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<?xml version="1.0" ?>
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xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 ../../C-CDA%20rules/infrastructure/cda/CDA_SDTC.xsd">
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codeSystemName="LOINC" displayName="Summarization of Episode Note"/>
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<title>Community Health and Hospitals: Health Summary</title>
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<streetAddressLine>1093 Paradise Lane</streetAddressLine>
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<city>Pomona</city>
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<state>CA</state>
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<given qualifier="BR">Wilma</given>
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<name>Community Health and Hospitals</name>
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<streetAddressLine>1001 Village Avenue</streetAddressLine>
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<code code="200000000X" codeSystem="2.16.840.1.113883.6.101" displayName="Allopathic & Osteopathic Physicians"/>
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<addr>
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<streetAddressLine>1002 Healthcare Drive </streetAddressLine>
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<city>Portland</city>
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<state>OR</state>
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<postalCode>99123</postalCode>
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<code code="207Q00000X" codeSystem="2.16.840.1.113883.6.101" displayName="Allopathic & Osteopathic Physicians"/>
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<addr>
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<streetAddressLine>1001 Village Avenue</streetAddressLine>
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<city>Portland</city>
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<state>OR</state>
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<telecom use="WP" value="tel:555-555-1002"/>
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<given>Henry</given>
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<streetAddressLine>1001 Village Avenue</streetAddressLine>
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<city>Portland</city>
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<given>Henry</given>
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<name>Community Health and Hospitals</name>
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<telecom use="WP" value="tel: 555-555-1002"/>
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<addr use="WP">
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<streetAddressLine>1002 Healthcare Drive </streetAddressLine>
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<city>Portland</city>
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<state>OR</state>
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<postalCode>99123</postalCode>
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<country>US</country>
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<informationRecipient>
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<intendedRecipient>
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<informationRecipient>
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<name>
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<given>Henry</given>
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<family>Seven</family>
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<name>Community Health and Hospitals</name>
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<streetAddressLine>1001 Village Avenue</streetAddressLine>
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<city>Portland</city>
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<state>OR</state>
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<postalCode>99123</postalCode>
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<telecom use="WP" value="tel:555-555-1002"/>
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<name>
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<given>Henry</given>
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<streetAddressLine>1001 Village Avenue</streetAddressLine>
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<city>Portland</city>
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<state>OR</state>
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<postalCode>99123</postalCode>
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<country>US</country>
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<telecom use="WP" value="tel:555-555-1002"/>
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<name>
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<given>Henry</given>
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<family>Seven</family>
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<streetAddressLine>17 Daws Rd.</streetAddressLine>
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<city>Beaverton</city>
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<state>OR</state>
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<postalCode>97867</postalCode>
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<country>US</country>
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<telecom use="WP" value="tel:(999)555-1212"/>
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<name>
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<prefix>Mrs.</prefix>
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<given>Martha</given>
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<family>Jones</family>
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codeSystemName="participationFunction" displayName="Primary Care Physician">
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<id extension="PseudoMD-1" root="2.16.840.1.113883.4.6"/>
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codeSystemName="NUCC Provider Codes" displayName="Primary Care [Ambulatory Health Care Facilities\Clinic/Center]"/>
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<addr>
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<streetAddressLine>1001 Village Avenue</streetAddressLine>
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<city>Portland</city>
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<state>OR</state>
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<postalCode>99123</postalCode>
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<country>US</country>
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<telecom use="HP" value="tel:+1-555-555-5000"/>
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<name>
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<given>Henry</given>
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<family>Seven</family>
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<suffix>MD</suffix>
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</name>
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<name>Community Health and Hospitals</name>
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<telecom use="HP" value="tel:+1-555-555-5000"/>
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<addr>
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<streetAddressLine>1001 Village Avenue</streetAddressLine>
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<city>Portland</city>
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<state>OR</state>
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<postalCode>99123</postalCode>
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<country>US</country>
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</documentationOf>
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<component>
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<section>
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<code code="48765-2"
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codeSystem="2.16.840.1.113883.6.1"
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codeSystemName="LOINC" displayName="Allergies, adverse reactions, alerts"/>
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<title>Allergies, Adverse Reactions & Alerts</title>
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<text>
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<table>
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| 360 |
<thead>
|
| 361 |
<tr>
|
| 362 |
<th>Group Description</th>
|
| 363 |
<th>Code System</th>
|
| 364 |
<th>Code</th>
|
| 365 |
<th>Code Description</th>
|
| 366 |
<th>Severity</th>
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| 367 |
<th>Susceptibility</th>
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| 368 |
<th>Date and Time</th>
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<th>Status</th>
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</tr>
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</thead>
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<tbody>
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<tr>
|
| 374 |
<td>Allergy to Eggs</td>
|
| 375 |
<td>UNII</td>
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| 376 |
<td>291P45F896</td>
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| 377 |
<td>
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<content ID="Allergy1"/>Eggs</td>
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| 379 |
<td>
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| 380 |
<content ID="Severity1"/>Severe</td>
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| 381 |
<td>Very susceptible</td>
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| 382 |
<td>03-31-2010 10:00:00</td>
|
| 383 |
<td>Active</td>
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| 384 |
</tr>
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| 385 |
<tr>
|
| 386 |
<td/>
|
| 387 |
<td>ICD-9-CM</td>
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| 388 |
<td>V15.03</td>
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| 389 |
<td>Allergy to eggs</td>
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| 390 |
<td/>
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| 391 |
<td/>
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| 392 |
<td/>
|
| 393 |
<td/>
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</tr>
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<tr>
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| 396 |
<td>Codeine</td>
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| 397 |
<td>NDF-RT</td>
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| 398 |
<td>N0000006691</td>
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| 399 |
<td>
|
| 400 |
<content ID="Allergy2"/>Codeine</td>
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| 401 |
<td>
|
| 402 |
<content ID="Severity2"/>Fatal</td>
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| 403 |
<td>Susceptible</td>
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| 404 |
<td>03-31-2010 10:00:00</td>
|
| 405 |
<td>Active</td>
|
| 406 |
</tr>
|
| 407 |
<tr>
|
| 408 |
<td>Fosfomycin</td>
|
| 409 |
<td>RxNorm</td>
|
| 410 |
<td>808917</td>
|
| 411 |
<td>
|
| 412 |
<content ID="Allergy3"/>Fosfomycin 33.3 MG/ML Oral Suspension</td>
|
| 413 |
<td>
|
| 414 |
<content ID="Severity3"/>Moderate</td>
|
| 415 |
<td>Very susceptible</td>
|
| 416 |
<td>03-31-2010 10:00:00</td>
|
| 417 |
<td>Active</td>
|
| 418 |
</tr>
|
| 419 |
</tbody>
|
| 420 |
</table>
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| 421 |
</text>
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displayName="Allergies, adverse reactions, alerts" xsi:type="CE"/>
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|
| 440 |
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
|
| 441 |
<statusCode code="completed"/>
|
| 442 |
<effectiveTime>
|
| 443 |
<low nullFlavor="UNK"/>
|
| 444 |
</effectiveTime>
|
| 445 |
|
| 446 |
|
| 447 |
|
| 448 |
|
| 449 |
|
| 450 |
|
| 451 |
|
| 452 |
|
| 453 |
|
| 454 |
|
| 455 |
|
| 456 |
<value code="414285001"
|
| 457 |
codeSystem="2.16.840.1.113883.6.96"
|
| 458 |
codeSystemName="SNOMED-CT"
|
| 459 |
displayName="Food allergy (disorder)" xsi:type="CD">
|
| 460 |
|
| 461 |
<originalText>
|
| 462 |
Allergy to Eggs + Eggs
|
| 463 |
<reference value="#Allergy1"/>
|
| 464 |
</originalText>
|
| 465 |
</value>
|
| 466 |
<participant typeCode="CSM">
|
| 467 |
<participantRole classCode="MANU">
|
| 468 |
<playingEntity classCode="MMAT">
|
| 469 |
|
| 470 |
|
| 471 |
|
| 472 |
|
| 473 |
|
| 474 |
<code code="291P45F896"
|
| 475 |
codeSystem="2.16.840.1.113883.4.9"
|
| 476 |
codeSystemName="UNII" displayName="Eggs">
|
| 477 |
|
| 478 |
<originalText>
|
| 479 |
Allergy to Eggs + Eggs
|
| 480 |
<reference value="#Allergy1"/>
|
| 481 |
</originalText>
|
| 482 |
|
| 483 |
|
| 484 |
|
| 485 |
|
| 486 |
|
| 487 |
|
| 488 |
<translation
|
| 489 |
code="V15.03"
|
| 490 |
codeSystem="2.16.840.1.113883.6.103"
|
| 491 |
codeSystemName="ICD-9-CM" displayName="Allergy to eggs"/>
|
| 492 |
</code>
|
| 493 |
</playingEntity>
|
| 494 |
</participantRole>
|
| 495 |
</participant>
|
| 496 |
<entryRelationship
|
| 497 |
inversionInd="true" typeCode="SUBJ">
|
| 498 |
|
| 499 |
<observation classCode="OBS" moodCode="EVN">
|
| 500 |
<templateId root="2.16.840.1.113883.10.20.22.4.8"/>
|
| 501 |
<code code="SEV"
|
| 502 |
codeSystem="2.16.840.1.113883.5.4"
|
| 503 |
codeSystemName="ActCode" displayName="Severity Observation"/>
|
| 504 |
<text>
|
| 505 |
<reference value="#severity1"/>
|
| 506 |
</text>
|
| 507 |
<statusCode code="completed"/>
|
| 508 |
<value code="24484000"
|
| 509 |
codeSystem="2.16.840.1.113883.6.96"
|
| 510 |
codeSystemName="SNOMED-CT"
|
| 511 |
displayName="Severe" xsi:type="CD"/>
|
| 512 |
<interpretationCode
|
| 513 |
code="VS"
|
| 514 |
codeSystem="2.16.840.1.113883.1.11.78"
|
| 515 |
codeSystemName="Observation Interpretation" displayName="Very susceptible"/>
|
| 516 |
</observation>
|
| 517 |
</entryRelationship>
|
| 518 |
</observation>
|
| 519 |
</entryRelationship>
|
| 520 |
</act>
|
| 521 |
</entry>
|
| 522 |
<entry typeCode="DRIV">
|
| 523 |
|
| 524 |
<act classCode="ACT" moodCode="EVN">
|
| 525 |
<templateId root="2.16.840.1.113883.10.20.22.4.30"/>
|
| 526 |
<id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
|
| 527 |
<code code="48765-2"
|
| 528 |
codeSystem="2.16.840.1.113883.6.1"
|
| 529 |
codeSystemName="LOINC"
|
| 530 |
displayName="Allergies, adverse reactions, alerts" xsi:type="CE"/>
|
| 531 |
<statusCode code="active"/>
|
| 532 |
<effectiveTime>
|
| 533 |
<low value="20100331100000"/>
|
| 534 |
</effectiveTime>
|
| 535 |
<entryRelationship inversionInd="true" typeCode="SUBJ">
|
| 536 |
|
| 537 |
<observation classCode="OBS" moodCode="EVN">
|
| 538 |
<templateId root="2.16.840.1.113883.10.20.22.4.7"/>
|
| 539 |
<id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/>
|
| 540 |
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
|
| 541 |
<statusCode code="completed"/>
|
| 542 |
<effectiveTime>
|
| 543 |
<low nullFlavor="UNK"/>
|
| 544 |
</effectiveTime>
|
| 545 |
|
| 546 |
|
| 547 |
|
| 548 |
|
| 549 |
|
| 550 |
|
| 551 |
|
| 552 |
|
| 553 |
|
| 554 |
|
| 555 |
|
| 556 |
<value code="416098002"
|
| 557 |
codeSystem="2.16.840.1.113883.6.96"
|
| 558 |
codeSystemName="SNOMED-CT"
|
| 559 |
displayName="Drug allergy (disorder)" xsi:type="CD">
|
| 560 |
|
| 561 |
<originalText>
|
| 562 |
Codeine + Codeine
|
| 563 |
<reference value="#Allergy1"/>
|
| 564 |
</originalText>
|
| 565 |
</value>
|
| 566 |
<participant typeCode="CSM">
|
| 567 |
<participantRole classCode="MANU">
|
| 568 |
<playingEntity classCode="MMAT">
|
| 569 |
|
| 570 |
|
| 571 |
|
| 572 |
|
| 573 |
|
| 574 |
<code code="N0000006691"
|
| 575 |
codeSystem="2.16.840.1.113883.3.26.1.5"
|
| 576 |
codeSystemName="NDF-RT" displayName="Codeine">
|
| 577 |
|
| 578 |
<originalText>
|
| 579 |
Codeine + Codeine
|
| 580 |
<reference value="#Allergy2"/>
|
| 581 |
</originalText>
|
| 582 |
|
| 583 |
|
| 584 |
|
| 585 |
|
| 586 |
|
| 587 |
|
| 588 |
</code>
|
| 589 |
</playingEntity>
|
| 590 |
</participantRole>
|
| 591 |
</participant>
|
| 592 |
<entryRelationship
|
| 593 |
inversionInd="true" typeCode="SUBJ">
|
| 594 |
|
| 595 |
<observation classCode="OBS" moodCode="EVN">
|
| 596 |
<templateId root="2.16.840.1.113883.10.20.22.4.8"/>
|
| 597 |
<code code="SEV"
|
| 598 |
codeSystem="2.16.840.1.113883.5.4"
|
| 599 |
codeSystemName="ActCode" displayName="Severity Observation"/>
|
| 600 |
<text>
|
| 601 |
<reference value="#severity2"/>
|
| 602 |
</text>
|
| 603 |
<statusCode code="completed"/>
|
| 604 |
<value code="399166001"
|
| 605 |
codeSystem="2.16.840.1.113883.6.96"
|
| 606 |
codeSystemName="SNOMED-CT"
|
| 607 |
displayName="Fatal" xsi:type="CD"/>
|
| 608 |
<interpretationCode code="S"
|
| 609 |
codeSystem="2.16.840.1.113883.1.11.78"
|
| 610 |
codeSystemName="Observation Interpretation" displayName="Susceptible"/>
|
| 611 |
</observation>
|
| 612 |
</entryRelationship>
|
| 613 |
</observation>
|
| 614 |
</entryRelationship>
|
| 615 |
</act>
|
| 616 |
</entry>
|
| 617 |
<entry typeCode="DRIV">
|
| 618 |
|
| 619 |
<act classCode="ACT" moodCode="EVN">
|
| 620 |
<templateId root="2.16.840.1.113883.10.20.22.4.30"/>
|
| 621 |
<id root="36e3e930-7b14-11db-9fe1-0800200c9a66"/>
|
| 622 |
<code code="48765-2"
|
| 623 |
codeSystem="2.16.840.1.113883.6.1"
|
| 624 |
codeSystemName="LOINC"
|
| 625 |
displayName="Allergies, adverse reactions, alerts" xsi:type="CE"/>
|
| 626 |
<statusCode code="active"/>
|
| 627 |
<effectiveTime>
|
| 628 |
<low value="20100331100000"/>
|
| 629 |
</effectiveTime>
|
| 630 |
<entryRelationship inversionInd="true" typeCode="SUBJ">
|
| 631 |
|
| 632 |
<observation classCode="OBS" moodCode="EVN">
|
| 633 |
<templateId root="2.16.840.1.113883.10.20.22.4.7"/>
|
| 634 |
<id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/>
|
| 635 |
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
|
| 636 |
<statusCode code="completed"/>
|
| 637 |
<effectiveTime>
|
| 638 |
<low nullFlavor="UNK"/>
|
| 639 |
</effectiveTime>
|
| 640 |
|
| 641 |
|
| 642 |
|
| 643 |
|
| 644 |
|
| 645 |
|
| 646 |
|
| 647 |
|
| 648 |
|
| 649 |
|
| 650 |
|
| 651 |
<value code="416098002"
|
| 652 |
codeSystem="2.16.840.1.113883.6.96"
|
| 653 |
codeSystemName="SNOMED-CT"
|
| 654 |
displayName="Drug allergy (disorder)" xsi:type="CD">
|
| 655 |
|
| 656 |
<originalText>
|
| 657 |
Fosfomycin + Fosfomycin 33.3 MG/ML Oral Suspension
|
| 658 |
<reference value="#Allergy1"/>
|
| 659 |
</originalText>
|
| 660 |
</value>
|
| 661 |
<participant typeCode="CSM">
|
| 662 |
<participantRole classCode="MANU">
|
| 663 |
<playingEntity classCode="MMAT">
|
| 664 |
|
| 665 |
|
| 666 |
|
| 667 |
|
| 668 |
|
| 669 |
<code code="808917"
|
| 670 |
codeSystem="2.16.840.1.113883.6.88"
|
| 671 |
codeSystemName="RxNorm" displayName="Fosfomycin 33.3 MG/ML Oral Suspension">
|
| 672 |
|
| 673 |
<originalText>
|
| 674 |
Fosfomycin + Fosfomycin 33.3 MG/ML Oral Suspension
|
| 675 |
<reference value="#Allergy3"/>
|
| 676 |
</originalText>
|
| 677 |
|
| 678 |
|
| 679 |
|
| 680 |
|
| 681 |
|
| 682 |
|
| 683 |
</code>
|
| 684 |
</playingEntity>
|
| 685 |
</participantRole>
|
| 686 |
</participant>
|
| 687 |
<entryRelationship
|
| 688 |
inversionInd="true" typeCode="SUBJ">
|
| 689 |
|
| 690 |
<observation classCode="OBS" moodCode="EVN">
|
| 691 |
<templateId root="2.16.840.1.113883.10.20.22.4.8"/>
|
| 692 |
<code code="SEV"
|
| 693 |
codeSystem="2.16.840.1.113883.5.4"
|
| 694 |
codeSystemName="ActCode" displayName="Severity Observation"/>
|
| 695 |
<text>
|
| 696 |
<reference value="#severity3"/>
|
| 697 |
</text>
|
| 698 |
<statusCode code="completed"/>
|
| 699 |
<value code="6736007"
|
| 700 |
codeSystem="2.16.840.1.113883.6.96"
|
| 701 |
codeSystemName="SNOMED-CT"
|
| 702 |
displayName="Moderate" xsi:type="CD"/>
|
| 703 |
<interpretationCode
|
| 704 |
code="VS"
|
| 705 |
codeSystem="2.16.840.1.113883.1.11.78"
|
| 706 |
codeSystemName="Observation Interpretation" displayName="Very susceptible"/>
|
| 707 |
</observation>
|
| 708 |
</entryRelationship>
|
| 709 |
</observation>
|
| 710 |
</entryRelationship>
|
| 711 |
</act>
|
| 712 |
</entry>
|
| 713 |
</section>
|
| 714 |
</component>
|
| 715 |
|
| 716 |
|
| 717 |
|
| 718 |
|
| 719 |
|
| 720 |
<component>
|
| 721 |
<section>
|
| 722 |
<templateId root="2.16.840.1.113883.10.20.22.2.22"/>
|
| 723 |
|
| 724 |
<code code="46240-8"
|
| 725 |
codeSystem="2.16.840.1.113883.6.1"
|
| 726 |
codeSystemName="LOINC" displayName="History of encounters"/>
|
| 727 |
<title>Encounters</title>
|
| 728 |
<text>
|
| 729 |
<table>
|
| 730 |
<thead>
|
| 731 |
<tr>
|
| 732 |
<th>Group Description</th>
|
| 733 |
<th>Code System</th>
|
| 734 |
<th>Code</th>
|
| 735 |
<th>Code Description</th>
|
| 736 |
<th>Date and Time</th>
|
| 737 |
<th>Status</th>
|
| 738 |
</tr>
|
| 739 |
</thead>
|
| 740 |
<tbody>
|
| 741 |
<tr>
|
| 742 |
<td>Encounter Outpatient</td>
|
| 743 |
<td>CPT</td>
|
| 744 |
<td>99213</td>
|
| 745 |
<td>
|
| 746 |
<content ID="Encounter1"/>Office/outpatient visit, est</td>
|
| 747 |
<td>03-31-2010 10:00:00</td>
|
| 748 |
<td>Performed</td>
|
| 749 |
</tr>
|
| 750 |
<tr>
|
| 751 |
<td/>
|
| 752 |
<td>ICD-9-CM</td>
|
| 753 |
<td>V70.0</td>
|
| 754 |
<td>Routine general medical examination at a health care facility</td>
|
| 755 |
<td/>
|
| 756 |
<td/>
|
| 757 |
</tr>
|
| 758 |
<tr>
|
| 759 |
<td>Encounter ED</td>
|
| 760 |
<td>CPT</td>
|
| 761 |
<td>99281</td>
|
| 762 |
<td>
|
| 763 |
<content ID="Encounter2"/>Emergency dept visit</td>
|
| 764 |
<td>04-30-2010 10:00:00</td>
|
| 765 |
<td>Performed</td>
|
| 766 |
</tr>
|
| 767 |
<tr>
|
| 768 |
<td>Encounter Inpatient Discharge</td>
|
| 769 |
<td>CPT</td>
|
| 770 |
<td>99238</td>
|
| 771 |
<td>
|
| 772 |
<content ID="Encounter3"/>Hospital discharge day</td>
|
| 773 |
<td>05-28-2010 10:00:00</td>
|
| 774 |
<td>Performed</td>
|
| 775 |
</tr>
|
| 776 |
<tr>
|
| 777 |
<td>Encounter Outpatient</td>
|
| 778 |
<td>CPT</td>
|
| 779 |
<td>99213</td>
|
| 780 |
<td>
|
| 781 |
<content ID="Encounter4"/>Office/outpatient visit, est</td>
|
| 782 |
<td>06-25-2010 10:00:00</td>
|
| 783 |
<td>Performed</td>
|
| 784 |
</tr>
|
| 785 |
<tr>
|
| 786 |
<td/>
|
| 787 |
<td>ICD-9-CM</td>
|
| 788 |
<td>V70.0</td>
|
| 789 |
<td>Routine general medical examination at a health care facility</td>
|
| 790 |
<td/>
|
| 791 |
<td/>
|
| 792 |
</tr>
|
| 793 |
<tr>
|
| 794 |
<td>Encounter Outpatient</td>
|
| 795 |
<td>CPT</td>
|
| 796 |
<td>99213</td>
|
| 797 |
<td>
|
| 798 |
<content ID="Encounter5"/>Office/outpatient visit, est</td>
|
| 799 |
<td>10-24-2010 10:00:00</td>
|
| 800 |
<td>Performed</td>
|
| 801 |
</tr>
|
| 802 |
<tr>
|
| 803 |
<td/>
|
| 804 |
<td>ICD-9-CM</td>
|
| 805 |
<td>V70.0</td>
|
| 806 |
<td>Routine general medical examination at a health care facility</td>
|
| 807 |
<td/>
|
| 808 |
<td/>
|
| 809 |
</tr>
|
| 810 |
</tbody>
|
| 811 |
</table>
|
| 812 |
</text>
|
| 813 |
<entry typeCode="DRIV">
|
| 814 |
<encounter classCode="ENC" moodCode="EVN">
|
| 815 |
<templateId root="2.16.840.1.113883.10.20.22.4.49"/>
|
| 816 |
|
| 817 |
<id root="2a620155-9d11-439e-92b3-5d9815ff4de8"/>
|
| 818 |
<code code="99213"
|
| 819 |
codeSystem="2.16.840.1.113883.6.12"
|
| 820 |
codeSystemName="CPT" displayName="Office/outpatient visit, est">
|
| 821 |
|
| 822 |
<originalText>
|
| 823 |
Encounter Outpatient + Encounter Outpatient
|
| 824 |
<reference value="#Encounter1"/>
|
| 825 |
</originalText>
|
| 826 |
<translation code="V70.0"
|
| 827 |
codeSystem="2.16.840.1.113883.6.103"
|
| 828 |
codeSystemName="ICD-9-CM" displayName="Routine general medical examination at a health care facility"/>
|
| 829 |
</code>
|
| 830 |
<statusCode code="completed"/>
|
| 831 |
<effectiveTime value="20100331100000"/>
|
| 832 |
<entryRelationship typeCode="SUBJ">
|
| 833 |
<observation classCode="OBS" moodCode="EVN">
|
| 834 |
<templateId root="2.16.840.1.113883.10.20.22.4.19"/>
|
| 835 |
<id extension="45665" root="db734647-fc99-424c-a864-7e3cda82e703"/>
|
| 836 |
<code code="404684003"
|
| 837 |
codeSystem="2.16.840.1.113883.6.96"
|
| 838 |
codeSystemName="SNOMED CT" displayName="Finding"/>
|
| 839 |
<text>
|
| 840 |
<reference value="#Problem1"/>
|
| 841 |
</text>
|
| 842 |
<statusCode code="completed"/>
|
| 843 |
<effectiveTime>
|
| 844 |
<low value="20100331100000"/>
|
| 845 |
</effectiveTime>
|
| 846 |
<value code="53741008"
|
| 847 |
codeSystem="2.16.840.1.113883.6.96"
|
| 848 |
codeSystemName="SNOMED-CT"
|
| 849 |
displayName="Coronary Artery Disease No MI" xsi:type="CD">
|
| 850 |
<translation code="I25.1"
|
| 851 |
codeSystem="2.16.840.1.113883.6.90"
|
| 852 |
codeSystemName="ICD-10-CM" displayName="Atherosclerotic heart disease of native coronary artery"/>
|
| 853 |
<translation code="414.01"
|
| 854 |
codeSystem="2.16.840.1.113883.6.103"
|
| 855 |
codeSystemName="ICD-9-CM" displayName="Coronary atherosclerosis of native coronary artery"/>
|
| 856 |
</value>
|
| 857 |
|
| 858 |
</observation>
|
| 859 |
moodCode="EVN"
|
| 860 |
<act code="48767-8">
|
| 861 |
<text>Testtoday</text>
|
| 862 |
</act>
|
| 863 |
</entryRelationship>
|
| 864 |
<entryRelationship typeCode="RSON">
|
| 865 |
<observation classCode="OBS" moodCode="EVN">
|
| 866 |
<templateId root="2.16.840.1.113883.10.20.22.4.19"/>
|
| 867 |
<id extension="45665" root="db734647-fc99-424c-a864-7e3cda82e703"/>
|
| 868 |
<code code="404684003"
|
| 869 |
codeSystem="2.16.840.1.113883.6.96"
|
| 870 |
codeSystemName="SNOMED CT" displayName="Finding"/>
|
| 871 |
<text>
|
| 872 |
<reference value="#Problem2"/>
|
| 873 |
</text>
|
| 874 |
<statusCode code="completed"/>
|
| 875 |
<effectiveTime>
|
| 876 |
<low value="20100331100000"/>
|
| 877 |
</effectiveTime>
|
| 878 |
<value code="44054006"
|
| 879 |
codeSystem="2.16.840.1.113883.6.96"
|
| 880 |
codeSystemName="SNOMED-CT"
|
| 881 |
displayName="Diabetes" xsi:type="CD">
|
| 882 |
<translation code="E11.9"
|
| 883 |
codeSystem="2.16.840.1.113883.6.90"
|
| 884 |
codeSystemName="ICD-10-CM" displayName="Type 2 diabetes mellitus without complications"/>
|
| 885 |
<translation code="250.00"
|
| 886 |
codeSystem="2.16.840.1.113883.6.103"
|
| 887 |
codeSystemName="ICD-9-CM" displayName="Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled"/>
|
| 888 |
</value>
|
| 889 |
</observation>
|
| 890 |
</entryRelationship>
|
| 891 |
<entryRelationship typeCode="RSON">
|
| 892 |
<observation classCode="OBS" moodCode="EVN">
|
| 893 |
<templateId root="2.16.840.1.113883.10.20.22.4.19"/>
|
| 894 |
<id extension="45665" root="db734647-fc99-424c-a864-7e3cda82e703"/>
|
| 895 |
<code code="404684003"
|
| 896 |
codeSystem="2.16.840.1.113883.6.96"
|
| 897 |
codeSystemName="SNOMED CT" displayName="Finding"/>
|
| 898 |
<text>
|
| 899 |
<reference value="#Problem3"/>
|
| 900 |
</text>
|
| 901 |
<statusCode code="completed"/>
|
| 902 |
<effectiveTime>
|
| 903 |
<low value="20100331100000"/>
|
| 904 |
</effectiveTime>
|
| 905 |
<value code="59621000"
|
| 906 |
codeSystem="2.16.840.1.113883.6.96"
|
| 907 |
codeSystemName="SNOMED-CT"
|
| 908 |
displayName="Hypertension" xsi:type="CD">
|
| 909 |
<translation code="I10"
|
| 910 |
codeSystem="2.16.840.1.113883.6.90"
|
| 911 |
codeSystemName="ICD-10-CM" displayName="Essential (primary) hypertension"/>
|
| 912 |
<translation code="401.9"
|
| 913 |
codeSystem="2.16.840.1.113883.6.103"
|
| 914 |
codeSystemName="ICD-9-CM" displayName="Unspecified essential hypertension"/>
|
| 915 |
</value>
|
| 916 |
</observation>
|
| 917 |
</entryRelationship>
|
| 918 |
</encounter>
|
| 919 |
</entry>
|
| 920 |
<entry typeCode="DRIV">
|
| 921 |
<encounter classCode="ENC" moodCode="EVN">
|
| 922 |
<templateId root="2.16.840.1.113883.10.20.22.4.49"/>
|
| 923 |
|
| 924 |
<id root="2a620155-9d11-439e-92b3-5d9815ff4de8"/>
|
| 925 |
<code code="99281"
|
| 926 |
codeSystem="2.16.840.1.113883.6.12"
|
| 927 |
codeSystemName="CPT" displayName="Emergency dept visit">
|
| 928 |
|
| 929 |
<originalText>
|
| 930 |
Encounter ED + Encounter ED
|
| 931 |
<reference value="#Encounter2"/>
|
| 932 |
</originalText>
|
| 933 |
</code>
|
| 934 |
<statusCode code="completed"/>
|
| 935 |
<effectiveTime value="20100430100000"/>
|
| 936 |
</encounter>
|
| 937 |
</entry>
|
| 938 |
<entry typeCode="DRIV">
|
| 939 |
<encounter classCode="ENC" moodCode="EVN">
|
| 940 |
<templateId root="2.16.840.1.113883.10.20.22.4.49"/>
|
| 941 |
|
| 942 |
<id root="2a620155-9d11-439e-92b3-5d9815ff4de8"/>
|
| 943 |
<code code="99238"
|
| 944 |
codeSystem="2.16.840.1.113883.6.12"
|
| 945 |
codeSystemName="CPT" displayName="Hospital discharge day">
|
| 946 |
|
| 947 |
<originalText>
|
| 948 |
Encounter Inpatient Discharge + Encounter Inpatient Discharge
|
| 949 |
<reference value="#Encounter3"/>
|
| 950 |
</originalText>
|
| 951 |
</code>
|
| 952 |
<statusCode code="completed"/>
|
| 953 |
<effectiveTime value="20100528100000"/>
|
| 954 |
<entryRelationship typeCode="RSON">
|
| 955 |
<observation classCode="OBS" moodCode="EVN">
|
| 956 |
<templateId root="2.16.840.1.113883.10.20.22.4.19"/>
|
| 957 |
<id extension="45665" root="db734647-fc99-424c-a864-7e3cda82e703"/>
|
| 958 |
<code code="404684003"
|
| 959 |
codeSystem="2.16.840.1.113883.6.96"
|
| 960 |
codeSystemName="SNOMED CT" displayName="Finding"/>
|
| 961 |
<text>
|
| 962 |
<reference value="#Problem1"/>
|
| 963 |
</text>
|
| 964 |
<statusCode code="completed"/>
|
| 965 |
<effectiveTime>
|
| 966 |
<low value="20100528100000"/>
|
| 967 |
</effectiveTime>
|
| 968 |
<value code="304914007"
|
| 969 |
codeSystem="2.16.840.1.113883.6.96"
|
| 970 |
codeSystemName="SNOMED-CT"
|
| 971 |
displayName="Myocardial Infarction" xsi:type="CD">
|
| 972 |
<translation code="I21.3"
|
| 973 |
codeSystem="2.16.840.1.113883.6.90"
|
| 974 |
codeSystemName="ICD-10-CM" displayName="ST elevation (STEMI) myocardial infarction of unspecified site"/>
|
| 975 |
<translation code="410.90"
|
| 976 |
codeSystem="2.16.840.1.113883.6.103"
|
| 977 |
codeSystemName="ICD-9-CM" displayName="Acute myocardial infarction of unspecified site, episode of care unspecified"/>
|
| 978 |
</value>
|
| 979 |
</observation>
|
| 980 |
</entryRelationship>
|
| 981 |
</encounter>
|
| 982 |
</entry>
|
| 983 |
<entry typeCode="DRIV">
|
| 984 |
<encounter classCode="ENC" moodCode="EVN">
|
| 985 |
<templateId root="2.16.840.1.113883.10.20.22.4.49"/>
|
| 986 |
|
| 987 |
<id root="2a620155-9d11-439e-92b3-5d9815ff4de8"/>
|
| 988 |
<code code="99213"
|
| 989 |
codeSystem="2.16.840.1.113883.6.12"
|
| 990 |
codeSystemName="CPT" displayName="Office/outpatient visit, est">
|
| 991 |
|
| 992 |
<originalText>
|
| 993 |
Encounter Outpatient + Encounter Outpatient
|
| 994 |
<reference value="#Encounter4"/>
|
| 995 |
</originalText>
|
| 996 |
<translation code="V70.0"
|
| 997 |
codeSystem="2.16.840.1.113883.6.103"
|
| 998 |
codeSystemName="ICD-9-CM" displayName="Routine general medical examination at a health care facility"/>
|
| 999 |
</code>
|
| 1000 |
<statusCode code="completed"/>
|
| 1001 |
<effectiveTime value="20100625100000"/>
|
| 1002 |
</encounter>
|
| 1003 |
</entry>
|
| 1004 |
<entry typeCode="DRIV">
|
| 1005 |
<encounter classCode="ENC" moodCode="EVN">
|
| 1006 |
<templateId root="2.16.840.1.113883.10.20.22.4.49"/>
|
| 1007 |
|
| 1008 |
<id root="2a620155-9d11-439e-92b3-5d9815ff4de8"/>
|
| 1009 |
<code code="99213"
|
| 1010 |
codeSystem="2.16.840.1.113883.6.12"
|
| 1011 |
codeSystemName="CPT" displayName="Office/outpatient visit, est">
|
| 1012 |
|
| 1013 |
<originalText>
|
| 1014 |
Encounter Outpatient + Encounter Outpatient
|
| 1015 |
<reference value="#Encounter5"/>
|
| 1016 |
</originalText>
|
| 1017 |
<translation code="V70.0"
|
| 1018 |
codeSystem="2.16.840.1.113883.6.103"
|
| 1019 |
codeSystemName="ICD-9-CM" displayName="Routine general medical examination at a health care facility"/>
|
| 1020 |
</code>
|
| 1021 |
<statusCode code="completed"/>
|
| 1022 |
<effectiveTime value="20101024100000"/>
|
| 1023 |
</encounter>
|
| 1024 |
</entry>
|
| 1025 |
</section>
|
| 1026 |
</component>
|
| 1027 |
|
| 1028 |
|
| 1029 |
|
| 1030 |
|
| 1031 |
|
| 1032 |
<component>
|
| 1033 |
<section>
|
| 1034 |
<templateId root="2.16.840.1.113883.10.20.22.2.2"/>
|
| 1035 |
|
| 1036 |
<code code="11369-6" codeSystem="2.16.840.1.113883.6.1"/>
|
| 1037 |
<title>Immunizations</title>
|
| 1038 |
<text>
|
| 1039 |
<table>
|
| 1040 |
<thead>
|
| 1041 |
<tr>
|
| 1042 |
<th>Group Description</th>
|
| 1043 |
<th>Code System</th>
|
| 1044 |
<th>Code</th>
|
| 1045 |
<th>Code Description</th>
|
| 1046 |
<th>Date and Time</th>
|
| 1047 |
<th>Status</th>
|
| 1048 |
</tr>
|
| 1049 |
</thead>
|
| 1050 |
<tbody>
|
| 1051 |
<tr>
|
| 1052 |
<td>Influenza Vaccine</td>
|
| 1053 |
<td>CVX</td>
|
| 1054 |
<td>135</td>
|
| 1055 |
<td>
|
| 1056 |
<content ID="Immunization1"/>Influenza, high dose seasonal</td>
|
| 1057 |
<td>10-24-2010 10:00:00</td>
|
| 1058 |
<td>Completed</td>
|
| 1059 |
</tr>
|
| 1060 |
<tr>
|
| 1061 |
<td>Pneumococcal Vaccine all ages</td>
|
| 1062 |
<td>CVX</td>
|
| 1063 |
<td>100</td>
|
| 1064 |
<td>
|
| 1065 |
<content ID="Immunization2"/>pneumococcal conjugate PCV 7</td>
|
| 1066 |
<td>10-24-2010 10:00:00</td>
|
| 1067 |
<td>Completed</td>
|
| 1068 |
</tr>
|
| 1069 |
<tr>
|
| 1070 |
<td/>
|
| 1071 |
<td>CPT</td>
|
| 1072 |
<td>90669</td>
|
| 1073 |
<td>Pneumococcal vacc, ped<5</td>
|
| 1074 |
<td/>
|
| 1075 |
<td/>
|
| 1076 |
</tr>
|
| 1077 |
</tbody>
|
| 1078 |
</table>
|
| 1079 |
</text>
|
| 1080 |
<entry typeCode="DRIV">
|
| 1081 |
<substanceAdministration classCode="SBADM"
|
| 1082 |
moodCode="EVN" negationInd="false">
|
| 1083 |
|
| 1084 |
<templateId root="2.16.840.1.113883.10.20.22.4.52"/>
|
| 1085 |
<id root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"/>
|
| 1086 |
<text>
|
| 1087 |
<reference value="#Immunization1"/>
|
| 1088 |
</text>
|
| 1089 |
<statusCode code="completed"/>
|
| 1090 |
<effectiveTime value="20101024100000"/>
|
| 1091 |
<routeCode code="C28161"
|
| 1092 |
codeSystem="2.16.840.1.113883.3.26.1.1"
|
| 1093 |
codeSystemName="NCI Thesaurus" displayName="Intramuscular injection"/>
|
| 1094 |
<consumable>
|
| 1095 |
<manufacturedProduct classCode="MANU">
|
| 1096 |
|
| 1097 |
<templateId root="2.16.840.1.113883.10.20.22.4.54"/>
|
| 1098 |
<manufacturedMaterial>
|
| 1099 |
<code code="135"
|
| 1100 |
codeSystem="2.16.840.1.113883.12.292"
|
| 1101 |
codeSystemName="CVX" displayName="Influenza, high dose seasonal">
|
| 1102 |
|
| 1103 |
<originalText>
|
| 1104 |
Influenza Vaccine + Influenza Vaccine
|
| 1105 |
<reference value="#Immunization1"/>
|
| 1106 |
</originalText>
|
| 1107 |
</code>
|
| 1108 |
</manufacturedMaterial>
|
| 1109 |
</manufacturedProduct>
|
| 1110 |
</consumable>
|
| 1111 |
<performer>
|
| 1112 |
<assignedEntity>
|
| 1113 |
<id extension="999999943252" root="2.16.840.1.113883.4.6"/>
|
| 1114 |
<addr>
|
| 1115 |
<streetAddressLine>101 Maple Street</streetAddressLine>
|
| 1116 |
<city>Washington</city>
|
| 1117 |
<state>DC</state>
|
| 1118 |
<postalCode>20009</postalCode>
|
| 1119 |
<country>United States</country>
|
| 1120 |
</addr>
|
| 1121 |
<telecom value="888-888-0000"/>
|
| 1122 |
<assignedPerson>
|
| 1123 |
<name>
|
| 1124 |
<given>Jim</given>
|
| 1125 |
<family>Smith</family>
|
| 1126 |
</name>
|
| 1127 |
</assignedPerson>
|
| 1128 |
<representedOrganization>
|
| 1129 |
<id extension="2981824" root="2.16.840.1.113883.19.5"/>
|
| 1130 |
<name>Good Hospital</name>
|
| 1131 |
<telecom use="WP" value="888-888-0000"/>
|
| 1132 |
<addr>
|
| 1133 |
<streetAddressLine>101 Maple Street</streetAddressLine>
|
| 1134 |
<city>Washington</city>
|
| 1135 |
<state>DC</state>
|
| 1136 |
<postalCode>20009</postalCode>
|
| 1137 |
<country>United States</country>
|
| 1138 |
</addr>
|
| 1139 |
</representedOrganization>
|
| 1140 |
</assignedEntity>
|
| 1141 |
</performer>
|
| 1142 |
</substanceAdministration>
|
| 1143 |
</entry>
|
| 1144 |
<entry typeCode="DRIV">
|
| 1145 |
<substanceAdministration classCode="SBADM"
|
| 1146 |
moodCode="EVN" negationInd="false">
|
| 1147 |
|
| 1148 |
<templateId root="2.16.840.1.113883.10.20.22.4.52"/>
|
| 1149 |
<id root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"/>
|
| 1150 |
<text>
|
| 1151 |
<reference value="#Immunization2"/>
|
| 1152 |
</text>
|
| 1153 |
<statusCode code="completed"/>
|
| 1154 |
<effectiveTime value="20101024100000"/>
|
| 1155 |
<routeCode code="C28161"
|
| 1156 |
codeSystem="2.16.840.1.113883.3.26.1.1"
|
| 1157 |
codeSystemName="NCI Thesaurus" displayName="Intramuscular injection"/>
|
| 1158 |
<consumable>
|
| 1159 |
<manufacturedProduct classCode="MANU">
|
| 1160 |
|
| 1161 |
<templateId root="2.16.840.1.113883.10.20.22.4.54"/>
|
| 1162 |
<manufacturedMaterial>
|
| 1163 |
<code code="100"
|
| 1164 |
codeSystem="2.16.840.1.113883.12.292"
|
| 1165 |
codeSystemName="CVX" displayName="pneumococcal conjugate PCV 7">
|
| 1166 |
|
| 1167 |
<originalText>
|
| 1168 |
Pneumococcal Vaccine all ages + Pneumococcal Vaccine all ages
|
| 1169 |
<reference value="#Immunization2"/>
|
| 1170 |
</originalText>
|
| 1171 |
<translation code="90669"
|
| 1172 |
codeSystem="2.16.840.1.113883.6.12"
|
| 1173 |
codeSystemName="CPT" displayName="Pneumococcal vacc, ped<5"/>
|
| 1174 |
</code>
|
| 1175 |
</manufacturedMaterial>
|
| 1176 |
</manufacturedProduct>
|
| 1177 |
</consumable>
|
| 1178 |
<performer>
|
| 1179 |
<assignedEntity>
|
| 1180 |
<id extension="999999943252" root="2.16.840.1.113883.4.6"/>
|
| 1181 |
<addr>
|
| 1182 |
<streetAddressLine>101 Maple Street</streetAddressLine>
|
| 1183 |
<city>Washington</city>
|
| 1184 |
<state>DC</state>
|
| 1185 |
<postalCode>20009</postalCode>
|
| 1186 |
<country>United States</country>
|
| 1187 |
</addr>
|
| 1188 |
<telecom value="888-888-0000"/>
|
| 1189 |
<assignedPerson>
|
| 1190 |
<name>
|
| 1191 |
<given>Jim</given>
|
| 1192 |
<family>Smith</family>
|
| 1193 |
</name>
|
| 1194 |
</assignedPerson>
|
| 1195 |
<representedOrganization>
|
| 1196 |
<id extension="2981824" root="2.16.840.1.113883.19.5"/>
|
| 1197 |
<name>Good Hospital</name>
|
| 1198 |
<telecom use="WP" value="888-888-0000"/>
|
| 1199 |
<addr>
|
| 1200 |
<streetAddressLine>101 Maple Street</streetAddressLine>
|
| 1201 |
<city>Washington</city>
|
| 1202 |
<state>DC</state>
|
| 1203 |
<postalCode>20009</postalCode>
|
| 1204 |
<country>United States</country>
|
| 1205 |
</addr>
|
| 1206 |
</representedOrganization>
|
| 1207 |
</assignedEntity>
|
| 1208 |
</performer>
|
| 1209 |
</substanceAdministration>
|
| 1210 |
</entry>
|
| 1211 |
</section>
|
| 1212 |
</component>
|
| 1213 |
|
| 1214 |
|
| 1215 |
|
| 1216 |
|
| 1217 |
|
| 1218 |
<component>
|
| 1219 |
<section>
|
| 1220 |
<templateId root="2.16.840.1.113883.10.20.22.2.1.1"/>
|
| 1221 |
|
| 1222 |
<code code="10160-0"
|
| 1223 |
codeSystem="2.16.840.1.113883.6.1"
|
| 1224 |
codeSystemName="LOINC" displayName="History of Medication Use"/>
|
| 1225 |
<title>Medications</title>
|
| 1226 |
<text>
|
| 1227 |
<table>
|
| 1228 |
<thead>
|
| 1229 |
<tr>
|
| 1230 |
<th>Group Description</th>
|
| 1231 |
<th>Code System</th>
|
| 1232 |
<th>Code</th>
|
| 1233 |
<th>Code Description</th>
|
| 1234 |
<th>Date and Time</th>
|
| 1235 |
<th>Status</th>
|
| 1236 |
</tr>
|
| 1237 |
</thead>
|
| 1238 |
<tbody>
|
| 1239 |
<tr>
|
| 1240 |
<td>Antidiabetics</td>
|
| 1241 |
<td>RxNorm</td>
|
| 1242 |
<td>744863</td>
|
| 1243 |
<td>
|
| 1244 |
<content ID="Medication1"/>exenatide 0.25 MG/ML Injectable Solution</td>
|
| 1245 |
<td>03-31-2010 10:00:00</td>
|
| 1246 |
<td>Active</td>
|
| 1247 |
</tr>
|
| 1248 |
<tr>
|
| 1249 |
<td>Antihypertensive combinations</td>
|
| 1250 |
<td>RxNorm</td>
|
| 1251 |
<td>858828</td>
|
| 1252 |
<td>
|
| 1253 |
<content ID="Medication2"/>Enalapril Maleate 10 MG / Hydrochlorothiazide 25 MG Oral Tablet</td>
|
| 1254 |
<td>03-31-2010 10:00:00</td>
|
| 1255 |
<td>Active</td>
|
| 1256 |
</tr>
|
| 1257 |
<tr>
|
| 1258 |
<td>Antiplatelets</td>
|
| 1259 |
<td>RxNorm</td>
|
| 1260 |
<td>243670</td>
|
| 1261 |
<td>
|
| 1262 |
<content ID="Medication3"/>Aspirin 81 MG Oral Tablet</td>
|
| 1263 |
<td>03-31-2010 10:00:00</td>
|
| 1264 |
<td>Active</td>
|
| 1265 |
</tr>
|
| 1266 |
<tr>
|
| 1267 |
<td>Beta Blocker Therapy</td>
|
| 1268 |
<td>RxNorm</td>
|
| 1269 |
<td>866924</td>
|
| 1270 |
<td>
|
| 1271 |
<content ID="Medication4"/>Metoprolol Tartrate 25 MG Oral Tablet</td>
|
| 1272 |
<td>03-31-2010 10:00:00</td>
|
| 1273 |
<td>Active</td>
|
| 1274 |
</tr>
|
| 1275 |
<tr>
|
| 1276 |
<td>Statins</td>
|
| 1277 |
<td>RxNorm</td>
|
| 1278 |
<td>617314</td>
|
| 1279 |
<td>
|
| 1280 |
<content ID="Medication5"/>atorvastatin 10 MG Oral Tablet [Lipitor]</td>
|
| 1281 |
<td>03-31-2010 10:00:00</td>
|
| 1282 |
<td>Active</td>
|
| 1283 |
</tr>
|
| 1284 |
<tr>
|
| 1285 |
<td>ACE inhibitors</td>
|
| 1286 |
<td>RxNorm</td>
|
| 1287 |
<td>314076</td>
|
| 1288 |
<td>
|
| 1289 |
<content ID="Medication6"/>Lisinopril 10 MG Oral Tablet</td>
|
| 1290 |
<td>10-24-2010 10:00:00</td>
|
| 1291 |
<td>Active</td>
|
| 1292 |
</tr>
|
| 1293 |
<tr>
|
| 1294 |
<td>Antidiabetics</td>
|
| 1295 |
<td>RxNorm</td>
|
| 1296 |
<td>744863</td>
|
| 1297 |
<td>
|
| 1298 |
<content ID="Medication7"/>exenatide 0.25 MG/ML Injectable Solution</td>
|
| 1299 |
<td>10-24-2010 10:00:00</td>
|
| 1300 |
<td>Active</td>
|
| 1301 |
</tr>
|
| 1302 |
<tr>
|
| 1303 |
<td>Statins</td>
|
| 1304 |
<td>RxNorm</td>
|
| 1305 |
<td>617314</td>
|
| 1306 |
<td>
|
| 1307 |
<content ID="Medication8"/>atorvastatin 10 MG Oral Tablet [Lipitor]</td>
|
| 1308 |
<td>10-24-2010 10:00:00</td>
|
| 1309 |
<td>Active</td>
|
| 1310 |
</tr>
|
| 1311 |
</tbody>
|
| 1312 |
</table>
|
| 1313 |
</text>
|
| 1314 |
<informant>
|
| 1315 |
<assignedEntity>
|
| 1316 |
<id extension="KP00017" root="2.16.840.1.113883.19.5"/>
|
| 1317 |
<representedOrganization>
|
| 1318 |
<id root="2.16.840.1.113883.4.6"/>
|
| 1319 |
<name>Community Health and Hospitals</name>
|
| 1320 |
<telecom use="WP" value="tel: 555-555-5000"/>
|
| 1321 |
<addr>
|
| 1322 |
<streetAddressLine>1001 Village Avenue</streetAddressLine>
|
| 1323 |
<city>Portland</city>
|
| 1324 |
<state>OR</state>
|
| 1325 |
<postalCode>99123</postalCode>
|
| 1326 |
<country>US</country>
|
| 1327 |
</addr>
|
| 1328 |
</representedOrganization>
|
| 1329 |
</assignedEntity>
|
| 1330 |
</informant>
|
| 1331 |
<entry typeCode="DRIV">
|
| 1332 |
<substanceAdministration classCode="SBADM" moodCode="EVN">
|
| 1333 |
|
| 1334 |
<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
|
| 1335 |
<id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/>
|
| 1336 |
<text/>
|
| 1337 |
<statusCode code="completed"/>
|
| 1338 |
<effectiveTime xsi:type="IVL_TS">
|
| 1339 |
<low value="20100331100000"/>
|
| 1340 |
<high nullFlavor="UNK"/>
|
| 1341 |
</effectiveTime>
|
| 1342 |
<consumable>
|
| 1343 |
<manufacturedProduct classCode="MANU">
|
| 1344 |
|
| 1345 |
<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
|
| 1346 |
<manufacturedMaterial>
|
| 1347 |
<code code="744863"
|
| 1348 |
codeSystem="2.16.840.1.113883.6.88"
|
| 1349 |
codeSystemName="RxNorm" displayName="exenatide 0.25 MG/ML Injectable Solution">
|
| 1350 |
|
| 1351 |
<originalText>
|
| 1352 |
Antidiabetics + exenatide 0.25 MG/ML Injectable Solution
|
| 1353 |
<reference value="#Medication1"/>
|
| 1354 |
</originalText>
|
| 1355 |
</code>
|
| 1356 |
<name>Antidiabetics</name>
|
| 1357 |
</manufacturedMaterial>
|
| 1358 |
</manufacturedProduct>
|
| 1359 |
</consumable>
|
| 1360 |
</substanceAdministration>
|
| 1361 |
</entry>
|
| 1362 |
<entry typeCode="DRIV">
|
| 1363 |
<substanceAdministration classCode="SBADM" moodCode="EVN">
|
| 1364 |
|
| 1365 |
<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
|
| 1366 |
<id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/>
|
| 1367 |
<text/>
|
| 1368 |
<statusCode code="completed"/>
|
| 1369 |
<effectiveTime xsi:type="IVL_TS">
|
| 1370 |
<low value="20100331100000"/>
|
| 1371 |
<high nullFlavor="UNK"/>
|
| 1372 |
</effectiveTime>
|
| 1373 |
<consumable>
|
| 1374 |
<manufacturedProduct classCode="MANU">
|
| 1375 |
|
| 1376 |
<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
|
| 1377 |
<manufacturedMaterial>
|
| 1378 |
<code code="858828"
|
| 1379 |
codeSystem="2.16.840.1.113883.6.88"
|
| 1380 |
codeSystemName="RxNorm" displayName="Enalapril Maleate 10 MG / Hydrochlorothiazide 25 MG Oral Tablet">
|
| 1381 |
|
| 1382 |
<originalText>
|
| 1383 |
Antihypertensive combinations + Enalapril Maleate 10 MG / Hydrochlorothiazide 25 MG Oral Tablet
|
| 1384 |
<reference value="#Medication2"/>
|
| 1385 |
</originalText>
|
| 1386 |
</code>
|
| 1387 |
<name>Antihypertensive combinations</name>
|
| 1388 |
</manufacturedMaterial>
|
| 1389 |
</manufacturedProduct>
|
| 1390 |
</consumable>
|
| 1391 |
</substanceAdministration>
|
| 1392 |
</entry>
|
| 1393 |
<entry typeCode="DRIV">
|
| 1394 |
<substanceAdministration classCode="SBADM" moodCode="EVN">
|
| 1395 |
|
| 1396 |
<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
|
| 1397 |
<id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/>
|
| 1398 |
<text/>
|
| 1399 |
<statusCode code="completed"/>
|
| 1400 |
<effectiveTime xsi:type="IVL_TS">
|
| 1401 |
<low value="20100331100000"/>
|
| 1402 |
<high nullFlavor="UNK"/>
|
| 1403 |
</effectiveTime>
|
| 1404 |
<consumable>
|
| 1405 |
<manufacturedProduct classCode="MANU">
|
| 1406 |
|
| 1407 |
<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
|
| 1408 |
<manufacturedMaterial>
|
| 1409 |
<code code="243670"
|
| 1410 |
codeSystem="2.16.840.1.113883.6.88"
|
| 1411 |
codeSystemName="RxNorm" displayName="Aspirin 81 MG Oral Tablet">
|
| 1412 |
|
| 1413 |
<originalText>
|
| 1414 |
Antiplatelets + Aspirin 81 MG Oral Tablet
|
| 1415 |
<reference value="#Medication3"/>
|
| 1416 |
</originalText>
|
| 1417 |
</code>
|
| 1418 |
<name>Antiplatelets</name>
|
| 1419 |
</manufacturedMaterial>
|
| 1420 |
</manufacturedProduct>
|
| 1421 |
</consumable>
|
| 1422 |
</substanceAdministration>
|
| 1423 |
</entry>
|
| 1424 |
<entry typeCode="DRIV">
|
| 1425 |
<substanceAdministration classCode="SBADM" moodCode="EVN">
|
| 1426 |
|
| 1427 |
<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
|
| 1428 |
<id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/>
|
| 1429 |
<text/>
|
| 1430 |
<statusCode code="completed"/>
|
| 1431 |
<effectiveTime xsi:type="IVL_TS">
|
| 1432 |
<low value="20100331100000"/>
|
| 1433 |
<high nullFlavor="UNK"/>
|
| 1434 |
</effectiveTime>
|
| 1435 |
<consumable>
|
| 1436 |
<manufacturedProduct classCode="MANU">
|
| 1437 |
|
| 1438 |
<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
|
| 1439 |
<manufacturedMaterial>
|
| 1440 |
<code code="866924"
|
| 1441 |
codeSystem="2.16.840.1.113883.6.88"
|
| 1442 |
codeSystemName="RxNorm" displayName="Metoprolol Tartrate 25 MG Oral Tablet">
|
| 1443 |
|
| 1444 |
<originalText>
|
| 1445 |
Beta Blocker Therapy + Metoprolol Tartrate 25 MG Oral Tablet
|
| 1446 |
<reference value="#Medication4"/>
|
| 1447 |
</originalText>
|
| 1448 |
</code>
|
| 1449 |
<name>Beta Blocker Therapy</name>
|
| 1450 |
</manufacturedMaterial>
|
| 1451 |
</manufacturedProduct>
|
| 1452 |
</consumable>
|
| 1453 |
</substanceAdministration>
|
| 1454 |
</entry>
|
| 1455 |
<entry typeCode="DRIV">
|
| 1456 |
<substanceAdministration classCode="SBADM" moodCode="EVN">
|
| 1457 |
|
| 1458 |
<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
|
| 1459 |
<id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/>
|
| 1460 |
<text/>
|
| 1461 |
<statusCode code="completed"/>
|
| 1462 |
<effectiveTime xsi:type="IVL_TS">
|
| 1463 |
<low value="20100331100000"/>
|
| 1464 |
<high nullFlavor="UNK"/>
|
| 1465 |
</effectiveTime>
|
| 1466 |
<consumable>
|
| 1467 |
<manufacturedProduct classCode="MANU">
|
| 1468 |
|
| 1469 |
<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
|
| 1470 |
<manufacturedMaterial>
|
| 1471 |
<code code="617314"
|
| 1472 |
codeSystem="2.16.840.1.113883.6.88"
|
| 1473 |
codeSystemName="RxNorm" displayName="atorvastatin 10 MG Oral Tablet [Lipitor]">
|
| 1474 |
|
| 1475 |
<originalText>
|
| 1476 |
Statins + atorvastatin 10 MG Oral Tablet [Lipitor]
|
| 1477 |
<reference value="#Medication5"/>
|
| 1478 |
</originalText>
|
| 1479 |
</code>
|
| 1480 |
<name>Statins</name>
|
| 1481 |
</manufacturedMaterial>
|
| 1482 |
</manufacturedProduct>
|
| 1483 |
</consumable>
|
| 1484 |
</substanceAdministration>
|
| 1485 |
</entry>
|
| 1486 |
<entry typeCode="DRIV">
|
| 1487 |
<substanceAdministration classCode="SBADM" moodCode="EVN">
|
| 1488 |
|
| 1489 |
<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
|
| 1490 |
<id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/>
|
| 1491 |
<text/>
|
| 1492 |
<statusCode code="completed"/>
|
| 1493 |
<effectiveTime xsi:type="IVL_TS">
|
| 1494 |
<low value="20101024100000"/>
|
| 1495 |
<high nullFlavor="UNK"/>
|
| 1496 |
</effectiveTime>
|
| 1497 |
<consumable>
|
| 1498 |
<manufacturedProduct classCode="MANU">
|
| 1499 |
|
| 1500 |
<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
|
| 1501 |
<manufacturedMaterial>
|
| 1502 |
<code code="314076"
|
| 1503 |
codeSystem="2.16.840.1.113883.6.88"
|
| 1504 |
codeSystemName="RxNorm" displayName="Lisinopril 10 MG Oral Tablet">
|
| 1505 |
|
| 1506 |
<originalText>
|
| 1507 |
ACE inhibitors + Lisinopril 10 MG Oral Tablet
|
| 1508 |
<reference value="#Medication6"/>
|
| 1509 |
</originalText>
|
| 1510 |
</code>
|
| 1511 |
<name>ACE inhibitors</name>
|
| 1512 |
</manufacturedMaterial>
|
| 1513 |
</manufacturedProduct>
|
| 1514 |
</consumable>
|
| 1515 |
</substanceAdministration>
|
| 1516 |
</entry>
|
| 1517 |
<entry typeCode="DRIV">
|
| 1518 |
<substanceAdministration classCode="SBADM" moodCode="EVN">
|
| 1519 |
|
| 1520 |
<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
|
| 1521 |
<id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/>
|
| 1522 |
<text/>
|
| 1523 |
<statusCode code="completed"/>
|
| 1524 |
<effectiveTime xsi:type="IVL_TS">
|
| 1525 |
<low value="20101024100000"/>
|
| 1526 |
<high nullFlavor="UNK"/>
|
| 1527 |
</effectiveTime>
|
| 1528 |
<consumable>
|
| 1529 |
<manufacturedProduct classCode="MANU">
|
| 1530 |
|
| 1531 |
<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
|
| 1532 |
<manufacturedMaterial>
|
| 1533 |
<code code="744863"
|
| 1534 |
codeSystem="2.16.840.1.113883.6.88"
|
| 1535 |
codeSystemName="RxNorm" displayName="exenatide 0.25 MG/ML Injectable Solution">
|
| 1536 |
|
| 1537 |
<originalText>
|
| 1538 |
Antidiabetics + exenatide 0.25 MG/ML Injectable Solution
|
| 1539 |
<reference value="#Medication7"/>
|
| 1540 |
</originalText>
|
| 1541 |
</code>
|
| 1542 |
<name>Antidiabetics</name>
|
| 1543 |
</manufacturedMaterial>
|
| 1544 |
</manufacturedProduct>
|
| 1545 |
</consumable>
|
| 1546 |
</substanceAdministration>
|
| 1547 |
</entry>
|
| 1548 |
<entry typeCode="DRIV">
|
| 1549 |
<substanceAdministration classCode="SBADM" moodCode="EVN">
|
| 1550 |
|
| 1551 |
<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
|
| 1552 |
<id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/>
|
| 1553 |
<text/>
|
| 1554 |
<statusCode code="completed"/>
|
| 1555 |
<effectiveTime xsi:type="IVL_TS">
|
| 1556 |
<low value="20101024100000"/>
|
| 1557 |
<high nullFlavor="UNK"/>
|
| 1558 |
</effectiveTime>
|
| 1559 |
<consumable>
|
| 1560 |
<manufacturedProduct classCode="MANU">
|
| 1561 |
|
| 1562 |
<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
|
| 1563 |
<manufacturedMaterial>
|
| 1564 |
<code code="617314"
|
| 1565 |
codeSystem="2.16.840.1.113883.6.88"
|
| 1566 |
codeSystemName="RxNorm" displayName="atorvastatin 10 MG Oral Tablet [Lipitor]">
|
| 1567 |
|
| 1568 |
<originalText>
|
| 1569 |
Statins + atorvastatin 10 MG Oral Tablet [Lipitor]
|
| 1570 |
<reference value="#Medication8"/>
|
| 1571 |
</originalText>
|
| 1572 |
</code>
|
| 1573 |
<name>Statins</name>
|
| 1574 |
</manufacturedMaterial>
|
| 1575 |
</manufacturedProduct>
|
| 1576 |
</consumable>
|
| 1577 |
</substanceAdministration>
|
| 1578 |
</entry>
|
| 1579 |
</section>
|
| 1580 |
</component>
|
| 1581 |
|
| 1582 |
|
| 1583 |
|
| 1584 |
|
| 1585 |
|
| 1586 |
<component>
|
| 1587 |
<section>
|
| 1588 |
<templateId root="2.16.840.1.113883.10.20.22.2.5.1"/>
|
| 1589 |
|
| 1590 |
<code code="11450-4"
|
| 1591 |
codeSystem="2.16.840.1.113883.6.1"
|
| 1592 |
codeSystemName="LOINC" displayName="PROBLEM LIST"/>
|
| 1593 |
<title>Problems</title>
|
| 1594 |
<text>
|
| 1595 |
<table>
|
| 1596 |
<thead>
|
| 1597 |
<tr>
|
| 1598 |
<th>Group Description</th>
|
| 1599 |
<th>Code System</th>
|
| 1600 |
<th>Code</th>
|
| 1601 |
<th>Code Description</th>
|
| 1602 |
<th>Date and Time</th>
|
| 1603 |
<th>Status</th>
|
| 1604 |
</tr>
|
| 1605 |
</thead>
|
| 1606 |
<tbody>
|
| 1607 |
<tr>
|
| 1608 |
<td>Coronary Artery Disease No MI</td>
|
| 1609 |
<td>SNOMED-CT</td>
|
| 1610 |
<td>53741008</td>
|
| 1611 |
<td>
|
| 1612 |
<content ID="Problem1"/>Coronary arteriosclerosis</td>
|
| 1613 |
<td>03-31-2010 10:00:00</td>
|
| 1614 |
<td>Active</td>
|
| 1615 |
</tr>
|
| 1616 |
<tr>
|
| 1617 |
<td/>
|
| 1618 |
<td>ICD-10-CM</td>
|
| 1619 |
<td>I25.1</td>
|
| 1620 |
<td>Atherosclerotic heart disease of native coronary artery</td>
|
| 1621 |
<td/>
|
| 1622 |
<td/>
|
| 1623 |
</tr>
|
| 1624 |
<tr>
|
| 1625 |
<td/>
|
| 1626 |
<td>ICD-9-CM</td>
|
| 1627 |
<td>414.01</td>
|
| 1628 |
<td>Coronary atherosclerosis of native coronary artery</td>
|
| 1629 |
<td/>
|
| 1630 |
<td/>
|
| 1631 |
</tr>
|
| 1632 |
<tr>
|
| 1633 |
<td>Diabetes</td>
|
| 1634 |
<td>SNOMED-CT</td>
|
| 1635 |
<td>44054006</td>
|
| 1636 |
<td>
|
| 1637 |
<content ID="Problem2"/>Diabetes mellitus type 2</td>
|
| 1638 |
<td>03-31-2010 10:00:00</td>
|
| 1639 |
<td>Active</td>
|
| 1640 |
</tr>
|
| 1641 |
<tr>
|
| 1642 |
<td/>
|
| 1643 |
<td>ICD-10-CM</td>
|
| 1644 |
<td>E11.9</td>
|
| 1645 |
<td>Type 2 diabetes mellitus without complications</td>
|
| 1646 |
<td/>
|
| 1647 |
<td/>
|
| 1648 |
</tr>
|
| 1649 |
<tr>
|
| 1650 |
<td/>
|
| 1651 |
<td>ICD-9-CM</td>
|
| 1652 |
<td>250.00</td>
|
| 1653 |
<td>Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled</td>
|
| 1654 |
<td/>
|
| 1655 |
<td/>
|
| 1656 |
</tr>
|
| 1657 |
<tr>
|
| 1658 |
<td>Hypertension</td>
|
| 1659 |
<td>SNOMED-CT</td>
|
| 1660 |
<td>59621000</td>
|
| 1661 |
<td>
|
| 1662 |
<content ID="Problem3"/>Essential hypertension</td>
|
| 1663 |
<td>03-31-2010 10:00:00</td>
|
| 1664 |
<td>Active</td>
|
| 1665 |
</tr>
|
| 1666 |
<tr>
|
| 1667 |
<td/>
|
| 1668 |
<td>ICD-10-CM</td>
|
| 1669 |
<td>I10</td>
|
| 1670 |
<td>Essential (primary) hypertension</td>
|
| 1671 |
<td/>
|
| 1672 |
<td/>
|
| 1673 |
</tr>
|
| 1674 |
<tr>
|
| 1675 |
<td/>
|
| 1676 |
<td>ICD-9-CM</td>
|
| 1677 |
<td>401.9</td>
|
| 1678 |
<td>Unspecified essential hypertension</td>
|
| 1679 |
<td/>
|
| 1680 |
<td/>
|
| 1681 |
</tr>
|
| 1682 |
<tr>
|
| 1683 |
<td>Myocardial Infarction</td>
|
| 1684 |
<td>SNOMED-CT</td>
|
| 1685 |
<td>304914007</td>
|
| 1686 |
<td>
|
| 1687 |
<content ID="Problem4"/>Acute Q wave myocardial infarction</td>
|
| 1688 |
<td>05-28-2010 10:00:00</td>
|
| 1689 |
<td>Active</td>
|
| 1690 |
</tr>
|
| 1691 |
<tr>
|
| 1692 |
<td/>
|
| 1693 |
<td>ICD-10-CM</td>
|
| 1694 |
<td>I21.3</td>
|
| 1695 |
<td>ST elevation (STEMI) myocardial infarction of unspecified site</td>
|
| 1696 |
<td/>
|
| 1697 |
<td/>
|
| 1698 |
</tr>
|
| 1699 |
<tr>
|
| 1700 |
<td/>
|
| 1701 |
<td>ICD-9-CM</td>
|
| 1702 |
<td>410.90</td>
|
| 1703 |
<td>Acute myocardial infarction of unspecified site, episode of care unspecified</td>
|
| 1704 |
<td/>
|
| 1705 |
<td/>
|
| 1706 |
</tr>
|
| 1707 |
</tbody>
|
| 1708 |
</table>
|
| 1709 |
</text>
|
| 1710 |
<entry typeCode="DRIV">
|
| 1711 |
<act classCode="ACT" moodCode="EVN">
|
| 1712 |
|
| 1713 |
<templateId root="2.16.840.1.113883.10.20.22.4.3"/>
|
| 1714 |
<id root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>
|
| 1715 |
<code code="CONC"
|
| 1716 |
codeSystem="2.16.840.1.113883.5.6"
|
| 1717 |
codeSystemName="HL7ActClass" displayName="Concern"/>
|
| 1718 |
<statusCode code="active"/>
|
| 1719 |
<effectiveTime>
|
| 1720 |
<low value="20100331100000"/>
|
| 1721 |
</effectiveTime>
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codeSystem="2.16.840.1.113883.6.96"
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codeSystemName="SNOMED-CT"
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displayName="Coronary arteriosclerosis" xsi:type="CD">
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<translation code="I25.1"
|
| 1738 |
codeSystem="2.16.840.1.113883.6.90"
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| 1739 |
codeSystemName="ICD-10-CM" displayName="Atherosclerotic heart disease of native coronary artery"/>
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| 1740 |
<translation code="414.01"
|
| 1741 |
codeSystem="2.16.840.1.113883.6.103"
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| 1742 |
codeSystemName="ICD-9-CM" displayName="Coronary atherosclerosis of native coronary artery"/>
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codeSystem="2.16.840.1.113883.6.1"
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codeSystemName="LOINC"
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displayName="Status" xsi:type="CE"/>
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<text>
|
| 1752 |
<reference value="#Problem1"/>
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| 1753 |
</text>
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codeSystem="2.16.840.1.113883.6.96"
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codeSystemName=" SNOMED-CT"
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displayName="Active" xsi:type="CD"/>
|
| 1759 |
</observation>
|
| 1760 |
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| 1761 |
</observation>
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| 1762 |
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| 1763 |
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| 1764 |
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| 1765 |
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<code code="CONC"
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codeSystem="2.16.840.1.113883.5.6"
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codeSystemName="HL7ActClass" displayName="Concern"/>
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| 1773 |
<statusCode code="active"/>
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<effectiveTime>
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| 1775 |
<low value="20100331100000"/>
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| 1776 |
</effectiveTime>
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<observation classCode="OBS" moodCode="EVN">
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codeSystem="2.16.840.1.113883.6.96" displayName="Diagnosis"/>
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<statusCode code="completed"/>
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<effectiveTime>
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|
| 1789 |
codeSystem="2.16.840.1.113883.6.96"
|
| 1790 |
codeSystemName="SNOMED-CT"
|
| 1791 |
displayName="Diabetes mellitus type 2" xsi:type="CD">
|
| 1792 |
<translation code="E11.9"
|
| 1793 |
codeSystem="2.16.840.1.113883.6.90"
|
| 1794 |
codeSystemName="ICD-10-CM" displayName="Type 2 diabetes mellitus without complications"/>
|
| 1795 |
<translation code="250.00"
|
| 1796 |
codeSystem="2.16.840.1.113883.6.103"
|
| 1797 |
codeSystemName="ICD-9-CM" displayName="Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled"/>
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| 1798 |
</value>
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<entryRelationship typeCode="REFR">
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| 1800 |
<observation classCode="OBS" moodCode="EVN">
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| 1802 |
<code code="33999-4"
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codeSystem="2.16.840.1.113883.6.1"
|
| 1804 |
codeSystemName="LOINC"
|
| 1805 |
displayName="Status" xsi:type="CE"/>
|
| 1806 |
<text>
|
| 1807 |
<reference value="#Problem2"/>
|
| 1808 |
</text>
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| 1809 |
<statusCode code="completed"/>
|
| 1810 |
<value code="55561003"
|
| 1811 |
codeSystem="2.16.840.1.113883.6.96"
|
| 1812 |
codeSystemName=" SNOMED-CT"
|
| 1813 |
displayName="Active" xsi:type="CD"/>
|
| 1814 |
</observation>
|
| 1815 |
</entryRelationship>
|
| 1816 |
</observation>
|
| 1817 |
</entryRelationship>
|
| 1818 |
</act>
|
| 1819 |
</entry>
|
| 1820 |
<entry typeCode="DRIV">
|
| 1821 |
<act classCode="ACT" moodCode="EVN">
|
| 1822 |
|
| 1823 |
<templateId root="2.16.840.1.113883.10.20.22.4.3"/>
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<id root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>
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| 1825 |
<code code="CONC"
|
| 1826 |
codeSystem="2.16.840.1.113883.5.6"
|
| 1827 |
codeSystemName="HL7ActClass" displayName="Concern"/>
|
| 1828 |
<statusCode code="active"/>
|
| 1829 |
<effectiveTime>
|
| 1830 |
<low value="20100331100000"/>
|
| 1831 |
</effectiveTime>
|
| 1832 |
<entryRelationship typeCode="SUBJ">
|
| 1833 |
|
| 1834 |
<observation classCode="OBS" moodCode="EVN">
|
| 1835 |
<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
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| 1836 |
<id root="9d3d416d-45ab-4da1-912f-4583e0632000"/>
|
| 1837 |
<code code="282291009"
|
| 1838 |
codeSystem="2.16.840.1.113883.6.96" displayName="Diagnosis"/>
|
| 1839 |
<statusCode code="completed"/>
|
| 1840 |
<effectiveTime>
|
| 1841 |
<low value="20100331100000"/>
|
| 1842 |
</effectiveTime>
|
| 1843 |
<value code="59621000"
|
| 1844 |
codeSystem="2.16.840.1.113883.6.96"
|
| 1845 |
codeSystemName="SNOMED-CT"
|
| 1846 |
displayName="Essential hypertension" xsi:type="CD">
|
| 1847 |
<translation code="I10"
|
| 1848 |
codeSystem="2.16.840.1.113883.6.90"
|
| 1849 |
codeSystemName="ICD-10-CM" displayName="Essential (primary) hypertension"/>
|
| 1850 |
<translation code="401.9"
|
| 1851 |
codeSystem="2.16.840.1.113883.6.103"
|
| 1852 |
codeSystemName="ICD-9-CM" displayName="Unspecified essential hypertension"/>
|
| 1853 |
</value>
|
| 1854 |
<entryRelationship typeCode="REFR">
|
| 1855 |
<observation classCode="OBS" moodCode="EVN">
|
| 1856 |
<templateId root="2.16.840.1.113883.10.20.22.4.6"/>
|
| 1857 |
<code code="33999-4"
|
| 1858 |
codeSystem="2.16.840.1.113883.6.1"
|
| 1859 |
codeSystemName="LOINC"
|
| 1860 |
displayName="Status" xsi:type="CE"/>
|
| 1861 |
<text>
|
| 1862 |
<reference value="#Problem3"/>
|
| 1863 |
</text>
|
| 1864 |
<statusCode code="completed"/>
|
| 1865 |
<value code="55561003"
|
| 1866 |
codeSystem="2.16.840.1.113883.6.96"
|
| 1867 |
codeSystemName=" SNOMED-CT"
|
| 1868 |
displayName="Active" xsi:type="CD"/>
|
| 1869 |
</observation>
|
| 1870 |
</entryRelationship>
|
| 1871 |
</observation>
|
| 1872 |
</entryRelationship>
|
| 1873 |
</act>
|
| 1874 |
</entry>
|
| 1875 |
<entry typeCode="DRIV">
|
| 1876 |
<act classCode="ACT" moodCode="EVN">
|
| 1877 |
|
| 1878 |
<templateId root="2.16.840.1.113883.10.20.22.4.3"/>
|
| 1879 |
<id root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>
|
| 1880 |
<code code="CONC"
|
| 1881 |
codeSystem="2.16.840.1.113883.5.6"
|
| 1882 |
codeSystemName="HL7ActClass" displayName="Concern"/>
|
| 1883 |
<statusCode code="active"/>
|
| 1884 |
<effectiveTime>
|
| 1885 |
<low value="20100528100000"/>
|
| 1886 |
</effectiveTime>
|
| 1887 |
<entryRelationship typeCode="SUBJ">
|
| 1888 |
|
| 1889 |
<observation classCode="OBS" moodCode="EVN">
|
| 1890 |
<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
|
| 1891 |
<id root="9d3d416d-45ab-4da1-912f-4583e0632000"/>
|
| 1892 |
<code code="282291009"
|
| 1893 |
codeSystem="2.16.840.1.113883.6.96" displayName="Diagnosis"/>
|
| 1894 |
<statusCode code="completed"/>
|
| 1895 |
<effectiveTime>
|
| 1896 |
<low value="20100528100000"/>
|
| 1897 |
</effectiveTime>
|
| 1898 |
<value code="304914007"
|
| 1899 |
codeSystem="2.16.840.1.113883.6.96"
|
| 1900 |
codeSystemName="SNOMED-CT"
|
| 1901 |
displayName="Acute Q wave myocardial infarction" xsi:type="CD">
|
| 1902 |
<translation code="I21.3"
|
| 1903 |
codeSystem="2.16.840.1.113883.6.90"
|
| 1904 |
codeSystemName="ICD-10-CM" displayName="ST elevation (STEMI) myocardial infarction of unspecified site"/>
|
| 1905 |
<translation code="410.90"
|
| 1906 |
codeSystem="2.16.840.1.113883.6.103"
|
| 1907 |
codeSystemName="ICD-9-CM" displayName="Acute myocardial infarction of unspecified site, episode of care unspecified"/>
|
| 1908 |
</value>
|
| 1909 |
<entryRelationship typeCode="REFR">
|
| 1910 |
<observation classCode="OBS" moodCode="EVN">
|
| 1911 |
<templateId root="2.16.840.1.113883.10.20.22.4.6"/>
|
| 1912 |
<code code="33999-4"
|
| 1913 |
codeSystem="2.16.840.1.113883.6.1"
|
| 1914 |
codeSystemName="LOINC"
|
| 1915 |
displayName="Status" xsi:type="CE"/>
|
| 1916 |
<text>
|
| 1917 |
<reference value="#Problem4"/>
|
| 1918 |
</text>
|
| 1919 |
<statusCode code="completed"/>
|
| 1920 |
<value code="55561003"
|
| 1921 |
codeSystem="2.16.840.1.113883.6.96"
|
| 1922 |
codeSystemName=" SNOMED-CT"
|
| 1923 |
displayName="Active" xsi:type="CD"/>
|
| 1924 |
</observation>
|
| 1925 |
</entryRelationship>
|
| 1926 |
</observation>
|
| 1927 |
</entryRelationship>
|
| 1928 |
</act>
|
| 1929 |
</entry>
|
| 1930 |
</section>
|
| 1931 |
</component>
|
| 1932 |
|
| 1933 |
|
| 1934 |
|
| 1935 |
|
| 1936 |
|
| 1937 |
<component>
|
| 1938 |
<section>
|
| 1939 |
|
| 1940 |
<templateId root="2.16.840.1.113883.10.20.22.2.7"/>
|
| 1941 |
|
| 1942 |
<templateId root="2.16.840.1.113883.10.20.22.2.7.1"/>
|
| 1943 |
<code code="47519-4"
|
| 1944 |
codeSystem="2.16.840.1.113883.6.1"
|
| 1945 |
codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES"/>
|
| 1946 |
<title>Procedures</title>
|
| 1947 |
<text>
|
| 1948 |
<table>
|
| 1949 |
<thead>
|
| 1950 |
<tr>
|
| 1951 |
<th>Group Description</th>
|
| 1952 |
<th>Code System</th>
|
| 1953 |
<th>Code</th>
|
| 1954 |
<th>Code Description</th>
|
| 1955 |
<th>Date and Time</th>
|
| 1956 |
<th>Status</th>
|
| 1957 |
</tr>
|
| 1958 |
</thead>
|
| 1959 |
<tbody>
|
| 1960 |
<tr>
|
| 1961 |
<td>Counseling For Nutrition</td>
|
| 1962 |
<td>CPT</td>
|
| 1963 |
<td>97802</td>
|
| 1964 |
<td>
|
| 1965 |
<content ID="Procedure1"/>Medical nutrition, indiv, in</td>
|
| 1966 |
<td>03-31-2010 10:00:00</td>
|
| 1967 |
<td>Performed</td>
|
| 1968 |
</tr>
|
| 1969 |
<tr>
|
| 1970 |
<td/>
|
| 1971 |
<td>HCPCS</td>
|
| 1972 |
<td>S9470</td>
|
| 1973 |
<td>Nutritional counseling, diet</td>
|
| 1974 |
<td/>
|
| 1975 |
<td/>
|
| 1976 |
</tr>
|
| 1977 |
<tr>
|
| 1978 |
<td/>
|
| 1979 |
<td>ICD-10-CM</td>
|
| 1980 |
<td>Z00.8</td>
|
| 1981 |
<td>Encounter for other general examination</td>
|
| 1982 |
<td/>
|
| 1983 |
<td/>
|
| 1984 |
</tr>
|
| 1985 |
<tr>
|
| 1986 |
<td/>
|
| 1987 |
<td>ICD-9-CM</td>
|
| 1988 |
<td>V65.3</td>
|
| 1989 |
<td>Dietary surveillance and counseling</td>
|
| 1990 |
<td/>
|
| 1991 |
<td/>
|
| 1992 |
</tr>
|
| 1993 |
<tr>
|
| 1994 |
<td>Counseling For Physical Activity</td>
|
| 1995 |
<td>HCPCS</td>
|
| 1996 |
<td>S9451</td>
|
| 1997 |
<td>
|
| 1998 |
<content ID="Procedure2"/>Exercise class</td>
|
| 1999 |
<td>03-31-2010 10:00:00</td>
|
| 2000 |
<td>Performed</td>
|
| 2001 |
</tr>
|
| 2002 |
<tr>
|
| 2003 |
<td/>
|
| 2004 |
<td>ICD-10-CM</td>
|
| 2005 |
<td>Z71.3</td>
|
| 2006 |
<td>Dietary counseling and surveillance</td>
|
| 2007 |
<td/>
|
| 2008 |
<td/>
|
| 2009 |
</tr>
|
| 2010 |
<tr>
|
| 2011 |
<td/>
|
| 2012 |
<td>ICD-9-CM</td>
|
| 2013 |
<td>V65.41</td>
|
| 2014 |
<td>Exercise counseling</td>
|
| 2015 |
<td/>
|
| 2016 |
<td/>
|
| 2017 |
</tr>
|
| 2018 |
<tr>
|
| 2019 |
<td>X-ray Study</td>
|
| 2020 |
<td>CPT</td>
|
| 2021 |
<td>76499</td>
|
| 2022 |
<td>
|
| 2023 |
<content ID="Procedure3"/>Radiographic procedure</td>
|
| 2024 |
<td>05-23-2010 10:00:00</td>
|
| 2025 |
<td>Performed</td>
|
| 2026 |
</tr>
|
| 2027 |
<tr>
|
| 2028 |
<td/>
|
| 2029 |
<td>SNOMED-CT</td>
|
| 2030 |
<td>363680008</td>
|
| 2031 |
<td>Radiographic imaging procedure (procedure)</td>
|
| 2032 |
<td/>
|
| 2033 |
<td/>
|
| 2034 |
</tr>
|
| 2035 |
<tr>
|
| 2036 |
<td>LVF Assessment</td>
|
| 2037 |
<td>CPT</td>
|
| 2038 |
<td>93543</td>
|
| 2039 |
<td>
|
| 2040 |
<content ID="Procedure4"/>Injection for heart x-rays</td>
|
| 2041 |
<td>05-24-2010 10:00:00</td>
|
| 2042 |
<td>Performed</td>
|
| 2043 |
</tr>
|
| 2044 |
<tr>
|
| 2045 |
<td>Cardiac Monitoring</td>
|
| 2046 |
<td>SNOMED-CT</td>
|
| 2047 |
<td>23852006</td>
|
| 2048 |
<td>
|
| 2049 |
<content ID="Procedure5"/>Cardiac monitoring</td>
|
| 2050 |
<td>05-25-2010 10:00:00</td>
|
| 2051 |
<td>Performed</td>
|
| 2052 |
</tr>
|
| 2053 |
<tr>
|
| 2054 |
<td>dietary consultation order</td>
|
| 2055 |
<td>SNOMED-CT</td>
|
| 2056 |
<td>103699006</td>
|
| 2057 |
<td>
|
| 2058 |
<content ID="Procedure6"/>Patient referral to dietitian</td>
|
| 2059 |
<td>05-27-2010 10:00:00</td>
|
| 2060 |
<td>Performed</td>
|
| 2061 |
</tr>
|
| 2062 |
<tr>
|
| 2063 |
<td>Foot Exam</td>
|
| 2064 |
<td>SNOMED-CT</td>
|
| 2065 |
<td>401191002</td>
|
| 2066 |
<td>
|
| 2067 |
<content ID="Procedure7"/>Diabetic foot examination</td>
|
| 2068 |
<td>06-25-2010 10:00:00</td>
|
| 2069 |
<td>Performed</td>
|
| 2070 |
</tr>
|
| 2071 |
<tr>
|
| 2072 |
<td>Eye Exam</td>
|
| 2073 |
<td>CPT</td>
|
| 2074 |
<td>92012</td>
|
| 2075 |
<td>
|
| 2076 |
<content ID="Procedure8"/>Eye exam established pat</td>
|
| 2077 |
<td>07-30-2010 10:00:00</td>
|
| 2078 |
<td>Performed</td>
|
| 2079 |
</tr>
|
| 2080 |
<tr>
|
| 2081 |
<td/>
|
| 2082 |
<td>HCPCS</td>
|
| 2083 |
<td>S0621</td>
|
| 2084 |
<td>Routine ophthalmological exa</td>
|
| 2085 |
<td/>
|
| 2086 |
<td/>
|
| 2087 |
</tr>
|
| 2088 |
<tr>
|
| 2089 |
<td/>
|
| 2090 |
<td>ICD-9-CM</td>
|
| 2091 |
<td>95.03</td>
|
| 2092 |
<td>Extended ophthalmologic work-up</td>
|
| 2093 |
<td/>
|
| 2094 |
<td/>
|
| 2095 |
</tr>
|
| 2096 |
<tr>
|
| 2097 |
<td/>
|
| 2098 |
<td>SNOMED-CT</td>
|
| 2099 |
<td>36228007</td>
|
| 2100 |
<td>Ophthalmic examination and evaluation</td>
|
| 2101 |
<td/>
|
| 2102 |
<td/>
|
| 2103 |
</tr>
|
| 2104 |
<tr>
|
| 2105 |
<td>Foot Exam</td>
|
| 2106 |
<td>SNOMED-CT</td>
|
| 2107 |
<td>401191002</td>
|
| 2108 |
<td>
|
| 2109 |
<content ID="Procedure9"/>Diabetic foot examination</td>
|
| 2110 |
<td>10-24-2010 10:00:00</td>
|
| 2111 |
<td>Performed</td>
|
| 2112 |
</tr>
|
| 2113 |
</tbody>
|
| 2114 |
</table>
|
| 2115 |
</text>
|
| 2116 |
<entry typeCode="DRIV">
|
| 2117 |
<procedure classCode="ACT" moodCode="EVN">
|
| 2118 |
|
| 2119 |
<templateId root="2.16.840.1.113883.10.20.22.4.12"/>
|
| 2120 |
<id root="e401f340-7be2-11db-9fe1-0800200c9a66"/>
|
| 2121 |
<code code="97802"
|
| 2122 |
codeSystem="2.16.840.1.113883.6.12"
|
| 2123 |
codeSystemName="CPT"
|
| 2124 |
displayName="Medical nutrition, indiv, in" xsi:type="CE">
|
| 2125 |
|
| 2126 |
<originalText>
|
| 2127 |
Counseling For Nutrition + Medical nutrition, indiv, in
|
| 2128 |
<reference value="#Procedure1"/>
|
| 2129 |
</originalText>
|
| 2130 |
<translation code="S9470"
|
| 2131 |
codeSystem="2.16.840.1.113883.6.13"
|
| 2132 |
codeSystemName="HCPCS" displayName="Nutritional counseling, diet"/>
|
| 2133 |
<translation code="Z00.8"
|
| 2134 |
codeSystem="2.16.840.1.113883.6.90"
|
| 2135 |
codeSystemName="ICD-10-CM" displayName="Encounter for other general examination"/>
|
| 2136 |
<translation code="V65.3"
|
| 2137 |
codeSystem="2.16.840.1.113883.6.103"
|
| 2138 |
codeSystemName="ICD-9-CM" displayName="Dietary surveillance and counseling"/>
|
| 2139 |
</code>
|
| 2140 |
<statusCode code="completed"/>
|
| 2141 |
<effectiveTime value="20100331100000"/>
|
| 2142 |
<methodCode nullFlavor="UNK"/>
|
| 2143 |
</procedure>
|
| 2144 |
</entry>
|
| 2145 |
<entry typeCode="DRIV">
|
| 2146 |
<procedure classCode="ACT" moodCode="EVN">
|
| 2147 |
|
| 2148 |
<templateId root="2.16.840.1.113883.10.20.22.4.12"/>
|
| 2149 |
<id root="e401f340-7be2-11db-9fe1-0800200c9a66"/>
|
| 2150 |
<code code="S9451"
|
| 2151 |
codeSystem="2.16.840.1.113883.6.13"
|
| 2152 |
codeSystemName="HCPCS"
|
| 2153 |
displayName="Exercise class" xsi:type="CE">
|
| 2154 |
|
| 2155 |
<originalText>
|
| 2156 |
Counseling For Physical Activity + Exercise class
|
| 2157 |
<reference value="#Procedure2"/>
|
| 2158 |
</originalText>
|
| 2159 |
<translation code="Z71.3"
|
| 2160 |
codeSystem="2.16.840.1.113883.6.90"
|
| 2161 |
codeSystemName="ICD-10-CM" displayName="Dietary counseling and surveillance"/>
|
| 2162 |
<translation code="V65.41"
|
| 2163 |
codeSystem="2.16.840.1.113883.6.103"
|
| 2164 |
codeSystemName="ICD-9-CM" displayName="Exercise counseling"/>
|
| 2165 |
</code>
|
| 2166 |
<statusCode code="completed"/>
|
| 2167 |
<effectiveTime value="20100331100000"/>
|
| 2168 |
<methodCode nullFlavor="UNK"/>
|
| 2169 |
</procedure>
|
| 2170 |
</entry>
|
| 2171 |
<entry typeCode="DRIV">
|
| 2172 |
<procedure classCode="OBS" moodCode="EVN">
|
| 2173 |
|
| 2174 |
<templateId root="2.16.840.1.113883.10.20.22.4.13"/>
|
| 2175 |
<id root="e401f340-7be2-11db-9fe1-0800200c9a66"/>
|
| 2176 |
<code code="76499"
|
| 2177 |
codeSystem="2.16.840.1.113883.6.12"
|
| 2178 |
codeSystemName="CPT"
|
| 2179 |
displayName="Radiographic procedure" xsi:type="CE">
|
| 2180 |
|
| 2181 |
<originalText>
|
| 2182 |
X-ray Study + Radiographic procedure
|
| 2183 |
<reference value="#Procedure3"/>
|
| 2184 |
</originalText>
|
| 2185 |
<translation code="363680008"
|
| 2186 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2187 |
codeSystemName="SNOMED-CT" displayName="Radiographic imaging procedure (procedure)"/>
|
| 2188 |
</code>
|
| 2189 |
<statusCode code="completed"/>
|
| 2190 |
<effectiveTime value="20100523100000"/>
|
| 2191 |
<methodCode nullFlavor="UNK"/>
|
| 2192 |
</procedure>
|
| 2193 |
</entry>
|
| 2194 |
<entry typeCode="DRIV">
|
| 2195 |
<procedure classCode="OBS" moodCode="EVN">
|
| 2196 |
|
| 2197 |
<templateId root="2.16.840.1.113883.10.20.22.4.13"/>
|
| 2198 |
<id root="e401f340-7be2-11db-9fe1-0800200c9a66"/>
|
| 2199 |
<code code="93543"
|
| 2200 |
codeSystem="2.16.840.1.113883.6.12"
|
| 2201 |
codeSystemName="CPT"
|
| 2202 |
displayName="Injection for heart x-rays" xsi:type="CE">
|
| 2203 |
|
| 2204 |
<originalText>
|
| 2205 |
LVF Assessment + Injection for heart x-rays
|
| 2206 |
<reference value="#Procedure4"/>
|
| 2207 |
</originalText>
|
| 2208 |
</code>
|
| 2209 |
<statusCode code="completed"/>
|
| 2210 |
<effectiveTime value="20100524100000"/>
|
| 2211 |
<methodCode nullFlavor="UNK"/>
|
| 2212 |
</procedure>
|
| 2213 |
</entry>
|
| 2214 |
<entry typeCode="DRIV">
|
| 2215 |
<procedure classCode="OBS" moodCode="EVN">
|
| 2216 |
|
| 2217 |
<templateId root="2.16.840.1.113883.10.20.22.4.13"/>
|
| 2218 |
<id root="e401f340-7be2-11db-9fe1-0800200c9a66"/>
|
| 2219 |
<code code="23852006"
|
| 2220 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2221 |
codeSystemName="SNOMED-CT"
|
| 2222 |
displayName="Cardiac monitoring" xsi:type="CE">
|
| 2223 |
|
| 2224 |
<originalText>
|
| 2225 |
Cardiac Monitoring + Cardiac monitoring
|
| 2226 |
<reference value="#Procedure5"/>
|
| 2227 |
</originalText>
|
| 2228 |
</code>
|
| 2229 |
<statusCode code="completed"/>
|
| 2230 |
<effectiveTime value="20100525100000"/>
|
| 2231 |
<methodCode nullFlavor="UNK"/>
|
| 2232 |
</procedure>
|
| 2233 |
</entry>
|
| 2234 |
<entry typeCode="DRIV">
|
| 2235 |
<procedure classCode="ACT" moodCode="EVN">
|
| 2236 |
|
| 2237 |
<templateId root="2.16.840.1.113883.10.20.22.4.12"/>
|
| 2238 |
<id root="e401f340-7be2-11db-9fe1-0800200c9a66"/>
|
| 2239 |
<code code="103699006"
|
| 2240 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2241 |
codeSystemName="SNOMED-CT"
|
| 2242 |
displayName="Patient referral to dietitian" xsi:type="CE">
|
| 2243 |
|
| 2244 |
<originalText>
|
| 2245 |
dietary consultation order + Patient referral to dietitian
|
| 2246 |
<reference value="#Procedure6"/>
|
| 2247 |
</originalText>
|
| 2248 |
</code>
|
| 2249 |
<statusCode code="completed"/>
|
| 2250 |
<effectiveTime value="20100527100000"/>
|
| 2251 |
<methodCode nullFlavor="UNK"/>
|
| 2252 |
</procedure>
|
| 2253 |
</entry>
|
| 2254 |
<entry typeCode="DRIV">
|
| 2255 |
<procedure classCode="OBS" moodCode="EVN">
|
| 2256 |
|
| 2257 |
<templateId root="2.16.840.1.113883.10.20.22.4.13"/>
|
| 2258 |
<id root="e401f340-7be2-11db-9fe1-0800200c9a66"/>
|
| 2259 |
<code code="401191002"
|
| 2260 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2261 |
codeSystemName="SNOMED-CT"
|
| 2262 |
displayName="Diabetic foot examination" xsi:type="CE">
|
| 2263 |
|
| 2264 |
<originalText>
|
| 2265 |
Foot Exam + Diabetic foot examination
|
| 2266 |
<reference value="#Procedure7"/>
|
| 2267 |
</originalText>
|
| 2268 |
</code>
|
| 2269 |
<statusCode code="completed"/>
|
| 2270 |
<effectiveTime value="20100625100000"/>
|
| 2271 |
<methodCode nullFlavor="UNK"/>
|
| 2272 |
</procedure>
|
| 2273 |
</entry>
|
| 2274 |
<entry typeCode="DRIV">
|
| 2275 |
<procedure classCode="OBS" moodCode="EVN">
|
| 2276 |
|
| 2277 |
<templateId root="2.16.840.1.113883.10.20.22.4.13"/>
|
| 2278 |
<id root="e401f340-7be2-11db-9fe1-0800200c9a66"/>
|
| 2279 |
<code code="92012"
|
| 2280 |
codeSystem="2.16.840.1.113883.6.12"
|
| 2281 |
codeSystemName="CPT"
|
| 2282 |
displayName="Eye exam established pat" xsi:type="CE">
|
| 2283 |
|
| 2284 |
<originalText>
|
| 2285 |
Eye Exam + Eye exam established pat
|
| 2286 |
<reference value="#Procedure8"/>
|
| 2287 |
</originalText>
|
| 2288 |
<translation code="S0621"
|
| 2289 |
codeSystem="2.16.840.1.113883.6.13"
|
| 2290 |
codeSystemName="HCPCS" displayName="Routine ophthalmological exa"/>
|
| 2291 |
<translation code="95.03"
|
| 2292 |
codeSystem="2.16.840.1.113883.6.103"
|
| 2293 |
codeSystemName="ICD-9-CM" displayName="Extended ophthalmologic work-up"/>
|
| 2294 |
<translation code="36228007"
|
| 2295 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2296 |
codeSystemName="SNOMED-CT" displayName="Ophthalmic examination and evaluation"/>
|
| 2297 |
</code>
|
| 2298 |
<statusCode code="completed"/>
|
| 2299 |
<effectiveTime value="20100730100000"/>
|
| 2300 |
<methodCode nullFlavor="UNK"/>
|
| 2301 |
</procedure>
|
| 2302 |
</entry>
|
| 2303 |
<entry typeCode="DRIV">
|
| 2304 |
<procedure classCode="OBS" moodCode="EVN">
|
| 2305 |
|
| 2306 |
<templateId root="2.16.840.1.113883.10.20.22.4.13"/>
|
| 2307 |
<id root="e401f340-7be2-11db-9fe1-0800200c9a66"/>
|
| 2308 |
<code code="401191002"
|
| 2309 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2310 |
codeSystemName="SNOMED-CT"
|
| 2311 |
displayName="Diabetic foot examination" xsi:type="CE">
|
| 2312 |
|
| 2313 |
<originalText>
|
| 2314 |
Foot Exam + Diabetic foot examination
|
| 2315 |
<reference value="#Procedure9"/>
|
| 2316 |
</originalText>
|
| 2317 |
</code>
|
| 2318 |
<statusCode code="completed"/>
|
| 2319 |
<effectiveTime value="20101024100000"/>
|
| 2320 |
<methodCode nullFlavor="UNK"/>
|
| 2321 |
</procedure>
|
| 2322 |
</entry>
|
| 2323 |
</section>
|
| 2324 |
</component>
|
| 2325 |
|
| 2326 |
|
| 2327 |
|
| 2328 |
|
| 2329 |
|
| 2330 |
|
| 2331 |
|
| 2332 |
|
| 2333 |
|
| 2334 |
|
| 2335 |
|
| 2336 |
|
| 2337 |
|
| 2338 |
|
| 2339 |
|
| 2340 |
|
| 2341 |
|
| 2342 |
|
| 2343 |
|
| 2344 |
|
| 2345 |
|
| 2346 |
|
| 2347 |
|
| 2348 |
|
| 2349 |
|
| 2350 |
|
| 2351 |
|
| 2352 |
|
| 2353 |
|
| 2354 |
|
| 2355 |
|
| 2356 |
|
| 2357 |
|
| 2358 |
|
| 2359 |
|
| 2360 |
|
| 2361 |
|
| 2362 |
|
| 2363 |
|
| 2364 |
|
| 2365 |
|
| 2366 |
|
| 2367 |
|
| 2368 |
|
| 2369 |
|
| 2370 |
|
| 2371 |
|
| 2372 |
<component>
|
| 2373 |
<section>
|
| 2374 |
|
| 2375 |
<templateId root="2.16.840.1.113883.10.20.22.2.3"/>
|
| 2376 |
|
| 2377 |
<templateId root="2.16.840.1.113883.10.20.22.2.3.1"/>
|
| 2378 |
<code code="30954-2"
|
| 2379 |
codeSystem="2.16.840.1.113883.6.1"
|
| 2380 |
codeSystemName="LOINC" displayName="Results"/>
|
| 2381 |
<title>Results</title>
|
| 2382 |
<text>
|
| 2383 |
<table>
|
| 2384 |
<thead>
|
| 2385 |
<tr>
|
| 2386 |
<th>Group Description</th>
|
| 2387 |
<th>Code System</th>
|
| 2388 |
<th>Code</th>
|
| 2389 |
<th>Code Description</th>
|
| 2390 |
<th>Value</th>
|
| 2391 |
<th>Unit</th>
|
| 2392 |
<th>Reference Range</th>
|
| 2393 |
<th>Date and Time</th>
|
| 2394 |
<th>Status</th>
|
| 2395 |
</tr>
|
| 2396 |
</thead>
|
| 2397 |
<tbody>
|
| 2398 |
<tr>
|
| 2399 |
<td>HbA1c test</td>
|
| 2400 |
<td>LOINC</td>
|
| 2401 |
<td>4548-4</td>
|
| 2402 |
<td>
|
| 2403 |
<content ID="Result1"/>Hgb A1c MFr Bld</td>
|
| 2404 |
<td>7</td>
|
| 2405 |
<td>%</td>
|
| 2406 |
<td>4-5.6%</td>
|
| 2407 |
<td>03-31-2010 10:00:00</td>
|
| 2408 |
<td>Completed</td>
|
| 2409 |
</tr>
|
| 2410 |
<tr>
|
| 2411 |
<td/>
|
| 2412 |
<td>CPT</td>
|
| 2413 |
<td>83036</td>
|
| 2414 |
<td>Glycated hemoglobin test</td>
|
| 2415 |
<td/>
|
| 2416 |
<td/>
|
| 2417 |
<td/>
|
| 2418 |
<td/>
|
| 2419 |
<td/>
|
| 2420 |
</tr>
|
| 2421 |
<tr>
|
| 2422 |
<td/>
|
| 2423 |
<td>SNOMED-CT</td>
|
| 2424 |
<td>43396009</td>
|
| 2425 |
<td>Hemoglobin A1c measurement</td>
|
| 2426 |
<td/>
|
| 2427 |
<td/>
|
| 2428 |
<td/>
|
| 2429 |
<td/>
|
| 2430 |
<td/>
|
| 2431 |
</tr>
|
| 2432 |
<tr>
|
| 2433 |
<td>High Density Lipoprotein (HDL)</td>
|
| 2434 |
<td>LOINC</td>
|
| 2435 |
<td>14646-4</td>
|
| 2436 |
<td>
|
| 2437 |
<content ID="Result2"/>HDLc SerPl-sCnc</td>
|
| 2438 |
<td>63</td>
|
| 2439 |
<td>mg/dL</td>
|
| 2440 |
<td>>=40 mg/dL</td>
|
| 2441 |
<td>03-31-2010 10:00:00</td>
|
| 2442 |
<td>Completed</td>
|
| 2443 |
</tr>
|
| 2444 |
<tr>
|
| 2445 |
<td/>
|
| 2446 |
<td>CPT</td>
|
| 2447 |
<td>83701</td>
|
| 2448 |
<td>Lipoprotein bld, hr fraction</td>
|
| 2449 |
<td/>
|
| 2450 |
<td/>
|
| 2451 |
<td/>
|
| 2452 |
<td/>
|
| 2453 |
<td/>
|
| 2454 |
</tr>
|
| 2455 |
<tr>
|
| 2456 |
<td/>
|
| 2457 |
<td>SNOMED-CT</td>
|
| 2458 |
<td>28036006</td>
|
| 2459 |
<td>High density lipoprotein cholesterol measurement</td>
|
| 2460 |
<td/>
|
| 2461 |
<td/>
|
| 2462 |
<td/>
|
| 2463 |
<td/>
|
| 2464 |
<td/>
|
| 2465 |
</tr>
|
| 2466 |
<tr>
|
| 2467 |
<td>Low Density Lipoprotein (LDL)</td>
|
| 2468 |
<td>LOINC</td>
|
| 2469 |
<td>2089-1</td>
|
| 2470 |
<td>
|
| 2471 |
<content ID="Result3"/>LDLc SerPl-mCnc</td>
|
| 2472 |
<td>150.2</td>
|
| 2473 |
<td>mg/dL</td>
|
| 2474 |
<td><130 mg/dL (calc)</td>
|
| 2475 |
<td>03-31-2010 10:00:00</td>
|
| 2476 |
<td>Completed</td>
|
| 2477 |
</tr>
|
| 2478 |
<tr>
|
| 2479 |
<td/>
|
| 2480 |
<td>CPT</td>
|
| 2481 |
<td>83721</td>
|
| 2482 |
<td>Assay of blood lipoprotein</td>
|
| 2483 |
<td/>
|
| 2484 |
<td/>
|
| 2485 |
<td/>
|
| 2486 |
<td/>
|
| 2487 |
<td/>
|
| 2488 |
</tr>
|
| 2489 |
<tr>
|
| 2490 |
<td/>
|
| 2491 |
<td>SNOMED-CT</td>
|
| 2492 |
<td>113079009</td>
|
| 2493 |
<td>Low density lipoprotein cholesterol measurement</td>
|
| 2494 |
<td/>
|
| 2495 |
<td/>
|
| 2496 |
<td/>
|
| 2497 |
<td/>
|
| 2498 |
<td/>
|
| 2499 |
</tr>
|
| 2500 |
<tr>
|
| 2501 |
<td>Total Cholesterol</td>
|
| 2502 |
<td>LOINC</td>
|
| 2503 |
<td>2093-3</td>
|
| 2504 |
<td>
|
| 2505 |
<content ID="Result4"/>Cholest SerPl-mCnc</td>
|
| 2506 |
<td>251</td>
|
| 2507 |
<td>mg/dL</td>
|
| 2508 |
<td>125-200 mg/dL</td>
|
| 2509 |
<td>03-31-2010 10:00:00</td>
|
| 2510 |
<td>Completed</td>
|
| 2511 |
</tr>
|
| 2512 |
<tr>
|
| 2513 |
<td/>
|
| 2514 |
<td>CPT</td>
|
| 2515 |
<td>82465</td>
|
| 2516 |
<td>Assay, bld/serum cholesterol</td>
|
| 2517 |
<td/>
|
| 2518 |
<td/>
|
| 2519 |
<td/>
|
| 2520 |
<td/>
|
| 2521 |
<td/>
|
| 2522 |
</tr>
|
| 2523 |
<tr>
|
| 2524 |
<td/>
|
| 2525 |
<td>SNOMED-CT</td>
|
| 2526 |
<td>121868005</td>
|
| 2527 |
<td>Total cholesterol measurement</td>
|
| 2528 |
<td/>
|
| 2529 |
<td/>
|
| 2530 |
<td/>
|
| 2531 |
<td/>
|
| 2532 |
<td/>
|
| 2533 |
</tr>
|
| 2534 |
<tr>
|
| 2535 |
<td>Triglycerides</td>
|
| 2536 |
<td>LOINC</td>
|
| 2537 |
<td>12951-0</td>
|
| 2538 |
<td>
|
| 2539 |
<content ID="Result5"/>Trigl SerPl Calc-mCnc</td>
|
| 2540 |
<td>189</td>
|
| 2541 |
<td>mg/dL</td>
|
| 2542 |
<td>10-39 years: 55-110 mg/dL | 40-59 years: 70-150 mg/dL | >60 years: 80-150 mg/dL | Therapeutic Target: <100 mg/dL </td>
|
| 2543 |
<td>03-31-2010 10:00:00</td>
|
| 2544 |
<td>Completed</td>
|
| 2545 |
</tr>
|
| 2546 |
<tr>
|
| 2547 |
<td/>
|
| 2548 |
<td>CPT</td>
|
| 2549 |
<td>84478</td>
|
| 2550 |
<td>Assay of triglycerides</td>
|
| 2551 |
<td/>
|
| 2552 |
<td/>
|
| 2553 |
<td/>
|
| 2554 |
<td/>
|
| 2555 |
<td/>
|
| 2556 |
</tr>
|
| 2557 |
<tr>
|
| 2558 |
<td/>
|
| 2559 |
<td>SNOMED-CT</td>
|
| 2560 |
<td>14740000</td>
|
| 2561 |
<td>Triglycerides measurement</td>
|
| 2562 |
<td/>
|
| 2563 |
<td/>
|
| 2564 |
<td/>
|
| 2565 |
<td/>
|
| 2566 |
<td/>
|
| 2567 |
</tr>
|
| 2568 |
<tr>
|
| 2569 |
<td>HbA1c test</td>
|
| 2570 |
<td>LOINC</td>
|
| 2571 |
<td>4548-4</td>
|
| 2572 |
<td>
|
| 2573 |
<content ID="Result6"/>Hgb A1c MFr Bld</td>
|
| 2574 |
<td>6.6</td>
|
| 2575 |
<td>%</td>
|
| 2576 |
<td>4-5.6%</td>
|
| 2577 |
<td>07-25-2010 10:00:00</td>
|
| 2578 |
<td>Completed</td>
|
| 2579 |
</tr>
|
| 2580 |
<tr>
|
| 2581 |
<td/>
|
| 2582 |
<td>CPT</td>
|
| 2583 |
<td>83036</td>
|
| 2584 |
<td>Glycated hemoglobin test</td>
|
| 2585 |
<td/>
|
| 2586 |
<td/>
|
| 2587 |
<td/>
|
| 2588 |
<td/>
|
| 2589 |
<td/>
|
| 2590 |
</tr>
|
| 2591 |
<tr>
|
| 2592 |
<td/>
|
| 2593 |
<td>SNOMED-CT</td>
|
| 2594 |
<td>43396009</td>
|
| 2595 |
<td>Hemoglobin A1c measurement</td>
|
| 2596 |
<td/>
|
| 2597 |
<td/>
|
| 2598 |
<td/>
|
| 2599 |
<td/>
|
| 2600 |
<td/>
|
| 2601 |
</tr>
|
| 2602 |
<tr>
|
| 2603 |
<td>HbA1c test</td>
|
| 2604 |
<td>LOINC</td>
|
| 2605 |
<td>4548-4</td>
|
| 2606 |
<td>
|
| 2607 |
<content ID="Result7"/>Hgb A1c MFr Bld</td>
|
| 2608 |
<td>6.7</td>
|
| 2609 |
<td>%</td>
|
| 2610 |
<td>4-5.6%</td>
|
| 2611 |
<td>10-24-2010 10:00:00</td>
|
| 2612 |
<td>Completed</td>
|
| 2613 |
</tr>
|
| 2614 |
<tr>
|
| 2615 |
<td/>
|
| 2616 |
<td>CPT</td>
|
| 2617 |
<td>83036</td>
|
| 2618 |
<td>Glycated hemoglobin test</td>
|
| 2619 |
<td/>
|
| 2620 |
<td/>
|
| 2621 |
<td/>
|
| 2622 |
<td/>
|
| 2623 |
<td/>
|
| 2624 |
</tr>
|
| 2625 |
<tr>
|
| 2626 |
<td/>
|
| 2627 |
<td>SNOMED-CT</td>
|
| 2628 |
<td>43396009</td>
|
| 2629 |
<td>Hemoglobin A1c measurement</td>
|
| 2630 |
<td/>
|
| 2631 |
<td/>
|
| 2632 |
<td/>
|
| 2633 |
<td/>
|
| 2634 |
<td/>
|
| 2635 |
</tr>
|
| 2636 |
<tr>
|
| 2637 |
<td>High Density Lipoprotein (HDL)</td>
|
| 2638 |
<td>LOINC</td>
|
| 2639 |
<td>14646-4</td>
|
| 2640 |
<td>
|
| 2641 |
<content ID="Result8"/>HDLc SerPl-sCnc</td>
|
| 2642 |
<td>61</td>
|
| 2643 |
<td>mg/dL</td>
|
| 2644 |
<td>>=40 mg/dL</td>
|
| 2645 |
<td>10-24-2010 10:00:00</td>
|
| 2646 |
<td>Completed</td>
|
| 2647 |
</tr>
|
| 2648 |
<tr>
|
| 2649 |
<td/>
|
| 2650 |
<td>CPT</td>
|
| 2651 |
<td>83701</td>
|
| 2652 |
<td>Lipoprotein bld, hr fraction</td>
|
| 2653 |
<td/>
|
| 2654 |
<td/>
|
| 2655 |
<td/>
|
| 2656 |
<td/>
|
| 2657 |
<td/>
|
| 2658 |
</tr>
|
| 2659 |
<tr>
|
| 2660 |
<td/>
|
| 2661 |
<td>SNOMED-CT</td>
|
| 2662 |
<td>28036006</td>
|
| 2663 |
<td>High density lipoprotein cholesterol measurement</td>
|
| 2664 |
<td/>
|
| 2665 |
<td/>
|
| 2666 |
<td/>
|
| 2667 |
<td/>
|
| 2668 |
<td/>
|
| 2669 |
</tr>
|
| 2670 |
<tr>
|
| 2671 |
<td>Low Density Lipoprotein (LDL)</td>
|
| 2672 |
<td>LOINC</td>
|
| 2673 |
<td>2089-1</td>
|
| 2674 |
<td>
|
| 2675 |
<content ID="Result9"/>LDLc SerPl-mCnc</td>
|
| 2676 |
<td>106.6</td>
|
| 2677 |
<td>mg/dL</td>
|
| 2678 |
<td><130 mg/dL (calc)</td>
|
| 2679 |
<td>10-24-2010 10:00:00</td>
|
| 2680 |
<td>Completed</td>
|
| 2681 |
</tr>
|
| 2682 |
<tr>
|
| 2683 |
<td/>
|
| 2684 |
<td>CPT</td>
|
| 2685 |
<td>83721</td>
|
| 2686 |
<td>Assay of blood lipoprotein</td>
|
| 2687 |
<td/>
|
| 2688 |
<td/>
|
| 2689 |
<td/>
|
| 2690 |
<td/>
|
| 2691 |
<td/>
|
| 2692 |
</tr>
|
| 2693 |
<tr>
|
| 2694 |
<td/>
|
| 2695 |
<td>SNOMED-CT</td>
|
| 2696 |
<td>113079009</td>
|
| 2697 |
<td>Low density lipoprotein cholesterol measurement</td>
|
| 2698 |
<td/>
|
| 2699 |
<td/>
|
| 2700 |
<td/>
|
| 2701 |
<td/>
|
| 2702 |
<td/>
|
| 2703 |
</tr>
|
| 2704 |
<tr>
|
| 2705 |
<td>Total Cholesterol</td>
|
| 2706 |
<td>LOINC</td>
|
| 2707 |
<td>2093-3</td>
|
| 2708 |
<td>
|
| 2709 |
<content ID="Result10"/>Cholest SerPl-mCnc</td>
|
| 2710 |
<td>197</td>
|
| 2711 |
<td>mg/dL</td>
|
| 2712 |
<td>125-200 mg/dL</td>
|
| 2713 |
<td>10-24-2010 10:00:00</td>
|
| 2714 |
<td>Completed</td>
|
| 2715 |
</tr>
|
| 2716 |
<tr>
|
| 2717 |
<td/>
|
| 2718 |
<td>CPT</td>
|
| 2719 |
<td>82465</td>
|
| 2720 |
<td>Assay, bld/serum cholesterol</td>
|
| 2721 |
<td/>
|
| 2722 |
<td/>
|
| 2723 |
<td/>
|
| 2724 |
<td/>
|
| 2725 |
<td/>
|
| 2726 |
</tr>
|
| 2727 |
<tr>
|
| 2728 |
<td/>
|
| 2729 |
<td>SNOMED-CT</td>
|
| 2730 |
<td>121868005</td>
|
| 2731 |
<td>Total cholesterol measurement</td>
|
| 2732 |
<td/>
|
| 2733 |
<td/>
|
| 2734 |
<td/>
|
| 2735 |
<td/>
|
| 2736 |
<td/>
|
| 2737 |
</tr>
|
| 2738 |
<tr>
|
| 2739 |
<td>Triglycerides</td>
|
| 2740 |
<td>LOINC</td>
|
| 2741 |
<td>12951-0</td>
|
| 2742 |
<td>
|
| 2743 |
<content ID="Result11"/>Trigl SerPl Calc-mCnc</td>
|
| 2744 |
<td>147</td>
|
| 2745 |
<td>mg/dL</td>
|
| 2746 |
<td>10-39 years: 55-110 mg/dL | 40-59 years: 70-150 mg/dL | >60 years: 80-150 mg/dL | Therapeutic Target: <100 mg/dL </td>
|
| 2747 |
<td>10-24-2010 10:00:00</td>
|
| 2748 |
<td>Completed</td>
|
| 2749 |
</tr>
|
| 2750 |
<tr>
|
| 2751 |
<td/>
|
| 2752 |
<td>CPT</td>
|
| 2753 |
<td>84478</td>
|
| 2754 |
<td>Assay of triglycerides</td>
|
| 2755 |
<td/>
|
| 2756 |
<td/>
|
| 2757 |
<td/>
|
| 2758 |
<td/>
|
| 2759 |
<td/>
|
| 2760 |
</tr>
|
| 2761 |
<tr>
|
| 2762 |
<td/>
|
| 2763 |
<td>SNOMED-CT</td>
|
| 2764 |
<td>14740000</td>
|
| 2765 |
<td>Triglycerides measurement</td>
|
| 2766 |
<td/>
|
| 2767 |
<td/>
|
| 2768 |
<td/>
|
| 2769 |
<td/>
|
| 2770 |
<td/>
|
| 2771 |
</tr>
|
| 2772 |
</tbody>
|
| 2773 |
</table>
|
| 2774 |
</text>
|
| 2775 |
<entry typeCode="DRIV">
|
| 2776 |
<organizer classCode="CLUSTER" moodCode="EVN">
|
| 2777 |
|
| 2778 |
<templateId root="2.16.840.1.113883.10.20.22.4.1"/>
|
| 2779 |
<id root="7d5a02b0-67a4-11db-bd13-0800200c9a66"/>
|
| 2780 |
<code code="166312007"
|
| 2781 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2782 |
codeSystemName="SNOMED-CT"
|
| 2783 |
displayName="Blood Chemistry" xsi:type="CE"/>
|
| 2784 |
<statusCode code="completed"/>
|
| 2785 |
<component>
|
| 2786 |
<observation classCode="OBS" moodCode="EVN">
|
| 2787 |
|
| 2788 |
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
|
| 2789 |
<id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
|
| 2790 |
<code code="4548-4"
|
| 2791 |
codeSystem="2.16.840.1.113883.6.1"
|
| 2792 |
codeSystemName="LOINC"
|
| 2793 |
displayName="Hgb A1c MFr Bld" xsi:type="CE">
|
| 2794 |
|
| 2795 |
<translation code="83036"
|
| 2796 |
codeSystem="2.16.840.1.113883.6.12"
|
| 2797 |
codeSystemName="CPT" displayName="Glycated hemoglobin test"/>
|
| 2798 |
<translation code="43396009"
|
| 2799 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2800 |
codeSystemName="SNOMED-CT" displayName="Hemoglobin A1c measurement"/>
|
| 2801 |
</code>
|
| 2802 |
<statusCode code="completed"/>
|
| 2803 |
<effectiveTime value="20100331100000"/>
|
| 2804 |
<value unit="%" value="7" xsi:type="PQ"/>
|
| 2805 |
<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
|
| 2806 |
<referenceRange>
|
| 2807 |
<observationRange>
|
| 2808 |
<text>4-5.6%</text>
|
| 2809 |
</observationRange>
|
| 2810 |
</referenceRange>
|
| 2811 |
</observation>
|
| 2812 |
</component>
|
| 2813 |
</organizer>
|
| 2814 |
</entry>
|
| 2815 |
<entry typeCode="DRIV">
|
| 2816 |
<organizer classCode="BATTERY" moodCode="EVN">
|
| 2817 |
|
| 2818 |
<templateId root="2.16.840.1.113883.10.20.22.4.1"/>
|
| 2819 |
<id root="7d5a02b0-67a4-11db-bd13-0800200c9a66"/>
|
| 2820 |
<code code="16254007"
|
| 2821 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2822 |
codeSystemName="SNOMED-CT"
|
| 2823 |
displayName="Lipid Panel" xsi:type="CE"/>
|
| 2824 |
<statusCode code="completed"/>
|
| 2825 |
<component>
|
| 2826 |
<observation classCode="OBS" moodCode="EVN">
|
| 2827 |
|
| 2828 |
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
|
| 2829 |
<id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
|
| 2830 |
<code code="14646-4"
|
| 2831 |
codeSystem="2.16.840.1.113883.6.1"
|
| 2832 |
codeSystemName="LOINC"
|
| 2833 |
displayName="HDLc SerPl-sCnc" xsi:type="CE">
|
| 2834 |
|
| 2835 |
<translation code="83701"
|
| 2836 |
codeSystem="2.16.840.1.113883.6.12"
|
| 2837 |
codeSystemName="CPT" displayName="Lipoprotein bld, hr fraction"/>
|
| 2838 |
<translation code="28036006"
|
| 2839 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2840 |
codeSystemName="SNOMED-CT" displayName="High density lipoprotein cholesterol measurement"/>
|
| 2841 |
</code>
|
| 2842 |
<statusCode code="completed"/>
|
| 2843 |
<effectiveTime value="20100331100000"/>
|
| 2844 |
<value unit="mg/dL" value="63" xsi:type="PQ"/>
|
| 2845 |
<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
|
| 2846 |
<referenceRange>
|
| 2847 |
<observationRange>
|
| 2848 |
<text>>=40 mg/dL</text>
|
| 2849 |
</observationRange>
|
| 2850 |
</referenceRange>
|
| 2851 |
</observation>
|
| 2852 |
</component>
|
| 2853 |
<component>
|
| 2854 |
<observation classCode="OBS" moodCode="EVN">
|
| 2855 |
|
| 2856 |
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
|
| 2857 |
<id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
|
| 2858 |
<code code="2089-1"
|
| 2859 |
codeSystem="2.16.840.1.113883.6.1"
|
| 2860 |
codeSystemName="LOINC"
|
| 2861 |
displayName="LDLc SerPl-mCnc" xsi:type="CE">
|
| 2862 |
|
| 2863 |
<translation code="83721"
|
| 2864 |
codeSystem="2.16.840.1.113883.6.12"
|
| 2865 |
codeSystemName="CPT" displayName="Assay of blood lipoprotein"/>
|
| 2866 |
<translation code="113079009"
|
| 2867 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2868 |
codeSystemName="SNOMED-CT" displayName="Low density lipoprotein cholesterol measurement"/>
|
| 2869 |
</code>
|
| 2870 |
<statusCode code="completed"/>
|
| 2871 |
<effectiveTime value="20100331100000"/>
|
| 2872 |
<value unit="mg/dL" value="150.2" xsi:type="PQ"/>
|
| 2873 |
<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
|
| 2874 |
<referenceRange>
|
| 2875 |
<observationRange>
|
| 2876 |
<text><130 mg/dL (calc)</text>
|
| 2877 |
</observationRange>
|
| 2878 |
</referenceRange>
|
| 2879 |
</observation>
|
| 2880 |
</component>
|
| 2881 |
<component>
|
| 2882 |
<observation classCode="OBS" moodCode="EVN">
|
| 2883 |
|
| 2884 |
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
|
| 2885 |
<id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
|
| 2886 |
<code code="2093-3"
|
| 2887 |
codeSystem="2.16.840.1.113883.6.1"
|
| 2888 |
codeSystemName="LOINC"
|
| 2889 |
displayName="Cholest SerPl-mCnc" xsi:type="CE">
|
| 2890 |
|
| 2891 |
<translation code="82465"
|
| 2892 |
codeSystem="2.16.840.1.113883.6.12"
|
| 2893 |
codeSystemName="CPT" displayName="Assay, bld/serum cholesterol"/>
|
| 2894 |
<translation code="121868005"
|
| 2895 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2896 |
codeSystemName="SNOMED-CT" displayName="Total cholesterol measurement"/>
|
| 2897 |
</code>
|
| 2898 |
<statusCode code="completed"/>
|
| 2899 |
<effectiveTime value="20100331100000"/>
|
| 2900 |
<value unit="mg/dL" value="251" xsi:type="PQ"/>
|
| 2901 |
<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
|
| 2902 |
<referenceRange>
|
| 2903 |
<observationRange>
|
| 2904 |
<text>125-200 mg/dL</text>
|
| 2905 |
</observationRange>
|
| 2906 |
</referenceRange>
|
| 2907 |
</observation>
|
| 2908 |
</component>
|
| 2909 |
<component>
|
| 2910 |
<observation classCode="OBS" moodCode="EVN">
|
| 2911 |
|
| 2912 |
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
|
| 2913 |
<id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
|
| 2914 |
<code code="12951-0"
|
| 2915 |
codeSystem="2.16.840.1.113883.6.1"
|
| 2916 |
codeSystemName="LOINC"
|
| 2917 |
displayName="Trigl SerPl Calc-mCnc" xsi:type="CE">
|
| 2918 |
|
| 2919 |
<translation code="84478"
|
| 2920 |
codeSystem="2.16.840.1.113883.6.12"
|
| 2921 |
codeSystemName="CPT" displayName="Assay of triglycerides"/>
|
| 2922 |
<translation code="14740000"
|
| 2923 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2924 |
codeSystemName="SNOMED-CT" displayName="Triglycerides measurement"/>
|
| 2925 |
</code>
|
| 2926 |
<statusCode code="completed"/>
|
| 2927 |
<effectiveTime value="20100331100000"/>
|
| 2928 |
<value unit="mg/dL" value="189" xsi:type="PQ"/>
|
| 2929 |
<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
|
| 2930 |
<referenceRange>
|
| 2931 |
<observationRange>
|
| 2932 |
<text>10-39 years: 55-110 mg/dL | 40-59 years: 70-150 mg/dL | >60 years: 80-150 mg/dL | Therapeutic Target: <100 mg/dL </text>
|
| 2933 |
</observationRange>
|
| 2934 |
</referenceRange>
|
| 2935 |
</observation>
|
| 2936 |
</component>
|
| 2937 |
</organizer>
|
| 2938 |
</entry>
|
| 2939 |
<entry typeCode="DRIV">
|
| 2940 |
<organizer classCode="CLUSTER" moodCode="EVN">
|
| 2941 |
|
| 2942 |
<templateId root="2.16.840.1.113883.10.20.22.4.1"/>
|
| 2943 |
<id root="7d5a02b0-67a4-11db-bd13-0800200c9a66"/>
|
| 2944 |
<code code="166312007"
|
| 2945 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2946 |
codeSystemName="SNOMED-CT" displayName="Blood Chemistry"/>
|
| 2947 |
<statusCode code="completed"/>
|
| 2948 |
<component>
|
| 2949 |
<observation classCode="OBS" moodCode="EVN">
|
| 2950 |
|
| 2951 |
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
|
| 2952 |
<id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
|
| 2953 |
<code code="4548-4"
|
| 2954 |
codeSystem="2.16.840.1.113883.6.1"
|
| 2955 |
codeSystemName="LOINC"
|
| 2956 |
displayName="Hgb A1c MFr Bld" xsi:type="CE">
|
| 2957 |
|
| 2958 |
<translation code="83036"
|
| 2959 |
codeSystem="2.16.840.1.113883.6.12"
|
| 2960 |
codeSystemName="CPT" displayName="Glycated hemoglobin test"/>
|
| 2961 |
<translation code="43396009"
|
| 2962 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2963 |
codeSystemName="SNOMED-CT" displayName="Hemoglobin A1c measurement"/>
|
| 2964 |
</code>
|
| 2965 |
<statusCode code="completed"/>
|
| 2966 |
<effectiveTime value="20100725100000"/>
|
| 2967 |
<value unit="%" value="6.6" xsi:type="PQ"/>
|
| 2968 |
<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
|
| 2969 |
<referenceRange>
|
| 2970 |
<observationRange>
|
| 2971 |
<text>4-5.6%</text>
|
| 2972 |
</observationRange>
|
| 2973 |
</referenceRange>
|
| 2974 |
</observation>
|
| 2975 |
</component>
|
| 2976 |
</organizer>
|
| 2977 |
</entry>
|
| 2978 |
<entry typeCode="DRIV">
|
| 2979 |
<organizer classCode="CLUSTER" moodCode="EVN">
|
| 2980 |
|
| 2981 |
<templateId root="2.16.840.1.113883.10.20.22.4.1"/>
|
| 2982 |
<id root="7d5a02b0-67a4-11db-bd13-0800200c9a66"/>
|
| 2983 |
<code code="166312007"
|
| 2984 |
codeSystem="2.16.840.1.113883.6.96"
|
| 2985 |
codeSystemName="SNOMED-CT" displayName="Blood Chemistry"/>
|
| 2986 |
<statusCode code="completed"/>
|
| 2987 |
<component>
|
| 2988 |
<observation classCode="OBS" moodCode="EVN">
|
| 2989 |
|
| 2990 |
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
|
| 2991 |
<id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
|
| 2992 |
<code code="4548-4"
|
| 2993 |
codeSystem="2.16.840.1.113883.6.1"
|
| 2994 |
codeSystemName="LOINC"
|
| 2995 |
displayName="Hgb A1c MFr Bld" xsi:type="CE">
|
| 2996 |
|
| 2997 |
<translation code="83036"
|
| 2998 |
codeSystem="2.16.840.1.113883.6.12"
|
| 2999 |
codeSystemName="CPT" displayName="Glycated hemoglobin test"/>
|
| 3000 |
<translation code="43396009"
|
| 3001 |
codeSystem="2.16.840.1.113883.6.96"
|
| 3002 |
codeSystemName="SNOMED-CT" displayName="Hemoglobin A1c measurement"/>
|
| 3003 |
</code>
|
| 3004 |
<statusCode code="completed"/>
|
| 3005 |
<effectiveTime value="20101024100000"/>
|
| 3006 |
<value unit="%" value="6.7" xsi:type="PQ"/>
|
| 3007 |
<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
|
| 3008 |
<referenceRange>
|
| 3009 |
<observationRange>
|
| 3010 |
<text>4-5.6%</text>
|
| 3011 |
</observationRange>
|
| 3012 |
</referenceRange>
|
| 3013 |
</observation>
|
| 3014 |
</component>
|
| 3015 |
</organizer>
|
| 3016 |
</entry>
|
| 3017 |
<entry typeCode="DRIV">
|
| 3018 |
<organizer classCode="BATTERY" moodCode="EVN">
|
| 3019 |
|
| 3020 |
<templateId root="2.16.840.1.113883.10.20.22.4.1"/>
|
| 3021 |
<id root="7d5a02b0-67a4-11db-bd13-0800200c9a66"/>
|
| 3022 |
<code code="16254007"
|
| 3023 |
codeSystem="2.16.840.1.113883.6.96"
|
| 3024 |
codeSystemName="SNOMED-CT"
|
| 3025 |
displayName="Lipid Panel" xsi:type="CE"/>
|
| 3026 |
<statusCode code="completed"/>
|
| 3027 |
<component>
|
| 3028 |
<observation classCode="OBS" moodCode="EVN">
|
| 3029 |
|
| 3030 |
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
|
| 3031 |
<id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
|
| 3032 |
<code code="14646-4"
|
| 3033 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3034 |
codeSystemName="LOINC"
|
| 3035 |
displayName="HDLc SerPl-sCnc" xsi:type="CE">
|
| 3036 |
|
| 3037 |
<translation code="83701"
|
| 3038 |
codeSystem="2.16.840.1.113883.6.12"
|
| 3039 |
codeSystemName="CPT" displayName="Lipoprotein bld, hr fraction"/>
|
| 3040 |
<translation code="28036006"
|
| 3041 |
codeSystem="2.16.840.1.113883.6.96"
|
| 3042 |
codeSystemName="SNOMED-CT" displayName="High density lipoprotein cholesterol measurement"/>
|
| 3043 |
</code>
|
| 3044 |
<statusCode code="completed"/>
|
| 3045 |
<effectiveTime value="20101024100000"/>
|
| 3046 |
<value unit="mg/dL" value="61" xsi:type="PQ"/>
|
| 3047 |
<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
|
| 3048 |
<referenceRange>
|
| 3049 |
<observationRange>
|
| 3050 |
<text>>=40 mg/dL</text>
|
| 3051 |
</observationRange>
|
| 3052 |
</referenceRange>
|
| 3053 |
</observation>
|
| 3054 |
</component>
|
| 3055 |
<component>
|
| 3056 |
<observation classCode="OBS" moodCode="EVN">
|
| 3057 |
|
| 3058 |
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
|
| 3059 |
<id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
|
| 3060 |
<code code="2089-1"
|
| 3061 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3062 |
codeSystemName="LOINC"
|
| 3063 |
displayName="LDLc SerPl-mCnc" xsi:type="CE">
|
| 3064 |
|
| 3065 |
<translation code="83721"
|
| 3066 |
codeSystem="2.16.840.1.113883.6.12"
|
| 3067 |
codeSystemName="CPT" displayName="Assay of blood lipoprotein"/>
|
| 3068 |
<translation code="113079009"
|
| 3069 |
codeSystem="2.16.840.1.113883.6.96"
|
| 3070 |
codeSystemName="SNOMED-CT" displayName="Low density lipoprotein cholesterol measurement"/>
|
| 3071 |
</code>
|
| 3072 |
<statusCode code="completed"/>
|
| 3073 |
<effectiveTime value="20101024100000"/>
|
| 3074 |
<value unit="mg/dL" value="106.6" xsi:type="PQ"/>
|
| 3075 |
<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
|
| 3076 |
<referenceRange>
|
| 3077 |
<observationRange>
|
| 3078 |
<text><130 mg/dL (calc)</text>
|
| 3079 |
</observationRange>
|
| 3080 |
</referenceRange>
|
| 3081 |
</observation>
|
| 3082 |
</component>
|
| 3083 |
<component>
|
| 3084 |
<observation classCode="OBS" moodCode="EVN">
|
| 3085 |
|
| 3086 |
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
|
| 3087 |
<id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
|
| 3088 |
<code code="2093-3"
|
| 3089 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3090 |
codeSystemName="LOINC"
|
| 3091 |
displayName="Cholest SerPl-mCnc" xsi:type="CE">
|
| 3092 |
|
| 3093 |
<translation code="82465"
|
| 3094 |
codeSystem="2.16.840.1.113883.6.12"
|
| 3095 |
codeSystemName="CPT" displayName="Assay, bld/serum cholesterol"/>
|
| 3096 |
<translation code="121868005"
|
| 3097 |
codeSystem="2.16.840.1.113883.6.96"
|
| 3098 |
codeSystemName="SNOMED-CT" displayName="Total cholesterol measurement"/>
|
| 3099 |
</code>
|
| 3100 |
<statusCode code="completed"/>
|
| 3101 |
<effectiveTime value="20101024100000"/>
|
| 3102 |
<value unit="mg/dL" value="197" xsi:type="PQ"/>
|
| 3103 |
<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
|
| 3104 |
<referenceRange>
|
| 3105 |
<observationRange>
|
| 3106 |
<text>125-200 mg/dL</text>
|
| 3107 |
</observationRange>
|
| 3108 |
</referenceRange>
|
| 3109 |
</observation>
|
| 3110 |
</component>
|
| 3111 |
<component>
|
| 3112 |
<observation classCode="OBS" moodCode="EVN">
|
| 3113 |
|
| 3114 |
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
|
| 3115 |
<id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
|
| 3116 |
<code code="12951-0"
|
| 3117 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3118 |
codeSystemName="LOINC"
|
| 3119 |
displayName="Trigl SerPl Calc-mCnc" xsi:type="CE">
|
| 3120 |
|
| 3121 |
<translation code="84478"
|
| 3122 |
codeSystem="2.16.840.1.113883.6.12"
|
| 3123 |
codeSystemName="CPT" displayName="Assay of triglycerides"/>
|
| 3124 |
<translation code="14740000"
|
| 3125 |
codeSystem="2.16.840.1.113883.6.96"
|
| 3126 |
codeSystemName="SNOMED-CT" displayName="Triglycerides measurement"/>
|
| 3127 |
</code>
|
| 3128 |
<statusCode code="completed"/>
|
| 3129 |
<effectiveTime value="20101024100000"/>
|
| 3130 |
<value unit="mg/dL" value="147" xsi:type="PQ"/>
|
| 3131 |
<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
|
| 3132 |
<referenceRange>
|
| 3133 |
<observationRange>
|
| 3134 |
<text>10-39 years: 55-110 mg/dL | 40-59 years: 70-150 mg/dL | >60 years: 80-150 mg/dL | Therapeutic Target: <100 mg/dL </text>
|
| 3135 |
</observationRange>
|
| 3136 |
</referenceRange>
|
| 3137 |
</observation>
|
| 3138 |
</component>
|
| 3139 |
</organizer>
|
| 3140 |
</entry>
|
| 3141 |
</section>
|
| 3142 |
</component>
|
| 3143 |
|
| 3144 |
|
| 3145 |
|
| 3146 |
|
| 3147 |
|
| 3148 |
<component>
|
| 3149 |
<section>
|
| 3150 |
<templateId root="2.16.840.1.113883.10.20.22.2.17"/>
|
| 3151 |
|
| 3152 |
<code code="29762-2"
|
| 3153 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3154 |
codeSystemName="LOINC" displayName="Social History"/>
|
| 3155 |
<title>Social History</title>
|
| 3156 |
<text>
|
| 3157 |
<table>
|
| 3158 |
<thead>
|
| 3159 |
<tr>
|
| 3160 |
<th>Group Description</th>
|
| 3161 |
<th>Code System</th>
|
| 3162 |
<th>Code</th>
|
| 3163 |
<th>Code Description</th>
|
| 3164 |
<th>Date and Time</th>
|
| 3165 |
<th>Status</th>
|
| 3166 |
</tr>
|
| 3167 |
</thead>
|
| 3168 |
<tbody>
|
| 3169 |
<tr>
|
| 3170 |
<td>Tobacco Use</td>
|
| 3171 |
<td>SNOMED-CT</td>
|
| 3172 |
<td>266919005</td>
|
| 3173 |
<td>
|
| 3174 |
<content ID="SocialHistory1"/>Never smoker (Never Smoked)</td>
|
| 3175 |
<td>03-31-2010 10:00:00</td>
|
| 3176 |
<td>Active</td>
|
| 3177 |
</tr>
|
| 3178 |
<tr>
|
| 3179 |
<td/>
|
| 3180 |
<td>SNOMED-CT</td>
|
| 3181 |
<td>449868002</td>
|
| 3182 |
<td>Current every day smoker</td>
|
| 3183 |
<td/>
|
| 3184 |
<td/>
|
| 3185 |
</tr>
|
| 3186 |
</tbody>
|
| 3187 |
</table>
|
| 3188 |
</text>
|
| 3189 |
<entry typeCode="DRIV">
|
| 3190 |
<observation classCode="OBS" moodCode="EVN">
|
| 3191 |
|
| 3192 |
<templateId root="2.16.840.1.113883.10.20.22.4.78"/>
|
| 3193 |
<id extension="123456789" root="2.16.840.1.113883.19"/>
|
| 3194 |
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4">
|
| 3195 |
|
| 3196 |
<originalText>
|
| 3197 |
Tobacco Use + Never smoker (Never Smoked)
|
| 3198 |
<reference value="#SocialHistory1"/>
|
| 3199 |
</originalText>
|
| 3200 |
</code>
|
| 3201 |
<statusCode code="completed"/>
|
| 3202 |
<effectiveTime>
|
| 3203 |
<low value="20100331100000"/>
|
| 3204 |
</effectiveTime>
|
| 3205 |
<value code="266919005"
|
| 3206 |
codeSystem="2.16.840.1.113883.6.96"
|
| 3207 |
codeSystemName="SNOMED-CT"
|
| 3208 |
displayName="Never smoker (Never Smoked)" xsi:type="CD">
|
| 3209 |
<translation code="449868002"
|
| 3210 |
codeSystem="2.16.840.1.113883.6.96"
|
| 3211 |
codeSystemName="SNOMED-CT" displayName="Current every day smoker"/>
|
| 3212 |
</value>
|
| 3213 |
</observation>
|
| 3214 |
</entry>
|
| 3215 |
</section>
|
| 3216 |
</component>
|
| 3217 |
|
| 3218 |
|
| 3219 |
|
| 3220 |
|
| 3221 |
|
| 3222 |
<component>
|
| 3223 |
<section>
|
| 3224 |
|
| 3225 |
<templateId root="2.16.840.1.113883.10.20.22.2.4"/>
|
| 3226 |
|
| 3227 |
<templateId root="2.16.840.1.113883.10.20.22.2.4.1"/>
|
| 3228 |
<code code="8716-3"
|
| 3229 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3230 |
codeSystemName="LOINC" displayName="Vital Signs"/>
|
| 3231 |
<title>Vital Signs</title>
|
| 3232 |
<text>
|
| 3233 |
<table>
|
| 3234 |
<thead>
|
| 3235 |
<tr>
|
| 3236 |
<th>Group Description</th>
|
| 3237 |
<th>Code System</th>
|
| 3238 |
<th>Code</th>
|
| 3239 |
<th>Code Description</th>
|
| 3240 |
<th>Value</th>
|
| 3241 |
<th>Unit</th>
|
| 3242 |
<th>Date and Time</th>
|
| 3243 |
<th>Status</th>
|
| 3244 |
</tr>
|
| 3245 |
</thead>
|
| 3246 |
<tbody>
|
| 3247 |
<tr>
|
| 3248 |
<td>BMI</td>
|
| 3249 |
<td>LOINC</td>
|
| 3250 |
<td>39156-5</td>
|
| 3251 |
<td>
|
| 3252 |
<content ID="VitalSign1"/>BMI</td>
|
| 3253 |
<td>31.3</td>
|
| 3254 |
<td>kg/m2</td>
|
| 3255 |
<td>03-31-2010 10:00:00</td>
|
| 3256 |
<td>Finding</td>
|
| 3257 |
</tr>
|
| 3258 |
<tr>
|
| 3259 |
<td>Diastolic Blood Pressure</td>
|
| 3260 |
<td>LOINC</td>
|
| 3261 |
<td>8462-4</td>
|
| 3262 |
<td>
|
| 3263 |
<content ID="VitalSign2"/>BP Diastolic</td>
|
| 3264 |
<td>92</td>
|
| 3265 |
<td>mm[Hg]</td>
|
| 3266 |
<td>03-31-2010 10:00:00</td>
|
| 3267 |
<td>Finding</td>
|
| 3268 |
</tr>
|
| 3269 |
<tr>
|
| 3270 |
<td>Systolic Blood Pressure</td>
|
| 3271 |
<td>LOINC</td>
|
| 3272 |
<td>8480-6</td>
|
| 3273 |
<td>
|
| 3274 |
<content ID="VitalSign3"/>BP Systolic</td>
|
| 3275 |
<td>145</td>
|
| 3276 |
<td>mm[Hg]</td>
|
| 3277 |
<td>03-31-2010 10:00:00</td>
|
| 3278 |
<td>Finding</td>
|
| 3279 |
</tr>
|
| 3280 |
<tr>
|
| 3281 |
<td>BMI</td>
|
| 3282 |
<td>LOINC</td>
|
| 3283 |
<td>39156-5</td>
|
| 3284 |
<td>
|
| 3285 |
<content ID="VitalSign4"/>BMI</td>
|
| 3286 |
<td>30.7</td>
|
| 3287 |
<td>kg/m2</td>
|
| 3288 |
<td>05-23-2010 10:00:00</td>
|
| 3289 |
<td>Finding</td>
|
| 3290 |
</tr>
|
| 3291 |
<tr>
|
| 3292 |
<td>Diastolic Blood Pressure</td>
|
| 3293 |
<td>LOINC</td>
|
| 3294 |
<td>8462-4</td>
|
| 3295 |
<td>
|
| 3296 |
<content ID="VitalSign5"/>BP Diastolic</td>
|
| 3297 |
<td>100</td>
|
| 3298 |
<td>mm[Hg]</td>
|
| 3299 |
<td>05-23-2010 10:00:00</td>
|
| 3300 |
<td>Finding</td>
|
| 3301 |
</tr>
|
| 3302 |
<tr>
|
| 3303 |
<td>Heart Rate</td>
|
| 3304 |
<td>LOINC</td>
|
| 3305 |
<td>8867-4</td>
|
| 3306 |
<td>
|
| 3307 |
<content ID="VitalSign6"/>Heart Rate</td>
|
| 3308 |
<td>100</td>
|
| 3309 |
<td>/min</td>
|
| 3310 |
<td>05-23-2010 10:00:00</td>
|
| 3311 |
<td>Finding</td>
|
| 3312 |
</tr>
|
| 3313 |
<tr>
|
| 3314 |
<td>Systolic Blood Pressure</td>
|
| 3315 |
<td>LOINC</td>
|
| 3316 |
<td>8480-6</td>
|
| 3317 |
<td>
|
| 3318 |
<content ID="VitalSign7"/>BP Systolic</td>
|
| 3319 |
<td>160</td>
|
| 3320 |
<td>mm[Hg]</td>
|
| 3321 |
<td>05-23-2010 10:00:00</td>
|
| 3322 |
<td>Finding</td>
|
| 3323 |
</tr>
|
| 3324 |
<tr>
|
| 3325 |
<td>Diastolic Blood Pressure</td>
|
| 3326 |
<td>LOINC</td>
|
| 3327 |
<td>8462-4</td>
|
| 3328 |
<td>
|
| 3329 |
<content ID="VitalSign8"/>BP Diastolic</td>
|
| 3330 |
<td>80</td>
|
| 3331 |
<td>mm[Hg]</td>
|
| 3332 |
<td>05-28-2010 10:00:00</td>
|
| 3333 |
<td>Finding</td>
|
| 3334 |
</tr>
|
| 3335 |
<tr>
|
| 3336 |
<td>Heart Rate</td>
|
| 3337 |
<td>LOINC</td>
|
| 3338 |
<td>8867-4</td>
|
| 3339 |
<td>
|
| 3340 |
<content ID="VitalSign9"/>Heart Rate</td>
|
| 3341 |
<td>88</td>
|
| 3342 |
<td>/min</td>
|
| 3343 |
<td>05-28-2010 10:00:00</td>
|
| 3344 |
<td>Finding</td>
|
| 3345 |
</tr>
|
| 3346 |
<tr>
|
| 3347 |
<td>Systolic Blood Pressure</td>
|
| 3348 |
<td>LOINC</td>
|
| 3349 |
<td>8480-6</td>
|
| 3350 |
<td>
|
| 3351 |
<content ID="VitalSign10"/>BP Systolic</td>
|
| 3352 |
<td>125</td>
|
| 3353 |
<td>mm[Hg]</td>
|
| 3354 |
<td>05-28-2010 10:00:00</td>
|
| 3355 |
<td>Finding</td>
|
| 3356 |
</tr>
|
| 3357 |
<tr>
|
| 3358 |
<td>BMI</td>
|
| 3359 |
<td>LOINC</td>
|
| 3360 |
<td>39156-5</td>
|
| 3361 |
<td>
|
| 3362 |
<content ID="VitalSign11"/>BMI</td>
|
| 3363 |
<td>29.9</td>
|
| 3364 |
<td>kg/m2</td>
|
| 3365 |
<td>06-25-2010 10:00:00</td>
|
| 3366 |
<td>Finding</td>
|
| 3367 |
</tr>
|
| 3368 |
<tr>
|
| 3369 |
<td>Diastolic Blood Pressure</td>
|
| 3370 |
<td>LOINC</td>
|
| 3371 |
<td>8462-4</td>
|
| 3372 |
<td>
|
| 3373 |
<content ID="VitalSign12"/>BP Diastolic</td>
|
| 3374 |
<td>88</td>
|
| 3375 |
<td>mm[Hg]</td>
|
| 3376 |
<td>06-25-2010 10:00:00</td>
|
| 3377 |
<td>Finding</td>
|
| 3378 |
</tr>
|
| 3379 |
<tr>
|
| 3380 |
<td>Heart Rate</td>
|
| 3381 |
<td>LOINC</td>
|
| 3382 |
<td>8867-4</td>
|
| 3383 |
<td>
|
| 3384 |
<content ID="VitalSign13"/>Heart Rate</td>
|
| 3385 |
<td>86</td>
|
| 3386 |
<td>/min</td>
|
| 3387 |
<td>06-25-2010 10:00:00</td>
|
| 3388 |
<td>Finding</td>
|
| 3389 |
</tr>
|
| 3390 |
<tr>
|
| 3391 |
<td>Systolic Blood Pressure</td>
|
| 3392 |
<td>LOINC</td>
|
| 3393 |
<td>8480-6</td>
|
| 3394 |
<td>
|
| 3395 |
<content ID="VitalSign14"/>BP Systolic</td>
|
| 3396 |
<td>132</td>
|
| 3397 |
<td>mm[Hg]</td>
|
| 3398 |
<td>06-25-2010 10:00:00</td>
|
| 3399 |
<td>Finding</td>
|
| 3400 |
</tr>
|
| 3401 |
<tr>
|
| 3402 |
<td>BMI</td>
|
| 3403 |
<td>LOINC</td>
|
| 3404 |
<td>39156-5</td>
|
| 3405 |
<td>
|
| 3406 |
<content ID="VitalSign15"/>BMI</td>
|
| 3407 |
<td>28.2</td>
|
| 3408 |
<td>kg/m2</td>
|
| 3409 |
<td>10-24-2010 10:00:00</td>
|
| 3410 |
<td>Finding</td>
|
| 3411 |
</tr>
|
| 3412 |
<tr>
|
| 3413 |
<td>Diastolic Blood Pressure</td>
|
| 3414 |
<td>LOINC</td>
|
| 3415 |
<td>8462-4</td>
|
| 3416 |
<td>
|
| 3417 |
<content ID="VitalSign16"/>BP Diastolic</td>
|
| 3418 |
<td>84</td>
|
| 3419 |
<td>mm[Hg]</td>
|
| 3420 |
<td>10-24-2010 10:00:00</td>
|
| 3421 |
<td>Finding</td>
|
| 3422 |
</tr>
|
| 3423 |
<tr>
|
| 3424 |
<td>Heart Rate</td>
|
| 3425 |
<td>LOINC</td>
|
| 3426 |
<td>8867-4</td>
|
| 3427 |
<td>
|
| 3428 |
<content ID="VitalSign17"/>Heart Rate</td>
|
| 3429 |
<td>84</td>
|
| 3430 |
<td>/min</td>
|
| 3431 |
<td>10-24-2010 10:00:00</td>
|
| 3432 |
<td>Finding</td>
|
| 3433 |
</tr>
|
| 3434 |
<tr>
|
| 3435 |
<td>Systolic Blood Pressure</td>
|
| 3436 |
<td>LOINC</td>
|
| 3437 |
<td>8480-6</td>
|
| 3438 |
<td>
|
| 3439 |
<content ID="VitalSign18"/>BP Systolic</td>
|
| 3440 |
<td>130</td>
|
| 3441 |
<td>mm[Hg]</td>
|
| 3442 |
<td>10-24-2010 10:00:00</td>
|
| 3443 |
<td>Finding</td>
|
| 3444 |
</tr>
|
| 3445 |
</tbody>
|
| 3446 |
</table>
|
| 3447 |
</text>
|
| 3448 |
<entry typeCode="DRIV">
|
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<organizer classCode="CLUSTER" moodCode="EVN">
|
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displayName="Vital signs" xsi:type="CD"/>
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<statusCode code="completed"/>
|
| 3458 |
<effectiveTime value="20100331100000"/>
|
| 3459 |
<component>
|
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<observation classCode="OBS" moodCode="EVN">
|
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|
| 3462 |
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|
| 3466 |
codeSystemName="LOINC"
|
| 3467 |
displayName="BMI" xsi:type="CD"/>
|
| 3468 |
<text>
|
| 3469 |
<reference value="#VitalSign1"/>
|
| 3470 |
</text>
|
| 3471 |
<statusCode code="completed"/>
|
| 3472 |
<effectiveTime value="20100331100000"/>
|
| 3473 |
<value unit="kg/m2" value="31.3" xsi:type="PQ"/>
|
| 3474 |
</observation>
|
| 3475 |
</component>
|
| 3476 |
<component>
|
| 3477 |
<observation classCode="OBS" moodCode="EVN">
|
| 3478 |
|
| 3479 |
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
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| 3480 |
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<code code="8462-4"
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| 3482 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3483 |
codeSystemName="LOINC"
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| 3484 |
displayName="BP Diastolic" xsi:type="CD"/>
|
| 3485 |
<text>
|
| 3486 |
<reference value="#VitalSign2"/>
|
| 3487 |
</text>
|
| 3488 |
<statusCode code="completed"/>
|
| 3489 |
<effectiveTime value="20100331100000"/>
|
| 3490 |
<value unit="mm[Hg]" value="92" xsi:type="PQ"/>
|
| 3491 |
</observation>
|
| 3492 |
</component>
|
| 3493 |
<component>
|
| 3494 |
<observation classCode="OBS" moodCode="EVN">
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|
| 3496 |
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<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
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| 3498 |
<code code="8480-6"
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| 3499 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3500 |
codeSystemName="LOINC"
|
| 3501 |
displayName="BP Systolic" xsi:type="CD"/>
|
| 3502 |
<text>
|
| 3503 |
<reference value="#VitalSign3"/>
|
| 3504 |
</text>
|
| 3505 |
<statusCode code="completed"/>
|
| 3506 |
<effectiveTime value="20100331100000"/>
|
| 3507 |
<value unit="mm[Hg]" value="145" xsi:type="PQ"/>
|
| 3508 |
</observation>
|
| 3509 |
</component>
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| 3510 |
</organizer>
|
| 3511 |
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| 3512 |
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| 3518 |
codeSystem="2.16.840.1.113883.6.96"
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| 3519 |
codeSystemName="SNOMED-CT"
|
| 3520 |
displayName="Vital signs" xsi:type="CD"/>
|
| 3521 |
<statusCode code="completed"/>
|
| 3522 |
<effectiveTime value="20100523100000"/>
|
| 3523 |
<component>
|
| 3524 |
<observation classCode="OBS" moodCode="EVN">
|
| 3525 |
|
| 3526 |
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
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| 3527 |
<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
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| 3528 |
<code code="39156-5"
|
| 3529 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3530 |
codeSystemName="LOINC"
|
| 3531 |
displayName="BMI" xsi:type="CD"/>
|
| 3532 |
<text>
|
| 3533 |
<reference value="#VitalSign4"/>
|
| 3534 |
</text>
|
| 3535 |
<statusCode code="completed"/>
|
| 3536 |
<effectiveTime value="20100523100000"/>
|
| 3537 |
<value unit="kg/m2" value="30.7" xsi:type="PQ"/>
|
| 3538 |
</observation>
|
| 3539 |
</component>
|
| 3540 |
<component>
|
| 3541 |
<observation classCode="OBS" moodCode="EVN">
|
| 3542 |
|
| 3543 |
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
|
| 3544 |
<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
|
| 3545 |
<code code="8462-4"
|
| 3546 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3547 |
codeSystemName="LOINC"
|
| 3548 |
displayName="BP Diastolic" xsi:type="CD"/>
|
| 3549 |
<text>
|
| 3550 |
<reference value="#VitalSign5"/>
|
| 3551 |
</text>
|
| 3552 |
<statusCode code="completed"/>
|
| 3553 |
<effectiveTime value="20100523100000"/>
|
| 3554 |
<value unit="mm[Hg]" value="100" xsi:type="PQ"/>
|
| 3555 |
</observation>
|
| 3556 |
</component>
|
| 3557 |
<component>
|
| 3558 |
<observation classCode="OBS" moodCode="EVN">
|
| 3559 |
|
| 3560 |
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
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| 3561 |
<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
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| 3562 |
<code code="8867-4"
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| 3563 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3564 |
codeSystemName="LOINC"
|
| 3565 |
displayName="Heart Rate" xsi:type="CD"/>
|
| 3566 |
<text>
|
| 3567 |
<reference value="#VitalSign6"/>
|
| 3568 |
</text>
|
| 3569 |
<statusCode code="completed"/>
|
| 3570 |
<effectiveTime value="20100523100000"/>
|
| 3571 |
<value unit="/min" value="100" xsi:type="PQ"/>
|
| 3572 |
</observation>
|
| 3573 |
</component>
|
| 3574 |
<component>
|
| 3575 |
<observation classCode="OBS" moodCode="EVN">
|
| 3576 |
|
| 3577 |
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
|
| 3578 |
<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
|
| 3579 |
<code code="8480-6"
|
| 3580 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3581 |
codeSystemName="LOINC"
|
| 3582 |
displayName="BP Systolic" xsi:type="CD"/>
|
| 3583 |
<text>
|
| 3584 |
<reference value="#VitalSign7"/>
|
| 3585 |
</text>
|
| 3586 |
<statusCode code="completed"/>
|
| 3587 |
<effectiveTime value="20100523100000"/>
|
| 3588 |
<value unit="mm[Hg]" value="160" xsi:type="PQ"/>
|
| 3589 |
</observation>
|
| 3590 |
</component>
|
| 3591 |
</organizer>
|
| 3592 |
</entry>
|
| 3593 |
<entry typeCode="DRIV">
|
| 3594 |
<organizer classCode="CLUSTER" moodCode="EVN">
|
| 3595 |
|
| 3596 |
<templateId root="2.16.840.1.113883.10.20.22.4.26"/>
|
| 3597 |
<id root="c6f88320-67ad-11db-bd13-0800200c9a66"/>
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| 3598 |
<code code="46680005"
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| 3599 |
codeSystem="2.16.840.1.113883.6.96"
|
| 3600 |
codeSystemName="SNOMED-CT"
|
| 3601 |
displayName="Vital signs" xsi:type="CD"/>
|
| 3602 |
<statusCode code="completed"/>
|
| 3603 |
<effectiveTime value="20100528100000"/>
|
| 3604 |
<component>
|
| 3605 |
<observation classCode="OBS" moodCode="EVN">
|
| 3606 |
|
| 3607 |
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
|
| 3608 |
<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
|
| 3609 |
<code code="8462-4"
|
| 3610 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3611 |
codeSystemName="LOINC"
|
| 3612 |
displayName="BP Diastolic" xsi:type="CD"/>
|
| 3613 |
<text>
|
| 3614 |
<reference value="#VitalSign8"/>
|
| 3615 |
</text>
|
| 3616 |
<statusCode code="completed"/>
|
| 3617 |
<effectiveTime value="20100528100000"/>
|
| 3618 |
<value unit="mm[Hg]" value="80" xsi:type="PQ"/>
|
| 3619 |
</observation>
|
| 3620 |
</component>
|
| 3621 |
<component>
|
| 3622 |
<observation classCode="OBS" moodCode="EVN">
|
| 3623 |
|
| 3624 |
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
|
| 3625 |
<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
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| 3626 |
<code code="8867-4"
|
| 3627 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3628 |
codeSystemName="LOINC"
|
| 3629 |
displayName="Heart Rate" xsi:type="CD"/>
|
| 3630 |
<text>
|
| 3631 |
<reference value="#VitalSign9"/>
|
| 3632 |
</text>
|
| 3633 |
<statusCode code="completed"/>
|
| 3634 |
<effectiveTime value="20100528100000"/>
|
| 3635 |
<value unit="/min" value="88" xsi:type="PQ"/>
|
| 3636 |
</observation>
|
| 3637 |
</component>
|
| 3638 |
<component>
|
| 3639 |
<observation classCode="OBS" moodCode="EVN">
|
| 3640 |
|
| 3641 |
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
|
| 3642 |
<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
|
| 3643 |
<code code="8480-6"
|
| 3644 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3645 |
codeSystemName="LOINC"
|
| 3646 |
displayName="BP Systolic" xsi:type="CD"/>
|
| 3647 |
<text>
|
| 3648 |
<reference value="#VitalSign10"/>
|
| 3649 |
</text>
|
| 3650 |
<statusCode code="completed"/>
|
| 3651 |
<effectiveTime value="20100528100000"/>
|
| 3652 |
<value unit="mm[Hg]" value="125" xsi:type="PQ"/>
|
| 3653 |
</observation>
|
| 3654 |
</component>
|
| 3655 |
</organizer>
|
| 3656 |
</entry>
|
| 3657 |
<entry typeCode="DRIV">
|
| 3658 |
<organizer classCode="CLUSTER" moodCode="EVN">
|
| 3659 |
|
| 3660 |
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| 3661 |
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| 3663 |
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|
| 3664 |
codeSystemName="SNOMED-CT"
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| 3665 |
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|
| 3666 |
<statusCode code="completed"/>
|
| 3667 |
<effectiveTime value="20100625100000"/>
|
| 3668 |
<component>
|
| 3669 |
<observation classCode="OBS" moodCode="EVN">
|
| 3670 |
|
| 3671 |
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
|
| 3672 |
<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
|
| 3673 |
<code code="39156-5"
|
| 3674 |
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|
| 3675 |
codeSystemName="LOINC"
|
| 3676 |
displayName="BMI" xsi:type="CD"/>
|
| 3677 |
<text>
|
| 3678 |
<reference value="#VitalSign11"/>
|
| 3679 |
</text>
|
| 3680 |
<statusCode code="completed"/>
|
| 3681 |
<effectiveTime value="20100625100000"/>
|
| 3682 |
<value unit="kg/m2" value="29.9" xsi:type="PQ"/>
|
| 3683 |
</observation>
|
| 3684 |
</component>
|
| 3685 |
<component>
|
| 3686 |
<observation classCode="OBS" moodCode="EVN">
|
| 3687 |
|
| 3688 |
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|
| 3689 |
<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
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| 3690 |
<code code="8462-4"
|
| 3691 |
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|
| 3692 |
codeSystemName="LOINC"
|
| 3693 |
displayName="BP Diastolic" xsi:type="CD"/>
|
| 3694 |
<text>
|
| 3695 |
<reference value="#VitalSign12"/>
|
| 3696 |
</text>
|
| 3697 |
<statusCode code="completed"/>
|
| 3698 |
<effectiveTime value="20100625100000"/>
|
| 3699 |
<value unit="mm[Hg]" value="88" xsi:type="PQ"/>
|
| 3700 |
</observation>
|
| 3701 |
</component>
|
| 3702 |
<component>
|
| 3703 |
<observation classCode="OBS" moodCode="EVN">
|
| 3704 |
|
| 3705 |
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
|
| 3706 |
<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
|
| 3707 |
<code code="8867-4"
|
| 3708 |
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|
| 3709 |
codeSystemName="LOINC"
|
| 3710 |
displayName="Heart Rate" xsi:type="CD"/>
|
| 3711 |
<text>
|
| 3712 |
<reference value="#VitalSign13"/>
|
| 3713 |
</text>
|
| 3714 |
<statusCode code="completed"/>
|
| 3715 |
<effectiveTime value="20100625100000"/>
|
| 3716 |
<value unit="/min" value="86" xsi:type="PQ"/>
|
| 3717 |
</observation>
|
| 3718 |
</component>
|
| 3719 |
<component>
|
| 3720 |
<observation classCode="OBS" moodCode="EVN">
|
| 3721 |
|
| 3722 |
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|
| 3723 |
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| 3724 |
<code code="8480-6"
|
| 3725 |
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|
| 3726 |
codeSystemName="LOINC"
|
| 3727 |
displayName="BP Systolic" xsi:type="CD"/>
|
| 3728 |
<text>
|
| 3729 |
<reference value="#VitalSign14"/>
|
| 3730 |
</text>
|
| 3731 |
<statusCode code="completed"/>
|
| 3732 |
<effectiveTime value="20100625100000"/>
|
| 3733 |
<value unit="mm[Hg]" value="132" xsi:type="PQ"/>
|
| 3734 |
</observation>
|
| 3735 |
</component>
|
| 3736 |
</organizer>
|
| 3737 |
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|
| 3738 |
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| 3739 |
<organizer classCode="CLUSTER" moodCode="EVN">
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| 3740 |
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| 3745 |
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| 3747 |
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|
| 3748 |
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|
| 3749 |
<component>
|
| 3750 |
<observation classCode="OBS" moodCode="EVN">
|
| 3751 |
|
| 3752 |
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| 3753 |
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| 3754 |
<code code="39156-5"
|
| 3755 |
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|
| 3756 |
codeSystemName="LOINC"
|
| 3757 |
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|
| 3758 |
<text>
|
| 3759 |
<reference value="#VitalSign15"/>
|
| 3760 |
</text>
|
| 3761 |
<statusCode code="completed"/>
|
| 3762 |
<effectiveTime value="20101024100000"/>
|
| 3763 |
<value unit="kg/m2" value="28.2" xsi:type="PQ"/>
|
| 3764 |
</observation>
|
| 3765 |
</component>
|
| 3766 |
<component>
|
| 3767 |
<observation classCode="OBS" moodCode="EVN">
|
| 3768 |
|
| 3769 |
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
|
| 3770 |
<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
|
| 3771 |
<code code="8462-4"
|
| 3772 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3773 |
codeSystemName="LOINC"
|
| 3774 |
displayName="BP Diastolic" xsi:type="CD"/>
|
| 3775 |
<text>
|
| 3776 |
<reference value="#VitalSign16"/>
|
| 3777 |
</text>
|
| 3778 |
<statusCode code="completed"/>
|
| 3779 |
<effectiveTime value="20101024100000"/>
|
| 3780 |
<value unit="mm[Hg]" value="84" xsi:type="PQ"/>
|
| 3781 |
</observation>
|
| 3782 |
</component>
|
| 3783 |
<component>
|
| 3784 |
<observation classCode="OBS" moodCode="EVN">
|
| 3785 |
|
| 3786 |
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
|
| 3787 |
<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
|
| 3788 |
<code code="8867-4"
|
| 3789 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3790 |
codeSystemName="LOINC"
|
| 3791 |
displayName="Heart Rate" xsi:type="CD"/>
|
| 3792 |
<text>
|
| 3793 |
<reference value="#VitalSign17"/>
|
| 3794 |
</text>
|
| 3795 |
<statusCode code="completed"/>
|
| 3796 |
<effectiveTime value="20101024100000"/>
|
| 3797 |
<value unit="/min" value="84" xsi:type="PQ"/>
|
| 3798 |
</observation>
|
| 3799 |
</component>
|
| 3800 |
<component>
|
| 3801 |
<observation classCode="OBS" moodCode="EVN">
|
| 3802 |
|
| 3803 |
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
|
| 3804 |
<id root="c6f88321-67ad-11db-bd13-0800200c9a66"/>
|
| 3805 |
<code code="8480-6"
|
| 3806 |
codeSystem="2.16.840.1.113883.6.1"
|
| 3807 |
codeSystemName="LOINC"
|
| 3808 |
displayName="BP Systolic" xsi:type="CD"/>
|
| 3809 |
<text>
|
| 3810 |
<reference value="#VitalSign18"/>
|
| 3811 |
</text>
|
| 3812 |
<statusCode code="completed"/>
|
| 3813 |
<effectiveTime value="20101024100000"/>
|
| 3814 |
<value unit="mm[Hg]" value="130" xsi:type="PQ"/>
|
| 3815 |
</observation>
|
| 3816 |
</component>
|
| 3817 |
</organizer>
|
| 3818 |
</entry>
|
| 3819 |
</section>
|
| 3820 |
</component>
|
| 3821 |
|
| 3822 |
|
| 3823 |
|
| 3824 |
|
| 3825 |
|
| 3826 |
</structuredBody>
|
| 3827 |
</component>
|
| 3828 |
</ClinicalDocument>
|
