Disclosures/API

Developer: Astronaut, LLC

Product Name: Astronaut EHR

Version: 1709

Certificate Number: 15.02.05.3099.ASTR.01.00.1.220201

Certification Date: February 1, 2022

Criteria Certified:

170.315(a)(1) – Computerized provider order entry – medications
170.315(a)(2) – Computerized provider order entry – laboratory
170.315(a)(3) – Computerized provider order entry – diagnostic imaging
170.315(a)(4) – Drug-drug, drug-allergy interaction checks for CPOE
170.315(a)(5) – Demographics
170.315(a)(6) – Problem list
170.315(a)(7) – Medication list
170.315(a)(8) – Medication allergy list
170.315(a)(9) – Clinical decision support (CDS)
170.315(a)(10) – Drug-formulary and preferred drug list checks
170.315(a)(12) – Family health history
170.315(a)(13) – Patient-specific education resources
170.315(a)(14) – Implantable device list
170.315(b)(1) – Transitions of care
170.315(b)(3) – Electronic prescribing
170.315(b)(6) – Data export
170.315(d)(1) – Authentication, access control, and authorization
170.315(d)(2) – Auditable events and tamper-resistance
170.315(d)(3) – Audit Reports
170.315(d)(4) – Amendments
170.315(d)(5) – Automatic access time-out
170.315(d)(6) – Emergency access
170.315(d)(7) – End-user device encryption
170.315(d)(8) – Integrity
170.315(d)(9) – Trusted connection
170.315(d)(12) – Encrypt authentication credentials
170.315(d)(13) – Multi-factor authentication
170.315(e)(2) – Secure messaging
170.315(e)(3) – Patient health information capture
170.315(g)(3) – Safety-enhanced design
170.315(g)(4) – Quality management system
170.315(g)(5) – Accessibility-centered design
170.315(g)(6) – Consolidated CDA Creation Performance
170.315(g)(7) – Application access –patient selection
170.315(g)(8) – Application access – data
170.315(g)(9) – Application access – all data request
170.315(h)(1) – Direct project

CQM’s Certified

CMS2v10
CMS68v10
CMS69v9
CMS117v9
CMS128v9
CMS137v9
CMS138v9
CMS149v9
CMS153v9
CMS154v9
CMS155v9
CMS156v9
CMS159v9
CMS161v9
CMS165v9
CMS177v9

Additional Software:

Newcrop

Disclaimer

“This Health IT Module is 2015 Edition compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.”

Additional Types of Costs

Monthly Newcrop and the Surescripts network charge. Hourly charge to assist training, preparing, and submitting QRDA to the government, if participating.

API

Required for Meaningful Use public Astronaut Application Programming Interface for 170.315(g)(8) Application Access

Terms: Apache 2 license.

API version: 18.01

This document can be found on the web at: http://astronautvista.com/index.php/api

API documentation

CCDA WEB API

Version 2021.12.19

All requests require a HTTP Basic authentication header. In order to authenticate with HTTP you must provide your username and password with an HTTP Basic authentication header.

In order to interact with the API, a user must be configured on the server and given a username and password. Also a client’s ip address must be added to a server ip whitelist.

Using the API is a two step process. First, demographic information is supplied to the system to get back a unique patient identifier. Next, this patient identifier can be used to query the system, which will return a relevant XML document.

1) PATIENT QUERY – find patient id token.

Returns the patient id or an empty value with an HTTP 404 response if no unique match is found.

GET

https://api.example.com/v1/patient?name=jones,bill&dob=1947-05-21&ssn=12345689&gender=m


Parameters:

name = last,first e.g. jones,bill (required)

dob = YYYY-MM-DD e.g. 1947-05-21 (required)

ssn = 123456789 (optional)

gender = m or f (optional)

Success response: patient_identifier

e.g. 123456

Failure response:

HTTP 404 code (with json http body)

2) PATIENT DATA – request patient record data.

Returns patient record data in XML format, filtered by query, of selected patient data fields.

Or an empty array if no results.

GET

https://api.example.com/v1/patient/1234567?date=may,2015:august,2015&data=meds,ethnicity,procedures,immunizations

In this examplepatient idis1234567

date range May 2015 through August 2015 (inclusive)

data return med, ethnicity, procedures, immunization information

Parameters:

date optional. Format examples:

2015 – return data only from 2015

May,2015 – return data only from May, 2015

2015-05-21 – return data only from May 21, 2015

May,2015:2015-08-28 – return data from inclusive range of May,2015 through Aug 28,2015

If date contains “-”, then it will be treated as YYYY-MM-DD

If date contains “/”, then it will be treated as MM/DD/YYYY

data = comma delimited data values to return (optional, omit to return all fields)

(see below for more detail)

Supported Elements:

date = date[:end_date]

e.g. 2015 select just 2015 encounter

e.g. may,2015:august,2015 select date range (inclusive)

e.g. 6/20/2015:7/1/2015 select date range (inclusive)

data = comma-delimited list of section(s) to include. OPTIONAL. If not provided, then all sections will be returned

List of defined sections:

allergies

documents
immunizations

encounters

procedures

social

medications

problems

labs

vitals

Evaluations

In addition to the above, the user can specify a particular XML section be returned, using the extract parameter. NOTE: for an item to be extracted, it must be included in initial search.

(e.g. to extract Smoking_Status, would have to have social in “data”

so, if not already present, it will be forced (added to data node))

GET

https://api.example.com/v1/patient/1234567?extract=ethnicity

In this examplepatient idis1234567

extract is returning only the ethnicity section

Supported Elements:

extract can except one of the following:

Name

Sex

DOB

Race

Ethnicity

Preferred_Language

Smoking_Status

Problems

Medications

Medication_Allergies

Lab_Tests

Lab_Result

Vital_Signs

Procedures

Immunizations

Unique_Device_Identifier

Assessment

Plan_of_Treatment

Goals

Health_Concerns

Success response: XML RESULT

EXAMPLES:

(To get sex only)

https://api.example.com/v1/patient/13195?extract=sex

Returns:

<administrativeGenderCode xmlns=”urn:hl7-org:v3″ xmlns:sdtc=”urn:hl7-org:sdtc”

xmlns:voc=”urn:hl7-org:v3/voc” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance”

code=”F” codeSystem=”2.16.840.1.113883.5.1″ codeSystemName=”AdministrativeGender”

displayName=”F”

/>

(To get name only)

https://api.example.com/v1/patient/13195?extract=name

Returns:

<name xmlns=”urn:hl7-org:v3″ xmlns:sdtc=”urn:hl7-org:sdtc” xmlns:voc=”urn:hl7-org:v3/voc” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance”>

<family>NEWMAN</family>

<given>ALICE</given>

<given>JONES</given>

</name>

<name xmlns=”urn:hl7-org:v3″ xmlns:sdtc=”urn:hl7-org:sdtc” xmlns:voc=”urn:hl7-org:v3/voc” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance”>

<given qualifier=”BR”>ALICIA</given>

<family qualifier=”BR”>NEWMAN</family>

</name>

(To get Smoking_Status only)

https://api.example.com/v1/patient/13195?extract=Smoking_Status

Returns:

<td>Smokes tobacco daily (finding)</td>

<value code=”449868002″ codeSystem=”2.16.840.1.113883.6.96″

codeSystemName=”SNOMED” displayName=”Smokes tobacco daily (finding)” xsi:type=”CD”

/>

Failure response:

HTTP 404 code (with json response body)

HTTP Basic authentication

HTTP REQUEST HEADER:

Authorization: “Basic ”+Base64(username+”:”+password)

To generate an Authorization Header for

username: Aladdin
Password: open sesame

Base64(“Aladdin:open sesame”) = QWxhZGRpbjpvcGVuIHNlc2FtZQ==

HTTP HEADER
Authorization: Basic QWxhZGRpbjpvcGVuIHNlc2FtZQ==

e.g.

https://username:password@api.example.com/your_desired_path

curl -G https://api.example.com/Accounts -u ‘<YOUR_ACCOUNT_SID>:<YOUR_AUTH_TOKEN>’

Failure responses

400 Bad Request – The server could not understand the request due to invalid syntax.

401 Unauthorized – “unauthenticated”. That is, the client must authenticate itself to get the requested response.

500 Internal Server Error – The server has encountered a situation it does not know how to handle.

404 Not Found – The server can not find the requested resource.

When a record is not found.

JSON

{“apiVersion”:”1.0″,”error”:{“code”:404,”errors”:[{“message”:”Not Found”,”reason”:404}],”message”:”Not Found”,”request”:”GET \/v1\/patient?name=smith,john&dob=1943-07-06″}}

========================================================================

ADDENDUM

John Wright 13196

curl -u username:password https://api.example.com/v1/patient/13196/?data=labs

<?xml version=”1.0″ encoding=”utf-8″ ?>

<?xml-stylesheet type=”text/xsl” href=”/resources/css/CDA.xsl”?>

<ClinicalDocument classCode=”DOCCLIN” moodCode=”EVN” xmlns=”urn:hl7-org:v3″ xmlns:sdtc=”urn:hl7-org:sdtc” xmlns:voc=”urn:hl7-org:v3/voc” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:schemaLocation=”urn:hl7-org:v3 CDASchemas\cda\Schemas\CDA.xsd”>

<realmCode code=”US”></realmCode>

<typeId extension=”POCD_HD000040″ root=”2.16.840.1.113883.1.3″></typeId>

<!– US Realm Header –>

<templateId root=”2.16.840.1.113883.10.20.22.1.1″ extension=”2015-08-01″/>

<templateId root=”2.16.840.1.113883.10.20.22.1.1″/>

<!– CCD –>

<templateId root=”2.16.840.1.113883.10.20.22.1.2″ extension=”2015-08-01″/>

<templateId root=”2.16.840.1.113883.10.20.22.1.2″/>

<id extension=”508cf0bd-b9c2-4cc8-9b8d-61256afe3f4c” root=”2.16.840.1.113883.5.83″></id>

<code code=”34133-9″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Summarization of Episode Note”></code>

<title>Test Clinic Summarization of Episode Note</title>

<effectiveTime value=”20211220022816-0400″></effectiveTime>

<confidentialityCode code=”N” codeSystem=”2.16.840.1.113883.5.25″ codeSystemName=”Confidentiality” displayName=”Normal”></confidentialityCode>

<languageCode code=”en”></languageCode>

<recordTarget contextControlCode=”OP” typeCode=”RCT”>

<patientRole classCode=”PAT”>

<id extension=”UNK” root=”2.16.840.1.113883.5.83″></id>

<id extension=”13196″ root=”2.16.840.1.113883.5.83.2.2″></id>

<addr>

<country>US</country>

<state>OREGON</state>

<city>Beaverton </city>

<postalCode>97006</postalCode>

<streetAddressLine>1357 Amber Rd.</streetAddressLine>

</addr>

<telecom use=”H” value=”tel:+1-(555)723-1544″/><telecom use=”MC” value=”tel:+1-(555)777-1234″/>

<patient classCode=”PSN” determinerCode=”INSTANCE”>

<name>

<family>WRIGHT</family>

<given>JOHN</given>

<given>R</given>

<suffix>JR</suffix>

</name>

<administrativeGenderCode code=”M” codeSystem=”2.16.840.1.113883.5.1″ codeSystemName=”AdministrativeGender” displayName=”M”></administrativeGenderCode>

<birthTime value=”19800801″/>

<maritalStatusCode code=”M” displayName=”MARRIED” codeSystem=”2.16.840.1.113883.5.2″ codeSystemName=”MaritalStatus”/>

<religiousAffiliationCode nullFlavor=”UNK” />

<raceCode nullFlavor=”UNK” />

<ethnicGroupCode nullFlavor=”UNK” />

<languageCommunication>

<!– CONF 5407: LanguageCode Code System 2.16.840.1.113883.1.11.11526 –>

<languageCode code=”en”/>

<modeCode code=”ESP” displayName=”Expressed spoken” codeSystem=”2.16.840.1.113883.5.60″ codeSystemName=”LanguageAbilityMode”/>

</languageCommunication>

</patient>

</patientRole>

</recordTarget>

<author>

<time value=’20211220022816-0400′></time>

<assignedAuthor classCode=”ASSIGNED”>

<id nullFlavor=”NI”/>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<assignedAuthoringDevice>

<manufacturerModelName>WorldVistA</manufacturerModelName>

<softwareName>Opensource CDA Documents Generator</softwareName>

</assignedAuthoringDevice>

<representedOrganization>

<id extension=”3″ root=”1.3.6.1.4.1.22812.11.99930.3″/>

<name>Astronaut Network</name>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

</representedOrganization>

</assignedAuthor>

</author>

<custodian>

<assignedCustodian classCode=”ASSIGNED”>

<representedCustodianOrganization classCode=”ORG” determinerCode=”INSTANCE”>

<id extension=”CDA” root=”2.16.840.1.113883.5.83″></id>

<name>Astronaut Network</name>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

</representedCustodianOrganization>

</assignedCustodian>

</custodian>

<documentationOf>

<serviceEvent classCode=”PCPR” moodCode=”EVN”>

<effectiveTime>

<low nullFlavor=”UNK”></low>

<high value=”20180212032225-0400″></high>

</effectiveTime>

<performer typeCode=”PRF”>

<assignedEntity>

<id extension=”1295103349″ root=”2.16.840.1.113883.4.6″></id>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<assignedPerson>

<name>

<family>ADMINISTRATOR</family>

<given>SYSTEM</given>

</name>

</assignedPerson>

</assignedEntity>

</performer>

</serviceEvent>

</documentationOf>

<componentOf>

<encompassingEncounter>

<id extension=”fde01c2f-b821-436a-9111-c8f8322c05e8″ root=”2.16.840.1.113883.5.83″></id>

<effectiveTime value=”20180212032225-0400″></effectiveTime>

<responsibleParty>

<assignedEntity>

<id nullFlavor=”UNK”></id>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<assignedPerson>

<name>

<family>ADMINISTRATOR</family>

<given>SYSTEM</given>

</name>

</assignedPerson>

</assignedEntity>

</responsibleParty>

<location>

<healthCareFacility>

<id extension=”1^VOE EHR” root=”2.16.840.1.113883.5.83″></id>

<location>

<name>Astronaut Network</name>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>HOUSTON</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

</location>

</healthCareFacility>

</location>

</encompassingEncounter>

</componentOf>

<component>

<structuredBody>

<component>

<!– nullFlavor of NI indicates No Information.–>

<!– Validator currently checks for entries even in case of nullFlavor – this will need to be updated if approved.–>

<section nullFlavor=”NI”>

<templateId root=”2.16.840.1.113883.10.20.22.2.3.1″/>

<templateId root=”2.16.840.1.113883.10.20.22.2.3.1″ extension=”2015-08-01″/>

<!– 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>No Information</text>

</section>

</component>

</structuredBody>

</component>

</ClinicalDocument>

Rebecca Larson 13194

curl -u username:password https://api.example.com/v1/patient/13193/?date=may,2015:June,2015&data=social

<?xml version=”1.0″ encoding=”utf-8″ ?>

<?xml-stylesheet type=”text/xsl” href=”/resources/css/CDA.xsl”?>

<ClinicalDocument classCode=”DOCCLIN” moodCode=”EVN” xmlns=”urn:hl7-org:v3″ xmlns:sdtc=”urn:hl7-org:sdtc” xmlns:voc=”urn:hl7-org:v3/voc” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:schemaLocation=”urn:hl7-org:v3 CDASchemas\cda\Schemas\CDA.xsd”>

<realmCode code=”US”></realmCode>

<typeId extension=”POCD_HD000040″ root=”2.16.840.1.113883.1.3″></typeId>

<!– US Realm Header –>

<templateId root=”2.16.840.1.113883.10.20.22.1.1″ extension=”2015-08-01″/>

<templateId root=”2.16.840.1.113883.10.20.22.1.1″/>

<!– CCD –>

<templateId root=”2.16.840.1.113883.10.20.22.1.2″ extension=”2015-08-01″/>

<templateId root=”2.16.840.1.113883.10.20.22.1.2″/>

<id extension=”cc1f9066-7ed0-46a9-b815-5c8cce58a593″ root=”2.16.840.1.113883.5.83″></id>

<code code=”34133-9″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Summarization of Episode Note”></code>

<title>Test Clinic Summarization of Episode Note</title>

<effectiveTime value=”20211220022616-0400″></effectiveTime>

<confidentialityCode code=”N” codeSystem=”2.16.840.1.113883.5.25″ codeSystemName=”Confidentiality” displayName=”Normal”></confidentialityCode>

<languageCode code=”en”></languageCode>

<recordTarget contextControlCode=”OP” typeCode=”RCT”>

<patientRole classCode=”PAT”>

<id extension=”UNK” root=”2.16.840.1.113883.5.83″></id>

<id extension=”13194″ root=”2.16.840.1.113883.5.83.2.2″></id>

<addr>

<country>US</country>

<state>MISSOURI</state>

<city>Beaverton</city>

<postalCode>97006</postalCode>

<streetAddressLine>1357 Amber Dr</streetAddressLine>

</addr>

<telecom use=”H” value=”tel:+1-(555)723-1544″/><telecom use=”MC” value=”tel:+1-(555)777-1234″/>

<patient classCode=”PSN” determinerCode=”INSTANCE”>

<name>

<family>LARSON</family>

<given>REBECCA</given>

<given>JONES</given>

</name>

<name><given qualifier=”BR”>ROBIN</given><family qualifier=”BR”>LARSON</family></name>

<administrativeGenderCode code=”F” codeSystem=”2.16.840.1.113883.5.1″ codeSystemName=”AdministrativeGender” displayName=”F”></administrativeGenderCode>

<birthTime value=”19700501″/>

<maritalStatusCode code=”M” displayName=”MARRIED” codeSystem=”2.16.840.1.113883.5.2″ codeSystemName=”MaritalStatus”/>

<religiousAffiliationCode nullFlavor=”UNK” />

<raceCode code=”2106-3″ displayName=”WHITE ()” codeSystem=”2.16.840.1.113883.6.238″ codeSystemName=”OMB Standards for Race and Ethnicity”/>

<sdtc:raceCode code=”2108-9″ codeSystem=”2.16.840.1.113883.6.238″ displayName=”White European” 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>

<!– CONF 5407: LanguageCode Code System 2.16.840.1.113883.1.11.11526 –>

<languageCode code=”en”/>

<modeCode code=”ESP” displayName=”Expressed spoken” codeSystem=”2.16.840.1.113883.5.60″ codeSystemName=”LanguageAbilityMode”/>

</languageCommunication>

</patient>

</patientRole>

</recordTarget>

<author>

<time value=’20211220022616-0400′></time>

<assignedAuthor classCode=”ASSIGNED”>

<id nullFlavor=”NI”/>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<assignedAuthoringDevice>

<manufacturerModelName>WorldVistA</manufacturerModelName>

<softwareName>Opensource CDA Documents Generator</softwareName>

</assignedAuthoringDevice>

<representedOrganization>

<id extension=”3″ root=”1.3.6.1.4.1.22812.11.99930.3″/>

<name>Astronaut Network</name>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

</representedOrganization>

</assignedAuthor>

</author>

<custodian>

<assignedCustodian classCode=”ASSIGNED”>

<representedCustodianOrganization classCode=”ORG” determinerCode=”INSTANCE”>

<id extension=”CDA” root=”2.16.840.1.113883.5.83″></id>

<name>Astronaut Network</name>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

</representedCustodianOrganization>

</assignedCustodian>

</custodian>

<documentationOf>

<serviceEvent classCode=”PCPR” moodCode=”EVN”>

<effectiveTime>

<low nullFlavor=”UNK”></low>

<high value=”20180227235700-0400″></high>

</effectiveTime>

<performer typeCode=”PRF”>

<assignedEntity>

<id extension=”1295103349″ root=”2.16.840.1.113883.4.6″></id>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<assignedPerson>

<name>

<family>ADMINISTRATOR</family>

<given>SYSTEM</given>

</name>

</assignedPerson>

</assignedEntity>

</performer>

</serviceEvent>

</documentationOf>

<componentOf>

<encompassingEncounter>

<id extension=”318b9e79-2f3b-4732-9b02-db1a97ae370f” root=”2.16.840.1.113883.5.83″></id>

<effectiveTime value=”20180227235700-0400″></effectiveTime>

<responsibleParty>

<assignedEntity>

<id nullFlavor=”UNK”></id>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<assignedPerson>

<name>

<family>ADMINISTRATOR</family>

<given>SYSTEM</given>

</name>

</assignedPerson>

</assignedEntity>

</responsibleParty>

<location>

<healthCareFacility>

<id extension=”1^VOE EHR” root=”2.16.840.1.113883.5.83″></id>

<location>

<name>Astronaut Network</name>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>HOUSTON</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

</location>

</healthCareFacility>

</location>

</encompassingEncounter>

</componentOf>

<component>

<structuredBody>

<component>

<section classCode=”DOCSECT” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.2.17″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.2.17″ extension=”2015-08-01″></templateId>

<code code=”29762-2″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Social History”></code>

<title>Social History</title>

<text>

<table border=”1″ width=”100%”>

<thead>

<tr>

<th>Start Date</th>

<th>Type</th>

<th>Comments</th>

<th>Source</th>

</tr>

</thead>

<tbody>

<tr>

<td ID=”uri_SCT-449868002″>02/04/2018 04:51:00-0400</td>

<td>Smokes tobacco daily (finding)</td>

<td>Snomed Code: 449868002</td>

<td>Astronaut Network</td>

</tr>

</tbody>

</table>

</text>

<entry>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.78″></templateId>

<id extension=”6964eb0d-da79-4473-95ac-32103c2db694″ root=”2.16.840.1.113883.5.83″></id>

<code code=”ASSERTION” codeSystem=”2.16.840.1.113883.5.4″></code>

<text>

<reference value=”#uri_SCT-449868002″></reference>

</text>

<statusCode code=”completed”></statusCode>

<effectiveTime>

<low value=”20180204045100-0400″></low>

</effectiveTime>

<value code=”449868002″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED” displayName=”Smokes tobacco daily (finding)” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”></value>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>Astronaut Network</value>

</observation>

</entryRelationship>

</observation>

</entry>

</section>

</component>

</structuredBody>

</component>

</ClinicalDocument>

Kathy Bates 13193

curl -u username:password https://api.example.com/v1/patient/13193/?date=may,2015&data=allergies,immunizations

<?xml version=”1.0″ encoding=”utf-8″ ?>

<?xml-stylesheet type=”text/xsl” href=”/resources/css/CDA.xsl”?>

<ClinicalDocument classCode=”DOCCLIN” moodCode=”EVN” xmlns=”urn:hl7-org:v3″ xmlns:sdtc=”urn:hl7-org:sdtc” xmlns:voc=”urn:hl7-org:v3/voc” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:schemaLocation=”urn:hl7-org:v3 CDASchemas\cda\Schemas\CDA.xsd”>

<realmCode code=”US”></realmCode>

<typeId extension=”POCD_HD000040″ root=”2.16.840.1.113883.1.3″></typeId>

<!– US Realm Header –>

<templateId root=”2.16.840.1.113883.10.20.22.1.1″ extension=”2015-08-01″/>

<templateId root=”2.16.840.1.113883.10.20.22.1.1″/>

<!– CCD –>

<templateId root=”2.16.840.1.113883.10.20.22.1.2″ extension=”2015-08-01″/>

<templateId root=”2.16.840.1.113883.10.20.22.1.2″/>

<id extension=”6a295341-0fcc-4ea0-91f9-91770c2d6464″ root=”2.16.840.1.113883.5.83″></id>

<code code=”34133-9″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Summarization of Episode Note”></code>

<title>Test Clinic Summarization of Episode Note</title>

<effectiveTime value=”20211220022247-0400″></effectiveTime>

<confidentialityCode code=”N” codeSystem=”2.16.840.1.113883.5.25″ codeSystemName=”Confidentiality” displayName=”Normal”></confidentialityCode>

<languageCode code=”en”></languageCode>

<recordTarget contextControlCode=”OP” typeCode=”RCT”>

<patientRole classCode=”PAT”>

<id extension=”UNK” root=”2.16.840.1.113883.5.83″></id>

<id extension=”13193″ root=”2.16.840.1.113883.5.83.2.2″></id>

<addr>

<country>US</country>

<state>OREGON</state>

<city>Beaverton</city>

<postalCode>97006</postalCode>

<streetAddressLine>1357 Amber Dr</streetAddressLine>

</addr>

<telecom use=”H” value=”tel:+1-(555)723-1544″/><telecom use=”MC” value=”tel:+1-(555)777-1234″/>

<patient classCode=”PSN” determinerCode=”INSTANCE”>

<name>

<family>BATES</family>

<given>JEREMY</given>

<given>V</given>

<suffix>JR</suffix>

</name>

<administrativeGenderCode code=”M” codeSystem=”2.16.840.1.113883.5.1″ codeSystemName=”AdministrativeGender” displayName=”M”></administrativeGenderCode>

<birthTime value=”19800801″/>

<maritalStatusCode code=”M” displayName=”MARRIED” codeSystem=”2.16.840.1.113883.5.2″ codeSystemName=”MaritalStatus”/>

<religiousAffiliationCode nullFlavor=”UNK” />

<raceCode nullFlavor=”UNK” />

<ethnicGroupCode nullFlavor=”UNK” />

<languageCommunication>

<!– CONF 5407: LanguageCode Code System 2.16.840.1.113883.1.11.11526 –>

<languageCode code=”en”/>

<modeCode code=”ESP” displayName=”Expressed spoken” codeSystem=”2.16.840.1.113883.5.60″ codeSystemName=”LanguageAbilityMode”/>

</languageCommunication>

</patient>

</patientRole>

</recordTarget>

<author>

<time value=’20211220022247-0400′></time>

<assignedAuthor classCode=”ASSIGNED”>

<id nullFlavor=”NI”/>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<assignedAuthoringDevice>

<manufacturerModelName>WorldVistA</manufacturerModelName>

<softwareName>Opensource CDA Documents Generator</softwareName>

</assignedAuthoringDevice>

<representedOrganization>

<id extension=”3″ root=”1.3.6.1.4.1.22812.11.99930.3″/>

<name>Astronaut Network</name>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

</representedOrganization>

</assignedAuthor>

</author>

<custodian>

<assignedCustodian classCode=”ASSIGNED”>

<representedCustodianOrganization classCode=”ORG” determinerCode=”INSTANCE”>

<id extension=”CDA” root=”2.16.840.1.113883.5.83″></id>

<name>Astronaut Network</name>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

</representedCustodianOrganization>

</assignedCustodian>

</custodian>

<documentationOf>

<serviceEvent classCode=”PCPR” moodCode=”EVN”>

<effectiveTime>

<low nullFlavor=”UNK”></low>

<high value=”20180129023307-0400″></high>

</effectiveTime>

<performer typeCode=”PRF”>

<assignedEntity>

<id extension=”1295103349″ root=”2.16.840.1.113883.4.6″></id>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<assignedPerson>

<name>

<family>ADMINISTRATOR</family>

<given>SYSTEM</given>

</name>

</assignedPerson>

</assignedEntity>

</performer>

</serviceEvent>

</documentationOf>

<componentOf>

<encompassingEncounter>

<id extension=”7ad71528-f002-4a94-9309-58d154039e61″ root=”2.16.840.1.113883.5.83″></id>

<effectiveTime value=”20180129023307-0400″></effectiveTime>

<responsibleParty>

<assignedEntity>

<id nullFlavor=”UNK”></id>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<assignedPerson>

<name>

<family>ADMINISTRATOR</family>

<given>SYSTEM</given>

</name>

</assignedPerson>

</assignedEntity>

</responsibleParty>

<location>

<healthCareFacility>

<id extension=”1^VOE EHR” root=”2.16.840.1.113883.5.83″></id>

<location>

<name>Astronaut Network</name>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>HOUSTON</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

</location>

</healthCareFacility>

</location>

</encompassingEncounter>

</componentOf>

<component>

<structuredBody>

<!– Allergies Section –>

<component>

<section>

<templateId root=”2.16.840.1.113883.10.20.22.2.6.1″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.2.6.1″ extension=”2015-08-01″></templateId>

<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=”Alg_Concern_1″>Allergy Concern:

Concern Tracker Start Date: 01/03/2014

Concern Tracker End Date:

Concern Tracker Status: Completed

<content ID=”allergy1″>No known <content ID=”adverseEvent1″>allergies.</content></content></content></text>

<entry typeCode=”DRIV”>

<!– Allergy Concern Act –>

<act classCode=”ACT” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.30″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.30″ extension=”2015-08-01″></templateId>

<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″/>–>

<code code=”48765-2″ codeSystem=”2.16.840.1.113883.6.1″ displayName=”Allergies, adverse reactions, alerts” codeSystemName=”LOINC”/>

<text><reference value=”#Alg_Concern_1″></reference></text>

<statusCode code=”completed”/> <!– The concern is not active, in terms of there being an active condition to be managed.–>

<effectiveTime>

<low value=”20100103″/> <!–show time when the concern about allergies was assessed and completed. –>

<high/>

</effectiveTime>

<entryRelationship typeCode=”SUBJ”>

<!– No Known Allergies –>

<!– The use of negationInd corresponds with the newer Observation.valueNegationInd –>

<!– The negationInd = true negates the observation/value –>

<observation classCode=”OBS” moodCode=”EVN” negationInd=”true”>

<!– allergy – intolerance observation template –>

<templateId root=”2.16.840.1.113883.10.20.22.4.7″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.7″ extension=”2014-06-09″></templateId>

<id root=”4adc1020-7b14-11db-9fe1-0800200c9a66″/>

<code code=”ASSERTION” codeSystem=”2.16.840.1.113883.5.4″/>

<statusCode code=”completed”/>

<!– N/A – author/time records when this assertion was made –>

<effectiveTime>

<low value=”20100103″/>

</effectiveTime>

<!– The time when this was biologically relevant ie True for the patient. –>

<!– As a minimum time interval over which this is true, populate the effectiveTime/low with the current time. –>

<!– It would be equally valid to have a longer range of time over which this statement was represented as being true. –>

<!– As a maximum, you would never indicate an effectiveTime/high that was greater than the current point in time. –>

<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=”20100103″/>

<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 &amp; Osteopathic Physicians”/>

<telecom use=”WP” value=”tel:555-555-1002″/>

<assignedPerson>

<name>

<given>Henry</given>

<family>Seven</family>

</name>

</assignedPerson>

</assignedAuthor>

</author>

<participant typeCode=”CSM”>

<participantRole classCode=”MANU”>

<playingEntity classCode=”MMAT”>

<code nullFlavor=”NA”/>

</playingEntity>

</participantRole>

</participant>

</observation>

</entryRelationship>

</act>

</entry>

</section>

</component>

</structuredBody>

</component>

</ClinicalDocument>

Alice Newman 13195

curl -u username:password https://api.example.com/v1/patient

<?xml version=”1.0″ encoding=”utf-8″ ?>

<?xml-stylesheet type=”text/xsl” href=”/resources/css/CDA.xsl”?>

<ClinicalDocument classCode=”DOCCLIN” moodCode=”EVN” xmlns=”urn:hl7-org:v3″ xmlns:sdtc=”urn:hl7-org:sdtc” xmlns:voc=”urn:hl7-org:v3/voc” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:schemaLocation=”urn:hl7-org:v3 CDASchemas\cda\Schemas\CDA.xsd”>

<realmCode code=”US”></realmCode>

<typeId extension=”POCD_HD000040″ root=”2.16.840.1.113883.1.3″></typeId>

<!– US Realm Header –>

<templateId root=”2.16.840.1.113883.10.20.22.1.1″ extension=”2015-08-01″/>

<templateId root=”2.16.840.1.113883.10.20.22.1.1″/>

<!– CCD –>

<templateId root=”2.16.840.1.113883.10.20.22.1.2″ extension=”2015-08-01″/>

<templateId root=”2.16.840.1.113883.10.20.22.1.2″/>

<id extension=”751fe6d6-433d-418b-aa5b-5a66d6e72ba9″ root=”2.16.840.1.113883.5.83″></id>

<code code=”34133-9″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Summarization of Episode Note”></code>

<title>Test Clinic Summarization of Episode Note</title>

<effectiveTime value=”20211220021631-0400″></effectiveTime>

<confidentialityCode code=”N” codeSystem=”2.16.840.1.113883.5.25″ codeSystemName=”Confidentiality” displayName=”Normal”></confidentialityCode>

<languageCode code=”en”></languageCode>

<recordTarget contextControlCode=”OP” typeCode=”RCT”>

<patientRole classCode=”PAT”>

<id extension=”UNK” root=”2.16.840.1.113883.5.83″></id>

<id extension=”13195″ root=”2.16.840.1.113883.5.83.2.2″></id>

<addr>

<country>US</country>

<state>OREGON</state>

<city>Beaverton</city>

<postalCode>97006</postalCode>

<streetAddressLine>1357 Amber Dr</streetAddressLine>

</addr>

<telecom use=”H” value=”tel:+1-(555)777-1234″/><telecom use=”MC” value=”tel:+1-(555)777-1234″/>

<patient classCode=”PSN” determinerCode=”INSTANCE”>

<name>

<family>NEWMAN</family>

<given>ALICE</given>

<given>JONES</given>

</name>

<name><given qualifier=”BR”>ALICIA</given><family qualifier=”BR”>NEWMAN</family></name>

<administrativeGenderCode code=”F” codeSystem=”2.16.840.1.113883.5.1″ codeSystemName=”AdministrativeGender” displayName=”F”></administrativeGenderCode>

<birthTime value=”19700501″/>

<maritalStatusCode code=”M” displayName=”MARRIED” codeSystem=”2.16.840.1.113883.5.2″ codeSystemName=”MaritalStatus”/>

<religiousAffiliationCode nullFlavor=”UNK” />

<raceCode code=”2106-3″ displayName=”WHITE ()” codeSystem=”2.16.840.1.113883.6.238″ codeSystemName=”OMB Standards for Race and Ethnicity”/>

<sdtc:raceCode code=”2108-9″ codeSystem=”2.16.840.1.113883.6.238″ displayName=”White European” 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>

<!– CONF 5407: LanguageCode Code System 2.16.840.1.113883.1.11.11526 –>

<languageCode code=”en”/>

<modeCode code=”ESP” displayName=”Expressed spoken” codeSystem=”2.16.840.1.113883.5.60″ codeSystemName=”LanguageAbilityMode”/>

</languageCommunication>

</patient>

</patientRole>

</recordTarget>

<author>

<time value=’20211220021631-0400′></time>

<assignedAuthor classCode=”ASSIGNED”>

<id nullFlavor=”NI”/>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<assignedAuthoringDevice>

<manufacturerModelName>WorldVistA</manufacturerModelName>

<softwareName>Opensource CDA Documents Generator</softwareName>

</assignedAuthoringDevice>

<representedOrganization>

<id extension=”3″ root=”1.3.6.1.4.1.22812.11.99930.3″/>

<name>Astronaut Network</name>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

</representedOrganization>

</assignedAuthor>

</author>

<custodian>

<assignedCustodian classCode=”ASSIGNED”>

<representedCustodianOrganization classCode=”ORG” determinerCode=”INSTANCE”>

<id extension=”CDA” root=”2.16.840.1.113883.5.83″></id>

<name>Astronaut Network</name>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

</representedCustodianOrganization>

</assignedCustodian>

</custodian>

<documentationOf>

<serviceEvent classCode=”PCPR” moodCode=”EVN”>

<effectiveTime>

<low nullFlavor=”UNK”></low>

<high value=”20180204060947-0400″></high>

</effectiveTime>

<performer typeCode=”PRF”>

<assignedEntity>

<id extension=”1295103349″ root=”2.16.840.1.113883.4.6″></id>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<assignedPerson>

<name>

<family>ADMINISTRATOR</family>

<given>SYSTEM</given>

</name>

</assignedPerson>

</assignedEntity>

</performer>

</serviceEvent>

</documentationOf>

<componentOf>

<encompassingEncounter>

<id extension=”76d477b2-fa54-4a66-b53c-a6e7d13dffed” root=”2.16.840.1.113883.5.83″></id>

<effectiveTime value=”20180204060947-0400″></effectiveTime>

<responsibleParty>

<assignedEntity>

<id nullFlavor=”UNK”></id>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>77054</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<assignedPerson>

<name>

<family>ADMINISTRATOR</family>

<given>SYSTEM</given>

</name>

</assignedPerson>

</assignedEntity>

</responsibleParty>

<location>

<healthCareFacility>

<id extension=”1^VOE EHR” root=”2.16.840.1.113883.5.83″></id>

<location>

<name>Astronaut Network</name>

<addr>

<state>TEXAS</state>

<city>HOUSTON</city>

<postalCode>HOUSTON</postalCode>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

</addr>

</location>

</healthCareFacility>

</location>

</encompassingEncounter>

</componentOf>

<component>

<structuredBody>

<component>

<section>

<templateId root=”2.16.840.1.113883.10.20.22.2.6.1″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.2.6.1″ extension=”2015-08-01″></templateId>

<code code=”48765-2″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Allergies, adverse reactions, alert”></code>

<title>Allergies</title>

<text>

<table border=”1″ width=”100%”>

<thead>

<tr>

<th>Date</th>

<th>Allergies</th>

<th>Reaction</th>

<th>Severity</th>

<th>Comments</th>

<th>Source</th>

</tr>

</thead>

<tbody>

<tr>

<td ID=”uri_120_8-119″>02/14/2018 18:52:00-0400</td>

<td>PENICILLIN (Rxnorm: 7980)</td>

<td>HIVES</td>

<td>MODERATE</td>

<td>Hives </td>

<td>SEVEN,HENRY</td>

</tr>

<tr>

<td ID=”uri_120_8-120″>02/14/2018 18:54:00-0400</td>

<td>AMPICILLIN (Rxnorm: 733)</td>

<td>HIVES</td>

<td>MODERATE</td>

<td>Hives </td>

<td>SEVEN,HENRY</td>

</tr>

</tbody>

</table>

</text>

<entry>

<act classCode=”ACT” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.30″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.30″ extension=”2015-08-01″></templateId>

<id root=”78765c09-3279-4420-ae68-4f75373b6c5d”></id>

<code code=”48765-2″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Allergies, adverse reactions, alerts”></code>

<statusCode code=”active”></statusCode>

<effectiveTime>

<low value=”20180214185200-0400″></low>

</effectiveTime>

<entryRelationship typeCode=”SUBJ”>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.7″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.7″ extension=”2014-06-09″></templateId>

<id extension=”3355135″ root=”1.3.6.1.4.1.16517″></id>

<code code=”ASSERTION” codeSystem=”2.16.840.1.113883.5.4″ codeSystemName=”ActCode”></code>

<statusCode code=”completed”></statusCode>

<effectiveTime>

<low value=”20180214185200-0400″></low>

</effectiveTime>

<value code=”416098002″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED CT” displayName=”drug allergy” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”></value>

<participant typeCode=”CSM”>

<participantRole classCode=”MANU”>

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<text>Hives

<reference value=”#allergyComment-8747f525-3629-40f6-8d11-29cce0ce3913″></reference>

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<statusCode code=”completed”></statusCode>

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<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>SEVEN,HENRY</value>

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<section>

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<code code=”69730-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemVersion=”LOINC” displayName=”Instructions”></code>

<title> REFERRING</title>

<text ID=”uri_note_78658″>

<list>

<item>Feb 27, 2018@23:50</item>

<item> Referring or Transitioning Providers Name </item>

<item> Full Name: Dr Albert Davis First Name: Albert Last Name: Davis </item>

<item> </item>

<item>Office Contact Information </item>

<item> Full Name: Tracy Davis First Name: Tracy Last Name: Davis Telephone: 555-555-1002 Address: 2472, Rocky place, Beaverton, OR97006 </item>

</list>

</text>

</section>

</component>

<component>

<section>

<templateId root=”2.16.840.1.113883.10.20.22.2.45″></templateId>

<id root=”184fdbe3-f480-4199-976d-e0bb0dd02551″></id>

<code code=”69730-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemVersion=”LOINC” displayName=”Instructions”></code>

<title> LAB ORDERS</title>

<text ID=”uri_note_78657″>

<list>

<item>Feb 27, 2018@23:48</item>

<item> Test Code Code Date</item>

<item>24357-6 LOINC Urinanalysis macro (dipstick) panel 6/22/2015</item>

<item>24357-6 LOINC Urinanalysis macro (dipstick) panel 6/29/2015 </item>

</list>

</text>

</section>

</component>

<component>

<section>

<templateId root=”2.16.840.1.113883.10.20.22.2.45″></templateId>

<id root=”184fdbe3-f480-4199-976d-e0bb0dd02551″></id>

<code code=”69730-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemVersion=”LOINC” displayName=”Instructions”></code>

<title> UDI</title>

<text ID=”uri_note_78627″>

<list>

<item>Feb 19, 2018@22:45</item>

<item> </item>

<item></item>

<item>UDI: (01)00643169007222(17)160128(21)BLC200461H Assigning Authority: FDA </item>

</list>

</text>

</section>

</component>

<component>

<section>

<templateId root=”2.16.840.1.113883.10.20.22.2.45″></templateId>

<id root=”184fdbe3-f480-4199-976d-e0bb0dd02551″></id>

<code code=”69730-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemVersion=”LOINC” displayName=”Instructions”></code>

<title> COGNITIVE STATUS</title>

<text ID=”uri_note_78597″>

<list>

<item>Jun 22, 2015@06:42</item>

<item> Amnesia 48167000 SNOMED-CT 5/1/2005 </item>

</list>

</text>

</section>

</component>

<component>

<section>

<templateId root=”2.16.840.1.113883.10.20.22.2.45″></templateId>

<id root=”184fdbe3-f480-4199-976d-e0bb0dd02551″></id>

<code code=”69730-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemVersion=”LOINC” displayName=”Instructions”></code>

<title> FUNCTIONAL STATUS</title>

<text ID=”uri_note_78596″>

<list>

<item>Jun 22, 2015@06:41</item>

<item> Dependence on Cane 105504002 SNOMED-CT 5/1/2005 </item>

</list>

</text>

</section>

</component>

<component>

<section>

<templateId root=”2.16.840.1.113883.10.20.22.2.45″></templateId>

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<code code=”69730-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemVersion=”LOINC” displayName=”Instructions”></code>

<title> REASON FOR REFERRAL</title>

<text ID=”uri_note_78595″>

<list>

<item>Jun 22, 2015@06:40</item>

<item> Ms Alice Newman is being referred to Community Health Hospitals Inpatient facility because of the high fever noticed and suspected Anemia. </item>

</list>

</text>

</section>

</component>

<component>

<section>

<templateId root=”2.16.840.1.113883.10.20.22.2.45″></templateId>

<id root=”184fdbe3-f480-4199-976d-e0bb0dd02551″></id>

<code code=”69730-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemVersion=”LOINC” displayName=”Instructions”></code>

<title> HEALTH CONCERNS</title>

<text ID=”uri_note_78594″>

<list>

<item>Jun 22, 2015@06:39</item>

<item> a. Chronic Sickness exhibited by patient b. HealthCare Concerns refer to underlying clinical facts i. Documented HyperTension problem ii. Documented HypoThyroidism problem iii. Watch Weight of patient</item>

</list>

</text>

</section>

</component>

<component>

<section>

<templateId root=”2.16.840.1.113883.10.20.22.2.45″></templateId>

<id root=”184fdbe3-f480-4199-976d-e0bb0dd02551″></id>

<code code=”69730-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemVersion=”LOINC” displayName=”Instructions”></code>

<title> GOALS</title>

<text ID=”uri_note_78593″>

<list>

<item>Jun 22, 2015@06:38</item>

<item> a. Get rid of intermittent fever that is occurring every few weeks. b. Need to gain more energy to do regular activities </item>

</list>

</text>

</section>

</component>

<component>

<section>

<templateId root=”2.16.840.1.113883.10.20.22.2.45″></templateId>

<id root=”184fdbe3-f480-4199-976d-e0bb0dd02551″></id>

<code code=”69730-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemVersion=”LOINC” displayName=”Instructions”></code>

<title> PLAN OF TREATMENT</title>

<text ID=”uri_note_78592″>

<list>

<item>Jun 22, 2015@06:36</item>

<item> i. Get an EKG done on 6/23/2015. ii. Get a Chest X-ray done on 6/23/2015 showing the Lower Respiratory Tract Structure. iii. Take Clindamycin 300mg three times a day as needed if pain does not subside/ iv. Schedule follow on visit with Neighborhood Physicians Practice on 7/1/2015.</item>

</list>

</text>

</section>

</component>

<component>

<section>

<templateId root=”2.16.840.1.113883.10.20.22.2.45″></templateId>

<id root=”184fdbe3-f480-4199-976d-e0bb0dd02551″></id>

<code code=”69730-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemVersion=”LOINC” displayName=”Instructions”></code>

<title> ASSESSMENT</title>

<text ID=”uri_note_78591″>

<list>

<item>Jun 22, 2015@06:35</item>

<item> The patient was found to have fever and Dr Davis is suspecting Anemia based on the patient history. So Dr Davis asked the patient to closely monitor the temperature and blood pressure and get admitted to Community Health Hospitals if the fever does not subside within a day. </item>

</list>

</text>

</section>

</component>

<component>

<section>

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<id root=”184fdbe3-f480-4199-976d-e0bb0dd02551″></id>

<code code=”69730-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemVersion=”LOINC” displayName=”Instructions”></code>

<title>CARE TEAM MEMBERS</title>

<text ID=”CARE-TEAM-1″>

<list>

<item>DAVIS,ALBERT 2472 Rocky Place, Beaverton,OREGON 97006 Phone: 555-555-1002</item>

<item>DAVIS,TRACY 2472, Rocky place, Beaverton,OREGON 97006 Phone: 5555551002</item>

<item>SEVEN,HENRY 1002, Healthcare Dr, Portland,OREGON 97266 Phone: 5555551002</item>

</list>

</text>

</section>

</component>

<component>

<section>

<templateId root=”2.16.840.1.113883.10.20.22.2.2.1″/>

<code code=”11369-6″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”History of immunizations”/>

<title>Immunization</title>

<text>

<table border=”1″ width=”100%”>

<thead>

<tr>

<th>Date</th>

<th>Vaccine</th>

<th>Location</th>

<th>Status</th>

<th>Additional Comments</th>

</tr>

</thead>

<tbody>

<tr>

<td ID=”uri_9000010_11-226″>02/04/2018 06:09:47-0400</td>

<td>influenza, intradermal, quadrivalent, preservative free (CVX: 166) (INFLUENZA-H1N1-09, NOVEL (PANDEMIC))</td>

<td>Astronaut Network</td>

<td>Completed</td>

<td>N/A</td>

</tr>

<tr>

<td ID=”uri_9000010_11-227″>02/04/2018 06:09:47-0400</td>

<td>DTaP, 5 pertussis antigens (CVX: 106) (TETANUS DIPTHERIA (TD-ADULT))</td>

<td>Astronaut Network</td>

<td>Completed</td>

<td>N/A</td>

</tr>

<tr>

<td ID=”uri_9000010_11-229″>02/04/2018 06:09:47-0400</td>

<td>influenza, intradermal, quadrivalent, preservative free (CVX: 166) (INFLUENZA-H1N1-09, NOVEL (PANDEMIC))</td>

<td>Astronaut Network</td>

<td>Cancelled</td>

<td>Immunization was not given – Patient rejected immunization</td>

</tr>

</tbody>

</table>

</text>

<entry>

<substanceAdministration moodCode=”EVN” classCode=”SBADM” negationInd=”true”>

<!– Immunization Activity entry template –>

<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 root=”0a3c8499-1c8f-4c87-8a39-c760e5ce7809″/>

<statusCode code=”completed”/>

<effectiveTime value=”20180204060947-0400″/>

<consumable>

<manufacturedProduct classCode=”MANU”>

<!– Immunization Medication Information template –>

<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 code=”166″ displayName=”influenza, intradermal, quadrivalent, preservative free” codeSystem=”2.16.840.1.113883.12.292″ codeSystemName=”Vaccines administered (CVX)”>

<originalText>

<reference value=”#uri_9000010_11-226″/>

</originalText>

</code>

</manufacturedMaterial>

<manufacturerOrganization>

<name>Influenza Vaccine Company</name>

</manufacturerOrganization>

</manufacturedProduct>

</consumable>

</substanceAdministration>

</entry>

<entry>

<substanceAdministration moodCode=”EVN” classCode=”SBADM” negationInd=”true”>

<!– Immunization Activity entry template –>

<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 root=”f3fb65b9-32d2-4923-a8e1-e21eee8ba92f”/>

<statusCode code=”completed”/>

<effectiveTime value=”20180204060947-0400″/>

<consumable>

<manufacturedProduct classCode=”MANU”>

<!– Immunization Medication Information template –>

<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 code=”106″ displayName=”DTaP, 5 pertussis antigens” codeSystem=”2.16.840.1.113883.12.292″ codeSystemName=”Vaccines administered (CVX)”>

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<reference value=”#uri_9000010_11-227″/>

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</code>

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<manufacturerOrganization>

<name>Influenza Vaccine Company</name>

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</manufacturedProduct>

</consumable>

</substanceAdministration>

</entry>

<entry>

<substanceAdministration moodCode=”EVN” classCode=”SBADM” negationInd=”true”>

<!– Immunization Activity entry template –>

<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 root=”fc7f9245-1e1d-4328-8d47-990c179a2b9e”/>

<statusCode code=”completed”/>

<effectiveTime value=”20180204060947-0400″/>

<consumable>

<manufacturedProduct classCode=”MANU”>

<!– Immunization Medication Information template –>

<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″/>

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<code code=”166″ displayName=”influenza, intradermal, quadrivalent, preservative free” codeSystem=”2.16.840.1.113883.12.292″ codeSystemName=”Vaccines administered (CVX)”>

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<reference value=”#uri_9000010_11-229″/>

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<name>Influenza Vaccine Company</name>

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<section>

<templateId root=”2.16.840.1.113883.10.20.22.2.22.1″/>

<!– Encounters Section – required entries –>

<code code=”46240-8″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”History of encounters”/>

<title>Encounters</title>

<text>

<table border=”1″ width=”100%”>

<thead>

<tr>

<th>Encounter</th>

<th>Performer</th>

<th>Location</th>

<th>Date</th>

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<tbody>

<tr>

<td ID=”uri_9000010-90793″>Fever (SCT 386661006) 386661006</td>

<td>DAVIS,ALBERT</td>

<td>NPP Astronaut Network</td>

<td>02/04/2018 06:09:47-0400</td>

</tr>

<tr>

<td ID=”uri_9000010-90815″>NPP VISIT </td>

<td>DAVIS,ALBERT</td>

<td>NPP Astronaut Network</td>

<td>06/22/2015 09:00:00-0400</td>

</tr>

</tbody>

</table>

</text>

<entry typeCode=”DRIV”>

<encounter classCode=”ENC” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.49″/>

<!– Encounter Activities –>

<!–********Encounteractivitytemplate********–>

<id root=”ac3d8b29-7f68-401f-9640-6304de8a9b5c”/>

<code code=”@@type@code@@” displayName=”NPP VISIT” codeSystemName=”CPT” codeSystem=”2.16.840.1.113883.6.12″ codeSystemVersion=”4″>

<originalText>NPP VISIT<reference value=”#uri_9000010-90793″/>

</originalText>

</code>

<effectiveTime value=”20180204060947-0400″/>

<performer>

<assignedEntity>

<id root=”ac3d8b29-7f68-401f-9640-6304de8a9b5c”/>

<code code=”59058001″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED CT” displayName=”General Physician”/>

</assignedEntity>

</performer>

<participant typeCode=”LOC”>

<participantRole classCode=”SDLOC”>

<templateId root=”2.16.840.1.113883.10.20.22.4.32″/>

<!– Service Delivery Location template –>

<code code=”1141-1″ codeSystem=”2.16.840.1.113883.6.259″ codeSystemName=”HealthcareServiceLocation” displayName=”Provider&apos;s office”/>

<addr>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

<city>HOUSTON</city>

<state>TEXAS</state>

<postalCode>77054</postalCode>

<country>US</country>

</addr>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<playingEntity classCode=”PLC”>

<name>Astronaut Network</name>

</playingEntity>

</participantRole>

</participant>

<entryRelationship typeCode=”SUBJ” inversionInd=”false”>

<act classCode=”ACT” moodCode=”EVN”>

<!–Encounter diagnosis act –>

<templateId root=”2.16.840.1.113883.10.20.22.4.80″/>

<id root=”5a784260-6856-4f38-9638-80c751aff2fb”/>

<code xsi:type=”CE” code=”29308-4″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”ENCOUNTER DIAGNOSIS”/>

<statusCode code=”active”/>

<effectiveTime>

<low value=”20180204060947-0400″/>

</effectiveTime>

<entryRelationship typeCode=”SUBJ” inversionInd=”false”>

<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″/>

<!– Problem Observation –>

<id root=”ab1791b0-5c71-11db-b0de-0800200c9a66″/>

<code code=”409586006″ codeSystem=”2.16.840.1.113883.6.96″ displayName=”Complaint”>

<translation code=”75326-9″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Problem”/>

</code>

<statusCode code=”completed”/>

<effectiveTime>

<low value=”20180204060947-0400″/>

</effectiveTime>

<value xsi:type=”CD” code=”386661006″ codeSystem=”2.16.840.1.113883.6.96″ displayName=”Fever (SCT 386661006)”/>

</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″/>

<!– Encounter Activities –>

<!–********Encounteractivitytemplate********–>

<id root=”d1a137ab-b3f9-4a6a-8e23-70e226034087″/>

<code code=”@@type@code@@” displayName=”NPP VISIT” codeSystemName=”CPT” codeSystem=”2.16.840.1.113883.6.12″ codeSystemVersion=”4″>

<originalText>NPP VISIT<reference value=”#uri_9000010-90815″/>

</originalText>

</code>

<effectiveTime value=”20150622090000-0400″/>

<performer>

<assignedEntity>

<id root=”d1a137ab-b3f9-4a6a-8e23-70e226034087″/>

<code code=”59058001″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED CT” displayName=”General Physician”/>

</assignedEntity>

</performer>

<participant typeCode=”LOC”>

<participantRole classCode=”SDLOC”>

<templateId root=”2.16.840.1.113883.10.20.22.4.32″/>

<!– Service Delivery Location template –>

<code code=”1141-1″ codeSystem=”2.16.840.1.113883.6.259″ codeSystemName=”HealthcareServiceLocation” displayName=”Provider&apos;s office”/>

<addr>

<streetAddressLine>7505 Fannin 170</streetAddressLine>

<city>HOUSTON</city>

<state>TEXAS</state>

<postalCode>77054</postalCode>

<country>US</country>

</addr>

<telecom use=”WP” value=”tel:832-786-9141″></telecom>

<playingEntity classCode=”PLC”>

<name>Astronaut Network</name>

</playingEntity>

</participantRole>

</participant>

</encounter>

</entry>

</section>

</component>

<component>

<section>

<templateId root=”2.16.840.1.113883.10.20.22.2.7.1″></templateId>

<code code=”47519-4″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”HISTORY OF PROCEDURES”></code>

<title>Procedure</title>

<text>

<table border=”1″ width=”100%”>

<thead>

<tr>

<th>Date</th>

<th>Procedure</th>

</tr>

</thead>

<tbody>

<tr>

<td ID=”uri_SCT_SCT_605″>02/04/2018 06:09:47-0400</td>

<td>Nebuliser therapy – 56251003 (CODE: 56251003) Nebuliser therapy – 56251003</td>

</tr>

<tr>

<td ID=”uri_SCT_SCT_606″>02/04/2018 06:09:47-0400</td>

<td>Intro-cardiac pacemaker – 175136005 (CODE: 175135009) Intro-cardiac pacemaker – 175136005</td>

</tr>

</tbody>

</table>

</text>

<entry typeCode=”DRIV”>

<procedure classCode=”PROC” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.14″ extension=”2014-06-09″ />

<templateId root=”2.16.840.1.113883.10.20.22.4.14″ />

<id root=”d68b7e32-7810-4f5b-9cc2-acd54b0fd85d” />

<code code=”56251003″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED-CT” displayName=”Nebulizer Therapy” />

<statusCode code=”completed” />

<effectiveTime>

<low value=”20150622″ />

<high value=”20150622″ />

</effectiveTime>

<methodCode nullFlavor=”UNK” />

<targetSiteCode code=”82094008″ displayName=”Lower Respiratory Tract Structure” codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED-CT” />

</procedure>

</entry>

<entry typeCode=”DRIV”>

<procedure classCode=”PROC” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.14″ extension=”2014-06-09″ />

<templateId root=”2.16.840.1.113883.10.20.22.4.14″ />

<id root=”d68b7e32-7810-4f5b-9cc2-acd54b0fd85e” />

<code code=”175135009″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED-CT” displayName=”Introduction of cardiac pacemaker system via vein” />

<statusCode code=”completed” />

<effectiveTime>

<low value=”20111005″ />

<high value=”20111005″ />

</effectiveTime>

<methodCode nullFlavor=”UNK” />

<targetSiteCode code=”9454009″ displayName=”Structure of subclavian vein” codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED-CT” />

<participant typeCode=”DEV”>

<participantRole classCode=”MANU”>

<!– ** Product instance ** –>

<templateId root=”2.16.840.1.113883.10.20.22.4.37″/>

<!– UDI -db –>

<!– this UDI provided by the test data is not valid as per CDA schema -db –>

<!– <id root=”00643169007222″/> –>

<!– <id root=”d68b7e32-7810-4f5b-9cc2-acd54b0fd85e” extension=”00643169007222″/> –>

<!– root is FDA OID, extension is the UDI id –>

<id root=”2.16.840.1.113883.3.3719″ extension=”(01)00643169007222(17)160128(21)BLC200461H”/>

<playingDevice>

<!– the actual UDI device -db –>

<code code=”704708004″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED-CT” displayName=”Cardiac resynchronization therapy implantable pacemaker”>

</code>

</playingDevice>

<!– FDA Scoping Entity OID for UDI-db –>

<scopingEntity>

<id root=”2.16.840.1.113883.3.3719″/>

</scopingEntity>

</participantRole>

</participant>

</procedure>

</entry>

</section>

</component>

<component>

<section classCode=”DOCSECT” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.2.17″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.2.17″ extension=”2015-08-01″></templateId>

<code code=”29762-2″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Social History”></code>

<title>Social History</title>

<text>

<table border=”1″ width=”100%”>

<thead>

<tr>

<th>Start Date</th>

<th>Type</th>

<th>Comments</th>

<th>Source</th>

</tr>

</thead>

<tbody>

<tr>

<td ID=”uri_SCT-449868002″>02/04/2018 06:09:47-0400</td>

<td>Smokes tobacco daily (finding)</td>

<td>Snomed Code: 449868002</td>

<td>Astronaut Network</td>

</tr>

</tbody>

</table>

</text>

<entry>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.78″></templateId>

<id extension=”d3388d1c-603f-4b89-bfde-494a50ad0b80″ root=”2.16.840.1.113883.5.83″></id>

<code code=”ASSERTION” codeSystem=”2.16.840.1.113883.5.4″></code>

<text>

<reference value=”#uri_SCT-449868002″></reference>

</text>

<statusCode code=”completed”></statusCode>

<effectiveTime>

<low value=”20180204060947-0400″></low>

</effectiveTime>

<value code=”449868002″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED” displayName=”Smokes tobacco daily (finding)” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”></value>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>Astronaut Network</value>

</observation>

</entryRelationship>

</observation>

</entry>

</section>

</component>

<component>

<section classCode=”DOCSECT” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.2.1.1″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.2.1.1″ extension=”2014-06-09″></templateId>

<code code=”10160-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”History of medication use”></code>

<title>Medications</title>

<text>

<table border=”1″ width=”100%”>

<thead>

<tr>

<th>Date</th>

<th>Medication</th>

<th>Directions</th>

<th>Status</th>

<th>Source</th>

</tr>

</thead>

<tbody>

<tr>

<td ID=”uri_55-13195_3N-O”>02/04/2018 00:17:39-0400</td>

<td>ceftriaxone 1 gram Solution for Injection (RxNorm: 309090)</td>

<td>1 unit intramuscular inject DAILY</td>

<td>active</td>

<td>DAVIS,ALBERT</td>

</tr>

<tr>

<td ID=”uri_55-13195_2N-O”>02/04/2018 00:17:39-0400</td>

<td>acetaminophen 500 mg Tab (RxNorm: 209459)</td>

<td>1 tablet by mouth as directed PRN</td>

<td>active</td>

<td>DAVIS,ALBERT</td>

</tr>

<tr>

<td ID=”uri_55-13195_1N-O”>02/04/2018 00:17:39-0400</td>

<td>Aranesp (polysorbate) 500 mcg/mL Syringe (RxNorm: 731184)</td>

<td>1 mL intramuscular inject Q1wk</td>

<td>active</td>

<td>DAVIS,ALBERT</td>

</tr>

</tbody>

</table>

</text>

<entry>

<substanceAdministration classCode=”SBADM” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.16″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.16″ extension=”2014-06-09″></templateId>

<id extension=”4671088″ root=”1.3.6.1.4.1.16517″></id>

<text>

<reference value=”#uri_55-13195_3N-O”></reference>

</text>

<statusCode code=”completed”></statusCode>

<effectiveTime xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”IVL_TS”>

<low value=”20180204001739-0400″></low>

<high nullFlavor=”UNK”></high>

</effectiveTime>

<doseQuantity nullFlavor=”UNK” />

<consumable typeCode=”CSM”>

<manufacturedProduct classCode=”MANU”>

<templateId root=”2.16.840.1.113883.10.20.22.4.23″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.23″ extension=”2014-06-09″></templateId>

<manufacturedMaterial classCode=”MMAT” determinerCode=”KIND”>

<code code=”309090″ codeSystem=”2.16.840.1.113883.6.88″ displayName=”ceftriaxone 1 gram Solution for Injection”>

<originalText>

<reference value=”#uri_55-13195_3N-O”></reference>

</originalText>

</code>

</manufacturedMaterial>

</manufacturedProduct>

</consumable>

<entryRelationship typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.1.47″></templateId>

<code code=”33999-4″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Status”></code>

<statusCode code=”completed”></statusCode>

<value code=”55561003″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED” displayName=”Active” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”></value>

</observation>

</entryRelationship>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>UNK</value>

</observation>

</entryRelationship>

</substanceAdministration>

</entry>

<entry>

<substanceAdministration classCode=”SBADM” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.16″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.16″ extension=”2014-06-09″></templateId>

<id extension=”4671088″ root=”1.3.6.1.4.1.16517″></id>

<text>

<reference value=”#uri_55-13195_2N-O”></reference>

</text>

<statusCode code=”completed”></statusCode>

<effectiveTime xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”IVL_TS”>

<low value=”20180204001739-0400″></low>

<high nullFlavor=”UNK”></high>

</effectiveTime>

<doseQuantity nullFlavor=”UNK” />

<consumable typeCode=”CSM”>

<manufacturedProduct classCode=”MANU”>

<templateId root=”2.16.840.1.113883.10.20.22.4.23″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.23″ extension=”2014-06-09″></templateId>

<manufacturedMaterial classCode=”MMAT” determinerCode=”KIND”>

<code code=”209459″ codeSystem=”2.16.840.1.113883.6.88″ displayName=”acetaminophen 500 mg Tab”>

<originalText>

<reference value=”#uri_55-13195_2N-O”></reference>

</originalText>

</code>

</manufacturedMaterial>

</manufacturedProduct>

</consumable>

<entryRelationship typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.1.47″></templateId>

<code code=”33999-4″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Status”></code>

<statusCode code=”completed”></statusCode>

<value code=”55561003″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED” displayName=”Active” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”></value>

</observation>

</entryRelationship>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>UNK</value>

</observation>

</entryRelationship>

</substanceAdministration>

</entry>

<entry>

<substanceAdministration classCode=”SBADM” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.16″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.16″ extension=”2014-06-09″></templateId>

<id extension=”4671088″ root=”1.3.6.1.4.1.16517″></id>

<text>

<reference value=”#uri_55-13195_1N-O”></reference>

</text>

<statusCode code=”completed”></statusCode>

<effectiveTime xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”IVL_TS”>

<low value=”20180204001739-0400″></low>

<high nullFlavor=”UNK”></high>

</effectiveTime>

<doseQuantity nullFlavor=”UNK” />

<consumable typeCode=”CSM”>

<manufacturedProduct classCode=”MANU”>

<templateId root=”2.16.840.1.113883.10.20.22.4.23″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.23″ extension=”2014-06-09″></templateId>

<manufacturedMaterial classCode=”MMAT” determinerCode=”KIND”>

<code code=”731184″ codeSystem=”2.16.840.1.113883.6.88″ displayName=”Aranesp (polysorbate) 500 mcg/mL Syringe”>

<originalText>

<reference value=”#uri_55-13195_1N-O”></reference>

</originalText>

</code>

</manufacturedMaterial>

</manufacturedProduct>

</consumable>

<entryRelationship typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.1.47″></templateId>

<code code=”33999-4″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Status”></code>

<statusCode code=”completed”></statusCode>

<value code=”55561003″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED” displayName=”Active” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”></value>

</observation>

</entryRelationship>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>UNK</value>

</observation>

</entryRelationship>

</substanceAdministration>

</entry>

</section>

</component>

<component>

<section classCode=”DOCSECT” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.2.5.1″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.2.5.1″ extension=”2015-08-01″></templateId>

<code code=”11450-4″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Problem List”></code>

<title>Problems</title>

<text>

<table border=”1″ width=”100%”>

<thead>

<tr>

<th>Date</th>

<th>Problems</th>

<th>Status</th>

<th>Source</th>

</tr>

</thead>

<tbody>

<tr>

<td ID=”uri_9000011-17092″>02/04/2018</td>

<td>Essential hypertension (SCT 59621000)</td>

<td>ACTIVE</td>

<td>DAVIS,ALBERT</td>

</tr>

<tr>

<td ID=”uri_9000011-17093″>02/04/2018</td>

<td>Severe hypothyroidism (SCT 83986005)</td>

<td>ACTIVE</td>

<td>DAVIS,ALBERT</td>

</tr>

<tr>

<td ID=”uri_9000011-17094″>02/04/2018</td>

<td>Chronic rejection of renal transplant (SCT 236578006)</td>

<td>ACTIVE</td>

<td>DAVIS,ALBERT</td>

</tr>

<tr>

<td ID=”uri_9000011-17095″>02/04/2018</td>

<td>Fever (SCT 386661006)</td>

<td>ACTIVE</td>

<td>DAVIS,ALBERT</td>

</tr>

<tr>

<td ID=”uri_9000011-17096″>02/04/2018</td>

<td>Overweight (SCT 238131007)</td>

<td>INACTIVE</td>

<td>DAVIS,ALBERT</td>

</tr>

</tbody>

</table>

</text>

<entry>

<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=”997afd26-4c30-4724-b06f-4407bb941456″></id>

<code code=”CONC” codeSystem=”2.16.840.1.113883.5.6″></code>

<statusCode code=”completed”></statusCode>

<effectiveTime>

<low value=”20180204″></low>

</effectiveTime>

<entryRelationship contextConductionInd=”true” inversionInd=”false” typeCode=”SUBJ”>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.4″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.4″ extension=”2015-08-01″></templateId>

<id root=”d37772cd-3bc0-48f1-99a4-b813ee4735cf”></id>

<code code=”55607006″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED CT” displayName=”Problem”>

<translation code=”75326-9″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Problem”/>

</code>

<text mediaType=”text/plain”>

<reference value=”#uri_9000011-17092″/>

</text>

<statusCode code=”completed”></statusCode>

<effectiveTime>

<low value=”20180204″></low>

</effectiveTime>

<value code=”59621000″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED-CT” displayName=”Essential hypertension” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”>

<originalText>Essential hypertension (SCT 59621000)</originalText>

</value>

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<observation classCode=”OBS” moodCode=”EVN”>

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<code code=”33999-4″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Status” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CE”></code>

<statusCode code=”completed”></statusCode>

<value code=”55561003″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED CT” displayName=”Active” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”></value>

</observation>

</entryRelationship>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>TEST,VIEW,M.D.</value>

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</entryRelationship>

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<entry>

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<templateId root=”2.16.840.1.113883.10.20.22.4.3″ extension=”2015-08-01″/>

<id root=”6fd8daac-e70f-421d-8203-d3abc0108d0c”></id>

<code code=”CONC” codeSystem=”2.16.840.1.113883.5.6″></code>

<statusCode code=”completed”></statusCode>

<effectiveTime>

<low value=”20180204″></low>

</effectiveTime>

<entryRelationship contextConductionInd=”true” inversionInd=”false” typeCode=”SUBJ”>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.4″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.4″ extension=”2015-08-01″></templateId>

<id root=”83b48a83-93ea-435d-8792-7773ec5c428e”></id>

<code code=”55607006″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED CT” displayName=”Problem”>

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<text mediaType=”text/plain”>

<reference value=”#uri_9000011-17093″/>

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<statusCode code=”completed”></statusCode>

<effectiveTime>

<low value=”20180204″></low>

</effectiveTime>

<value code=”83986005″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED-CT” displayName=”Severe hypothyroidism” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”>

<originalText>Severe hypothyroidism (SCT 83986005)</originalText>

</value>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.6″></templateId>

<code code=”33999-4″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Status” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CE”></code>

<statusCode code=”completed”></statusCode>

<value code=”55561003″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED CT” displayName=”Active” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”></value>

</observation>

</entryRelationship>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

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</entryRelationship>

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</entryRelationship>

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<entry>

<act classCode=”ACT” moodCode=”EVN”>

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<templateId root=”2.16.840.1.113883.10.20.22.4.3″ extension=”2015-08-01″/>

<id root=”8f5ccff7-e022-485d-b513-e6122c772f88″></id>

<code code=”CONC” codeSystem=”2.16.840.1.113883.5.6″></code>

<statusCode code=”completed”></statusCode>

<effectiveTime>

<low value=”20180204″></low>

</effectiveTime>

<entryRelationship contextConductionInd=”true” inversionInd=”false” typeCode=”SUBJ”>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.4″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.4″ extension=”2015-08-01″></templateId>

<id root=”1a2e70f1-e2bb-44d3-bd78-2e6b9fccbc91″></id>

<code code=”55607006″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED CT” displayName=”Problem”>

<translation code=”75326-9″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Problem”/>

</code>

<text mediaType=”text/plain”>

<reference value=”#uri_9000011-17094″/>

</text>

<statusCode code=”completed”></statusCode>

<effectiveTime>

<low value=”20180204″></low>

</effectiveTime>

<value code=”236578006″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED-CT” displayName=”Chronic rejection of renal transplant” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”>

<originalText>Chronic rejection of renal transplant (SCT 236578006)</originalText>

</value>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.6″></templateId>

<code code=”33999-4″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Status” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CE”></code>

<statusCode code=”completed”></statusCode>

<value code=”55561003″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED CT” displayName=”Active” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”></value>

</observation>

</entryRelationship>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>TEST,VIEW,M.D.</value>

</observation>

</entryRelationship>

</observation>

</entryRelationship>

</act>

</entry>

<entry>

<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=”681231e9-ab12-403d-9db5-847b199ed928″></id>

<code code=”CONC” codeSystem=”2.16.840.1.113883.5.6″></code>

<statusCode code=”completed”></statusCode>

<effectiveTime>

<low value=”20180204″></low>

</effectiveTime>

<entryRelationship contextConductionInd=”true” inversionInd=”false” typeCode=”SUBJ”>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.4″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.4″ extension=”2015-08-01″></templateId>

<id root=”3e91af6f-ebc0-472d-9560-60ec5f3294c4″></id>

<code code=”55607006″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED CT” displayName=”Problem”>

<translation code=”75326-9″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Problem”/>

</code>

<text mediaType=”text/plain”>

<reference value=”#uri_9000011-17095″/>

</text>

<statusCode code=”completed”></statusCode>

<effectiveTime>

<low value=”20180204″></low>

</effectiveTime>

<value code=”386661006″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED-CT” displayName=”Fever” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”>

<originalText>Fever (SCT 386661006)</originalText>

</value>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.6″></templateId>

<code code=”33999-4″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Status” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CE”></code>

<statusCode code=”completed”></statusCode>

<value code=”55561003″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED CT” displayName=”Active” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”></value>

</observation>

</entryRelationship>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>TEST,VIEW,M.D.</value>

</observation>

</entryRelationship>

</observation>

</entryRelationship>

</act>

</entry>

<entry>

<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=”066a7475-9f71-460f-af7d-2aa1c69cca72″></id>

<code code=”CONC” codeSystem=”2.16.840.1.113883.5.6″></code>

<statusCode code=”completed”></statusCode>

<effectiveTime>

<low value=”20180204″></low>

</effectiveTime>

<entryRelationship contextConductionInd=”true” inversionInd=”false” typeCode=”SUBJ”>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.4″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.4″ extension=”2015-08-01″></templateId>

<id root=”012a024b-2314-46f3-9f66-bb28dbd749a3″></id>

<code code=”55607006″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED CT” displayName=”Problem”>

<translation code=”75326-9″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Problem”/>

</code>

<text mediaType=”text/plain”>

<reference value=”#uri_9000011-17096″/>

</text>

<statusCode code=”completed”></statusCode>

<effectiveTime>

<low value=”20180204″></low>

</effectiveTime>

<value code=”238131007″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED-CT” displayName=”Overweight” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”>

<originalText>Overweight (SCT 238131007)</originalText>

</value>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.6″></templateId>

<code code=”33999-4″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Status” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CE”></code>

<statusCode code=”completed”></statusCode>

<value code=”413322009″ codeSystem=”2.16.840.1.113883.6.96″ codeSystemName=”SNOMED CT” displayName=”Resolved” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”CD”></value>

</observation>

</entryRelationship>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>TEST,VIEW,M.D.</value>

</observation>

</entryRelationship>

</observation>

</entryRelationship>

</act>

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</section>

</component>

<component>

<section classCode=”DOCSECT” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.2.3.1″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.2.3.1″ extension=”2015-08-01″></templateId>

<code code=”30954-2″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Relevant diagnostic tests and/or laboratory data”></code>

<title>Lab Results</title>

<text>

<table border=”1″ width=”100%”>

<thead>

<tr>

<th>Result Code</th>

<th>Code System</th>

<th>Name</th>

<th>Value</th>

<th>Date</th>

<th>Reference Range</th>

</tr>

</thead>

<tbody>

<tr>

<td>5803-2</td>

<td>LOINC</td>

<td>URINE PH</td>

<td>Value=5 units=[pH]</td>

<td ID=”uri_CH-6849377-692″>06/22/2015</td>

<td>low: 4.5 high: 8.0</td>

</tr>

<tr>

<td>5804-0</td>

<td>LOINC</td>

<td>URINE PROTEIN</td>

<td>Value=100 units=mg/dL</td>

<td ID=”uri_CH-6849377-691″>06/22/2015</td>

<td>low: 0.0 high: 20.0</td>

</tr>

<tr>

<td>5792-7</td>

<td>LOINC</td>

<td>URINE GLUCOSE</td>

<td>Value=50 units=mg/dL</td>

<td ID=”uri_CH-6849377-690″>06/22/2015</td>

<td>low: 0.0 high: 0.8</td>

</tr>

<tr>

<td>5797-6</td>

<td>LOINC</td>

<td>URINE KETONES</td>

<td>Value=Neg units=</td>

<td ID=”uri_CH-6849377-689″>06/22/2015</td>

<td>low: 0.6 high: 1.5</td>

</tr>

<tr>

<td>5778-6</td>

<td>LOINC</td>

<td>URINE COLOR</td>

<td>Value=YELLOW units=</td>

<td ID=”uri_CH-6849377-683″>06/22/2015</td>

<td> </td>

</tr>

<tr>

<td>5811-5</td>

<td>LOINC</td>

<td>URINE DENSITY</td>

<td>Value=1.015 units=1</td>

<td ID=”uri_CH-6849377-684″>06/22/2015</td>

<td>low: 1.005 high: 1.030</td>

</tr>

<tr>

<td>5767-9</td>

<td>LOINC</td>

<td>APPEARANCE OF URINE</td>

<td>Value=CLEAR units=</td>

<td ID=”uri_CH-6828972-999″>06/22/2015</td>

<td> </td>

</tr>

</tbody>

</table>

</text>

<entry>

<organizer classCode=”CLUSTER” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.1″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.1″ extension=”2015-08-01″></templateId>

<id extension=”uri_CH-6849377-692″ root=”2.16.840.1.113883.5.83″></id>

<code code=”5803-2″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”URINE PH”></code>

<statusCode code=”completed”></statusCode>

<component>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.2″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.2″ extension=”2015-08-01″></templateId>

<id extension=”uri_CH-6849377-692″ root=”2.16.840.1.113883.5.83″></id>

<code code=”5803-2″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”URINE PH”>

<originalText>URINE PH</originalText>

</code>

<text mediaType=”text/plain”>

<reference value=”#uri_CH-6849377-692″></reference>

</text>

<statusCode code=”completed”></statusCode>

<effectiveTime value=”20150622″></effectiveTime>

<value unit=”[pH]” value=”5″ xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”PQ”></value>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>Astronaut Network</value>

</observation>

</entryRelationship>

<referenceRange typeCode=”REFV”>

<observationRange classCode=”OBS” moodCode=”EVN.CRT”>

<text mediaType=”text/plain” representation=”TXT”>low: 4.5 high: 8.0 units: </text>

<value xsi:type=”IVL_PQ”>

<low value=”4.5″ unit=”[pH]”/>

<high value=”8.0″ unit=”[pH]”/>

</value>

</observationRange>

</referenceRange>

</observation>

</component>

</organizer>

</entry>

<entry>

<organizer classCode=”CLUSTER” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.1″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.1″ extension=”2015-08-01″></templateId>

<id extension=”uri_CH-6849377-691″ root=”2.16.840.1.113883.5.83″></id>

<code code=”5804-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”URINE PROTEIN”></code>

<statusCode code=”completed”></statusCode>

<component>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.2″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.2″ extension=”2015-08-01″></templateId>

<id extension=”uri_CH-6849377-691″ root=”2.16.840.1.113883.5.83″></id>

<code code=”5804-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”URINE PROTEIN”>

<originalText>URINE PROTEIN</originalText>

</code>

<text mediaType=”text/plain”>

<reference value=”#uri_CH-6849377-691″></reference>

</text>

<statusCode code=”completed”></statusCode>

<effectiveTime value=”20150622″></effectiveTime>

<value unit=”mg/dL” value=”100″ xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”PQ”></value>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>Astronaut Network</value>

</observation>

</entryRelationship>

<referenceRange typeCode=”REFV”>

<observationRange classCode=”OBS” moodCode=”EVN.CRT”>

<text mediaType=”text/plain” representation=”TXT”>low: 0.0 high: 20.0 units: </text>

<value xsi:type=”IVL_PQ”>

<low value=”0.0″ unit=”mg/dL”/>

<high value=”20.0″ unit=”mg/dL”/>

</value>

</observationRange>

</referenceRange>

</observation>

</component>

</organizer>

</entry>

<entry>

<organizer classCode=”CLUSTER” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.1″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.1″ extension=”2015-08-01″></templateId>

<id extension=”uri_CH-6849377-690″ root=”2.16.840.1.113883.5.83″></id>

<code code=”5792-7″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”URINE GLUCOSE”></code>

<statusCode code=”completed”></statusCode>

<component>

<observation classCode=”OBS” moodCode=”EVN”>

<templateId root=”2.16.840.1.113883.10.20.22.4.2″></templateId>

<templateId root=”2.16.840.1.113883.10.20.22.4.2″ extension=”2015-08-01″></templateId>

<id extension=”uri_CH-6849377-690″ root=”2.16.840.1.113883.5.83″></id>

<code code=”5792-7″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”URINE GLUCOSE”>

<originalText>URINE GLUCOSE</originalText>

</code>

<text mediaType=”text/plain”>

<reference value=”#uri_CH-6849377-690″></reference>

</text>

<statusCode code=”completed”></statusCode>

<effectiveTime value=”20150622″></effectiveTime>

<value unit=”mg/dL” value=”50″ xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”PQ”></value>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>Astronaut Network</value>

</observation>

</entryRelationship>

<referenceRange typeCode=”REFV”>

<observationRange classCode=”OBS” moodCode=”EVN.CRT”>

<text mediaType=”text/plain” representation=”TXT”>low: 0.0 high: 0.8 units: mg/dL</text>

<value xsi:type=”IVL_PQ”>

<low value=”0.0″ unit=”mg/dL”/>

<high value=”0.8″ unit=”mg/dL”/>

</value>

</observationRange>

</referenceRange>

</observation>

</component>

</organizer>

</entry>

<entry>

<organizer classCode=”CLUSTER” moodCode=”EVN”>

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<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>ASTRONAUT HARRRIS COUNTY NET</value>

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<code code=”8716-3″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Vital Signs”></code>

<title>Vital Signs</title>

<text>

<table border=”1″ width=”100%”>

<thead>

<tr>

<th>Date</th>

<th>Vital Sign</th>

<th>Value</th>

<th>Details</th>

<th>Source</th>

</tr>

</thead>

<tbody>

<tr>

<td ID=”uri_120_5-37873″>02/04/2018 06:46:31-0400</td>

<td>BLOOD PRESSURE</td>

<td>145/88 mm[Hg]</td>

<td>low: 100/60 high: 210/110</td>

<td>NPP </td>

</tr>

<tr>

<td ID=”uri_120_5-37878″>02/04/2018 06:46:31-0400</td>

<td>HEIGHT</td>

<td>177.00 cm</td>

<td> </td>

<td>NPP </td>

</tr>

<tr>

<td ID=”uri_120_5-37874″>02/04/2018 06:46:31-0400</td>

<td>PULSE</td>

<td>80 /min</td>

<td>low: 60 high: 120</td>

<td>NPP </td>

</tr>

<tr>

<td ID=”uri_120_5-37879″>02/04/2018 06:46:31-0400</td>

<td>PULSE OXIMETRY</td>

<td>95 %</td>

<td>low: 80 high: 100</td>

<td>NPP </td>

</tr>

<tr>

<td ID=”uri_120_5-37875″>02/04/2018 06:46:31-0400</td>

<td>RESPIRATION</td>

<td>18 /min</td>

<td>low: 8 high: 30</td>

<td>NPP </td>

</tr>

<tr>

<td ID=”uri_120_5-37876″>02/04/2018 06:46:31-0400</td>

<td>TEMPERATURE</td>

<td>38.0 C</td>

<td>low: 95 high: 102</td>

<td>NPP </td>

</tr>

<tr>

<td ID=”uri_120_5-37877″>02/04/2018 06:46:31-0400</td>

<td>WEIGHT</td>

<td>88 kg</td>

<td> </td>

<td>NPP </td>

</tr>

<tr>

<td ID=”uri_120_5-37895″>06/22/2015 10:12:00-0400</td>

<td>INHALED OXYGEN CONCENTRATION</td>

<td>36 %</td>

<td> </td>

<td>Clinic One1 </td>

</tr>

</tbody>

</table>

</text>

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<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>NPP</value>

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<statusCode code=”completed”></statusCode>

<effectiveTime value=”20180204064631-0400″></effectiveTime>

<value unit=”/min” value=”80″ xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”PQ”></value>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>NPP</value>

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</observation>

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<component>

<observation classCode=”OBS” moodCode=”EVN”>

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<id root=”891ba3e0-9222-49f9-8e2b-59dd0e1d5ee3″></id>

<code code=”59408-5″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”OXYGEN SATURATION”>

<originalText>PULSE OXIMETRY</originalText>

</code>

<text mediaType=”text/plain”>

<reference value=”#uri_120_5-37879″></reference>

</text>

<statusCode code=”completed”></statusCode>

<effectiveTime value=”20180204064631-0400″></effectiveTime>

<value unit=”%” value=”95″ xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”PQ”></value>

<entryRelationship contextConductionInd=”true” typeCode=”REFR”>

<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>NPP</value>

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</observation>

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<observation classCode=”OBS” moodCode=”EVN”>

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<originalText>RESPIRATION</originalText>

</code>

<text mediaType=”text/plain”>

<reference value=”#uri_120_5-37875″></reference>

</text>

<statusCode code=”completed”></statusCode>

<effectiveTime value=”20180204064631-0400″></effectiveTime>

<value unit=”/min” value=”18″ xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”PQ”></value>

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<observation classCode=”OBS” moodCode=”EVN”>

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<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>NPP</value>

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</code>

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<reference value=”#uri_120_5-37876″></reference>

</text>

<statusCode code=”completed”></statusCode>

<effectiveTime value=”20180204064631-0400″></effectiveTime>

<value unit=”Cel” value=”38″ xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”PQ”></value>

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<observation classCode=”OBS” moodCode=”EVN”>

<code code=”48766-0″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Information source”></code>

<statusCode code=”completed”></statusCode>

<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>NPP</value>

</observation>

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</observation>

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<code code=”29463-7″ codeSystem=”2.16.840.1.113883.6.1″ codeSystemName=”LOINC” displayName=”Body Weight”>

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<value xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance” xsi:type=”ST”>NPP</value>

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